BLANCHARD VALLEY WOMENS CARE, LLC 401(K) RETIREMENT PLAN

[ EIN: 20-0015492 | Plan No. 001 ]

Form 5500 filing classifies BLANCHARD VALLEY WOMENS CARE, LLC 401(K) RETIREMENT PLAN as a 401(k) plan, sponsored by BLANCHARD VALLEY WOMENS CARE, LLC. The plan is a Small Plan with 31 participants and total assets of $712,854 reported for the 2012 plan year.

401(k) plans are subject to ERISA disclosure requirements and annual reporting obligations.

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Plan Sponsor: BLANCHARD VALLEY WOMENS CARE, LLC

Location: 1917 SOUTH MAIN STREET, FINDLAY, OH 45840

EIN: 200015492

Plan Number: 001

Plan Year: 2012

Plan Size: Small Plan

Plan Entity Type: Defined Contribution

Plan Type: 401(k)

Participants: 31

Total Assets: $712,854

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