PROVIDENCE MEDICAL GROUP 401(K) PLAN

[ EIN: 33-0679962 | Plan No. 002 ]

Form 5500 filing classifies PROVIDENCE MEDICAL GROUP 401(K) PLAN as a 401(k) plan, sponsored by PROVIDENCE MEDICAL GROUP. The plan is a Large Plan with 113 participants and total assets of $12,362,111 reported for the 2014 plan year.

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

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Plan Sponsor: PROVIDENCE MEDICAL GROUP

Location: 5315 TORRANCE BLVD. SUITE A, TORRANCE, CA 90503

EIN: 330679962

Plan Number: 002

Plan Year: 2014

Plan Size: Large Plan

Plan Entity Type: Defined Contribution

Plan Type: 401(k)

Participants: 113

Total Assets: $12,362,111

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