PROVIDENCE COMMUNITY SERVICES LIFE INSURANCE BENEFITS PLAN

[ EIN: 33-0797276 | Plan No. 504 ]

Form 5500 filing classifies PROVIDENCE COMMUNITY SERVICES LIFE INSURANCE BENEFITS PLAN as a DFE/Master Trust plan, sponsored by PROVIDENCE COMMUNITY SERVICES. The plan is a Large Plan with 0 participants and total assets of $0 reported for the 2010 plan year.

DFE/Master Trust plans are subject to ERISA disclosure requirements and annual reporting obligations.

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Plan Sponsor: PROVIDENCE COMMUNITY SERVICES

Location: 64 EAST BROADWAY, TUCSON, AZ 85701

EIN: 330797276

Plan Number: 504

Plan Year: 2010

Plan Size: Large Plan

Plan Entity Type: DFE/Master Trust

Plan Type: DFE/Master Trust

Participants: 0

Total Assets: $0

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