SAM SHEUNG-TSAM KAM M.D., INC. RETIREMENT PLAN

[ EIN: 95-4409428 | Plan No. 001 ]

Form 5500 filing classifies SAM SHEUNG-TSAM KAM M.D., INC. RETIREMENT PLAN as a DFE/Master Trust plan, sponsored by SAM SHEUNG-TSAM KAM M.D., INC.. The plan is a Large Plan with 0 participants and total assets of $0 reported for the 2009 plan year.

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

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Plan Sponsor: SAM SHEUNG-TSAM KAM M.D., INC.

Location: 17170 COLIMA ROAD, SUITE E, HACIENDA HEIGHTS, CA 91745

EIN: 954409428

Plan Number: 001

Plan Year: 2009

Plan Size: Large Plan

Plan Entity Type: DFE/Master Trust

Plan Type: DFE/Master Trust

Participants: 0

Total Assets: $0

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