LOUISVILLE PULMONARY ASSOCIATES, P.S.C.

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1991-01-01
Business code	621111
Sponsor’s telephone number	5025585180
Plan sponsor’s mailing address	PO BOX 6893, LOUISVILLE, KY, 40206
Plan sponsor’s address	4402 CHURCHMAN AVENUE, SUITE 305, LOUISVILLE, KY, 40215

Number of participants as of the end of the plan year

Active participants	0
Retired or separated participants receiving benefits	0
Other retired or separated participants entitled to future benefits	0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits	0
Number of participants with account balances as of the end of the plan year	0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	0

Signature of

Role	Plan administrator
Date	2014-07-08
Name of individual signing	WILLIAM KOHORST
Valid signature	Filed with authorized/valid electronic signature