UNIVERSITY OB-GYN ASSOCIATES, PLLC

File	View Page
Three-digit plan number (PN)	004
Effective date of plan	1989-01-01
Business code	621111
Sponsor’s telephone number	6019845310
Plan sponsor’s address	2500 NORTH STATE STREET, JACKSON, MS, 392164505

Plan administrator’s name and address

Administrator’s EIN	640592243
Plan administrator’s name	UNIVERSITY OB-GYN ASSOCIATES PLLC
Plan administrator’s address	2500 NORTH STATE STREET, JACKSON, MS, 392164505
Administrator’s telephone number	6019845310

Signature of

Role	Plan administrator
Date	2010-06-29
Name of individual signing	G. RODNEY MEEKS
Valid signature	Filed with authorized/valid electronic signature