MEDICAL CLAIMS RESOURCES, INC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621111
Sponsor’s telephone number	9042220124
Plan sponsor’s address	412 2ND STREET SOUTH, JACKSONVILLE, FL, 32250

Plan administrator’s name and address

Administrator’s EIN	010850151
Plan administrator’s name	MEDICAL CLAIMS RESOURCES INC
Plan administrator’s address	412 2ND STREET SOUTH, JACKSONVILLE, FL, 32250
Administrator’s telephone number	9042220124

Signature of

Role	Plan administrator
Date	2011-07-15
Name of individual signing	MEDICAL CLAIMS RESOURCES INC
Valid signature	Filed with authorized/valid electronic signature