KEMPER & KEMPER, M.D.'S, LLP

File	View Page
Three-digit plan number (PN)	006
Effective date of plan	1992-01-01
Business code	621111
Sponsor’s telephone number	5023611389
Plan sponsor’s address	4500 CHURCHMAN AVENUE, STE. 101, LOUISVILLE, KY, 40215

File	View Page
Three-digit plan number (PN)	006
Effective date of plan	1992-01-01
Business code	621111
Sponsor’s telephone number	5023611389
Plan sponsor’s address	4500 CHURCHMAN AVENUE, STE. 101, LOUISVILLE, KY, 40215

File	View Page
Three-digit plan number (PN)	006
Effective date of plan	1992-01-01
Business code	621111
Sponsor’s telephone number	5023611389
Plan sponsor’s address	4500 CHURCHMAN AVENUE, STE. 101, LOUISVILLE, KY, 40215

File	View Page
Three-digit plan number (PN)	006
Effective date of plan	1992-01-01
Business code	621111
Sponsor’s telephone number	5023611389
Plan sponsor’s address	4500 CHURCHMAN AVENUE, STE. 101, LOUISVILLE, KY, 40215

Three-digit plan number (PN)	006
Effective date of plan	1992-01-01
Business code	621111
Sponsor’s telephone number	5023611389
Plan sponsor’s address	4500 CHURCHMAN AVENUE, STE. 101, LOUISVILLE, KY, 40215

File	View Page
Three-digit plan number (PN)	006
Effective date of plan	1992-01-01
Business code	621111
Sponsor’s telephone number	5023611389
Plan sponsor’s address	4500 CHURCHMAN AVENUE, STE. 101, LOUISVILLE, KY, 40215

File	View Page
Three-digit plan number (PN)	006
Effective date of plan	1992-01-01
Business code	621111
Sponsor’s telephone number	5023611389
Plan sponsor’s address	4500 CHURCHMAN AVENUE, STE. 101, LOUISVILLE, KY, 40215

File	View Page
Three-digit plan number (PN)	006
Effective date of plan	1992-01-01
Business code	621111
Sponsor’s telephone number	5023611389
Plan sponsor’s address	4500 CHURCHMAN AVENUE, STE. 101, LOUISVILLE, KY, 40215

File	View Page
Three-digit plan number (PN)	006
Effective date of plan	1992-01-01
Business code	621111
Sponsor’s telephone number	5023611389
Plan sponsor’s address	4500 CHURCHMAN AVENUE, STE. 101, LOUISVILLE, KY, 40215

File	View Page
Three-digit plan number (PN)	006
Effective date of plan	1992-01-01
Business code	621111
Sponsor’s telephone number	5023611389
Plan sponsor’s mailing address	4500 CHURCHMAN AVENUE, SUITE 101, LOUISVILLE, KY, 40215
Plan sponsor’s address	4500 CHURCHMAN AVENUE, SUITE 101, LOUISVILLE, KY, 40215

Plan administrator’s name and address

Administrator’s EIN	611315308
Plan administrator’s name	KEMPER & KEMPER M.D.'S LLP
Plan administrator’s address	4500 CHURCHMAN AVENUE, SUITE 101, LOUISVILLE, KY, 40215
Administrator’s telephone number	5023611389

Number of participants as of the end of the plan year

Active participants	10
Retired or separated participants receiving benefits	0
Other retired or separated participants entitled to future benefits	7
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	14
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	2011-07-14
Name of individual signing	WARREN R KEMPER
Valid signature	Filed with authorized/valid electronic signature

Three-digit plan number (PN)	006
Effective date of plan	1992-01-01
Business code	621111
Sponsor’s telephone number	5023611389
Plan sponsor’s mailing address	4500 CHURCHMAN AVENUE, SUITE 101, LOUISVILLE, KY, 40215
Plan sponsor’s address	4500 CHURCHMAN AVENUE, SUITE 101, LOUISVILLE, KY, 40215

Plan administrator’s name and address

Administrator’s EIN	611315308
Plan administrator’s name	KEMPER & KEMPER M.D.'S LLP
Plan administrator’s address	4500 CHURCHMAN AVENUE, SUITE 101, LOUISVILLE, KY, 40215
Administrator’s telephone number	5023611389

Number of participants as of the end of the plan year

Active participants	10
Retired or separated participants receiving benefits	0
Other retired or separated participants entitled to future benefits	7
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	14
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	2011-07-12
Name of individual signing	WARREN R KEMPER
Valid signature	Filed with authorized/valid electronic signature