| Plan Name | DAVID A. MACZKO, D.M.D. DEFINED BENEFIT PENSION PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Benefit Pension |
| Plan Features/Benefits |
|
| Company Name: | DAVID A. MACZKO, D.M.D. |
| Employer identification number (EIN): | 042918555 |
| NAIC Classification: | 621210 |
| NAIC Description: | Offices of Dentists |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2010-01-01 | DAVID A. MACZKO | 2011-10-10 |