| Plan Name | ROBERT J. DOHERTY, D.D.S., P.C. RETIREMENT TRUST |
| Plan identification number | 003 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | ROBERT J. DOHERTTY, D.D.S, P.C. |
| Employer identification number (EIN): | 133140861 |
| 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 |
|---|---|---|---|---|---|
| 003 | 2010-11-01 | ROBERT DOHERTY | 2011-11-22 |