| Plan Name | BENEFITGUARD RETIREMENT INCOME SECURITY PLAN-KINGS BEACH DENTAL |
| Plan identification number | 003 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | KAREN KUCHARSKI DMD |
| Employer identification number (EIN): | 134214385 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 003 | 2018-01-01 | STEVEN STOUT | 2019-07-24 | ||
| 003 | 2017-01-01 | SPENCER BARCLAY | 2018-07-27 | ||
| 003 | 2016-04-08 | SPENCER BARCLAY | 2017-07-28 |