| Plan Name | DAVID J. DEGRAVE, D.D.S. RETIREMENT SAVINGS PLAN |
| Plan identification number | 005 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | DAVID J. DEGRAVE, D.D.S., LTD. |
| Employer identification number (EIN): | 200632889 |
| 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 |
|---|---|---|---|---|---|
| 005 | 2019-01-01 | DR. DAVID J. DEGRAVE | 2019-10-30 | ||
| 005 | 2018-01-01 | DR. DAVID J. DEGRAVE | 2019-07-12 | ||
| 005 | 2017-01-01 | DR. DAVID J. DEGRAVE | 2018-07-09 | ||
| 005 | 2016-01-01 | DR. DAVID J. DEGRAVE | 2017-06-30 | ||
| 005 | 2015-01-01 | DR. DAVID J. DEGRAVE | 2016-09-14 | ||
| 005 | 2015-01-01 | DR. DAVID J. DEGRAVE | 2017-09-19 |