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| Plan Name | DAVID J. DEGRAVE RETIREMENT SAVINGS PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | DAVID J. DEGRAVE, DDS |
| Employer identification number (EIN): | 200633480 |
| 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 | 2014-01-01 | DR. DAVID DEGRAVE, DDS | 2015-06-25 | ||
| 001 | 2013-01-01 | DR. DAVID DEGRAVE, DDS | 2014-07-08 | ||
| 001 | 2012-01-01 | DR. DAVID DEGRAVE, DDS | 2013-06-21 |