| Plan Name | DANIEL R. VODVARKA, D.D.S., LLC SELF-EMPLOYED 401K PROFIT SHARING PLAN |
| Plan identification number | 004 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | DANIEL R. VODVARKA, D.D.S., LLC |
| Employer identification number (EIN): | 201943115 |
| 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 |
|---|---|---|---|---|---|
| 004 | 2011-01-01 | DANIEL R. VODVARKA | 2012-07-17 | ||
| 004 | 2010-01-01 | PENSION PLANNERS NORTHWEST | 2011-04-08 |