| Plan Name | ALLEVITY, INC. RETIREMENT SAVINGS PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | KING ORAL & MAXILLOFACIAL SURGERY CENTER |
| Employer identification number (EIN): | 205070486 |
| 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 | 2016-01-01 | DONAL K FORD | 2017-04-18 | ||
| 001 | 2015-01-01 | DONAL K FORD | 2016-10-11 | ||
| 001 | 2014-01-01 | DONAL K FORD | 2015-10-12 | ||
| 001 | 2013-01-01 | CRAIG AHLSWEDE | 2014-09-18 | CRAIG AHLSWEDE | 2014-09-18 |
| 001 | 2012-01-01 | CRAIG AHLSWEDE | 2013-07-12 | CRAIG AHLSWEDE | 2013-07-12 |
| 001 | 2011-05-01 | CRAIG AHLSWEDE | 2012-07-18 | CRAIG AHLSWEDE | 2012-07-18 |