| Plan Name | ROBERT L. BLEVINS, D.M.D. PROFIT SHARING PLAN & TRUST |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | ROBERT L. BLEVINS, D.M.D. |
| Employer identification number (EIN): | 232136788 |
| 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 | 2011-01-01 | BENJAMIN C. BRUTON | 2012-02-02 | ||
| 001 | 2010-01-01 | BENJAMIN C. BRUTON | 2011-05-16 |