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| Plan Name | AFFINITY DENTAL OF SOUTH BAY RETIREMENT PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | AFFINITY DENTAL OF SOUTH BAY |
| Employer identification number (EIN): | 275241110 |
| NAIC Classification: | 812990 |
| NAIC Description: | All Other Personal Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2013-01-01 | NICOLE REID | 2015-06-15 | ||
| 001 | 2012-01-01 | NICOLE REID | 2013-10-02 |