| Plan Name | BLUE JAY DENTAL 401(K) PROFIT SHARING PLAN |
| Plan identification number | 004 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | HUGH A. BIALECKI, SOLE PROPRIETOR DBA BLUE JAY DENTAL |
| Employer identification number (EIN): | 330255023 |
| 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 | 2020-01-01 | ||||
| 004 | 2018-01-01 | ||||
| 004 | 2017-01-01 | ||||
| 004 | 2016-01-01 | ||||
| 004 | 2015-01-01 | ||||
| 004 | 2014-01-01 | HUGH A. BIALECKI, D.M.D. | 2015-04-07 | ||
| 004 | 2013-01-01 | HUGH A. BIALECKI, D.M.D. | 2014-04-25 | ||
| 004 | 2012-01-01 | HUGH A. BIALECKI, D.M.D. | 2013-05-15 | ||
| 004 | 2011-01-01 | HUGH A. BIALECKI, D.M.D. | 2012-05-03 | ||
| 004 | 2010-01-01 | HUGH A. BIALECKI, D.M.D. | 2011-06-07 |