| Plan Name | DR. WILLIAM C. DOMB, D.M.D., P.C PROFIT SHARING PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | DR WILLIAM C DOMB, DMD, PC |
| Employer identification number (EIN): | 330255723 |
| 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 | 2011-08-01 | WILLIAM DOMB | 2012-10-05 | WILLIAM DOMB | 2012-10-05 |
| 001 | 2010-08-01 | WILLIAM DOMB | 2012-10-05 | WILLIAM DOMB | 2012-10-05 |