| Plan Name | ANDREW L. KULIK, D.O. CROSS-TESTED PROFIT SHARING PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | ANDREW L. KULIK, D.O. |
| Employer identification number (EIN): | 330581576 |
| 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 | 2017-01-01 | ANDREW L. KULIK | 2018-06-09 | ANDREW L. KULIK | 2018-06-09 |
| 001 | 2016-01-01 | ANDREW L. KULIK | 2017-05-03 | ANDREW L. KULIK | 2017-05-03 |
| 001 | 2015-01-01 | ANDREW L. KULIK | 2016-10-05 | ANDREW L. KULIK | 2016-10-05 |
| 001 | 2014-01-01 | ANDREW L. KULIK | 2015-10-14 | ANDREW L. KULIK | 2015-10-14 |
| 001 | 2013-01-01 | ANDREW L. KULIK | 2014-09-21 | ANDREW L. KULIK | 2014-09-21 |
| 001 | 2012-01-01 | ANDREW L. KULIK | 2013-05-19 | ANDREW L. KULIK | 2013-05-19 |
| 001 | 2011-01-01 | ANDREW L. KULIK | 2012-08-28 | ANDREW L. KULIK | 2012-08-28 |
| 001 | 2010-01-01 | ANDREW L. KULIK | 2011-09-29 | ANDREW L. KULIK | 2011-09-29 |