| Plan Name | SAN DIEGO CENTER FOR ORAL AND FACIAL SURGERY PROFIT SHARING PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | ANDREW K. CHANG, D.D.S., M.D., INC. |
| Employer identification number (EIN): | 330866939 |
| 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 | 2019-01-01 | ANDREW CHANG | 2020-02-10 | ANDREW CHANG | 2020-02-10 |
| 001 | 2018-01-01 | ANDREW CHANG | 2019-06-10 | ANDREW CHANG | 2019-06-10 |
| 001 | 2017-01-01 | ANDREW CHANG | 2018-10-01 | ANDREW CHANG | 2018-10-01 |
| 001 | 2016-01-01 | ANDREW CHANG | 2017-05-30 | ANDREW CHANG | 2017-05-30 |
| 001 | 2015-01-01 | ANDREW CHANG | 2016-09-21 | ANDREW CHANG | 2016-09-21 |
| 001 | 2014-01-01 | ANDREW CHANG | 2015-08-10 | ANDREW CHANG | 2015-08-10 |