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| Plan Name | GARY F. HENDRICKS, DDS, INC. PROFIT SHARING PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | GARY F. HENDRICKS, D.D.S., INC. |
| Employer identification number (EIN): | 341198128 |
| 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 | 2010-10-01 | GARY HENDRICKS | 2012-01-27 |