| Plan Name | GARY L. ZOUTENDAM, D.D.S., P.C. EMPLOYEES PROFIT SHARING PLAN |
| Plan identification number | 002 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | GARY L. ZOUTENDAM, D.D.S., P.C. |
| Employer identification number (EIN): | 382215312 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 002 | 2014-01-01 | GARY L. ZOUTENDAM | 2015-07-06 | GARY L. ZOUTENDAM | 2015-07-06 |
| 002 | 2013-01-01 | GARY L. ZOUTENDAM | 2014-07-30 | GARY L. ZOUTENDAM | 2014-07-30 |
| 002 | 2012-01-01 | GARY L. ZOUTENDAM | 2013-10-08 | GARY L. ZOUTENDAM | 2013-10-08 |
| 002 | 2011-01-01 | GARY L. ZOUTENDAM | 2012-10-11 | GARY L. ZOUTENDAM | 2012-10-11 |
| 002 | 2010-01-01 | GARY L. ZOUTENDAM | 2011-10-12 | GARY L. ZOUTENDAM | 2011-10-12 |