| Plan Name | DANIEL J. COUSINEAU 401(K) PLAN AND TRUST |
| Plan identification number | 004 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | DANIEL J. COUSINEAU, DDS, MS, PC |
| Employer identification number (EIN): | 383538605 |
| 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 |
|---|---|---|---|---|---|
| 004 | 2014-01-01 | DANIEL J. COUSINEAU | 2014-06-13 | DANIEL J. COUSINEAU | 2014-06-13 |
| 004 | 2013-01-01 | DANIEL J. COUSINEAU | 2014-06-13 | DANIEL J. COUSINEAU | 2014-06-13 |
| 004 | 2012-01-01 | DANIEL J. COUSINEAU | 2013-08-19 | DANIEL J. COUSINEAU | 2013-08-19 |
| 004 | 2011-01-01 | BARBARA GEIGER | 2012-07-30 | ||
| 004 | 2010-01-01 | BARBARA GEIGER | 2011-10-13 |