| Plan Name | ROBERT H. SOUTHWORTH, DDS, S.C. 401K PROFIT SHARING PLAN |
| Plan identification number | 003 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | ROBERT H. SOUTHWORTH, DDS, S.C. |
| Employer identification number (EIN): | 391182394 |
| 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 |
|---|---|---|---|---|---|
| 003 | 2013-04-01 | ROBERT H. SOUTHWORTH, DDS | 2013-06-04 | ROBERT H. SOUTHWORTH, DDS | 2013-06-04 |
| 003 | 2012-04-01 | ROBERT H. SOUTHWORTH, DDS | 2013-04-26 | ROBERT H. SOUTHWORTH, DDS | 2013-04-26 |
| 003 | 2011-04-01 | ROBERT H. SOUTHWORTH, DDS | 2012-07-25 | ROBERT H. SOUTHWORTH, DDS | 2012-07-25 |
| 003 | 2010-04-01 | ROBERT H. SOUTHWORH, DDS | 2011-05-26 |