| Plan Name | DE PERE FAMILY DENTISTRY LLC PROFIT SHARING PLAN |
| Plan identification number | 002 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | DE PERE FAMILY DENTISTRY LLC |
| Employer identification number (EIN): | 391232563 |
| 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 |
|---|---|---|---|---|---|
| 002 | 2011-01-01 | CYRIL J VAN SISTINE JR | 2013-01-27 | CYRIL J VAN SISTINE JR | 2013-01-27 |
| 002 | 2010-01-01 | CYRIL VAN SISTINE JR. | 2011-05-25 | CYRIL VAN SISTINE JR. | 2011-05-25 |