| Plan Name | WHITE ROCK ORAL & MAXILLOFACIAL SURGERY 401K PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | WHITE ROCK ORAL & MAXILLOFACIAL SUR GERY |
| Employer identification number (EIN): | 454736426 |
| 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 | 2020-01-01 | THOMAS C BOURLAND | 2020-07-02 | THOMAS C BOURLAND | 2020-07-02 |
| 001 | 2019-01-01 | THOMAS BOURLAND | 2020-02-20 | THOMAS BOURLAND | 2020-02-20 |
| 001 | 2018-01-01 | THOMAS BOURLAND | 2019-07-18 | THOMAS BOURLAND | 2019-07-18 |
| 001 | 2017-01-01 | T. CAMPBELL BOURLAND | 2018-04-05 | ||
| 001 | 2016-01-01 | T. CAMPBELL BOURLAND | 2017-07-06 | ||
| 001 | 2015-01-01 | ||||
| 001 | 2014-01-01 | THOMAS C BOURLAND | 2015-07-06 | ||
| 001 | 2013-03-15 | THOMAS C BOURLAND | 2014-07-16 |