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| Plan Name | ADVANCED DENTAL, INC. 401(K) PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | ADVANCED DENTAL, INC. |
| Employer identification number (EIN): | 454753405 |
| 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 | 2021-01-01 | TERALYN ROCKNAK | 2021-12-01 | TERALYN ROCKNAK | 2021-12-01 |
| 001 | 2020-01-01 | TERALYN ROCKNAK | 2021-05-14 | TERALYN ROCKNAK | 2021-05-14 |
| 001 | 2019-01-01 | SHAUN ROCKNAK | 2020-09-23 | SHAUN ROCKNAK | 2020-09-23 |
| 001 | 2018-01-01 | SHAUN ROCKNAK | 2019-04-28 | ||
| 001 | 2017-01-01 | SHAUN ROCKNAK | 2018-05-22 | ||
| 001 | 2016-01-01 | SHAUN ROCKNAK | 2017-05-09 | ||
| 001 | 2015-01-01 | SHAUN ROCKNAK | 2016-02-08 | ||
| 001 | 2014-01-01 | SHAUN ROCKNAK | 2015-05-15 |