| Plan Name | THOMAS M. KIEFER, D.D.S. PROFIT SHARING PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | THOMAS M. KIEFER, D.D.S. |
| Employer identification number (EIN): | 470603478 |
| 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 | 2011-01-01 | THOMAS M KIEFER | 2012-06-20 | THOMAS M KIEFER | 2012-06-20 |
| 001 | 2010-01-01 | THOMAS M. KIEFER | 2012-06-20 | THOMAS M. KIEFER | 2012-06-20 |