| Plan Name | JAMES R BRODERSEN DDS PC PROFIT SHARING, RETIREMENT, DISABILITY & 401(K) PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | JAMES R BRODERSEN DDS PC |
| Employer identification number (EIN): | 541089479 |
| 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 | ELLEN H. BRODERSEN | 2012-06-19 | ||
| 001 | 2010-01-01 | ELLEN H. BRODERSEN | 2011-06-08 |