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| Plan Name | SAMUEL R. LASRIS, D.D.S., P.C. PROFIT SHARING PLAN AND TRUST |
| Plan identification number | 002 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | SAMUEL R. LASRIS, D.D.S., P.C. |
| Employer identification number (EIN): | 541140917 |
| 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 | 2012-07-01 | SAMUEL R. LASRIS | 2013-06-03 | ||
| 002 | 2011-07-01 | SAMUEL R. LASRIS | 2012-08-21 | SAMUEL R. LASRIS | 2012-08-21 |
| 002 | 2010-07-01 | SAMUEL R. LASRIS | 2011-07-18 | SAMUEL R. LASRIS | 2011-07-18 |
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