| Plan Name | CHARLES E. BURNHAM, JR. DDS PA 401(K) PLAN |
| Plan identification number | 003 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | CHARLES E. BURNHAM, JR. DDS PA |
| Employer identification number (EIN): | 561244073 |
| 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 |
|---|---|---|---|---|---|
| 003 | 2018-01-01 | CHARLES BURNHAM JR. | 2018-12-26 |