| Plan Name | ROBERT G. BOOKHOLT, D.D.S., P.A. 401(K) PROFIT SHARING PLAN |
| Plan identification number | 002 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | ROBERT G. BOOKHOLT, D.D.S., P.A. |
| Employer identification number (EIN): | 561572824 |
| 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 | 2013-01-01 | ||||
| 002 | 2012-01-01 | ROBERT G. BOOKHOLT | 2013-09-12 | ROBERT G. BOOKHOLT | 2013-09-12 |
| 002 | 2011-01-01 | ROBERT G. BOOKHOLT | 2012-07-30 | ROBERT G. BOOKHOLT | 2012-07-30 |
| 002 | 2010-01-01 | ROBERT G. BOOKHOLT | 2011-07-05 | ROBERT G. BOOKHOLT | 2011-07-05 |