| Plan Name | GEORGIA DENTAL LABORATORY, INC. CASH BALANCE PLAN |
| Plan identification number | 002 |
| 401k Plan Type | Defined Benefit Pension |
| Plan Features/Benefits |
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| Company Name: | GEORGIA DENTAL LABORATORY, INC. |
| Employer identification number (EIN): | 581426924 |
| NAIC Classification: | 621510 |
| NAIC Description: | Medical and Diagnostic Laboratories |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 002 | 2011-01-01 | DON KILLGO | 2012-06-18 | ||
| 002 | 2010-01-01 | DON KILLGO | 2011-06-29 |