| Plan Name | FAMILY & IMPLANT DENTISTRY OF THE UPPER CUMBERLAND 401(K) PLAN |
| Plan identification number | 101 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | JOHNS FAMILY & IMPLANT DENTISTRY |
| Employer identification number (EIN): | 621117848 |
| 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 |
|---|---|---|---|---|---|
| 101 | 2013-01-01 | PHIL TISUE | 2014-07-21 | ||
| 101 | 2012-01-01 | PHIL TISUE | 2013-09-23 |