| Plan Name | PACIFIC COAST PERIODONTICS DEFINED BENEFIT PLAN & TRUST |
| Plan identification number | 002 |
| 401k Plan Type | Defined Benefit Pension |
| Plan Features/Benefits |
|
| Company Name: | PACIFIC COAST PERIODONTICS |
| Employer identification number (EIN): | 760783791 |
| 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 | 2021-01-01 | MARK WIESEN | 2021-06-23 | ||
| 002 | 2020-01-01 | MARK WIESEN | 2021-06-04 | ||
| 002 | 2019-01-01 | MARK WIESEN | 2020-05-01 | MARK WIESEN | 2020-05-01 |
| 002 | 2018-01-01 | MARK WIESEN | 2019-08-26 | ||
| 002 | 2017-01-01 | MARK WIESEN | 2018-05-30 | ||
| 002 | 2016-01-01 | MARK WIESEN | 2017-07-12 | ||
| 002 | 2016-01-01 | MARK WIESEN | 2017-05-25 | ||
| 002 | 2015-01-01 | MARK WIESEN | 2016-10-11 | ||
| 002 | 2014-01-01 | MARK WIESEN | 2016-10-11 | ||
| 002 | 2014-01-01 | MARK WIESEN | 2015-09-22 |