| Plan Name | ADVANCED DENTAL 401(K) SAFE HARBOR PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | ADVANCED DENTAL, LLC |
| Employer identification number (EIN): | 800104019 |
| 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 |
|---|---|---|---|---|---|
| 001 | 2018-01-01 | MATTHEW DEWITTE | 2019-06-04 | MATTHEW DEWITTE | 2019-06-04 |
| 001 | 2017-01-01 | MATTHEW DEWITTE | 2018-07-25 | MATTHEW DEWITTE | 2018-07-25 |
| 001 | 2016-01-01 | MATTHEW DEWITTE | 2017-07-27 | MATTHEW DEWITTE | 2017-07-28 |
| 001 | 2015-01-01 | MATTHEW DEWITTE | 2016-07-11 | MATTHEW DEWITTE | 2016-07-11 |
| 001 | 2013-01-01 | YVONNE DEWITTE | 2014-08-08 | ||
| 001 | 2012-03-01 | YVONNE DEWITTE | 2013-07-25 | YVONNE DEWITTE | 2013-07-25 |