| Plan Name | JOHN E. ROUSSALIS II, DDS MS PC PROFIT SHARING PLAN |
| Plan identification number | 002 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | JOHN E. ROUSSALIS II, DDS MS PC |
| Employer identification number (EIN): | 830236422 |
| 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 | 2019-01-01 | JOHN E. ROUSSALIS | 2019-06-04 | JOHN E. ROUSSALIS | 2019-06-04 |
| 002 | 2018-01-01 | JOHN E. ROUSSALIS | 2019-06-04 | JOHN E. ROUSSALIS | 2019-06-04 |
| 002 | 2017-01-01 | JOHN E. ROUSSALIS | 2018-10-10 | JOHN E. ROUSSALIS | 2018-10-10 |
| 002 | 2016-01-01 | JOHN E. ROUSSALIS | 2017-08-30 | JOHN E. ROUSSALIS | 2017-08-30 |
| 002 | 2015-01-01 | JOHN E. ROUSSALIS | 2016-05-13 | JOHN E. ROUSSALIS | 2016-05-13 |
| 002 | 2013-01-01 | JOHN E. ROUSSALIS | 2014-05-28 | JOHN E. ROUSSALIS | 2014-05-28 |
| 002 | 2012-01-01 | JOHN E. ROUSSALIS | 2013-07-17 | ||
| 002 | 2011-01-01 | JOHN E. ROUSSALIS | 2012-09-27 | ||
| 002 | 2010-01-01 | JOHN E. ROUSSALIS | 2011-08-03 |