| Plan Name | EDWARD J. URIG, JR., D.M.D., M.S., P.C. DEFINED BENEFIT PLAN AND TRUST |
| Plan identification number | 001 |
| 401k Plan Type | Defined Benefit Pension |
| Plan Features/Benefits |
|
| Company Name: | BONITA MEDICAL CENTER, P.C. |
| Employer identification number (EIN): | 850416486 |
| 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 | 2012-01-01 | DAVID J. KUPSTAS | 2013-03-14 | ||
| 001 | 2011-01-01 | DAVID J. KUPSTAS | 2012-10-09 | ||
| 001 | 2010-01-01 | DAVID J. KUPSTAS | 2011-10-17 |