| Plan Name | DAVID W. CROUTHAMEL, DDS 401(K) PROFIT SHARING PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | DAVID W. CROUTHAMEL, DDS |
| Employer identification number (EIN): | 860672077 |
| 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 W. CROUTHAMEL | 2013-02-25 | DAVID W. CROUTHAMEL | 2013-02-25 |
| 001 | 2011-01-01 | DAVID W. CROUTHAMEL | 2012-05-23 | DAVID W. CROUTHAMEL | 2012-05-23 |
| 001 | 2010-01-01 | DAVID W. CROUTHAMEL | 2011-05-18 | DAVID W. CROUTHAMEL | 2011-05-18 |