| Plan Name | NICHOLAS A. DI RE, D.D.S., P.S. 401(K) PROFIT SHARING PLAN AND TRUST |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | NICHOLAS A. DI RE, D.D.S., P.S. |
| Employer identification number (EIN): | 910930760 |
| 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 | 2010-01-01 | TOM A. KRUSIC | 2011-07-22 |