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| Plan Name | MARK D. CARLSON, M.S., D.D.S. PROFIT SHARING PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | MARK D. CARLSON, M.S., D.D.S. |
| Employer identification number (EIN): | 911501844 |
| 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 | 2015-01-01 | ||||
| 001 | 2014-01-01 | MARK D. CARLSON | 2015-04-16 | ||
| 001 | 2013-01-01 | MARK D. CARLSON | 2014-03-21 | ||
| 001 | 2012-01-01 | MARK D. CARLSON | 2013-04-19 | ||
| 001 | 2011-01-01 | MARK D. CARLSON | 2012-06-21 | ||
| 001 | 2010-01-01 | TODD HUGHES | 2011-06-09 |