| Plan Name | TOWN SQUARE FAMILY DENTISTRY PROFIT SHARING PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | TOWN SQUARE FAMILY DENTISTRY |
| Employer identification number (EIN): | 952835568 |
| 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 | 2011-01-01 | GARY M. HEIDNER, DDS | 2012-10-10 | GARY M. HEIDNER, DDS | 2012-10-10 |
| 001 | 2010-01-01 | GARY HEIDNER | 2011-06-15 |