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| Plan Name | ROBERT HAZE, D.D.S., INC. PROFIT SHARING PLAN |
| Plan identification number | 002 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | ROBERT HAZE, D.D.S., INC. |
| Employer identification number (EIN): | 954847777 |
| 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 |
|---|---|---|---|---|---|
| 002 | 2016-01-01 | LYN FAIRLY-HAZE | 2017-05-09 | ||
| 002 | 2013-01-01 | LYN FAIRLY-HAZE | 2014-02-19 | ||
| 002 | 2012-01-01 | LYN FAIRLY-HAZE | 2013-05-13 | ||
| 002 | 2011-01-01 | LYN FAIRLY-HAZE | 2012-04-11 | ||
| 002 | 2010-01-01 | LYN FAIRLY-HAZE | 2011-09-18 |
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