| Plan Name | JARROD C. CORNEHL, D.D.S. 401(K) PROFIT SHARING PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | JARROD C. CORNEHL, D.D.S. |
| Employer identification number (EIN): | 204055731 |
| 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 | JARROD CORNEHL | 2012-06-13 | ||
| 001 | 2010-01-01 | PATRICIA A. WILLIAMSON | 2011-06-01 | PATRICIA A. WILLIAMSON | 2011-06-01 |