| Plan Name | COSMETIC SMILE DENTURE TECHN 401 K PROFIT SHARING PLAN TRUST |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | COSMETIC SMILE & DENTURE TECHN |
| Employer identification number (EIN): | 261285681 |
| 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 | 2017-01-01 | ROSLYN ROBINSON KEKKUM | 2017-07-17 | ||
| 001 | 2016-01-01 | ROSLYN ROBINSON KELLUM | 2017-07-17 | ||
| 001 | 2015-01-01 | ROSLYN ROBINSON KELLUM | 2016-07-05 | ||
| 001 | 2014-01-01 | ROSLYN ROBINSON KELLUM | 2015-07-08 | ROSLYN ROBINSON KELLUM | 2015-07-08 |
| 001 | 2013-01-01 | ROSLYN ROBINSON KELLUM | 2014-07-20 |