| Plan Name | AMBULATORY DENTAL ANESTHESIA A 401 K PROFIT SHARING PLAN TRUST |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | AMBULATORY DENTAL ANESTHESIA A |
| Employer identification number (EIN): | 461635088 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2022-01-01 | CHET SOKOLOWSKI | 2023-04-17 | ||
| 001 | 2021-01-01 | LORA VALENZA | 2022-06-29 | ||
| 001 | 2020-01-01 | LORA VALENZA | 2021-05-17 | ||
| 001 | 2019-01-01 | LORA VALENZA | 2020-04-06 | ||
| 001 | 2017-01-01 | CHESTER SOKOLOWSKI | 2018-07-20 |