| Plan Name | PERIODONTAL & ORAL HEALTH, PSC RETIREMENT PLAN TRUST |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | PERIODONTAL & ORAL HEALTH, PSC |
| Employer identification number (EIN): | 660705880 |
| 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 | 2018-01-01 | GASPAR LUGO MORALES | 2019-06-04 | GASPAR LUGO MORALES | 2019-06-04 |
| 001 | 2017-01-01 | GASPAR LUGO MORALES | 2018-05-14 | GASPAR LUGO MORALES | 2018-05-14 |
| 001 | 2016-01-01 | GASPAR LUGO MORALES | 2017-07-24 | GASPAR LUGO MORALES | 2017-07-24 |
| 001 | 2015-01-01 | GASPAR LUGO MORALES | 2016-07-30 | GASPAR LUGO MORALES | 2016-07-30 |
| 001 | 2014-01-01 | GASPAR LUGO MORALES | 2015-07-31 | GASPAR LUGO MORALES | 2015-07-31 |
| 001 | 2013-01-01 | GASPAR LUGO MORALES | 2014-07-10 | GASPAR LUGO MORALES | 2014-07-10 |
| 001 | 2012-01-01 | GASPAR LUGO MORALES | 2013-10-14 | GASPAR LUGO MORALES | 2013-10-14 |
| 001 | 2011-01-01 | GASPAR LUGO MORALES | 2012-10-14 | GASPAR LUGO MORALES | 2012-10-14 |
| 001 | 2010-01-01 | GASPAR LUGO MORALES | 2011-06-07 | GASPAR LUGO MORALES | 2011-06-07 |