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| Plan Name | DENTAL PRACTICE OF JOHN R. SISK, DDS DEFINED BENEFIT PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Benefit Pension |
| Plan Features/Benefits |
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| Company Name: | DENTAL PRACTICE OF JOHN R SISK, DDS |
| Employer identification number (EIN): | 351899240 |
| 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 | 2011-10-01 | JOHN R. SISK | 2012-11-20 | ||
| 001 | 2010-10-01 | JOHN R. SISK | 2011-12-13 |
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