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| Plan Name | BRIAN T. POVOLNY, D.D.S., M.S.D. DEFINED BENEFIT PENSION PLAN |
| Plan identification number | 002 |
| 401k Plan Type | Defined Benefit Pension |
| Plan Features/Benefits |
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| Company Name: | BRIAN T. POVOLNY, D.D.S., M.S.D. |
| Employer identification number (EIN): | 911503535 |
| 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 |
|---|---|---|---|---|---|
| 002 | 2011-01-01 | BRIAN POVOLNY | 2012-06-07 | ||
| 002 | 2010-01-01 | BRIAN POVOLNY | 2011-10-14 |
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