DAVID H. OTA, D.D.S., INC. PROFIT SHARING PLAN 401k Plan overview

DAVID H. OTA, D.D.S., INC. PROFIT SHARING PLAN Benefits

401k Sponsoring company profile

Company Name:	DAVID H. OTA, D.D.S., INC.
Employer identification number (EIN):	990203003
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2010-01-01	DAVID H. OTA	2011-04-09

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