| Company Name: | NEVADA PACIFIC DENTAL |
| Employer identification number (EIN): | 880228572 |
| National Association of Insurance Commissioner's ID: | 95758 |
| NAIC Classification: | 95758 |
| JOINT BOARD OF TRUSTEES, SOUTHWEST CARPENTERS HEALTH AND WELFARE TRUST | SOUTHWEST CARPENTERS HEALTH AND WELFARE TRUST FUND | 2012-01-01 |