KOKAS & JACOBS 401(K) PROFIT SHARING PLAN

[ EIN: 03-0411983 | Plan No. 001 ]

Form 5500 records indicate that KOKAS & JACOBS 401(K) PROFIT SHARING PLAN is a 401(k) plan sponsored by KOKAS & JACOBS FAMILY DENTAL. The plan is classified as a Small Plan with 0 participants and assets totaling $0 for the 2012 plan year.

401(k) plans are subject to ERISA disclosure requirements and annual reporting obligations.

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Plan Sponsor: KOKAS & JACOBS FAMILY DENTAL

Location: 4119 STONECREST DR APT. 302, BURLINGTON, NC 27215

EIN: 030411983

Plan Number: 001

Plan Year: 2012

Plan Size: Small Plan

Plan Entity Type: Defined Contribution

Plan Type: 401(k)

Participants: 0

Total Assets: $0

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