EDDY B. SUGIARTO, DDS RETIREMENT PLAN

[ EIN: 33-0088061 | Plan No. 001 ]

Form 5500 records indicate that EDDY B. SUGIARTO, DDS RETIREMENT PLAN is a 401(k) plan sponsored by EDDY B. SUGIARTO, DDS. The plan is classified as a Small Plan with 0 participants and assets totaling $0 for the 2018 plan year.

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

---

Plan Sponsor: EDDY B. SUGIARTO, DDS

Location: 1854 NUEVA VISTA DRIVE, LA HABRA HEIGHTS, CA 90631

EIN: 330088061

Plan Number: 001

Plan Year: 2018

Plan Size: Small Plan

Plan Entity Type: Defined Contribution

Plan Type: 401(k)

Participants: 0

Total Assets: $0

---