DR. WILLIAM C. DOMB, D.M.D., P.C PROFIT SHARING PLAN

[ EIN: 33-0255723 | Plan No. 001 ]

Form 5500 filing classifies DR. WILLIAM C. DOMB, D.M.D., P.C PROFIT SHARING PLAN as a 401(k) plan, sponsored by DR WILLIAM C DOMB, DMD, PC. The plan is a Small Plan with 5 participants and total assets of $205,400 reported for the 2011 plan year.

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

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Plan Sponsor: DR WILLIAM C DOMB, DMD, PC

Location: 190 N MOUNTAIN AVENUE, UPLAND, CA 91786

EIN: 330255723

Plan Number: 001

Plan Year: 2011

Plan Size: Small Plan

Plan Entity Type: Defined Contribution

Plan Type: 401(k)

Participants: 5

Total Assets: $205,400

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