KENNETH B. COOPERMAN, D.M.D., P.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2006-01-01
Business code	621210
Sponsor’s telephone number	7189935454
Plan sponsor’s mailing address	355 E 149TH ST RM 202, BRONX, NY, 104553909
Plan sponsor’s address	355 E 149TH ST RM 202, BRONX, NY, 104553909

Plan administrator’s name and address

Administrator’s EIN	200698105
Plan administrator’s name	KENNETH B. COOPERMAN, D.M.D., P.C.
Plan administrator’s address	355 E 149TH ST RM 202, BRONX, NY, 104553909
Administrator’s telephone number	7189935454

Number of participants as of the end of the plan year

Active participants	8
Retired or separated participants receiving benefits	0
Other retired or separated participants entitled to future benefits	1
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits	0
Number of participants with account balances as of the end of the plan year	9
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	1

Signature of

Role	Plan administrator
Date	2010-03-18
Name of individual signing	KENNETH COOPERMAN
Valid signature	Filed with authorized/valid electronic signature