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| Plan Name | JEFFREY M. RAJOTTE, DMD FAMILY DENTISTRY PROFIT SHARING PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | JEFFREY M. RAJOTTE, DMD FAMILY DENTISTRY |
| Employer identification number (EIN): | 061206176 |
| NAIC Classification: | 621210 |
| NAIC Description: | Offices of Dentists |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2022-01-01 | ||||
| 001 | 2021-01-01 | ||||
| 001 | 2020-01-01 | ||||
| 001 | 2019-01-01 | JEFFREY RAJOTTE | 2020-07-31 | JEFFREY RAJOTTE | 2020-07-31 |
| 001 | 2018-01-01 | JEFFREY RAJOTTE | 2019-07-29 | JEFFREY RAJOTTE | 2019-07-29 |
| 001 | 2017-01-01 | JEFFREY RAJOTTE | 2018-06-13 | JEFFREY RAJOTTE | 2018-06-13 |
| 001 | 2016-01-01 | JEFFREY RAJOTTE | 2017-04-03 | JEFFREY RAJOTTE | 2017-04-03 |
| 001 | 2015-01-01 | JEFFREY RAJOTTE | 2016-04-20 | JEFFREY RAJOTTE | 2016-04-20 |
| 001 | 2014-01-01 | JEFFREY RAJOTTE | 2015-04-20 | JEFFREY RAJOTTE | 2015-04-20 |
| 001 | 2013-01-01 | JEFFREY RAJOTTE | 2014-07-08 | JEFFREY RAJOTTE | 2014-07-08 |
| 001 | 2012-01-01 | JEFFREY M RAJOTTE | 2013-09-16 | JEFFREY M RAJOTTE | 2013-09-16 |
| 001 | 2011-01-01 | JEFFREY M. RAJOTTE | 2012-04-16 | JEFFREY M. RAJOTTE | 2012-04-16 |
| 001 | 2010-01-01 | JEFFREY M. RAJOTTE | JEFFREY M. RAJOTTE | 2011-08-04 | |
| 001 | 2009-01-01 | JEFFREY M. RAJOTTE | JEFFREY M. RAJOTTE | 2010-08-19 |
| Measure | Date | Value |
|---|---|---|
| 2010: JEFFREY M. RAJOTTE, DMD FAMILY DENTISTRY PROFIT SHARING PLAN 2010 401k membership | ||
| Total participants, beginning-of-year | 2010-01-01 | 3 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 3 |
| Total of all active and inactive participants | 2010-01-01 | 3 |
| Total participants | 2010-01-01 | 3 |
| Number of participants with account balances | 2010-01-01 | 3 |
| 2009: JEFFREY M. RAJOTTE, DMD FAMILY DENTISTRY PROFIT SHARING PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-01-01 | 3 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 3 |
| Total of all active and inactive participants | 2009-01-01 | 3 |
| Total participants | 2009-01-01 | 3 |
| Number of participants with account balances | 2009-01-01 | 3 |
| Measure | Date | Value |
|---|---|---|
| 2010 : JEFFREY M. RAJOTTE, DMD FAMILY DENTISTRY PROFIT SHARING PLAN 2010 401k financial data | ||
| Total income from all sources | 2010-12-31 | $95,526 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $0 |
| Total plan assets at end of year | 2010-12-31 | $443,058 |
| Total plan assets at beginning of year | 2010-12-31 | $347,532 |
| Other income received | 2010-12-31 | $39,371 |
| Net income (gross income less expenses) | 2010-12-31 | $95,526 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $443,058 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $347,532 |
| Total contributions received or receivable from employer(s) | 2010-12-31 | $56,155 |
| 2010: JEFFREY M. RAJOTTE, DMD FAMILY DENTISTRY PROFIT SHARING PLAN 2010 form 5500 responses | ||
|---|---|---|
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Submission has been amended | No |
| 2010-01-01 | This submission is the final filing | No |
| 2010-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2010-01-01 | Plan is a collectively bargained plan | No |
| 2010-01-01 | Plan funding arrangement – Trust | Yes |
| 2010-01-01 | Plan benefit arrangement - Trust | Yes |
| 2009: JEFFREY M. RAJOTTE, DMD FAMILY DENTISTRY PROFIT SHARING PLAN 2009 form 5500 responses | ||
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Submission has been amended | No |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-01-01 | Plan is a collectively bargained plan | No |
| 2009-01-01 | Plan funding arrangement – Trust | Yes |
| 2009-01-01 | Plan benefit arrangement - Trust | Yes |
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