401k Plan data: AMERICAN FAMILY ORTHODONTICS/AMERICAN FAMILY DENTAL GROUP 401(K) RETIREMENT PLAN plan

AMERICAN FAMILY ORTHODONTICS/AMERICAN FAMILY DENTAL GROUP 401(K) RETIREMENT PLAN 401k Plan overview

Plan Name	AMERICAN FAMILY ORTHODONTICS/AMERICAN FAMILY DENTAL GROUP 401(K) RETIREMENT PLAN
Plan identification number	001

AMERICAN FAMILY ORTHODONTICS/AMERICAN FAMILY DENTAL GROUP 401(K) RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

AMERICAN FAMILY ORTHODONTICS/AFD AMERICAN FAMILY DENTAL GROUP has sponsored the creation of one or more 401k plans.

Company Name: AMERICAN FAMILY ORTHODONTICS/AFD AMERICAN FAMILY DENTAL GROUP

Employer identification number (EIN): 061655246

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMERICAN FAMILY ORTHODONTICS/AMERICAN FAMILY DENTAL GROUP 401(K) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2013-01-01 TRISH MORGAN 2014-10-13
001 2012-01-01 TIMOTHY HOAGLAND
001 2011-01-01 TIMOTHY HOAGLAND
001 2010-01-01 TIMOTHY HOAGLAND
001 2009-01-01 TIMOTHY HOAGLAND

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2013-01-01	TRISH MORGAN	2014-10-13
001	2012-01-01	TIMOTHY HOAGLAND
001	2011-01-01	TIMOTHY HOAGLAND
001	2010-01-01	TIMOTHY HOAGLAND
001	2009-01-01	TIMOTHY HOAGLAND

Plan Statistics for AMERICAN FAMILY ORTHODONTICS/AMERICAN FAMILY DENTAL GROUP 401(K) RETIREMENT PLAN

401k plan membership statisitcs for AMERICAN FAMILY ORTHODONTICS/AMERICAN FAMILY DENTAL GROUP 401(K) RETIREMENT PLAN

Measure Date Value
2012: AMERICAN FAMILY ORTHODONTICS/AMERICAN FAMILY DENTAL GROUP 401(K) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 67
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 46
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 15
Total of all active and inactive participants 2012-01-01 61
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 61
Number of participants with account balances 2012-01-01 45
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 1
2011: AMERICAN FAMILY ORTHODONTICS/AMERICAN FAMILY DENTAL GROUP 401(K) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 65
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 47
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 17
Total of all active and inactive participants 2011-01-01 64
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 64
Number of participants with account balances 2011-01-01 44
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 1
2010: AMERICAN FAMILY ORTHODONTICS/AMERICAN FAMILY DENTAL GROUP 401(K) RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 106
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 88
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 16
Total of all active and inactive participants 2010-01-01 104
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 104
Number of participants with account balances 2010-01-01 65
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 2
2009: AMERICAN FAMILY ORTHODONTICS/AMERICAN FAMILY DENTAL GROUP 401(K) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 110
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 78
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 18
Total of all active and inactive participants 2009-01-01 96
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 96
Number of participants with account balances 2009-01-01 63
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 1

Measure	Date	Value
2012: AMERICAN FAMILY ORTHODONTICS/AMERICAN FAMILY DENTAL GROUP 401(K) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	67
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	46
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	15
Total of all active and inactive participants	2012-01-01	61
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	61
Number of participants with account balances	2012-01-01	45
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	1
2011: AMERICAN FAMILY ORTHODONTICS/AMERICAN FAMILY DENTAL GROUP 401(K) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	65
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	47
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	17
Total of all active and inactive participants	2011-01-01	64
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	64
Number of participants with account balances	2011-01-01	44
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	1
2010: AMERICAN FAMILY ORTHODONTICS/AMERICAN FAMILY DENTAL GROUP 401(K) RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	106
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	88
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	16
Total of all active and inactive participants	2010-01-01	104
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	104
Number of participants with account balances	2010-01-01	65
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	2
2009: AMERICAN FAMILY ORTHODONTICS/AMERICAN FAMILY DENTAL GROUP 401(K) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	110
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	78
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	18
Total of all active and inactive participants	2009-01-01	96
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	96
Number of participants with account balances	2009-01-01	63
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	1

Financial Data on AMERICAN FAMILY ORTHODONTICS/AMERICAN FAMILY DENTAL GROUP 401(K) RETIREMENT PLAN

Measure	Date	Value
2012 : AMERICAN FAMILY ORTHODONTICS/AMERICAN FAMILY DENTAL GROUP 401(K) RETIREMENT PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$195,413
Expenses. Total of all expenses incurred	2012-12-31	$37,436
Benefits paid (including direct rollovers)	2012-12-31	$37,436
Total plan assets at end of year	2012-12-31	$956,717
Total plan assets at beginning of year	2012-12-31	$798,740
Value of fidelity bond covering the plan	2012-12-31	$150,000
Total contributions received or receivable from participants	2012-12-31	$89,153
Expenses. Other expenses not covered elsewhere	2012-12-31	$0
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$88,146
Net income (gross income less expenses)	2012-12-31	$157,977
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$956,717
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$798,740
Total contributions received or receivable from employer(s)	2012-12-31	$18,114
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$0
2011 : AMERICAN FAMILY ORTHODONTICS/AMERICAN FAMILY DENTAL GROUP 401(K) RETIREMENT PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$103,537
Expenses. Total of all expenses incurred	2011-12-31	$515,824
Benefits paid (including direct rollovers)	2011-12-31	$515,824
Total plan assets at end of year	2011-12-31	$798,740
Total plan assets at beginning of year	2011-12-31	$1,211,027
Value of fidelity bond covering the plan	2011-12-31	$150,000
Total contributions received or receivable from participants	2011-12-31	$97,286
Contributions received from other sources (not participants or employers)	2011-12-31	$387
Other income received	2011-12-31	$-6,560
Net income (gross income less expenses)	2011-12-31	$-412,287
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$798,740
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,211,027
Total contributions received or receivable from employer(s)	2011-12-31	$12,424
2010 : AMERICAN FAMILY ORTHODONTICS/AMERICAN FAMILY DENTAL GROUP 401(K) RETIREMENT PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$316,116
Expenses. Total of all expenses incurred	2010-12-31	$2,631
Total plan assets at end of year	2010-12-31	$1,211,027
Total plan assets at beginning of year	2010-12-31	$897,542
Value of fidelity bond covering the plan	2010-12-31	$150,000
Total contributions received or receivable from participants	2010-12-31	$165,729
Contributions received from other sources (not participants or employers)	2010-12-31	$7,084
Other income received	2010-12-31	$116,975
Net income (gross income less expenses)	2010-12-31	$313,485
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,211,027
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$897,542
Assets. Value of participant loans	2010-12-31	$5,639
Total contributions received or receivable from employer(s)	2010-12-31	$26,328
Value of corrective distributions	2010-12-31	$2,631
2009 : AMERICAN FAMILY ORTHODONTICS/AMERICAN FAMILY DENTAL GROUP 401(K) RETIREMENT PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for AMERICAN FAMILY ORTHODONTICS/AMERICAN FAMILY DENTAL GROUP 401(K) RETIREMENT PLAN

2012: AMERICAN FAMILY ORTHODONTICS/AMERICAN FAMILY DENTAL GROUP 401(K) RETIREMENT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: AMERICAN FAMILY ORTHODONTICS/AMERICAN FAMILY DENTAL GROUP 401(K) RETIREMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: AMERICAN FAMILY ORTHODONTICS/AMERICAN FAMILY DENTAL GROUP 401(K) RETIREMENT 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: AMERICAN FAMILY ORTHODONTICS/AMERICAN FAMILY DENTAL GROUP 401(K) RETIREMENT 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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Company Name:	AMERICAN FAMILY ORTHODONTICS/AFD AMERICAN FAMILY DENTAL GROUP
Employer identification number (EIN):	061655246
NAIC Classification:	621210
NAIC Description:	Offices of Dentists