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MORTENSON FAMILY DENTAL CENTER, INC. AMENDED AND RESTATED EMPLOYEE STOCK OWNERSHIP PLAN AND TRUST AGREEMENT 401k Plan overview

Plan NameMORTENSON FAMILY DENTAL CENTER, INC. AMENDED AND RESTATED EMPLOYEE STOCK OWNERSHIP PLAN AND TRUST AGREEMENT
Plan identification number 002

MORTENSON FAMILY DENTAL CENTER, INC. AMENDED AND RESTATED EMPLOYEE STOCK OWNERSHIP PLAN AND TRUST AGREEMENT Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • Leveraged ESOP - An ESOP that acquires employer securities with borrowed money or other debt-financing techniques. A completed Schedule E must be attached to a Form 5500 filed for an ESOP.
  • The employer maintaining this ESOP is an S Corporation
  • Plan requiring that all or part of employer contributions be invested and held, at least for a limited period, in employer securities.

401k Sponsoring company profile

MORTENSON FAMILY DENTAL CENTERS . has sponsored the creation of one or more 401k plans.

Company Name:MORTENSON FAMILY DENTAL CENTERS .
Employer identification number (EIN):202010376
NAIC Classification:621210
NAIC Description:Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MORTENSON FAMILY DENTAL CENTER, INC. AMENDED AND RESTATED EMPLOYEE STOCK OWNERSHIP PLAN AND TRUST AGREEMENT

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022010-01-01STEPHEN JAMES PAUL MORTENSON2011-10-14
0022009-01-01 STEPHEN JAMES2010-10-11
0022009-01-01STEPHEN JAMES STEPHEN JAMES2010-10-11

Plan Statistics for MORTENSON FAMILY DENTAL CENTER, INC. AMENDED AND RESTATED EMPLOYEE STOCK OWNERSHIP PLAN AND TRUST AGREEMENT

401k plan membership statisitcs for MORTENSON FAMILY DENTAL CENTER, INC. AMENDED AND RESTATED EMPLOYEE STOCK OWNERSHIP PLAN AND TRUST AGREEMENT

Measure Date Value
2010: MORTENSON FAMILY DENTAL CENTER, INC. AMENDED AND RESTATED EMPLOYEE STOCK OWNERSHIP PLAN AND TRUST AGREEMENT 2010 401k membership
Total participants, beginning-of-year2010-01-01293
Total number of active participants reported on line 7a of the Form 55002010-01-01286
Number of retired or separated participants receiving benefits2010-01-011
Number of other retired or separated participants entitled to future benefits2010-01-0118
Total of all active and inactive participants2010-01-01305
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-01305
Number of participants with account balances2010-01-01302
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-0130
2009: MORTENSON FAMILY DENTAL CENTER, INC. AMENDED AND RESTATED EMPLOYEE STOCK OWNERSHIP PLAN AND TRUST AGREEMENT 2009 401k membership
Total participants, beginning-of-year2009-01-01240
Total number of active participants reported on line 7a of the Form 55002009-01-01245
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0111
Total of all active and inactive participants2009-01-01256
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01256
Number of participants with account balances2009-01-01251
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-0126

Financial Data on MORTENSON FAMILY DENTAL CENTER, INC. AMENDED AND RESTATED EMPLOYEE STOCK OWNERSHIP PLAN AND TRUST AGREEMENT

Measure Date Value
2010 : MORTENSON FAMILY DENTAL CENTER, INC. AMENDED AND RESTATED EMPLOYEE STOCK OWNERSHIP PLAN AND TRUST AGREEMENT 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$641,763
Total unrealized appreciation/depreciation of assets2010-12-31$641,763
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$889,055
Expenses. Interest paid2010-12-31$45,675
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022010-12-31$45,675
Total income from all sources (including contributions)2010-12-31$2,120,865
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$80,329
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$1,095
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$721,095
Value of total assets at end of year2010-12-31$7,308,588
Value of total assets at beginning of year2010-12-31$6,157,107
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$33,559
Total interest from all sources2010-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$18,410
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$248,815
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$33,559
Other income not declared elsewhere2010-12-31$758,007
Total non interest bearing cash at end of year2010-12-31$44,063
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$2,040,536
Value of net assets at end of year (total assets less liabilities)2010-12-31$7,308,588
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$5,268,052
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Assets. Invements in employer securities at end of year2010-12-31$6,765,311
Assets. Invements in employer securities at beginning of year2010-12-31$6,123,548
Contributions received in cash from employer2010-12-31$721,095
Employer contributions (assets) at end of year2010-12-31$250,399
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$1,095
Contract administrator fees2010-12-31$15,149
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Liabilities. Value of acquisition indebtedness at beginning of year2010-12-31$889,055
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31MATHER & CO. CPAS, LLC
Accountancy firm EIN2010-12-31611210177
2009 : MORTENSON FAMILY DENTAL CENTER, INC. AMENDED AND RESTATED EMPLOYEE STOCK OWNERSHIP PLAN AND TRUST AGREEMENT 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for MORTENSON FAMILY DENTAL CENTER, INC. AMENDED AND RESTATED EMPLOYEE STOCK OWNERSHIP PLAN AND TRUST AGREEMENT

2010: MORTENSON FAMILY DENTAL CENTER, INC. AMENDED AND RESTATED EMPLOYEE STOCK OWNERSHIP PLAN AND TRUST AGREEMENT 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: MORTENSON FAMILY DENTAL CENTER, INC. AMENDED AND RESTATED EMPLOYEE STOCK OWNERSHIP PLAN AND TRUST AGREEMENT 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

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