401k Plan data: CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN plan

CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
Plan identification number	001

CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING 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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

CHILDREN'S DENTISTRY, LLC has sponsored the creation of one or more 401k plans.

Company Name: CHILDREN'S DENTISTRY, LLC

Employer identification number (EIN): 202123186

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Additional information about CHILDREN'S DENTISTRY, LLC

Jurisdiction of Incorporation: Wyoming Corporations Division

Incorporation Date: 2005-03-30

Company Identification Number: 000490377

Legal Registered Office Address: 6900 Yellowtail Road, Suite 100

Cheyenne
United States of America (USA)
82009

More information about CHILDREN'S DENTISTRY, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN

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 PATRICIA GENHO 2022-10-11
001 2020-01-01 PATRICIA GENHO 2021-10-14
001 2019-01-01 JAY COLE 2020-10-15
001 2018-01-01 JAY Q. COLE 2019-10-11
001 2017-01-01
001 2016-01-01
001 2015-01-01
001 2014-01-01
001 2013-01-01
001 2012-01-01 JEFFREY STACEY AS PRACTITIONER 2013-02-25
001 2011-01-01 JEFFREY STACEY AS PRACTITIONER 2012-03-03
001 2010-01-01 JEFFREY STACEY 2011-02-18

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2022-01-01
001	2021-01-01	PATRICIA GENHO	2022-10-11
001	2020-01-01	PATRICIA GENHO	2021-10-14
001	2019-01-01	JAY COLE	2020-10-15
001	2018-01-01	JAY Q. COLE	2019-10-11
001	2017-01-01
001	2016-01-01
001	2015-01-01
001	2014-01-01
001	2013-01-01
001	2012-01-01	JEFFREY STACEY AS PRACTITIONER	2013-02-25
001	2011-01-01	JEFFREY STACEY AS PRACTITIONER	2012-03-03
001	2010-01-01	JEFFREY STACEY	2011-02-18

Plan Statistics for CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN

Measure Date Value
2021: CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 55
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 31
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 18
Total of all active and inactive participants 2021-01-01 49
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 49
Number of participants with account balances 2021-01-01 49
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 2
2020: CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 46
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 33
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 15
Total of all active and inactive participants 2020-01-01 48
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 48
Number of participants with account balances 2020-01-01 48
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 3
2019: CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 48
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 35
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 11
Total of all active and inactive participants 2019-01-01 46
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 46
Number of participants with account balances 2019-01-01 46
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 1
2018: CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 48
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 31
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 13
Total of all active and inactive participants 2018-01-01 44
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 44
Number of participants with account balances 2018-01-01 44
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 3
2017: CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 45
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 32
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 14
Total of all active and inactive participants 2017-01-01 46
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 46
Number of participants with account balances 2017-01-01 46
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 5
2016: CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 34
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 30
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 7
Total of all active and inactive participants 2016-01-01 37
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 37
Number of participants with account balances 2016-01-01 37
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 1
2015: CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 40
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 26
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 7
Total of all active and inactive participants 2015-01-01 33
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 33
Number of participants with account balances 2015-01-01 33
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 4
2014: CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 39
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 27
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 9
Total of all active and inactive participants 2014-01-01 36
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 36
Number of participants with account balances 2014-01-01 36
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 4
2013: CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 29
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 33
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 5
Total of all active and inactive participants 2013-01-01 38
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 38
Number of participants with account balances 2013-01-01 38
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0

Measure	Date	Value
2021: CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	55
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	31
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	18
Total of all active and inactive participants	2021-01-01	49
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	49
Number of participants with account balances	2021-01-01	49
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	2
2020: CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	46
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	33
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	15
Total of all active and inactive participants	2020-01-01	48
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	48
Number of participants with account balances	2020-01-01	48
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	3
2019: CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	48
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	35
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	11
Total of all active and inactive participants	2019-01-01	46
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	46
Number of participants with account balances	2019-01-01	46
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	1
2018: CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	48
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	31
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	13
Total of all active and inactive participants	2018-01-01	44
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	44
Number of participants with account balances	2018-01-01	44
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	3
2017: CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	45
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	32
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	14
Total of all active and inactive participants	2017-01-01	46
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	46
Number of participants with account balances	2017-01-01	46
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	5
2016: CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	34
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	30
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	7
Total of all active and inactive participants	2016-01-01	37
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	37
Number of participants with account balances	2016-01-01	37
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	1
2015: CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	40
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	26
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	7
Total of all active and inactive participants	2015-01-01	33
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	33
Number of participants with account balances	2015-01-01	33
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	4
2014: CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	39
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	27
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	9
Total of all active and inactive participants	2014-01-01	36
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	36
Number of participants with account balances	2014-01-01	36
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	4
2013: CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	29
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	33
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	5
Total of all active and inactive participants	2013-01-01	38
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	38
Number of participants with account balances	2013-01-01	38
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0

Financial Data on CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2021 : CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2021 401k financial data
Total income from all sources	2021-12-31	$794,434
Expenses. Total of all expenses incurred	2021-12-31	$1,891,947
Benefits paid (including direct rollovers)	2021-12-31	$1,847,622
Total plan assets at end of year	2021-12-31	$2,448,232
Total plan assets at beginning of year	2021-12-31	$3,545,745
Value of fidelity bond covering the plan	2021-12-31	$440,000
Total contributions received or receivable from participants	2021-12-31	$148,250
Contributions received from other sources (not participants or employers)	2021-12-31	$1,145
Other income received	2021-12-31	$594,321
Net income (gross income less expenses)	2021-12-31	$-1,097,513
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$2,448,232
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$3,545,745
Assets. Value of participant loans	2021-12-31	$50,305
Assets. Value of assets in partnership/joint-venture interests	2021-12-31	$0
Total contributions received or receivable from employer(s)	2021-12-31	$50,718
Value of certain deemed distributions of participant loans	2021-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$44,325
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
2020 : CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources	2020-12-31	$779,293
Expenses. Total of all expenses incurred	2020-12-31	$237,935
Benefits paid (including direct rollovers)	2020-12-31	$199,387
Total plan assets at end of year	2020-12-31	$3,545,745
Total plan assets at beginning of year	2020-12-31	$3,004,387
Value of fidelity bond covering the plan	2020-12-31	$685,000
Total contributions received or receivable from participants	2020-12-31	$160,445
Contributions received from other sources (not participants or employers)	2020-12-31	$220,951
Other income received	2020-12-31	$325,442
Net income (gross income less expenses)	2020-12-31	$541,358
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$3,545,745
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$3,004,387
Assets. Value of participant loans	2020-12-31	$64,246
Assets. Value of assets in partnership/joint-venture interests	2020-12-31	$439,856
Total contributions received or receivable from employer(s)	2020-12-31	$72,455
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$38,548
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
2019 : CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources	2019-12-31	$835,559
Expenses. Total of all expenses incurred	2019-12-31	$1,070,742
Benefits paid (including direct rollovers)	2019-12-31	$1,025,945
Total plan assets at end of year	2019-12-31	$3,004,387
Total plan assets at beginning of year	2019-12-31	$3,239,570
Value of fidelity bond covering the plan	2019-12-31	$709,000
Total contributions received or receivable from participants	2019-12-31	$121,215
Expenses. Other expenses not covered elsewhere	2019-12-31	$35,069
Contributions received from other sources (not participants or employers)	2019-12-31	$23,123
Other income received	2019-12-31	$634,941
Net income (gross income less expenses)	2019-12-31	$-235,183
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$3,004,387
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$3,239,570
Assets. Value of participant loans	2019-12-31	$55,350
Assets. Value of assets in partnership/joint-venture interests	2019-12-31	$426,381
Total contributions received or receivable from employer(s)	2019-12-31	$56,280
Value of certain deemed distributions of participant loans	2019-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$9,728
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
2018 : CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$135,308
Expenses. Total of all expenses incurred	2018-12-31	$61,602
Benefits paid (including direct rollovers)	2018-12-31	$29,290
Total plan assets at end of year	2018-12-31	$3,239,570
Total plan assets at beginning of year	2018-12-31	$3,165,864
Value of fidelity bond covering the plan	2018-12-31	$320,000
Total contributions received or receivable from participants	2018-12-31	$141,111
Other income received	2018-12-31	$-107,584
Net income (gross income less expenses)	2018-12-31	$73,706
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$3,239,570
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$3,165,864
Assets. Value of participant loans	2018-12-31	$2,077
Assets. Value of assets in partnership/joint-venture interests	2018-12-31	$427,761
Total contributions received or receivable from employer(s)	2018-12-31	$101,781
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$32,312
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
2017 : CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$323,422
Expenses. Total of all expenses incurred	2017-12-31	$57,302
Benefits paid (including direct rollovers)	2017-12-31	$8,960
Total plan assets at end of year	2017-12-31	$3,165,864
Total plan assets at beginning of year	2017-12-31	$2,899,744
Value of fidelity bond covering the plan	2017-12-31	$460,000
Total contributions received or receivable from participants	2017-12-31	$128,730
Other income received	2017-12-31	$43,972
Net income (gross income less expenses)	2017-12-31	$266,120
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$3,165,864
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$2,899,744
Assets. Value of participant loans	2017-12-31	$560
Assets. Value of assets in partnership/joint-venture interests	2017-12-31	$229,465
Total contributions received or receivable from employer(s)	2017-12-31	$150,720
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$48,342
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
2016 : CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$539,313
Expenses. Total of all expenses incurred	2016-12-31	$31,511
Benefits paid (including direct rollovers)	2016-12-31	$662
Total plan assets at end of year	2016-12-31	$2,899,744
Total plan assets at beginning of year	2016-12-31	$2,391,942
Value of fidelity bond covering the plan	2016-12-31	$460,000
Total contributions received or receivable from participants	2016-12-31	$134,580
Other income received	2016-12-31	$247,975
Net income (gross income less expenses)	2016-12-31	$507,802
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$2,899,744
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$2,391,942
Assets. Value of participant loans	2016-12-31	$2,926
Assets. Value of assets in partnership/joint-venture interests	2016-12-31	$229,524
Total contributions received or receivable from employer(s)	2016-12-31	$156,758
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$30,849
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
2015 : CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$322,688
Expenses. Total of all expenses incurred	2015-12-31	$348,889
Benefits paid (including direct rollovers)	2015-12-31	$320,249
Total plan assets at end of year	2015-12-31	$2,391,942
Total plan assets at beginning of year	2015-12-31	$2,418,143
Value of fidelity bond covering the plan	2015-12-31	$310,000
Total contributions received or receivable from participants	2015-12-31	$133,123
Other income received	2015-12-31	$65,347
Net income (gross income less expenses)	2015-12-31	$-26,201
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$2,391,942
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$2,418,143
Assets. Value of participant loans	2015-12-31	$8,566
Assets. Value of assets in partnership/joint-venture interests	2015-12-31	$227,093
Total contributions received or receivable from employer(s)	2015-12-31	$124,218
Value of certain deemed distributions of participant loans	2015-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$28,640
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$536,445
Expenses. Total of all expenses incurred	2014-12-31	$58,044
Benefits paid (including direct rollovers)	2014-12-31	$22,235
Total plan assets at end of year	2014-12-31	$2,418,143
Total plan assets at beginning of year	2014-12-31	$1,939,742
Value of fidelity bond covering the plan	2014-12-31	$400,000
Total contributions received or receivable from participants	2014-12-31	$156,474
Other income received	2014-12-31	$262,816
Net income (gross income less expenses)	2014-12-31	$478,401
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$2,418,143
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,939,742
Assets. Value of participant loans	2014-12-31	$53,098
Assets. Value of assets in partnership/joint-venture interests	2014-12-31	$215,461
Total contributions received or receivable from employer(s)	2014-12-31	$117,155
Value of certain deemed distributions of participant loans	2014-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$35,809
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$318,929
Expenses. Total of all expenses incurred	2013-12-31	$4,882
Benefits paid (including direct rollovers)	2013-12-31	$4,376
Total plan assets at end of year	2013-12-31	$1,939,742
Total plan assets at beginning of year	2013-12-31	$1,625,695
Value of fidelity bond covering the plan	2013-12-31	$165,000
Total contributions received or receivable from participants	2013-12-31	$140,626
Other income received	2013-12-31	$34,483
Net income (gross income less expenses)	2013-12-31	$314,047
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,939,742
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,625,695
Assets. Value of participant loans	2013-12-31	$65,525
Assets. Value of assets in partnership/joint-venture interests	2013-12-31	$184,654
Total contributions received or receivable from employer(s)	2013-12-31	$143,820
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$506
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0

Form 5500 Responses for CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN

2021: CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: CHILDREN'S DENTISTRY, LLC 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G37333

Policy instance

Insurance contract or identification number	G37333
Number of Individuals Covered	48
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G37333

Policy instance

Insurance contract or identification number	G37333
Number of Individuals Covered	48
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G37333

Policy instance

Insurance contract or identification number	G37333
Number of Individuals Covered	44
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G37333

Policy instance

Insurance contract or identification number	G37333
Number of Individuals Covered	45
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G37333

Policy instance

Insurance contract or identification number	G37333
Number of Individuals Covered	45
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G37333

Policy instance

Insurance contract or identification number	G37333
Number of Individuals Covered	33
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G37333

Policy instance

Insurance contract or identification number	G37333
Number of Individuals Covered	36
Insurance policy start date	2014-02-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $2,141
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,072
Insurance broker organization code?	3
Insurance broker name	JHW FINANCIAL SERVICES, INC.

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Company Name:	CHILDREN'S DENTISTRY, LLC
Employer identification number (EIN):	202123186
NAIC Classification:	621210
NAIC Description:	Offices of Dentists

Jurisdiction of Incorporation:	Wyoming Corporations Division
Incorporation Date:	2005-03-30
Company Identification Number:	000490377
Legal Registered Office Address:	6900 Yellowtail Road, Suite 100 Cheyenne United States of America (USA) 82009