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CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 401k Plan overview

Plan NameCANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN
Plan identification number 001

CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN Benefits

401k Plan TypeDefined 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.
  • 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

CANYON DENTAL CLINIC, P.C. has sponsored the creation of one or more 401k plans.

Company Name:CANYON DENTAL CLINIC, P.C.
Employer identification number (EIN):270096953
NAIC Classification:621210
NAIC Description:Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01

Plan Statistics for CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN

401k plan membership statisitcs for CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN

Measure Date Value
2022: CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-017
Total number of active participants reported on line 7a of the Form 55002022-01-016
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-011
Total of all active and inactive participants2022-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-017
Number of participants with account balances2022-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-016
Total number of active participants reported on line 7a of the Form 55002021-01-015
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-011
Total of all active and inactive participants2021-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-016
Number of participants with account balances2021-01-016

Financial Data on CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN

Measure Date Value
2022 : CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2022 401k financial data
Total income from all sources2022-12-31$-304,599
Expenses. Total of all expenses incurred2022-12-31$853,679
Benefits paid (including direct rollovers)2022-12-31$853,679
Total plan assets at end of year2022-12-31$858,258
Total plan assets at beginning of year2022-12-31$2,016,536
Total contributions received or receivable from participants2022-12-31$29,789
Other income received2022-12-31$-343,676
Net income (gross income less expenses)2022-12-31$-1,158,278
Net plan assets at end of year (total assets less liabilities)2022-12-31$858,258
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$2,016,536
Total contributions received or receivable from employer(s)2022-12-31$9,288
2021 : CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2021 401k financial data
Total income from all sources2021-12-31$282,118
Total plan assets at end of year2021-12-31$2,016,536
Total plan assets at beginning of year2021-12-31$1,734,418
Value of fidelity bond covering the plan2021-12-31$100,000
Total contributions received or receivable from participants2021-12-31$27,144
Other income received2021-12-31$247,766
Net income (gross income less expenses)2021-12-31$282,118
Net plan assets at end of year (total assets less liabilities)2021-12-31$2,016,536
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$1,734,418
Total contributions received or receivable from employer(s)2021-12-31$7,208

Form 5500 Responses for CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN

2022: CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: CANYON DENTAL CLINIC, PC 401K & PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number648421
Policy instance 1
Insurance contract or identification number648421
Number of Individuals Covered7
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $2,524
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 BrokerUSD $1,808
Insurance broker organization code?3
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number648421
Policy instance 1
Insurance contract or identification number648421
Number of Individuals Covered6
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $3,239
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 BrokerUSD $1,573
Insurance broker organization code?3

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