401k Plan data: THOMAS E. COOKE, DDS, PA DEFINED BENEFIT PENSION PLAN plan

THOMAS E. COOKE, DDS, PA DEFINED BENEFIT PENSION PLAN 401k Plan overview

Plan Name	THOMAS E. COOKE, DDS, PA DEFINED BENEFIT PENSION PLAN
Plan identification number	002

THOMAS E. COOKE, DDS, PA DEFINED BENEFIT PENSION PLAN Benefits

401k Plan Type	Defined Benefit Pension
Plan Features/Benefits	Benefits are primarily pay related 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

THOMAS E. COOKE, DDS, PA has sponsored the creation of one or more 401k plans.

Company Name: THOMAS E. COOKE, DDS, PA

Employer identification number (EIN): 271567042

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THOMAS E. COOKE, DDS, PA DEFINED BENEFIT PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2014-01-01 THOMAS COOKE 2015-02-23
002 2013-01-01 THOMAS COOKE
002 2012-01-01 THOMAS COOKE
002 2011-01-01 THOMAS COOKE

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2014-01-01	THOMAS COOKE	2015-02-23
002	2013-01-01	THOMAS COOKE
002	2012-01-01	THOMAS COOKE
002	2011-01-01	THOMAS COOKE

Plan Statistics for THOMAS E. COOKE, DDS, PA DEFINED BENEFIT PENSION PLAN

401k plan membership statisitcs for THOMAS E. COOKE, DDS, PA DEFINED BENEFIT PENSION PLAN

Measure Date Value
2013: THOMAS E. COOKE, DDS, PA DEFINED BENEFIT PENSION PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 7
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 0
Total of all active and inactive participants 2013-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 7
Number of participants with account balances 2013-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: THOMAS E. COOKE, DDS, PA DEFINED BENEFIT PENSION PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 6
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 1
Total of all active and inactive participants 2012-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 7
Number of participants with account balances 2012-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: THOMAS E. COOKE, DDS, PA DEFINED BENEFIT PENSION PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 7
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 0
Total of all active and inactive participants 2011-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2013: THOMAS E. COOKE, DDS, PA DEFINED BENEFIT PENSION PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	7
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	0
Total of all active and inactive participants	2013-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	7
Number of participants with account balances	2013-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: THOMAS E. COOKE, DDS, PA DEFINED BENEFIT PENSION PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	6
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	1
Total of all active and inactive participants	2012-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	7
Number of participants with account balances	2012-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: THOMAS E. COOKE, DDS, PA DEFINED BENEFIT PENSION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	7
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	0
Total of all active and inactive participants	2011-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on THOMAS E. COOKE, DDS, PA DEFINED BENEFIT PENSION PLAN

Measure	Date	Value
2013 : THOMAS E. COOKE, DDS, PA DEFINED BENEFIT PENSION PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$156,084
Expenses. Total of all expenses incurred	2013-12-31	$3,543
Benefits paid (including direct rollovers)	2013-12-31	$3,543
Total plan assets at end of year	2013-12-31	$515,361
Total plan assets at beginning of year	2013-12-31	$362,820
Other income received	2013-12-31	$56,084
Net income (gross income less expenses)	2013-12-31	$152,541
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$515,361
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$362,820
Total contributions received or receivable from employer(s)	2013-12-31	$100,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : THOMAS E. COOKE, DDS, PA DEFINED BENEFIT PENSION PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$146,094
Total plan assets at end of year	2012-12-31	$362,820
Total plan assets at beginning of year	2012-12-31	$216,726
Other income received	2012-12-31	$24,047
Net income (gross income less expenses)	2012-12-31	$146,094
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$362,820
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$216,726
Total contributions received or receivable from employer(s)	2012-12-31	$122,047
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : THOMAS E. COOKE, DDS, PA DEFINED BENEFIT PENSION PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$112,485
Expenses. Total of all expenses incurred	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$216,726
Total plan assets at beginning of year	2011-12-31	$104,241
Other income received	2011-12-31	$296
Net income (gross income less expenses)	2011-12-31	$112,485
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$216,726
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$104,241
Total contributions received or receivable from employer(s)	2011-12-31	$112,189
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : THOMAS E. COOKE, DDS, PA DEFINED BENEFIT PENSION PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$104,241
Expenses. Total of all expenses incurred	2010-12-31	$0
Total plan assets at end of year	2010-12-31	$104,241
Total plan assets at beginning of year	2010-12-31	$0
Other income received	2010-12-31	$5,296
Net income (gross income less expenses)	2010-12-31	$104,241
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$104,241
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$0
Total contributions received or receivable from employer(s)	2010-12-31	$98,945
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0

Form 5500 Responses for THOMAS E. COOKE, DDS, PA DEFINED BENEFIT PENSION PLAN

2013: THOMAS E. COOKE, DDS, PA DEFINED BENEFIT PENSION PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: THOMAS E. COOKE, DDS, PA DEFINED BENEFIT PENSION PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: THOMAS E. COOKE, DDS, PA DEFINED BENEFIT PENSION 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

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Company Name:	THOMAS E. COOKE, DDS, PA
Employer identification number (EIN):	271567042
NAIC Classification:	621210
NAIC Description:	Offices of Dentists