401k Plan data: BARTLETT DENTAL CLINIC II, LLC PROFIT SHARING PLAN & TRUST plan

BARTLETT DENTAL CLINIC II, LLC PROFIT SHARING PLAN & TRUST 401k Plan overview

Plan Name	BARTLETT DENTAL CLINIC II, LLC PROFIT SHARING PLAN & TRUST
Plan identification number	002

BARTLETT DENTAL CLINIC II, LLC PROFIT SHARING PLAN & TRUST Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing 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. Life insurance

401k Sponsoring company profile

BARTLETT DENTAL CLINIC II, LLC has sponsored the creation of one or more 401k plans.

Company Name: BARTLETT DENTAL CLINIC II, LLC

Employer identification number (EIN): 274616012

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Additional information about BARTLETT DENTAL CLINIC II, LLC

Jurisdiction of Incorporation: Tennessee Secretary of State Division of Business Services

Incorporation Date:

Company Identification Number: 000644367

More information about BARTLETT DENTAL CLINIC II, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BARTLETT DENTAL CLINIC II, LLC PROFIT SHARING PLAN & TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2015-01-01 J DOUGLAS THOMAS
002 2014-01-01 J DOUGLAS THOMAS
002 2014-01-01 J DOUGLAS THOMAS
002 2013-01-01 J DOUGLAS THOMAS
002 2012-01-01 J DOUGLAS THOMAS

Plan id#	Filing Submission Date	Name of Administrator
002	2015-01-01	J DOUGLAS THOMAS
002	2014-01-01	J DOUGLAS THOMAS
002	2014-01-01	J DOUGLAS THOMAS
002	2013-01-01	J DOUGLAS THOMAS
002	2012-01-01	J DOUGLAS THOMAS

Plan Statistics for BARTLETT DENTAL CLINIC II, LLC PROFIT SHARING PLAN & TRUST

401k plan membership statisitcs for BARTLETT DENTAL CLINIC II, LLC PROFIT SHARING PLAN & TRUST

Measure Date Value
2015: BARTLETT DENTAL CLINIC II, LLC PROFIT SHARING PLAN & TRUST 2015 401k membership
Total participants, beginning-of-year 2015-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
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 0
Total of all active and inactive participants 2015-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 0
Number of participants with account balances 2015-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: BARTLETT DENTAL CLINIC II, LLC PROFIT SHARING PLAN & TRUST 2014 401k membership
Total participants, beginning-of-year 2014-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 8
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 0
Total of all active and inactive participants 2014-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 8
Number of participants with account balances 2014-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: BARTLETT DENTAL CLINIC II, LLC PROFIT SHARING PLAN & TRUST 2013 401k membership
Total participants, beginning-of-year 2013-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 8
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 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 8
Number of participants with account balances 2013-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: BARTLETT DENTAL CLINIC II, LLC PROFIT SHARING PLAN & TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 9
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 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 10
Number of participants with account balances 2012-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0

Measure	Date	Value
2015: BARTLETT DENTAL CLINIC II, LLC PROFIT SHARING PLAN & TRUST 2015 401k membership
Total participants, beginning-of-year	2015-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
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	0
Total of all active and inactive participants	2015-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	0
Number of participants with account balances	2015-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: BARTLETT DENTAL CLINIC II, LLC PROFIT SHARING PLAN & TRUST 2014 401k membership
Total participants, beginning-of-year	2014-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	8
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	0
Total of all active and inactive participants	2014-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	8
Number of participants with account balances	2014-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: BARTLETT DENTAL CLINIC II, LLC PROFIT SHARING PLAN & TRUST 2013 401k membership
Total participants, beginning-of-year	2013-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	8
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	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	8
Number of participants with account balances	2013-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: BARTLETT DENTAL CLINIC II, LLC PROFIT SHARING PLAN & TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	9
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	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	10
Number of participants with account balances	2012-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0

Financial Data on BARTLETT DENTAL CLINIC II, LLC PROFIT SHARING PLAN & TRUST

Measure	Date	Value
2015 : BARTLETT DENTAL CLINIC II, LLC PROFIT SHARING PLAN & TRUST 2015 401k financial data
Total income from all sources	2015-12-31	$1,539
Expenses. Total of all expenses incurred	2015-12-31	$240,252
Benefits paid (including direct rollovers)	2015-12-31	$234,452
Total plan assets at end of year	2015-12-31	$0
Total plan assets at beginning of year	2015-12-31	$238,713
Value of fidelity bond covering the plan	2015-12-31	$125,000
Other income received	2015-12-31	$1,539
Net income (gross income less expenses)	2015-12-31	$-238,713
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$238,713
Assets. Value of real-estate (other than employer real property)	2015-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$5,800
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : BARTLETT DENTAL CLINIC II, LLC PROFIT SHARING PLAN & TRUST 2014 401k financial data
Total income from all sources	2014-12-31	$3,212
Expenses. Total of all expenses incurred	2014-12-31	$0
Total plan assets at end of year	2014-12-31	$238,713
Total plan assets at beginning of year	2014-12-31	$235,501
Value of fidelity bond covering the plan	2014-12-31	$125,000
Other income received	2014-12-31	$3,212
Net income (gross income less expenses)	2014-12-31	$3,212
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$238,713
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$235,501
Assets. Value of real-estate (other than employer real property)	2014-12-31	$103,800
2013 : BARTLETT DENTAL CLINIC II, LLC PROFIT SHARING PLAN & TRUST 2013 401k financial data
Total income from all sources	2013-12-31	$14,783
Expenses. Total of all expenses incurred	2013-12-31	$8,641
Benefits paid (including direct rollovers)	2013-12-31	$8,641
Total plan assets at end of year	2013-12-31	$235,501
Total plan assets at beginning of year	2013-12-31	$229,359
Value of fidelity bond covering the plan	2013-12-31	$125,000
Other income received	2013-12-31	$14,783
Net income (gross income less expenses)	2013-12-31	$6,142
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$235,501
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$229,359
Assets. Value of real-estate (other than employer real property)	2013-12-31	$103,800
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : BARTLETT DENTAL CLINIC II, LLC PROFIT SHARING PLAN & TRUST 2012 401k financial data
Total income from all sources	2012-12-31	$12,860
Expenses. Total of all expenses incurred	2012-12-31	$1,680
Total plan assets at end of year	2012-12-31	$229,359
Total plan assets at beginning of year	2012-12-31	$218,179
Value of fidelity bond covering the plan	2012-12-31	$125,000
Other income received	2012-12-31	$12,860
Net income (gross income less expenses)	2012-12-31	$11,180
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$229,359
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$218,179
Assets. Value of real-estate (other than employer real property)	2012-12-31	$103,800
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$1,680

Form 5500 Responses for BARTLETT DENTAL CLINIC II, LLC PROFIT SHARING PLAN & TRUST

2015: BARTLETT DENTAL CLINIC II, LLC PROFIT SHARING PLAN & TRUST 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	Yes
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: BARTLETT DENTAL CLINIC II, LLC PROFIT SHARING PLAN & TRUST 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	Yes
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: BARTLETT DENTAL CLINIC II, LLC PROFIT SHARING PLAN & TRUST 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 – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: BARTLETT DENTAL CLINIC II, LLC PROFIT SHARING PLAN & TRUST 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 – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	BARTLETT DENTAL CLINIC II, LLC
Employer identification number (EIN):	274616012
NAIC Classification:	621210
NAIC Description:	Offices of Dentists

Jurisdiction of Incorporation:	Tennessee Secretary of State Division of Business Services
Incorporation Date:
Company Identification Number:	000644367