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| Plan Name | ROBERT G. LARSON, D.D.S., M.S.D., P.C. 401(K) PROFIT SHARING PLAN |
| Plan identification number | 003 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | ROBERT G. LARSON, D.D.S., M.S.D., P.C. |
| Employer identification number (EIN): | 351935261 |
| NAIC Classification: | 621210 |
| NAIC Description: | Offices of Dentists |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 003 | 2023-01-01 | ROBERT LARSON | 2023-12-19 | ROBERT LARSON | 2023-12-19 |
| 003 | 2022-01-01 | ROBERT LARSON | 2023-10-12 | ROBERT LARSON | 2023-10-12 |
| 003 | 2021-01-01 | ROBERT LARSON | 2022-10-17 | ROBERT LARSON | 2022-10-17 |
| 003 | 2021-01-01 | ROBERT LARSON | 2022-10-17 | ROBERT LARSON | 2022-10-17 |
| 003 | 2020-01-01 | ROBERT LARSON | 2021-10-09 | ROBERT LARSON | 2021-10-09 |
| 003 | 2019-01-01 | ROBERT LARSON | 2020-09-29 | ROBERT LARSON | 2020-09-29 |
| 003 | 2018-01-01 | ROBERT LARSON | 2019-07-09 | ROBERT LARSON | 2019-07-09 |
| 003 | 2017-01-01 | ROBERT LARSON | 2018-07-24 | ROBERT LARSON | 2018-07-24 |
| 003 | 2016-01-01 | ROBERT LARSON | 2017-10-11 | ROBERT LARSON | 2017-10-11 |
| 003 | 2014-01-01 | ROBERT LARSON | 2015-10-09 | ROBERT LARSON | 2015-10-09 |
| 003 | 2013-01-01 | ROBERT LARSON | 2014-09-16 | ROBERT LARSON | 2014-09-16 |
| 003 | 2012-01-01 | ROBERT LARSON | 2013-09-24 | ROBERT LARSON | 2013-09-24 |
| 003 | 2011-01-01 | ROBERT G LARSON | 2012-10-15 | ROBERT G LARSON | 2012-10-15 |
| 003 | 2010-01-01 | ROBERT G LARSON | 2011-07-13 | ROBERT G LARSON | 2011-07-13 |
| Measure | Date | Value |
|---|---|---|
| 2022: ROBERT G. LARSON, D.D.S., M.S.D., P.C. 401(K) PROFIT SHARING PLAN 2022 401k membership | ||
| Total number of particpants at beginning of year | 2022-10-17 | 10 |
| Total number of particpants at end of year | 2022-10-17 | 8 |
| Number of Participants With Account Balances | 2022-10-17 | 4 |
| Measure | Date | Value |
|---|---|---|
| 2022 : ROBERT G. LARSON, D.D.S., M.S.D., P.C. 401(K) PROFIT SHARING PLAN 2022 401k financial data | ||
| Net assets as of the end of the plan year | 2022-10-17 | 1206896 |
| Total assets as of the beginning of the plan year | 2022-10-17 | 1004820 |
| Value of plan covered by a fidelity bond | 2022-10-17 | 500000 |
| Participant contributions to plan in this plan year | 2022-10-17 | 2396 |
| Other income to plan in this plan year | 2022-10-17 | 197961 |
| Plan net income in this plan year | 2022-10-17 | 202076 |
| Net assets as of the end of the plan year | 2022-10-17 | 1206896 |
| Net assets as of the beginning of the plan year | 2022-10-17 | 1004820 |
| Employer contributions to plan in this plan year | 2022-10-17 | 1719 |
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