401k Plan data: DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST plan

DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST 401k Plan overview

Plan Name	DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST
Plan identification number	001

DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
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.

401k Sponsoring company profile

DAVID F. RANDOLPH, D.M.D., P.A. has sponsored the creation of one or more 401k plans.

Company Name: DAVID F. RANDOLPH, D.M.D., P.A.

Employer identification number (EIN): 364515831

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Additional information about DAVID F. RANDOLPH, D.M.D., P.A.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 2002-12-20

Company Identification Number: P02000134177

Legal Registered Office Address: 1779 SW BARNETT WAY

LAKE CITY

32025

More information about DAVID F. RANDOLPH, D.M.D., P.A.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 DAVID RANDOLPH 2023-04-20
001 2021-01-01 DAVID RANDOLPH 2022-06-20
001 2020-01-01 DAVID RANDOLPH 2021-05-12
001 2019-01-01 DAVID RANDOLPH 2020-04-08
001 2018-01-01 DAVID RANDOLPH 2019-04-23
001 2017-01-01 DAVID RANDOLPH 2018-02-27
001 2016-01-01 DAVID RANDOLPH
001 2015-01-01 DAVID RANDOLPH
001 2014-01-01 DAVID RANDOLPH
001 2013-01-01 DAVID RANDOLPH
001 2012-01-01 DAVID RANDOLPH
001 2011-01-01 DAVID RANDOLPH
001 2010-01-01 DAVID RANDOLPH
001 2009-01-01 DAVID RANDOLPH
001 2009-01-01 DAVID RANDOLPH
001 2009-01-01 DAVID RANDOLPH
001 2009-01-01 DAVID RANDOLPH

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2022-01-01	DAVID RANDOLPH	2023-04-20
001	2021-01-01	DAVID RANDOLPH	2022-06-20
001	2020-01-01	DAVID RANDOLPH	2021-05-12
001	2019-01-01	DAVID RANDOLPH	2020-04-08
001	2018-01-01	DAVID RANDOLPH	2019-04-23
001	2017-01-01	DAVID RANDOLPH	2018-02-27
001	2016-01-01	DAVID RANDOLPH
001	2015-01-01	DAVID RANDOLPH
001	2014-01-01	DAVID RANDOLPH
001	2013-01-01	DAVID RANDOLPH
001	2012-01-01	DAVID RANDOLPH
001	2011-01-01	DAVID RANDOLPH
001	2010-01-01	DAVID RANDOLPH
001	2009-01-01	DAVID RANDOLPH
001	2009-01-01	DAVID RANDOLPH
001	2009-01-01	DAVID RANDOLPH
001	2009-01-01	DAVID RANDOLPH

Plan Statistics for DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST

401k plan membership statisitcs for DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST

Measure Date Value
2016: DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year 2016-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 8
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 0
Total of all active and inactive participants 2016-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 8
Number of participants with account balances 2016-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 1
2015: DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND 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 8
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 1
Total of all active and inactive participants 2015-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 9
Number of participants with account balances 2015-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year 2014-01-01 7
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 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST 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 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST 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 7
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 0
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 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST 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
Number of participants with account balances 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
2010: DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year 2010-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 7
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 7
Number of participants with account balances 2010-01-01 7
2009: DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 7
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 1
Total of all active and inactive participants 2009-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 8
Number of participants with account balances 2009-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 1

Measure	Date	Value
2016: DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year	2016-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	8
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	0
Total of all active and inactive participants	2016-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	8
Number of participants with account balances	2016-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	1
2015: DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND 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	8
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	1
Total of all active and inactive participants	2015-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	9
Number of participants with account balances	2015-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year	2014-01-01	7
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	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST 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	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST 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	7
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	0
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	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST 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
Number of participants with account balances	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
2010: DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year	2010-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	7
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	7
Number of participants with account balances	2010-01-01	7
2009: DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	7
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	1
Total of all active and inactive participants	2009-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	8
Number of participants with account balances	2009-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	1

Financial Data on DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST

Measure	Date	Value
2016 : DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST 2016 401k financial data
Total income from all sources	2016-12-31	$225,973
Expenses. Total of all expenses incurred	2016-12-31	$1,896,113
Benefits paid (including direct rollovers)	2016-12-31	$1,896,113
Total plan assets at end of year	2016-12-31	$973,940
Total plan assets at beginning of year	2016-12-31	$2,644,080
Value of fidelity bond covering the plan	2016-12-31	$265,000
Total contributions received or receivable from participants	2016-12-31	$34,400
Other income received	2016-12-31	$128,672
Net income (gross income less expenses)	2016-12-31	$-1,670,140
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$973,940
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$2,644,080
Total contributions received or receivable from employer(s)	2016-12-31	$62,901
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
2015 : DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST 2015 401k financial data
Total income from all sources	2015-12-31	$87,543
Expenses. Total of all expenses incurred	2015-12-31	$11,348
Total plan assets at end of year	2015-12-31	$2,644,080
Total plan assets at beginning of year	2015-12-31	$2,567,885
Value of fidelity bond covering the plan	2015-12-31	$265,000
Total contributions received or receivable from participants	2015-12-31	$10,400
Expenses. Other expenses not covered elsewhere	2015-12-31	$11,348
Other income received	2015-12-31	$5,835
Net income (gross income less expenses)	2015-12-31	$76,195
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$2,644,080
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$2,567,885
Total contributions received or receivable from employer(s)	2015-12-31	$71,308
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST 2014 401k financial data
Total income from all sources	2014-12-31	$287,121
Expenses. Total of all expenses incurred	2014-12-31	$10,650
Total plan assets at end of year	2014-12-31	$2,567,885
Total plan assets at beginning of year	2014-12-31	$2,291,414
Value of fidelity bond covering the plan	2014-12-31	$175,000
Total contributions received or receivable from participants	2014-12-31	$33,250
Other income received	2014-12-31	$205,168
Net income (gross income less expenses)	2014-12-31	$276,471
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$2,567,885
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$2,291,414
Total contributions received or receivable from employer(s)	2014-12-31	$48,703
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$10,650
2013 : DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST 2013 401k financial data
Total income from all sources	2013-12-31	$567,202
Expenses. Total of all expenses incurred	2013-12-31	$8,851
Total plan assets at end of year	2013-12-31	$2,291,414
Total plan assets at beginning of year	2013-12-31	$1,733,063
Value of fidelity bond covering the plan	2013-12-31	$175,000
Total contributions received or receivable from participants	2013-12-31	$31,775
Other income received	2013-12-31	$492,960
Net income (gross income less expenses)	2013-12-31	$558,351
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$2,291,414
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,733,063
Total contributions received or receivable from employer(s)	2013-12-31	$42,467
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$8,851
2012 : DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST 2012 401k financial data
Total income from all sources	2012-12-31	$293,065
Expenses. Total of all expenses incurred	2012-12-31	$8,323
Benefits paid (including direct rollovers)	2012-12-31	$990
Total plan assets at end of year	2012-12-31	$1,733,063
Total plan assets at beginning of year	2012-12-31	$1,448,321
Value of fidelity bond covering the plan	2012-12-31	$120,000
Total contributions received or receivable from participants	2012-12-31	$30,625
Expenses. Other expenses not covered elsewhere	2012-12-31	$25
Other income received	2012-12-31	$221,631
Net income (gross income less expenses)	2012-12-31	$284,742
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,733,063
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,448,321
Total contributions received or receivable from employer(s)	2012-12-31	$40,809
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$7,308
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST 2011 401k financial data
Total income from all sources	2011-12-31	$24,145
Expenses. Total of all expenses incurred	2011-12-31	$17,886
Total plan assets at end of year	2011-12-31	$1,448,321
Total plan assets at beginning of year	2011-12-31	$1,442,062
Value of fidelity bond covering the plan	2011-12-31	$120,000
Total contributions received or receivable from participants	2011-12-31	$30,775
Other income received	2011-12-31	$-47,215
Net income (gross income less expenses)	2011-12-31	$6,259
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,448,321
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,442,062
Total contributions received or receivable from employer(s)	2011-12-31	$40,585
Value of corrective distributions	2011-12-31	$11,000
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$6,886
2010 : DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST 2010 401k financial data
Total income from all sources	2010-12-31	$329,762
Expenses. Total of all expenses incurred	2010-12-31	$21,855
Total plan assets at end of year	2010-12-31	$1,474,562
Total plan assets at beginning of year	2010-12-31	$1,166,655
Value of fidelity bond covering the plan	2010-12-31	$120,000
Total contributions received or receivable from participants	2010-12-31	$30,225
Other income received	2010-12-31	$259,467
Net income (gross income less expenses)	2010-12-31	$307,907
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,474,562
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,166,655
Total contributions received or receivable from employer(s)	2010-12-31	$40,070
Value of corrective distributions	2010-12-31	$16,000
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$5,855
2009 : DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST

2016: DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST 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 – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND 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	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 – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST 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 – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND 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 – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND 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 – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST 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
2010: DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: DAVID F. RANDOLPH, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	DAVID F. RANDOLPH, D.M.D., P.A.
Employer identification number (EIN):	364515831
NAIC Classification:	621210
NAIC Description:	Offices of Dentists

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	2002-12-20
Company Identification Number:	P02000134177
Legal Registered Office Address:	1779 SW BARNETT WAY LAKE CITY 32025