401k Plan data: M AND B DENTAL LAB INC 401K PLAN plan

M AND B DENTAL LAB INC 401K PLAN 401k Plan overview

Plan Name	M AND B DENTAL LAB INC 401K PLAN
Plan identification number	001

M AND B DENTAL LAB INC 401K PLAN Benefits

401k Plan Type

Defined 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.
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

M AND B DENTAL LAB INC has sponsored the creation of one or more 401k plans.

Company Name: M AND B DENTAL LAB INC

Employer identification number (EIN): 382057909

NAIC Classification: 621510
NAIC Description: Medical and Diagnostic Laboratories

Form 5500 Filing Information

Submission information for form 5500 for 401k plan M AND B DENTAL LAB INC 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2013-01-01 MARCIA ERICKSON MARCIA ERICKSON 2014-10-14
001 2012-01-01 MARCIA ERICKSON MARCIA ERICKSON 2013-10-15
001 2011-01-01 MARCIA ERICKSON
001 2009-01-01 JAMES BURCH

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2013-01-01	MARCIA ERICKSON	MARCIA ERICKSON	2014-10-14
001	2012-01-01	MARCIA ERICKSON	MARCIA ERICKSON	2013-10-15
001	2011-01-01	MARCIA ERICKSON
001	2009-01-01	JAMES BURCH

Plan Statistics for M AND B DENTAL LAB INC 401K PLAN

401k plan membership statisitcs for M AND B DENTAL LAB INC 401K PLAN

Measure Date Value
2013: M AND B DENTAL LAB INC 401K PLAN 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 0
Number of retired or separated participants receiving benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 0
Total participants 2013-01-01 0
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: M AND B DENTAL LAB INC 401K PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 10
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 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 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: M AND B DENTAL LAB INC 401K PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 11
Total of all active and inactive participants 2011-01-01 11
Total participants 2011-01-01 11
Number of participants with account balances 2011-01-01 11
2009: M AND B DENTAL LAB INC 401K PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 12
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 0
Total of all active and inactive participants 2009-01-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 12
Number of participants with account balances 2009-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2013: M AND B DENTAL LAB INC 401K PLAN 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	0
Number of retired or separated participants receiving benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	0
Total participants	2013-01-01	0
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: M AND B DENTAL LAB INC 401K PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	10
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	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	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: M AND B DENTAL LAB INC 401K PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	11
Total of all active and inactive participants	2011-01-01	11
Total participants	2011-01-01	11
Number of participants with account balances	2011-01-01	11
2009: M AND B DENTAL LAB INC 401K PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	12
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	0
Total of all active and inactive participants	2009-01-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	12
Number of participants with account balances	2009-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on M AND B DENTAL LAB INC 401K PLAN

Measure	Date	Value
2013 : M AND B DENTAL LAB INC 401K PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$117,386
Expenses. Total of all expenses incurred	2013-12-31	$571,844
Benefits paid (including direct rollovers)	2013-12-31	$571,844
Total plan assets at end of year	2013-12-31	$0
Total plan assets at beginning of year	2013-12-31	$454,458
Value of fidelity bond covering the plan	2013-12-31	$50,000
Total contributions received or receivable from participants	2013-12-31	$18,035
Other income received	2013-12-31	$99,351
Net income (gross income less expenses)	2013-12-31	$-454,458
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$454,458
Total contributions received or receivable from employer(s)	2013-12-31	$0
2012 : M AND B DENTAL LAB INC 401K PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$86,050
Expenses. Total of all expenses incurred	2012-12-31	$18,650
Benefits paid (including direct rollovers)	2012-12-31	$18,650
Total plan assets at end of year	2012-12-31	$454,458
Total plan assets at beginning of year	2012-12-31	$387,058
Value of fidelity bond covering the plan	2012-12-31	$50,000
Total contributions received or receivable from participants	2012-12-31	$21,580
Other income received	2012-12-31	$64,470
Net income (gross income less expenses)	2012-12-31	$67,400
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$454,458
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$387,058
2011 : M AND B DENTAL LAB INC 401K PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$4,968
Expenses. Total of all expenses incurred	2011-12-31	$17,350
Benefits paid (including direct rollovers)	2011-12-31	$17,350
Total plan assets at end of year	2011-12-31	$387,058
Total plan assets at beginning of year	2011-12-31	$399,440
Value of fidelity bond covering the plan	2011-12-31	$50,000
Total contributions received or receivable from participants	2011-12-31	$27,030
Other income received	2011-12-31	$-22,062
Net income (gross income less expenses)	2011-12-31	$-12,382
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$387,058
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$399,440
2010 : M AND B DENTAL LAB INC 401K PLAN 2010 401k financial data
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$70,318
Expenses. Total of all expenses incurred	2010-12-31	$11,875
Benefits paid (including direct rollovers)	2010-12-31	$11,875
Total plan assets at end of year	2010-12-31	$399,440
Total plan assets at beginning of year	2010-12-31	$340,997
Value of fidelity bond covering the plan	2010-12-31	$40,000
Total contributions received or receivable from participants	2010-12-31	$27,080
Other income received	2010-12-31	$43,238
Net income (gross income less expenses)	2010-12-31	$58,443
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$399,440
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$340,997

Form 5500 Responses for M AND B DENTAL LAB INC 401K PLAN

2013: M AND B DENTAL LAB INC 401K PLAN 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	Yes
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: M AND B DENTAL LAB INC 401K PLAN 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: M AND B DENTAL LAB INC 401K 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
2009: M AND B DENTAL LAB INC 401K PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
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:	M AND B DENTAL LAB INC
Employer identification number (EIN):	382057909
NAIC Classification:	621510
NAIC Description:	Medical and Diagnostic Laboratories