401k Plan data: CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN plan

CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN
Plan identification number	001

CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING 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.
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.
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

CLARK FORK DENTAL, LLC has sponsored the creation of one or more 401k plans.

Company Name: CLARK FORK DENTAL, LLC

Employer identification number (EIN): 452050684

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 VALERIE C HASSMAN, CPA VALERIE C HASSMAN, CPA 2018-10-15
001 2016-01-01 VALERIE C. HASSMAN, CPA VALERIE C. HASSMAN, CPA 2017-07-28
001 2015-01-01 BENJAMIN F. YONCE, CPA, CVA BENJAMIN F. YONCE, CPA, CVA 2016-10-17
001 2014-01-01 BENJAMIN F. YONCE, CPA, CVA RUSSELL D. BLACKHURST 2015-10-15
001 2013-01-01 BENJAMIN F. YONCE, CPA, CVA
001 2012-01-01 RUSSELL BLACKHURST 2013-10-08

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01
001	2021-01-01
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01	VALERIE C HASSMAN, CPA		VALERIE C HASSMAN, CPA	2018-10-15
001	2016-01-01	VALERIE C. HASSMAN, CPA		VALERIE C. HASSMAN, CPA	2017-07-28
001	2015-01-01	BENJAMIN F. YONCE, CPA, CVA		BENJAMIN F. YONCE, CPA, CVA	2016-10-17
001	2014-01-01	BENJAMIN F. YONCE, CPA, CVA		RUSSELL D. BLACKHURST	2015-10-15
001	2013-01-01	BENJAMIN F. YONCE, CPA, CVA
001	2012-01-01	RUSSELL BLACKHURST	2013-10-08

Plan Statistics for CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN

Measure Date Value
2021: CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 10
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 3
Total of all active and inactive participants 2021-01-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 13
Number of participants with account balances 2021-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 10
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 2
Total of all active and inactive participants 2020-01-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 12
Number of participants with account balances 2020-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 6
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 2
Total of all active and inactive participants 2019-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 8
Number of participants with account balances 2019-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 5
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 1
Total of all active and inactive participants 2018-01-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 6
Number of participants with account balances 2018-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 5
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 1
Total of all active and inactive participants 2017-01-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 6
Number of participants with account balances 2017-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 5
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 1
Total of all active and inactive participants 2016-01-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 6
Number of participants with account balances 2016-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 5
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 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 6
Number of participants with account balances 2015-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 5
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 1
Total of all active and inactive participants 2014-01-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 6
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: CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 6
Total of all active and inactive participants 2013-01-01 6
Total participants 2013-01-01 6
Number of participants with account balances 2013-01-01 5

Measure	Date	Value
2021: CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	10
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	3
Total of all active and inactive participants	2021-01-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	13
Number of participants with account balances	2021-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	10
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	2
Total of all active and inactive participants	2020-01-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	12
Number of participants with account balances	2020-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	6
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	2
Total of all active and inactive participants	2019-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	8
Number of participants with account balances	2019-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	5
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	1
Total of all active and inactive participants	2018-01-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	6
Number of participants with account balances	2018-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	5
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	1
Total of all active and inactive participants	2017-01-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	6
Number of participants with account balances	2017-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	5
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	1
Total of all active and inactive participants	2016-01-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	6
Number of participants with account balances	2016-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	5
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	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	6
Number of participants with account balances	2015-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	5
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	1
Total of all active and inactive participants	2014-01-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	6
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: CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	6
Total of all active and inactive participants	2013-01-01	6
Total participants	2013-01-01	6
Number of participants with account balances	2013-01-01	5

Financial Data on CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2021 : CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN 2021 401k financial data
Total income from all sources	2021-12-31	$303,189
Expenses. Total of all expenses incurred	2021-12-31	$5,005
Total plan assets at end of year	2021-12-31	$1,009,445
Total plan assets at beginning of year	2021-12-31	$711,261
Total contributions received or receivable from participants	2021-12-31	$55,839
Other income received	2021-12-31	$230,910
Net income (gross income less expenses)	2021-12-31	$298,184
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$1,009,445
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$711,261
Total contributions received or receivable from employer(s)	2021-12-31	$16,440
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$5,005
2020 : CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources	2020-12-31	$106,787
Expenses. Total of all expenses incurred	2020-12-31	$25,835
Benefits paid (including direct rollovers)	2020-12-31	$22,564
Total plan assets at end of year	2020-12-31	$711,261
Total plan assets at beginning of year	2020-12-31	$630,309
Total contributions received or receivable from participants	2020-12-31	$46,175
Other income received	2020-12-31	$45,656
Net income (gross income less expenses)	2020-12-31	$80,952
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$711,261
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$630,309
Total contributions received or receivable from employer(s)	2020-12-31	$14,956
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$3,271
2019 : CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources	2019-12-31	$155,841
Expenses. Total of all expenses incurred	2019-12-31	$3,066
Total plan assets at end of year	2019-12-31	$630,309
Total plan assets at beginning of year	2019-12-31	$477,534
Total contributions received or receivable from participants	2019-12-31	$46,734
Other income received	2019-12-31	$96,987
Net income (gross income less expenses)	2019-12-31	$152,775
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$630,309
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$477,534
Total contributions received or receivable from employer(s)	2019-12-31	$12,120
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$3,066
2018 : CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$22,033
Expenses. Total of all expenses incurred	2018-12-31	$2,328
Total plan assets at end of year	2018-12-31	$477,534
Total plan assets at beginning of year	2018-12-31	$457,829
Total contributions received or receivable from participants	2018-12-31	$42,221
Other income received	2018-12-31	$-31,706
Net income (gross income less expenses)	2018-12-31	$19,705
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$477,534
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$457,829
Total contributions received or receivable from employer(s)	2018-12-31	$11,518
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$2,328
2017 : CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$143,387
Expenses. Total of all expenses incurred	2017-12-31	$28,142
Benefits paid (including direct rollovers)	2017-12-31	$26,927
Total plan assets at end of year	2017-12-31	$457,829
Total plan assets at beginning of year	2017-12-31	$342,584
Total contributions received or receivable from participants	2017-12-31	$43,109
Other income received	2017-12-31	$87,641
Net income (gross income less expenses)	2017-12-31	$115,245
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$457,829
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$342,584
Total contributions received or receivable from employer(s)	2017-12-31	$12,637
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$1,215
2016 : CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$108,713
Expenses. Total of all expenses incurred	2016-12-31	$405
Total plan assets at end of year	2016-12-31	$342,584
Total plan assets at beginning of year	2016-12-31	$234,276
Total contributions received or receivable from participants	2016-12-31	$39,798
Other income received	2016-12-31	$57,599
Net income (gross income less expenses)	2016-12-31	$108,308
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$342,584
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$234,276
Total contributions received or receivable from employer(s)	2016-12-31	$11,316
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$405
2015 : CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$11,361
Total plan assets at end of year	2015-12-31	$234,276
Total plan assets at beginning of year	2015-12-31	$222,915
Total contributions received or receivable from participants	2015-12-31	$40,129
Other income received	2015-12-31	$-39,411
Net income (gross income less expenses)	2015-12-31	$11,361
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$234,276
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$222,915
Total contributions received or receivable from employer(s)	2015-12-31	$10,643
2014 : CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$74,665
Total plan assets at end of year	2014-12-31	$222,915
Total plan assets at beginning of year	2014-12-31	$148,250
Total contributions received or receivable from participants	2014-12-31	$39,685
Other income received	2014-12-31	$23,540
Net income (gross income less expenses)	2014-12-31	$74,665
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$222,915
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$148,250
Total contributions received or receivable from employer(s)	2014-12-31	$11,440
2013 : CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$78,639
Total plan assets at end of year	2013-12-31	$148,250
Total plan assets at beginning of year	2013-12-31	$69,611
Total contributions received or receivable from participants	2013-12-31	$39,860
Other income received	2013-12-31	$27,488
Net income (gross income less expenses)	2013-12-31	$78,639
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$148,250
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$69,611
Total contributions received or receivable from employer(s)	2013-12-31	$11,291

Form 5500 Responses for CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN

2021: CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: CLARK FORK DENTAL, LLC 401(K) PROFIT SHARING 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

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Company Name:	CLARK FORK DENTAL, LLC
Employer identification number (EIN):	452050684
NAIC Classification:	621210
NAIC Description:	Offices of Dentists