401k Plan data: JOHN S. FRANTZ DMD LLC 401(K) P/S PLAN plan

JOHN S. FRANTZ DMD LLC 401(K) P/S PLAN 401k Plan overview

Plan Name	JOHN S. FRANTZ DMD LLC 401(K) P/S PLAN
Plan identification number	001

JOHN S. FRANTZ DMD LLC 401(K) P/S 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.
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

JOHN S. FRANTZ DMD JOHN S. FRANTZ DMD LLC has sponsored the creation of one or more 401k plans.

Company Name: JOHN S. FRANTZ DMD JOHN S. FRANTZ DMD LLC

Employer identification number (EIN): 461657355

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JOHN S. FRANTZ DMD LLC 401(K) P/S PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2020-01-01 JOHN FRANTZ 2021-04-07 JOHN FRANTZ 2021-04-07
001 2018-01-01 JOHN FRANTZ 2019-05-16 JOHN FRANTZ 2019-05-16
001 2017-01-01 JOHN S FRANTZ 2018-06-12 JOHN S FRANTZ 2018-06-12
001 2016-01-01 JOHN S FRANTZ 2017-06-20
001 2015-01-01 JOHN S. FRANTZ DMD 2016-06-01
001 2014-01-01 JOHN S FRANTZ
001 2013-01-01 JOHN FRANTZ JOHN FRANTZ 2014-07-10

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2020-01-01	JOHN FRANTZ	2021-04-07	JOHN FRANTZ	2021-04-07
001	2018-01-01	JOHN FRANTZ	2019-05-16	JOHN FRANTZ	2019-05-16
001	2017-01-01	JOHN S FRANTZ	2018-06-12	JOHN S FRANTZ	2018-06-12
001	2016-01-01	JOHN S FRANTZ	2017-06-20
001	2015-01-01	JOHN S. FRANTZ DMD	2016-06-01
001	2014-01-01	JOHN S FRANTZ
001	2013-01-01	JOHN FRANTZ		JOHN FRANTZ	2014-07-10

Plan Statistics for JOHN S. FRANTZ DMD LLC 401(K) P/S PLAN

401k plan membership statisitcs for JOHN S. FRANTZ DMD LLC 401(K) P/S PLAN

Measure Date Value
2014: JOHN S. FRANTZ DMD LLC 401(K) P/S PLAN 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 6
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 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 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: JOHN S. FRANTZ DMD LLC 401(K) P/S PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 5
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 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0

Measure	Date	Value
2014: JOHN S. FRANTZ DMD LLC 401(K) P/S PLAN 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	6
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	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	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: JOHN S. FRANTZ DMD LLC 401(K) P/S PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	5
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	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0

Financial Data on JOHN S. FRANTZ DMD LLC 401(K) P/S PLAN

Measure	Date	Value
2014 : JOHN S. FRANTZ DMD LLC 401(K) P/S PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
Total income from all sources	2014-12-31	$108,848
Expenses. Total of all expenses incurred	2014-12-31	$66
Benefits paid (including direct rollovers)	2014-12-31	$0
Total plan assets at end of year	2014-12-31	$1,053,381
Total plan assets at beginning of year	2014-12-31	$944,599
Value of fidelity bond covering the plan	2014-12-31	$75,000
Total contributions received or receivable from participants	2014-12-31	$19,623
Expenses. Other expenses not covered elsewhere	2014-12-31	$66
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$42,727
Net income (gross income less expenses)	2014-12-31	$108,782
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,053,381
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$944,599
Assets. Value of participant loans	2014-12-31	$19,834
Total contributions received or receivable from employer(s)	2014-12-31	$46,498
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
2013 : JOHN S. FRANTZ DMD LLC 401(K) P/S PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
Total income from all sources	2013-12-31	$159,248
Expenses. Total of all expenses incurred	2013-12-31	$60
Benefits paid (including direct rollovers)	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$944,608
Total plan assets at beginning of year	2013-12-31	$785,420
Value of fidelity bond covering the plan	2013-12-31	$75,000
Total contributions received or receivable from participants	2013-12-31	$19,456
Expenses. Other expenses not covered elsewhere	2013-12-31	$60
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$94,673
Net income (gross income less expenses)	2013-12-31	$159,188
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$944,608
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$785,420
Assets. Value of participant loans	2013-12-31	$26,378
Total contributions received or receivable from employer(s)	2013-12-31	$45,119
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0

Form 5500 Responses for JOHN S. FRANTZ DMD LLC 401(K) P/S PLAN

2014: JOHN S. FRANTZ DMD LLC 401(K) P/S PLAN 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 – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: JOHN S. FRANTZ DMD LLC 401(K) P/S 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	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

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-822210

Policy instance

Insurance contract or identification number	GA-822210
Number of Individuals Covered	6
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $2,882
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,882
Insurance broker organization code?	3
Insurance broker name	MORGAN STANLEY INS SERVICES INC

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-822210

Policy instance

Insurance contract or identification number	GA-822210
Number of Individuals Covered	5
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $2,482
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,482
Insurance broker organization code?	3
Insurance broker name	MORGAN STANLEY INS SVCS INC

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Company Name:	JOHN S. FRANTZ DMD JOHN S. FRANTZ DMD LLC
Employer identification number (EIN):	461657355
NAIC Classification:	621210
NAIC Description:	Offices of Dentists