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SADDLE CREEK ORTHODONTICS 401(K) PLAN 401k Plan overview

Plan NameSADDLE CREEK ORTHODONTICS 401(K) PLAN
Plan identification number 001

SADDLE CREEK ORTHODONTICS 401(K) PLAN Benefits

401k Plan TypeDefined 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

SADDLE CREEK ORTHODONTICS has sponsored the creation of one or more 401k plans.

Company Name:SADDLE CREEK ORTHODONTICS
Employer identification number (EIN):462216125
NAIC Classification:621210
NAIC Description:Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SADDLE CREEK ORTHODONTICS 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01ANNA FAGALA2023-09-30
0012021-01-01ANNA FAGALA2022-10-05
0012020-01-01ANNA FAGALA2021-08-06
0012019-01-01
0012018-01-01ANNA FAGALA
0012017-01-01ANNA FAGALA
0012016-08-01ANNA FAGALA

Plan Statistics for SADDLE CREEK ORTHODONTICS 401(K) PLAN

401k plan membership statisitcs for SADDLE CREEK ORTHODONTICS 401(K) PLAN

Measure Date Value
2019: SADDLE CREEK ORTHODONTICS 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0121
Total number of active participants reported on line 7a of the Form 55002019-01-0116
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-011
Total of all active and inactive participants2019-01-0117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0117
Number of participants with account balances2019-01-0117
2018: SADDLE CREEK ORTHODONTICS 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0117
Total number of active participants reported on line 7a of the Form 55002018-01-0117
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-014
Total of all active and inactive participants2018-01-0121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0121
Number of participants with account balances2018-01-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-012
2017: SADDLE CREEK ORTHODONTICS 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0110
Total number of active participants reported on line 7a of the Form 55002017-01-0111
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-016
Total of all active and inactive participants2017-01-0117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0117
Number of participants with account balances2017-01-0117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-016
2016: SADDLE CREEK ORTHODONTICS 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-08-010
Total number of active participants reported on line 7a of the Form 55002016-08-014
Number of retired or separated participants receiving benefits2016-08-010
Number of other retired or separated participants entitled to future benefits2016-08-010
Total of all active and inactive participants2016-08-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-08-010
Total participants2016-08-014
Number of participants with account balances2016-08-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-08-010

Financial Data on SADDLE CREEK ORTHODONTICS 401(K) PLAN

Measure Date Value
2019 : SADDLE CREEK ORTHODONTICS 401(K) PLAN 2019 401k financial data
Total income from all sources2019-12-31$119,948
Expenses. Total of all expenses incurred2019-12-31$20,145
Benefits paid (including direct rollovers)2019-12-31$17,907
Total plan assets at end of year2019-12-31$296,138
Total plan assets at beginning of year2019-12-31$196,335
Value of fidelity bond covering the plan2019-12-31$30,000
Total contributions received or receivable from participants2019-12-31$33,020
Expenses. Other expenses not covered elsewhere2019-12-31$2,238
Other income received2019-12-31$43,644
Net income (gross income less expenses)2019-12-31$99,803
Net plan assets at end of year (total assets less liabilities)2019-12-31$296,138
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$196,335
Total contributions received or receivable from employer(s)2019-12-31$43,284
Value of corrective distributions2019-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : SADDLE CREEK ORTHODONTICS 401(K) PLAN 2018 401k financial data
Total income from all sources2018-12-31$81,992
Expenses. Total of all expenses incurred2018-12-31$929
Total plan assets at end of year2018-12-31$196,335
Total plan assets at beginning of year2018-12-31$115,272
Value of fidelity bond covering the plan2018-12-31$20,000
Total contributions received or receivable from participants2018-12-31$54,960
Other income received2018-12-31$-14,126
Net income (gross income less expenses)2018-12-31$81,063
Net plan assets at end of year (total assets less liabilities)2018-12-31$196,335
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$115,272
Total contributions received or receivable from employer(s)2018-12-31$41,158
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$929
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : SADDLE CREEK ORTHODONTICS 401(K) PLAN 2017 401k financial data
Total income from all sources2017-12-31$112,090
Expenses. Total of all expenses incurred2017-12-31$56
Total plan assets at end of year2017-12-31$115,272
Total plan assets at beginning of year2017-12-31$3,238
Value of fidelity bond covering the plan2017-12-31$20,000
Total contributions received or receivable from participants2017-12-31$38,567
Expenses. Other expenses not covered elsewhere2017-12-31$56
Other income received2017-12-31$1,351
Net income (gross income less expenses)2017-12-31$112,034
Net plan assets at end of year (total assets less liabilities)2017-12-31$115,272
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$3,238
Total contributions received or receivable from employer(s)2017-12-31$72,172
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : SADDLE CREEK ORTHODONTICS 401(K) PLAN 2016 401k financial data
Total income from all sources2016-12-31$3,238
Expenses. Total of all expenses incurred2016-12-31$0
Total plan assets at end of year2016-12-31$3,238
Total plan assets at beginning of year2016-12-31$0
Total contributions received or receivable from participants2016-12-31$1,696
Other income received2016-12-31$75
Net income (gross income less expenses)2016-12-31$3,238
Net plan assets at end of year (total assets less liabilities)2016-12-31$3,238
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$0
Total contributions received or receivable from employer(s)2016-12-31$1,467
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0

Form 5500 Responses for SADDLE CREEK ORTHODONTICS 401(K) PLAN

2019: SADDLE CREEK ORTHODONTICS 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: SADDLE CREEK ORTHODONTICS 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: SADDLE CREEK ORTHODONTICS 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: SADDLE CREEK ORTHODONTICS 401(K) PLAN 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01First time form 5500 has been submittedYes
2016-08-01Submission has been amendedNo
2016-08-01This submission is the final filingNo
2016-08-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-08-01Plan is a collectively bargained planNo
2016-08-01Plan funding arrangement – TrustYes
2016-08-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number374316-01
Policy instance 1
Insurance contract or identification number374316-01
Number of Individuals Covered0
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number46-2216125
Policy instance 1
Insurance contract or identification number46-2216125
Number of Individuals Covered0
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number46-2216125
Policy instance 1
Insurance contract or identification number46-2216125
Number of Individuals Covered0
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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

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