401k Plan data: CHARLES H. RAWLS, JR. DDS PROFIT SHARING PLAN plan

CHARLES H. RAWLS, JR. DDS PROFIT SHARING PLAN 401k Plan overview

Plan Name	CHARLES H. RAWLS, JR. DDS PROFIT SHARING PLAN
Plan identification number	001

CHARLES H. RAWLS, JR. DDS PROFIT SHARING PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing Plan covering Self-Employed individuals. Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.

401k Sponsoring company profile

DR. CHARLES H. RAWLS, JR. DDS has sponsored the creation of one or more 401k plans.

Company Name: DR. CHARLES H. RAWLS, JR. DDS

Employer identification number (EIN): 541305800

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHARLES H. RAWLS, JR. DDS PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 JAPHETH E. RAWLS, III CHARLES H. RAWLS, JR. 2016-05-16
001 2014-01-01 JAPHETH E. RAWLS, III CHARLES H. RAWLS, JR. 2015-05-18
001 2013-01-01 JAPHETH E. RAWLS, III CHARLES H. RAWLS, JR. 2014-05-14
001 2012-01-01 JAPHETH E. RAWLS, III CHARLES H. RAWLS, JR. 2013-05-20
001 2011-01-01 JAPHETH E. RAWLS, III CHARLES H. RAWLS, JR. 2012-08-24
001 2010-01-01 JAPHETH E. RAWLS, III CHARLES H. RAWLS, JR. 2011-07-05
001 2009-01-01 JAPHETH E. RAWLS, III CHARLES H. RAWLS, JR. 2010-06-15

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2015-01-01	JAPHETH E. RAWLS, III	CHARLES H. RAWLS, JR.	2016-05-16
001	2014-01-01	JAPHETH E. RAWLS, III	CHARLES H. RAWLS, JR.	2015-05-18
001	2013-01-01	JAPHETH E. RAWLS, III	CHARLES H. RAWLS, JR.	2014-05-14
001	2012-01-01	JAPHETH E. RAWLS, III	CHARLES H. RAWLS, JR.	2013-05-20
001	2011-01-01	JAPHETH E. RAWLS, III	CHARLES H. RAWLS, JR.	2012-08-24
001	2010-01-01	JAPHETH E. RAWLS, III	CHARLES H. RAWLS, JR.	2011-07-05
001	2009-01-01	JAPHETH E. RAWLS, III	CHARLES H. RAWLS, JR.	2010-06-15

Plan Statistics for CHARLES H. RAWLS, JR. DDS PROFIT SHARING PLAN

401k plan membership statisitcs for CHARLES H. RAWLS, JR. DDS PROFIT SHARING PLAN

Measure Date Value
2015: CHARLES H. RAWLS, JR. DDS PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
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 0
Total of all active and inactive participants 2015-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: CHARLES H. RAWLS, JR. DDS PROFIT SHARING 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 7
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 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 7
Number of participants with account balances 2014-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: CHARLES H. RAWLS, JR. DDS PROFIT SHARING PLAN 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: CHARLES H. RAWLS, JR. DDS PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 6
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: CHARLES H. RAWLS, JR. DDS PROFIT SHARING PLAN 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 6
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 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 6
Number of participants with account balances 2011-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 1
2010: CHARLES H. RAWLS, JR. DDS PROFIT SHARING PLAN 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: CHARLES H. RAWLS, JR. DDS PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 8
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 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

Measure	Date	Value
2015: CHARLES H. RAWLS, JR. DDS PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
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	0
Total of all active and inactive participants	2015-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: CHARLES H. RAWLS, JR. DDS PROFIT SHARING 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	7
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	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	7
Number of participants with account balances	2014-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: CHARLES H. RAWLS, JR. DDS PROFIT SHARING PLAN 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: CHARLES H. RAWLS, JR. DDS PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	6
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: CHARLES H. RAWLS, JR. DDS PROFIT SHARING PLAN 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	6
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	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	6
Number of participants with account balances	2011-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	1
2010: CHARLES H. RAWLS, JR. DDS PROFIT SHARING PLAN 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: CHARLES H. RAWLS, JR. DDS PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	8
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	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

Financial Data on CHARLES H. RAWLS, JR. DDS PROFIT SHARING PLAN

Measure	Date	Value
2015 : CHARLES H. RAWLS, JR. DDS PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$8,348
Expenses. Total of all expenses incurred	2015-12-31	$450,479
Benefits paid (including direct rollovers)	2015-12-31	$447,703
Total plan assets at end of year	2015-12-31	$0
Total plan assets at beginning of year	2015-12-31	$442,131
Other income received	2015-12-31	$-9,652
Net income (gross income less expenses)	2015-12-31	$-442,131
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$442,131
Total contributions received or receivable from employer(s)	2015-12-31	$18,000
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$2,776
2014 : CHARLES H. RAWLS, JR. DDS PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$37,736
Expenses. Total of all expenses incurred	2014-12-31	$3,549
Total plan assets at end of year	2014-12-31	$442,131
Total plan assets at beginning of year	2014-12-31	$407,944
Other income received	2014-12-31	$13,736
Net income (gross income less expenses)	2014-12-31	$34,187
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$442,131
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$407,944
Total contributions received or receivable from employer(s)	2014-12-31	$24,000
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$3,549
2013 : CHARLES H. RAWLS, JR. DDS PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$74,754
Expenses. Total of all expenses incurred	2013-12-31	$2,955
Total plan assets at end of year	2013-12-31	$407,944
Total plan assets at beginning of year	2013-12-31	$336,145
Expenses. Other expenses not covered elsewhere	2013-12-31	$53
Other income received	2013-12-31	$50,754
Net income (gross income less expenses)	2013-12-31	$71,799
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$407,944
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$336,145
Total contributions received or receivable from employer(s)	2013-12-31	$24,000
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$2,902
2012 : CHARLES H. RAWLS, JR. DDS PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$57,271
Expenses. Total of all expenses incurred	2012-12-31	$2,314
Total plan assets at end of year	2012-12-31	$336,145
Total plan assets at beginning of year	2012-12-31	$281,188
Expenses. Other expenses not covered elsewhere	2012-12-31	$40
Other income received	2012-12-31	$33,271
Net income (gross income less expenses)	2012-12-31	$54,957
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$336,145
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$281,188
Total contributions received or receivable from employer(s)	2012-12-31	$24,000
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$2,274
2011 : CHARLES H. RAWLS, JR. DDS PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$17,088
Expenses. Total of all expenses incurred	2011-12-31	$2,141
Total plan assets at end of year	2011-12-31	$281,188
Total plan assets at beginning of year	2011-12-31	$266,241
Other income received	2011-12-31	$-6,912
Net income (gross income less expenses)	2011-12-31	$14,947
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$281,188
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$266,241
Total contributions received or receivable from employer(s)	2011-12-31	$24,000
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$2,141
2010 : CHARLES H. RAWLS, JR. DDS PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$49,972
Expenses. Total of all expenses incurred	2010-12-31	$18,968
Benefits paid (including direct rollovers)	2010-12-31	$17,201
Total plan assets at end of year	2010-12-31	$266,241
Total plan assets at beginning of year	2010-12-31	$235,237
Other income received	2010-12-31	$25,972
Net income (gross income less expenses)	2010-12-31	$31,004
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$266,241
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$235,237
Total contributions received or receivable from employer(s)	2010-12-31	$24,000
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$1,767

Form 5500 Responses for CHARLES H. RAWLS, JR. DDS PROFIT SHARING PLAN

2015: CHARLES H. RAWLS, JR. DDS PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	This submission is the final filing	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: CHARLES H. RAWLS, JR. DDS 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: CHARLES H. RAWLS, JR. DDS 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
2012: CHARLES H. RAWLS, JR. DDS PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: CHARLES H. RAWLS, JR. DDS PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: CHARLES H. RAWLS, JR. DDS PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: CHARLES H. RAWLS, JR. DDS PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	DR. CHARLES H. RAWLS, JR. DDS
Employer identification number (EIN):	541305800
NAIC Classification:	621210
NAIC Description:	Offices of Dentists