401k Plan data: J. M. LALLY, D.D.S., LTD. PROFIT SHARING PLAN plan

J. M. LALLY, D.D.S., LTD. PROFIT SHARING PLAN 401k Plan overview

Plan Name	J. M. LALLY, D.D.S., LTD. PROFIT SHARING PLAN
Plan identification number	001

J. M. LALLY, D.D.S., LTD. PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
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.

401k Sponsoring company profile

J. M. LALLY, D.D.S., LTD. has sponsored the creation of one or more 401k plans.

Company Name: J. M. LALLY, D.D.S., LTD.

Employer identification number (EIN): 710489991

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan J. M. LALLY, D.D.S., LTD. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01
001 2017-01-01 J.M. LALLY
001 2016-01-01 JAMES C. MOSER, JR.
001 2015-01-01 JAMES C. MOSER, JR.
001 2014-01-01 JAMES C. MOSER, JR. AUTHORIZED MEM
001 2013-01-01 JAMES MOSER, JR., AUTHORIZED MEMBER
001 2012-01-01 JAMES C. MOSER, JR.
001 2011-01-01 JAMES C. MOSER, JR.
001 2009-01-01 JAMES MOSER JR

Plan Statistics for J. M. LALLY, D.D.S., LTD. PROFIT SHARING PLAN

401k plan membership statisitcs for J. M. LALLY, D.D.S., LTD. PROFIT SHARING PLAN

Measure Date Value
2017: J. M. LALLY, D.D.S., LTD. PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
Total participants 2017-01-01 0
2016: J. M. LALLY, D.D.S., LTD. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 5
Number of other retired or separated participants entitled to future benefits 2016-01-01 2
Total of all active and inactive participants 2016-01-01 2
Total participants 2016-01-01 2
Number of participants with account balances 2016-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: J. M. LALLY, D.D.S., LTD. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 5
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 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: J. M. LALLY, D.D.S., LTD. 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 1
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 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: J. M. LALLY, D.D.S., LTD. 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 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 1
2012: J. M. LALLY, D.D.S., LTD. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 8
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 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 8
Number of participants with account balances 2012-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: J. M. LALLY, D.D.S., LTD. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 8
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 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 8
Number of participants with account balances 2011-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: J. M. LALLY, D.D.S., LTD. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 6
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 1
Total of all active and inactive participants 2009-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 7
Number of participants with account balances 2009-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2017: J. M. LALLY, D.D.S., LTD. PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
Total participants	2017-01-01	0
2016: J. M. LALLY, D.D.S., LTD. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	5
Number of other retired or separated participants entitled to future benefits	2016-01-01	2
Total of all active and inactive participants	2016-01-01	2
Total participants	2016-01-01	2
Number of participants with account balances	2016-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: J. M. LALLY, D.D.S., LTD. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	5
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	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: J. M. LALLY, D.D.S., LTD. 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	1
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	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: J. M. LALLY, D.D.S., LTD. 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	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	1
2012: J. M. LALLY, D.D.S., LTD. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	8
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	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	8
Number of participants with account balances	2012-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: J. M. LALLY, D.D.S., LTD. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	8
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	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	8
Number of participants with account balances	2011-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: J. M. LALLY, D.D.S., LTD. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	6
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	1
Total of all active and inactive participants	2009-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	7
Number of participants with account balances	2009-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on J. M. LALLY, D.D.S., LTD. PROFIT SHARING PLAN

Measure	Date	Value
2017 : J. M. LALLY, D.D.S., LTD. PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$2
Expenses. Total of all expenses incurred	2017-12-31	$455,206
Benefits paid (including direct rollovers)	2017-12-31	$455,106
Total plan assets at end of year	2017-12-31	$0
Total plan assets at beginning of year	2017-12-31	$455,204
Value of fidelity bond covering the plan	2017-12-31	$100,000
Other income received	2017-12-31	$2
Net income (gross income less expenses)	2017-12-31	$-455,204
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$455,204
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$100
2016 : J. M. LALLY, D.D.S., LTD. PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$19,337
Expenses. Total of all expenses incurred	2016-12-31	$698,947
Benefits paid (including direct rollovers)	2016-12-31	$697,641
Total plan assets at end of year	2016-12-31	$455,204
Total plan assets at beginning of year	2016-12-31	$1,134,814
Value of fidelity bond covering the plan	2016-12-31	$100,000
Other income received	2016-12-31	$-5,886
Net income (gross income less expenses)	2016-12-31	$-679,610
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$455,204
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$1,134,814
Total contributions received or receivable from employer(s)	2016-12-31	$25,223
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$1,306
2015 : J. M. LALLY, D.D.S., LTD. PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$13,559
Expenses. Total of all expenses incurred	2015-12-31	$617
Total plan assets at end of year	2015-12-31	$1,134,814
Total plan assets at beginning of year	2015-12-31	$1,121,872
Value of fidelity bond covering the plan	2015-12-31	$100,000
Other income received	2015-12-31	$-10,441
Net income (gross income less expenses)	2015-12-31	$12,942
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,134,814
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,121,872
Assets. Value of participant loans	2015-12-31	$18,171
Total contributions received or receivable from employer(s)	2015-12-31	$24,000
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$617
2014 : J. M. LALLY, D.D.S., LTD. PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$57,652
Expenses. Total of all expenses incurred	2014-12-31	$24,512
Benefits paid (including direct rollovers)	2014-12-31	$23,782
Total plan assets at end of year	2014-12-31	$1,121,872
Total plan assets at beginning of year	2014-12-31	$1,088,732
Value of fidelity bond covering the plan	2014-12-31	$100,000
Other income received	2014-12-31	$35,652
Net income (gross income less expenses)	2014-12-31	$33,140
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,121,872
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,088,732
Assets. Value of participant loans	2014-12-31	$22,174
Total contributions received or receivable from employer(s)	2014-12-31	$22,000
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$730
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : J. M. LALLY, D.D.S., LTD. PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$87,851
Expenses. Total of all expenses incurred	2013-12-31	$690
Total plan assets at end of year	2013-12-31	$1,088,732
Total plan assets at beginning of year	2013-12-31	$1,001,571
Value of fidelity bond covering the plan	2013-12-31	$100,000
Other income received	2013-12-31	$75,335
Net income (gross income less expenses)	2013-12-31	$87,161
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,088,732
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,001,571
Assets. Value of participant loans	2013-12-31	$15,241
Total contributions received or receivable from employer(s)	2013-12-31	$12,516
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$690
2012 : J. M. LALLY, D.D.S., LTD. PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$50,880
Expenses. Total of all expenses incurred	2012-12-31	$518
Total plan assets at end of year	2012-12-31	$1,001,571
Total plan assets at beginning of year	2012-12-31	$951,209
Value of fidelity bond covering the plan	2012-12-31	$100,000
Total contributions received or receivable from participants	2012-12-31	$220
Other income received	2012-12-31	$30,660
Net income (gross income less expenses)	2012-12-31	$50,362
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,001,571
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$951,209
Assets. Value of participant loans	2012-12-31	$4,749
Total contributions received or receivable from employer(s)	2012-12-31	$20,000
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$518
2011 : J. M. LALLY, D.D.S., LTD. PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$38,545
Expenses. Total of all expenses incurred	2011-12-31	$7,653
Benefits paid (including direct rollovers)	2011-12-31	$6,978
Total plan assets at end of year	2011-12-31	$951,209
Total plan assets at beginning of year	2011-12-31	$906,808
Value of fidelity bond covering the plan	2011-12-31	$100,000
Total contributions received or receivable from participants	2011-12-31	$510
Other income received	2011-12-31	$18,035
Net income (gross income less expenses)	2011-12-31	$30,892
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$951,209
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$906,808
Assets. Value of participant loans	2011-12-31	$4,576
Total contributions received or receivable from employer(s)	2011-12-31	$20,000
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$675
2010 : J. M. LALLY, D.D.S., LTD. PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$29,994
Expenses. Total of all expenses incurred	2010-12-31	$580
Total plan assets at end of year	2010-12-31	$873,066
Total plan assets at beginning of year	2010-12-31	$843,652
Value of fidelity bond covering the plan	2010-12-31	$100,000
Total contributions received or receivable from participants	2010-12-31	$130
Other income received	2010-12-31	$12,876
Net income (gross income less expenses)	2010-12-31	$29,414
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$873,066
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$843,652
Assets. Value of participant loans	2010-12-31	$13,509
Total contributions received or receivable from employer(s)	2010-12-31	$16,988
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$580

Form 5500 Responses for J. M. LALLY, D.D.S., LTD. PROFIT SHARING PLAN

2017: J. M. LALLY, D.D.S., LTD. PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: J. M. LALLY, D.D.S., LTD. PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: J. M. LALLY, D.D.S., LTD. PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: J. M. LALLY, D.D.S., LTD. PROFIT SHARING 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 – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: J. M. LALLY, D.D.S., LTD. PROFIT SHARING 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 – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: J. M. LALLY, D.D.S., LTD. PROFIT SHARING 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: J. M. LALLY, D.D.S., LTD. PROFIT SHARING 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: J. M. LALLY, D.D.S., LTD. PROFIT SHARING 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:	J. M. LALLY, D.D.S., LTD.
Employer identification number (EIN):	710489991
NAIC Classification:	621210
NAIC Description:	Offices of Dentists

Plan id#	Filing Submission Date	Name of Administrator
001	2017-01-01
001	2017-01-01	J.M. LALLY
001	2016-01-01	JAMES C. MOSER, JR.
001	2015-01-01	JAMES C. MOSER, JR.
001	2014-01-01	JAMES C. MOSER, JR. AUTHORIZED MEM
001	2013-01-01	JAMES MOSER, JR., AUTHORIZED MEMBER
001	2012-01-01	JAMES C. MOSER, JR.
001	2011-01-01	JAMES C. MOSER, JR.
001	2009-01-01	JAMES MOSER JR