401k Plan data: GREEN DENTAL LABORATORIES, INC. 401(K) PSP & TRUST plan

GREEN DENTAL LABORATORIES, INC. 401(K) PSP & TRUST 401k Plan overview

Plan Name	GREEN DENTAL LABORATORIES, INC. 401(K) PSP & TRUST
Plan identification number	001

GREEN DENTAL LABORATORIES, INC. 401(K) PSP & TRUST 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.
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.
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

GREEN DENTAL LABORATORIES, INC. has sponsored the creation of one or more 401k plans.

Company Name: GREEN DENTAL LABORATORIES, INC.

Employer identification number (EIN): 710587320

NAIC Classification: 621510
NAIC Description: Medical and Diagnostic Laboratories

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GREEN DENTAL LABORATORIES, INC. 401(K) PSP & TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2012-01-01 RICHARD NORDSKOG RICHARD NORDSKOG 2013-03-15
001 2011-01-01 RICHARD NORDSKOG RICHARD NORDSKOG 2012-10-15
001 2010-01-01 RICHARD NORDSKOG RICHARD NORDSKOG 2011-11-09
001 2009-01-01 BURT EDDINGTON BURT EDDINGTON 2010-10-15

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2012-01-01	RICHARD NORDSKOG	RICHARD NORDSKOG	2013-03-15
001	2011-01-01	RICHARD NORDSKOG	RICHARD NORDSKOG	2012-10-15
001	2010-01-01	RICHARD NORDSKOG	RICHARD NORDSKOG	2011-11-09
001	2009-01-01	BURT EDDINGTON	BURT EDDINGTON	2010-10-15

Plan Statistics for GREEN DENTAL LABORATORIES, INC. 401(K) PSP & TRUST

401k plan membership statisitcs for GREEN DENTAL LABORATORIES, INC. 401(K) PSP & TRUST

Measure Date Value
2012: GREEN DENTAL LABORATORIES, INC. 401(K) PSP & TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 271
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 0
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: GREEN DENTAL LABORATORIES, INC. 401(K) PSP & TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 257
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 169
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 96
Total of all active and inactive participants 2011-01-01 265
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 265
Number of participants with account balances 2011-01-01 258
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 8
2010: GREEN DENTAL LABORATORIES, INC. 401(K) PSP & TRUST 2010 401k membership
Total participants, beginning-of-year 2010-01-01 247
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 170
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 86
Total of all active and inactive participants 2010-01-01 256
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 256
Number of participants with account balances 2010-01-01 254
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 6
2009: GREEN DENTAL LABORATORIES, INC. 401(K) PSP & TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 236
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 171
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 76
Total of all active and inactive participants 2009-01-01 247
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 247
Number of participants with account balances 2009-01-01 247
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 4

Measure	Date	Value
2012: GREEN DENTAL LABORATORIES, INC. 401(K) PSP & TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	271
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	0
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: GREEN DENTAL LABORATORIES, INC. 401(K) PSP & TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	257
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	169
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	96
Total of all active and inactive participants	2011-01-01	265
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	265
Number of participants with account balances	2011-01-01	258
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	8
2010: GREEN DENTAL LABORATORIES, INC. 401(K) PSP & TRUST 2010 401k membership
Total participants, beginning-of-year	2010-01-01	247
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	170
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	86
Total of all active and inactive participants	2010-01-01	256
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	256
Number of participants with account balances	2010-01-01	254
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	6
2009: GREEN DENTAL LABORATORIES, INC. 401(K) PSP & TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	236
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	171
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	76
Total of all active and inactive participants	2009-01-01	247
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	247
Number of participants with account balances	2009-01-01	247
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	4

Financial Data on GREEN DENTAL LABORATORIES, INC. 401(K) PSP & TRUST

Measure	Date	Value
2012 : GREEN DENTAL LABORATORIES, INC. 401(K) PSP & TRUST 2012 401k financial data
Total transfer of assets from this plan	2012-05-14	$6,082,881
Total income from all sources (including contributions)	2012-05-14	$479,187
Total of all expenses incurred	2012-05-14	$90,142
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-05-14	$89,143
Value of total corrective distributions	2012-05-14	$876
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-05-14	$137,369
Value of total assets at end of year	2012-05-14	$0
Value of total assets at beginning of year	2012-05-14	$5,693,836
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-05-14	$123
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-05-14	No
Administrative expenses professional fees incurred	2012-05-14	$123
Was this plan covered by a fidelity bond	2012-05-14	Yes
Value of fidelity bond cover	2012-05-14	$500,000
If this is an individual account plan, was there a blackout period	2012-05-14	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-05-14	$90,019
Were there any nonexempt tranactions with any party-in-interest	2012-05-14	No
Contributions received from participants	2012-05-14	$86,670
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-05-14	No
Value of net income/loss	2012-05-14	$389,045
Value of net assets at end of year (total assets less liabilities)	2012-05-14	$0
Value of net assets at beginning of year (total assets less liabilities)	2012-05-14	$5,693,836
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-05-14	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-05-14	No
Were any leases to which the plan was party in default or uncollectible	2012-05-14	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-05-14	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-05-14	$5,127,409
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-05-14	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-05-14	$453,307
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-05-14	$453,307
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-05-14	$341,818
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-05-14	No
Was there a failure to transmit to the plan any participant contributions	2012-05-14	Yes
Has the plan failed to provide any benefit when due under the plan	2012-05-14	No
Contributions received in cash from employer	2012-05-14	$50,699
Employer contributions (assets) at end of year	2012-05-14	$0
Employer contributions (assets) at beginning of year	2012-05-14	$113,120
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-05-14	$89,143
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-05-14	Yes
Did the plan have assets held for investment	2012-05-14	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-05-14	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-05-14	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-05-14	No
Opinion of an independent qualified public accountant for this plan	2012-05-14	Unqualified
Accountancy firm name	2012-05-14	HUDSON, CISNE & CO. LLP
Accountancy firm EIN	2012-05-14	710650689
2011 : GREEN DENTAL LABORATORIES, INC. 401(K) PSP & TRUST 2011 401k financial data
Total income from all sources (including contributions)	2011-12-31	$133,885
Total of all expenses incurred	2011-12-31	$272,372
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$261,772
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$322,487
Value of total assets at end of year	2011-12-31	$5,693,836
Value of total assets at beginning of year	2011-12-31	$5,832,323
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$10,600
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Administrative expenses professional fees incurred	2011-12-31	$10,600
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$261,772
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$209,367
Participant contributions at end of year	2011-12-31	$0
Participant contributions at beginning of year	2011-12-31	$5,983
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-138,487
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$5,693,836
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$5,832,323
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$5,127,409
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$4,926,461
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$453,307
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$364,379
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$364,379
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-188,602
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$113,120
Employer contributions (assets) at end of year	2011-12-31	$113,120
Employer contributions (assets) at beginning of year	2011-12-31	$535,500
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$261,772
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-12-31	No
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	No
Opinion of an independent qualified public accountant for this plan	2011-12-31	Unqualified
Accountancy firm name	2011-12-31	HUDSON, CISNE & CO. LLP
Accountancy firm EIN	2011-12-31	710650689
2010 : GREEN DENTAL LABORATORIES, INC. 401(K) PSP & TRUST 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$10,000
Total income from all sources (including contributions)	2010-12-31	$1,306,316
Total of all expenses incurred	2010-12-31	$77,281
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$66,981
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$695,166
Value of total assets at end of year	2010-12-31	$5,832,323
Value of total assets at beginning of year	2010-12-31	$4,613,288
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$10,300
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Administrative expenses professional fees incurred	2010-12-31	$10,300
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$66,981
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$159,666
Participant contributions at end of year	2010-12-31	$5,983
Liabilities. Value of operating payables at end of year	2010-12-31	$0
Liabilities. Value of operating payables at beginning of year	2010-12-31	$10,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$1,229,035
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$5,832,323
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$4,603,288
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$4,926,461
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$4,041,815
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$364,379
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$321,473
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$321,473
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$611,150
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$535,500
Employer contributions (assets) at end of year	2010-12-31	$535,500
Employer contributions (assets) at beginning of year	2010-12-31	$250,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$66,981
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2010-12-31	No
Did the plan have assets held for investment	2010-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	No
Opinion of an independent qualified public accountant for this plan	2010-12-31	Unqualified
Accountancy firm name	2010-12-31	HUDSON CISNE & CO., LLP
Accountancy firm EIN	2010-12-31	710650689
2009 : GREEN DENTAL LABORATORIES, INC. 401(K) PSP & TRUST 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$82,915

Form 5500 Responses for GREEN DENTAL LABORATORIES, INC. 401(K) PSP & TRUST

2012: GREEN DENTAL LABORATORIES, INC. 401(K) PSP & TRUST 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	This submission is the final filing	Yes
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: GREEN DENTAL LABORATORIES, INC. 401(K) PSP & TRUST 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: GREEN DENTAL LABORATORIES, INC. 401(K) PSP & TRUST 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: GREEN DENTAL LABORATORIES, INC. 401(K) PSP & TRUST 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	GREEN DENTAL LABORATORIES, INC.
Employer identification number (EIN):	710587320
NAIC Classification:	621510
NAIC Description:	Medical and Diagnostic Laboratories