401k Plan data: PROFIT SHARING PLAN OF ORAL & MAXILLOFACIAL SURGEONS OF NORTHERN ARIZONA LTD plan

PROFIT SHARING PLAN OF ORAL & MAXILLOFACIAL SURGEONS OF NORTHERN ARIZONA LTD 401k Plan overview

Plan Name	PROFIT SHARING PLAN OF ORAL & MAXILLOFACIAL SURGEONS OF NORTHERN ARIZONA LTD
Plan identification number	001

PROFIT SHARING PLAN OF ORAL & MAXILLOFACIAL SURGEONS OF NORTHERN ARIZONA LTD Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
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

ORAL & MAXILLOFACIAL SURGEON OF NORTHERN ARIZONA, LTD has sponsored the creation of one or more 401k plans.

Company Name: ORAL & MAXILLOFACIAL SURGEON OF NORTHERN ARIZONA, LTD

Employer identification number (EIN): 860307548

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PROFIT SHARING PLAN OF ORAL & MAXILLOFACIAL SURGEONS OF NORTHERN ARIZONA LTD

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2012-11-01 TODD DINGMAN
001 2011-11-01 TODD DINGMAN
001 2009-11-01 TODD A DINGMAN DDS MD
001 2008-11-01

Plan Statistics for PROFIT SHARING PLAN OF ORAL & MAXILLOFACIAL SURGEONS OF NORTHERN ARIZONA LTD

401k plan membership statisitcs for PROFIT SHARING PLAN OF ORAL & MAXILLOFACIAL SURGEONS OF NORTHERN ARIZONA LTD

Measure Date Value
2012: PROFIT SHARING PLAN OF ORAL & MAXILLOFACIAL SURGEONS OF NORTHERN ARIZONA LTD 2012 401k membership
Total participants, beginning-of-year 2012-11-01 5
Total number of active participants reported on line 7a of the Form 5500 2012-11-01 0
Number of retired or separated participants receiving benefits 2012-11-01 0
Number of other retired or separated participants entitled to future benefits 2012-11-01 0
Total of all active and inactive participants 2012-11-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-11-01 0
Total participants 2012-11-01 0
Number of participants with account balances 2012-11-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-11-01 0
2011: PROFIT SHARING PLAN OF ORAL & MAXILLOFACIAL SURGEONS OF NORTHERN ARIZONA LTD 2011 401k membership
Total participants, beginning-of-year 2011-11-01 5
Total number of active participants reported on line 7a of the Form 5500 2011-11-01 5
Number of retired or separated participants receiving benefits 2011-11-01 0
Number of other retired or separated participants entitled to future benefits 2011-11-01 0
Total of all active and inactive participants 2011-11-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-11-01 0
Total participants 2011-11-01 5
Number of participants with account balances 2011-11-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-11-01 0
2009: PROFIT SHARING PLAN OF ORAL & MAXILLOFACIAL SURGEONS OF NORTHERN ARIZONA LTD 2009 401k membership
Total participants, beginning-of-year 2009-11-01 5
Total number of active participants reported on line 7a of the Form 5500 2009-11-01 5
Total of all active and inactive participants 2009-11-01 5
Total participants 2009-11-01 5
Number of participants with account balances 2009-11-01 5

Measure	Date	Value
2012: PROFIT SHARING PLAN OF ORAL & MAXILLOFACIAL SURGEONS OF NORTHERN ARIZONA LTD 2012 401k membership
Total participants, beginning-of-year	2012-11-01	5
Total number of active participants reported on line 7a of the Form 5500	2012-11-01	0
Number of retired or separated participants receiving benefits	2012-11-01	0
Number of other retired or separated participants entitled to future benefits	2012-11-01	0
Total of all active and inactive participants	2012-11-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-11-01	0
Total participants	2012-11-01	0
Number of participants with account balances	2012-11-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-11-01	0
2011: PROFIT SHARING PLAN OF ORAL & MAXILLOFACIAL SURGEONS OF NORTHERN ARIZONA LTD 2011 401k membership
Total participants, beginning-of-year	2011-11-01	5
Total number of active participants reported on line 7a of the Form 5500	2011-11-01	5
Number of retired or separated participants receiving benefits	2011-11-01	0
Number of other retired or separated participants entitled to future benefits	2011-11-01	0
Total of all active and inactive participants	2011-11-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-11-01	0
Total participants	2011-11-01	5
Number of participants with account balances	2011-11-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-11-01	0
2009: PROFIT SHARING PLAN OF ORAL & MAXILLOFACIAL SURGEONS OF NORTHERN ARIZONA LTD 2009 401k membership
Total participants, beginning-of-year	2009-11-01	5
Total number of active participants reported on line 7a of the Form 5500	2009-11-01	5
Total of all active and inactive participants	2009-11-01	5
Total participants	2009-11-01	5
Number of participants with account balances	2009-11-01	5

Financial Data on PROFIT SHARING PLAN OF ORAL & MAXILLOFACIAL SURGEONS OF NORTHERN ARIZONA LTD

Measure	Date	Value
2013 : PROFIT SHARING PLAN OF ORAL & MAXILLOFACIAL SURGEONS OF NORTHERN ARIZONA LTD 2013 401k financial data
Transfers to/from the plan	2013-10-31	$0
Total plan liabilities at end of year	2013-10-31	$0
Total plan liabilities at beginning of year	2013-10-31	$0
Total income from all sources	2013-10-31	$-33,212
Expenses. Total of all expenses incurred	2013-10-31	$559,134
Benefits paid (including direct rollovers)	2013-10-31	$559,134
Total plan assets at end of year	2013-10-31	$0
Total plan assets at beginning of year	2013-10-31	$592,346
Value of fidelity bond covering the plan	2013-10-31	$800,000
Assets. Value of tangible personal property	2013-10-31	$0
Total contributions received or receivable from participants	2013-10-31	$0
Expenses. Other expenses not covered elsewhere	2013-10-31	$0
Contributions received from other sources (not participants or employers)	2013-10-31	$0
Other income received	2013-10-31	$-33,212
Noncash contributions received	2013-10-31	$0
Net income (gross income less expenses)	2013-10-31	$-592,346
Net plan assets at end of year (total assets less liabilities)	2013-10-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2013-10-31	$592,346
Assets. Value of participant loans	2013-10-31	$0
Assets. Value of assets in partnership/joint-venture interests	2013-10-31	$0
Assets. Value of real-estate (other than employer real property)	2013-10-31	$0
Total contributions received or receivable from employer(s)	2013-10-31	$0
Value of certain deemed distributions of participant loans	2013-10-31	$0
Value of corrective distributions	2013-10-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-10-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-10-31	$0
2012 : PROFIT SHARING PLAN OF ORAL & MAXILLOFACIAL SURGEONS OF NORTHERN ARIZONA LTD 2012 401k financial data
Transfers to/from the plan	2012-10-31	$0
Total plan liabilities at end of year	2012-10-31	$0
Total plan liabilities at beginning of year	2012-10-31	$0
Total income from all sources	2012-10-31	$22,963
Expenses. Total of all expenses incurred	2012-10-31	$22,250
Benefits paid (including direct rollovers)	2012-10-31	$21,387
Total plan assets at end of year	2012-10-31	$592,346
Total plan assets at beginning of year	2012-10-31	$591,633
Value of fidelity bond covering the plan	2012-10-31	$800,000
Assets. Value of tangible personal property	2012-10-31	$4,650
Total contributions received or receivable from participants	2012-10-31	$0
Expenses. Other expenses not covered elsewhere	2012-10-31	$0
Contributions received from other sources (not participants or employers)	2012-10-31	$0
Other income received	2012-10-31	$22,963
Noncash contributions received	2012-10-31	$0
Net income (gross income less expenses)	2012-10-31	$713
Net plan assets at end of year (total assets less liabilities)	2012-10-31	$592,346
Net plan assets at beginning of year (total assets less liabilities)	2012-10-31	$591,633
Assets. Value of participant loans	2012-10-31	$0
Assets. Value of assets in partnership/joint-venture interests	2012-10-31	$20,842
Assets. Value of real-estate (other than employer real property)	2012-10-31	$60,168
Total contributions received or receivable from employer(s)	2012-10-31	$0
Value of certain deemed distributions of participant loans	2012-10-31	$0
Value of corrective distributions	2012-10-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-10-31	$863
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-10-31	$0
2011 : PROFIT SHARING PLAN OF ORAL & MAXILLOFACIAL SURGEONS OF NORTHERN ARIZONA LTD 2011 401k financial data
Transfers to/from the plan	2011-10-31	$0
Total plan liabilities at end of year	2011-10-31	$0
Total plan liabilities at beginning of year	2011-10-31	$0
Total income from all sources	2011-10-31	$-37,323
Expenses. Total of all expenses incurred	2011-10-31	$2,000
Benefits paid (including direct rollovers)	2011-10-31	$0
Total plan assets at end of year	2011-10-31	$591,633
Total plan assets at beginning of year	2011-10-31	$630,956
Value of fidelity bond covering the plan	2011-10-31	$800,000
Assets. Value of tangible personal property	2011-10-31	$4,650
Total contributions received or receivable from participants	2011-10-31	$0
Assets. Value of loans (other than to participants)	2011-10-31	$0
Expenses. Other expenses not covered elsewhere	2011-10-31	$2,000
Other income received	2011-10-31	$-37,323
Net income (gross income less expenses)	2011-10-31	$-39,323
Net plan assets at end of year (total assets less liabilities)	2011-10-31	$591,633
Net plan assets at beginning of year (total assets less liabilities)	2011-10-31	$630,956
Assets. Value of participant loans	2011-10-31	$21,387
Assets. Value of assets in partnership/joint-venture interests	2011-10-31	$21,943
Assets. Value of real-estate (other than employer real property)	2011-10-31	$60,168
Total contributions received or receivable from employer(s)	2011-10-31	$0
Value of certain deemed distributions of participant loans	2011-10-31	$0
Value of corrective distributions	2011-10-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-10-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-10-31	$0
2010 : PROFIT SHARING PLAN OF ORAL & MAXILLOFACIAL SURGEONS OF NORTHERN ARIZONA LTD 2010 401k financial data
Funding deficiency by the employer to the plan for this plan year	2010-10-31	$0
Minimum employer required contribution for this plan year	2010-10-31	$0
Amount contributed by the employer to the plan for this plan year	2010-10-31	$0

Form 5500 Responses for PROFIT SHARING PLAN OF ORAL & MAXILLOFACIAL SURGEONS OF NORTHERN ARIZONA LTD

2012: PROFIT SHARING PLAN OF ORAL & MAXILLOFACIAL SURGEONS OF NORTHERN ARIZONA LTD 2012 form 5500 responses
2012-11-01	Type of plan entity	Single employer plan
2012-11-01	Submission has been amended	No
2012-11-01	This submission is the final filing	Yes
2012-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-11-01	Plan is a collectively bargained plan	No
2012-11-01	Plan funding arrangement – Trust	Yes
2012-11-01	Plan benefit arrangement - Trust	Yes
2011: PROFIT SHARING PLAN OF ORAL & MAXILLOFACIAL SURGEONS OF NORTHERN ARIZONA LTD 2011 form 5500 responses
2011-11-01	Type of plan entity	Single employer plan
2011-11-01	Submission has been amended	No
2011-11-01	This submission is the final filing	No
2011-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-11-01	Plan is a collectively bargained plan	No
2011-11-01	Plan funding arrangement – Trust	Yes
2011-11-01	Plan benefit arrangement - Trust	Yes
2009: PROFIT SHARING PLAN OF ORAL & MAXILLOFACIAL SURGEONS OF NORTHERN ARIZONA LTD 2009 form 5500 responses
2009-11-01	Type of plan entity	Single employer plan
2009-11-01	Plan funding arrangement – Trust	Yes
2009-11-01	Plan benefit arrangement - Trust	Yes
2008: PROFIT SHARING PLAN OF ORAL & MAXILLOFACIAL SURGEONS OF NORTHERN ARIZONA LTD 2008 form 5500 responses
2008-11-01	Type of plan entity	Single employer plan
2008-11-01	Submission has been amended	No
2008-11-01	This submission is the final filing	No
2008-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-11-01	Plan is a collectively bargained plan	No

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Company Name:	ORAL & MAXILLOFACIAL SURGEON OF NORTHERN ARIZONA, LTD
Employer identification number (EIN):	860307548
NAIC Classification:	621210
NAIC Description:	Offices of Dentists

Plan id#	Filing Submission Date	Name of Administrator
001	2012-11-01	TODD DINGMAN
001	2011-11-01	TODD DINGMAN
001	2009-11-01	TODD A DINGMAN DDS MD
001	2008-11-01