401k Plan data: DEREK J. KOLANDER, DDS 401K PLAN plan

DEREK J. KOLANDER, DDS 401K PLAN 401k Plan overview

Plan Name	DEREK J. KOLANDER, DDS 401K PLAN
Plan identification number	001

DEREK J. KOLANDER, DDS 401K PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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

DEREK J. KOLANDER, DDS has sponsored the creation of one or more 401k plans.

Company Name: DEREK J. KOLANDER, DDS

Employer identification number (EIN): 911855263

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DEREK J. KOLANDER, DDS 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01 DEREK J. KOLANDER 2017-04-04
001 2015-01-01 DEREK J. KOLANDER
001 2014-01-01 DEREK KOLANDER
001 2013-01-01 DEREK KOLANDER
001 2012-01-01 DEREK KOLANDER
001 2011-01-01 DEREK KOLANDER

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2016-01-01	DEREK J. KOLANDER	2017-04-04
001	2015-01-01	DEREK J. KOLANDER
001	2014-01-01	DEREK KOLANDER
001	2013-01-01	DEREK KOLANDER
001	2012-01-01	DEREK KOLANDER
001	2011-01-01	DEREK KOLANDER

Plan Statistics for DEREK J. KOLANDER, DDS 401K PLAN

401k plan membership statisitcs for DEREK J. KOLANDER, DDS 401K PLAN

Measure Date Value
2015: DEREK J. KOLANDER, DDS 401K 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 7
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 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 7
Number of participants with account balances 2015-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: DEREK J. KOLANDER, DDS 401K 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: DEREK J. KOLANDER, DDS 401K 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: DEREK J. KOLANDER, DDS 401K PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 7
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: DEREK J. KOLANDER, DDS 401K 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 7
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 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 7
Number of participants with account balances 2011-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2015: DEREK J. KOLANDER, DDS 401K 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	7
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	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	7
Number of participants with account balances	2015-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: DEREK J. KOLANDER, DDS 401K 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: DEREK J. KOLANDER, DDS 401K 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: DEREK J. KOLANDER, DDS 401K PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	7
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: DEREK J. KOLANDER, DDS 401K 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	7
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	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	7
Number of participants with account balances	2011-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on DEREK J. KOLANDER, DDS 401K PLAN

Measure	Date	Value
2015 : DEREK J. KOLANDER, DDS 401K PLAN 2015 401k financial data
Transfers to/from the plan	2015-12-31	$0
Total plan liabilities at end of year	2015-12-31	$0
Total plan liabilities at beginning of year	2015-12-31	$0
Total income from all sources	2015-12-31	$155,965
Expenses. Total of all expenses incurred	2015-12-31	$0
Benefits paid (including direct rollovers)	2015-12-31	$0
Total plan assets at end of year	2015-12-31	$1,156,050
Total plan assets at beginning of year	2015-12-31	$1,000,085
Total contributions received or receivable from participants	2015-12-31	$45,027
Expenses. Other expenses not covered elsewhere	2015-12-31	$0
Contributions received from other sources (not participants or employers)	2015-12-31	$0
Other income received	2015-12-31	$61,627
Noncash contributions received	2015-12-31	$0
Net income (gross income less expenses)	2015-12-31	$155,965
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,156,050
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,000,085
Assets. Value of real-estate (other than employer real property)	2015-12-31	$661,900
Total contributions received or receivable from employer(s)	2015-12-31	$49,311
Value of certain deemed distributions of participant loans	2015-12-31	$0
Value of corrective distributions	2015-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$0
2014 : DEREK J. KOLANDER, DDS 401K PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
Total plan liabilities at end of year	2014-12-31	$0
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$195,752
Expenses. Total of all expenses incurred	2014-12-31	$0
Benefits paid (including direct rollovers)	2014-12-31	$0
Total plan assets at end of year	2014-12-31	$1,000,085
Total plan assets at beginning of year	2014-12-31	$804,333
Total contributions received or receivable from participants	2014-12-31	$43,028
Expenses. Other expenses not covered elsewhere	2014-12-31	$0
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$99,520
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$195,752
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,000,085
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$804,333
Assets. Value of real-estate (other than employer real property)	2014-12-31	$449,900
Total contributions received or receivable from employer(s)	2014-12-31	$53,204
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$0
2013 : DEREK J. KOLANDER, DDS 401K PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
Total plan liabilities at end of year	2013-12-31	$0
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$136,417
Expenses. Total of all expenses incurred	2013-12-31	$0
Benefits paid (including direct rollovers)	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$804,333
Total plan assets at beginning of year	2013-12-31	$667,916
Total contributions received or receivable from participants	2013-12-31	$40,684
Expenses. Other expenses not covered elsewhere	2013-12-31	$0
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$45,667
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$136,417
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$804,333
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$667,916
Assets. Value of real-estate (other than employer real property)	2013-12-31	$380,142
Total contributions received or receivable from employer(s)	2013-12-31	$50,066
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$0
2012 : DEREK J. KOLANDER, DDS 401K PLAN 2012 401k financial data
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$75,371
Expenses. Total of all expenses incurred	2012-12-31	$7,125
Benefits paid (including direct rollovers)	2012-12-31	$7,125
Total plan assets at end of year	2012-12-31	$667,916
Total plan assets at beginning of year	2012-12-31	$599,670
Total contributions received or receivable from participants	2012-12-31	$40,600
Expenses. Other expenses not covered elsewhere	2012-12-31	$0
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$-13,373
Noncash contributions received	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$68,246
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$667,916
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$599,670
Assets. Value of real-estate (other than employer real property)	2012-12-31	$270,000
Total contributions received or receivable from employer(s)	2012-12-31	$48,144
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : DEREK J. KOLANDER, DDS 401K PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$33
Total income from all sources	2011-12-31	$107,914
Expenses. Total of all expenses incurred	2011-12-31	$1,000
Benefits paid (including direct rollovers)	2011-12-31	$1,000
Total plan assets at end of year	2011-12-31	$599,670
Total plan assets at beginning of year	2011-12-31	$492,789
Total contributions received or receivable from participants	2011-12-31	$44,909
Expenses. Other expenses not covered elsewhere	2011-12-31	$0
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$12,160
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$106,914
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$599,670
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$492,756
Assets. Value of real-estate (other than employer real property)	2011-12-31	$307,586
Total contributions received or receivable from employer(s)	2011-12-31	$50,845
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : DEREK J. KOLANDER, DDS 401K PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total plan liabilities at end of year	2010-12-31	$33
Total plan liabilities at beginning of year	2010-12-31	$33
Total income from all sources	2010-12-31	$101,651
Expenses. Total of all expenses incurred	2010-12-31	$393
Benefits paid (including direct rollovers)	2010-12-31	$393
Total plan assets at end of year	2010-12-31	$492,789
Total plan assets at beginning of year	2010-12-31	$391,531
Total contributions received or receivable from participants	2010-12-31	$47,273
Expenses. Other expenses not covered elsewhere	2010-12-31	$0
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$3,623
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$101,258
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$492,756
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$391,498
Assets. Value of real-estate (other than employer real property)	2010-12-31	$200,786
Total contributions received or receivable from employer(s)	2010-12-31	$50,755
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0

Form 5500 Responses for DEREK J. KOLANDER, DDS 401K PLAN

2015: DEREK J. KOLANDER, DDS 401K 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: DEREK J. KOLANDER, DDS 401K 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: DEREK J. KOLANDER, DDS 401K 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: DEREK J. KOLANDER, DDS 401K 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: DEREK J. KOLANDER, DDS 401K 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

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Company Name:	DEREK J. KOLANDER, DDS
Employer identification number (EIN):	911855263
NAIC Classification:	621210
NAIC Description:	Offices of Dentists