401k Plan data: MICHAEL J. GIESY, D.M.D., PLLC 401(K) PROFIT SHARING PLAN plan

MICHAEL J. GIESY, D.M.D., PLLC 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	MICHAEL J. GIESY, D.M.D., PLLC 401(K) PROFIT SHARING PLAN
Plan identification number	002

MICHAEL J. GIESY, D.M.D., PLLC 401(K) PROFIT SHARING PLAN 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.
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.
Participant-directed brokerage accounts provided as an investment option under the plan.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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

MICHAEL J. GIESY, D.M.D., PLLC has sponsored the creation of one or more 401k plans.

Company Name: MICHAEL J. GIESY, D.M.D., PLLC

Employer identification number (EIN): 912047668

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MICHAEL J. GIESY, D.M.D., PLLC 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01 MICHELE GIESY 2023-10-09
002 2021-01-01 MICHELE GIESY 2022-08-23
002 2020-01-01 MICHAEL GIESY 2021-10-06
002 2019-01-01 MICHAEL GIESY 2020-09-24
002 2018-01-01
002 2017-01-01
002 2016-01-01
002 2015-01-01
002 2014-01-01 MICHAEL J. GIESY 2015-07-22
002 2013-01-01 MICHAEL J. GIESY 2014-02-25
002 2012-01-01 MICHAEL J. GIESY 2013-04-10
002 2011-01-01 TONY PANAGIOTU 2012-03-07
002 2010-01-01 TODD HUGHES 2011-03-24

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2022-01-01	MICHELE GIESY	2023-10-09
002	2021-01-01	MICHELE GIESY	2022-08-23
002	2020-01-01	MICHAEL GIESY	2021-10-06
002	2019-01-01	MICHAEL GIESY	2020-09-24
002	2018-01-01
002	2017-01-01
002	2016-01-01
002	2015-01-01
002	2014-01-01	MICHAEL J. GIESY	2015-07-22
002	2013-01-01	MICHAEL J. GIESY	2014-02-25
002	2012-01-01	MICHAEL J. GIESY	2013-04-10
002	2011-01-01	TONY PANAGIOTU	2012-03-07
002	2010-01-01	TODD HUGHES	2011-03-24

Plan Statistics for MICHAEL J. GIESY, D.M.D., PLLC 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for MICHAEL J. GIESY, D.M.D., PLLC 401(K) PROFIT SHARING PLAN

Measure Date Value
2022: MICHAEL J. GIESY, D.M.D., PLLC 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 8
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 3
Total of all active and inactive participants 2022-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 11
Number of participants with account balances 2022-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: MICHAEL J. GIESY, D.M.D., PLLC 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 7
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 4
Total of all active and inactive participants 2021-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 11
Number of participants with account balances 2021-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: MICHAEL J. GIESY, D.M.D., PLLC 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 9
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 3
Total of all active and inactive participants 2020-01-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 12
Number of participants with account balances 2020-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 1
2019: MICHAEL J. GIESY, D.M.D., PLLC 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 9
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 2
Total of all active and inactive participants 2019-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 11
Number of participants with account balances 2019-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: MICHAEL J. GIESY, D.M.D., PLLC 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 9
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 2
Total of all active and inactive participants 2018-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 11
Number of participants with account balances 2018-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: MICHAEL J. GIESY, D.M.D., PLLC 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 8
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 2
Total of all active and inactive participants 2017-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 10
Number of participants with account balances 2017-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: MICHAEL J. GIESY, D.M.D., PLLC 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 8
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 3
Total of all active and inactive participants 2016-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 11
Number of participants with account balances 2016-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0

Measure	Date	Value
2022: MICHAEL J. GIESY, D.M.D., PLLC 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	8
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	3
Total of all active and inactive participants	2022-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	11
Number of participants with account balances	2022-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: MICHAEL J. GIESY, D.M.D., PLLC 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	7
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	4
Total of all active and inactive participants	2021-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	11
Number of participants with account balances	2021-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: MICHAEL J. GIESY, D.M.D., PLLC 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	9
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	3
Total of all active and inactive participants	2020-01-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	12
Number of participants with account balances	2020-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	1
2019: MICHAEL J. GIESY, D.M.D., PLLC 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	9
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	2
Total of all active and inactive participants	2019-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	11
Number of participants with account balances	2019-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: MICHAEL J. GIESY, D.M.D., PLLC 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	9
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	2
Total of all active and inactive participants	2018-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	11
Number of participants with account balances	2018-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: MICHAEL J. GIESY, D.M.D., PLLC 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	8
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	2
Total of all active and inactive participants	2017-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	10
Number of participants with account balances	2017-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: MICHAEL J. GIESY, D.M.D., PLLC 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	8
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	3
Total of all active and inactive participants	2016-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	11
Number of participants with account balances	2016-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0

Financial Data on MICHAEL J. GIESY, D.M.D., PLLC 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2022 : MICHAEL J. GIESY, D.M.D., PLLC 401(K) PROFIT SHARING PLAN 2022 401k financial data
Total plan liabilities at end of year	2022-12-31	$0
Total plan liabilities at beginning of year	2022-12-31	$0
Total income from all sources	2022-12-31	$-66,969
Expenses. Total of all expenses incurred	2022-12-31	$1,176
Benefits paid (including direct rollovers)	2022-12-31	$991
Total plan assets at end of year	2022-12-31	$3,454,345
Total plan assets at beginning of year	2022-12-31	$3,522,490
Value of fidelity bond covering the plan	2022-12-31	$500,000
Total contributions received or receivable from participants	2022-12-31	$103,022
Expenses. Other expenses not covered elsewhere	2022-12-31	$0
Contributions received from other sources (not participants or employers)	2022-12-31	$0
Other income received	2022-12-31	$-267,516
Noncash contributions received	2022-12-31	$0
Net income (gross income less expenses)	2022-12-31	$-68,145
Net plan assets at end of year (total assets less liabilities)	2022-12-31	$3,454,345
Net plan assets at beginning of year (total assets less liabilities)	2022-12-31	$3,522,490
Assets. Value of participant loans	2022-12-31	$11,225
Assets. Value of assets in partnership/joint-venture interests	2022-12-31	$169,411
Total contributions received or receivable from employer(s)	2022-12-31	$97,525
Value of certain deemed distributions of participant loans	2022-12-31	$0
Value of corrective distributions	2022-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2022-12-31	$185
2021 : MICHAEL J. GIESY, D.M.D., PLLC 401(K) PROFIT SHARING PLAN 2021 401k financial data
Total plan liabilities at end of year	2021-12-31	$0
Total plan liabilities at beginning of year	2021-12-31	$0
Total income from all sources	2021-12-31	$540,375
Expenses. Total of all expenses incurred	2021-12-31	$664,504
Benefits paid (including direct rollovers)	2021-12-31	$664,004
Total plan assets at end of year	2021-12-31	$3,522,490
Total plan assets at beginning of year	2021-12-31	$3,646,619
Value of fidelity bond covering the plan	2021-12-31	$500,000
Total contributions received or receivable from participants	2021-12-31	$77,426
Expenses. Other expenses not covered elsewhere	2021-12-31	$0
Contributions received from other sources (not participants or employers)	2021-12-31	$0
Other income received	2021-12-31	$382,682
Noncash contributions received	2021-12-31	$0
Net income (gross income less expenses)	2021-12-31	$-124,129
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$3,522,490
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$3,646,619
Assets. Value of participant loans	2021-12-31	$15,625
Assets. Value of assets in partnership/joint-venture interests	2021-12-31	$375,275
Total contributions received or receivable from employer(s)	2021-12-31	$80,267
Value of certain deemed distributions of participant loans	2021-12-31	$0
Value of corrective distributions	2021-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$500
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
2020 : MICHAEL J. GIESY, D.M.D., PLLC 401(K) PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources	2020-12-31	$349,690
Expenses. Total of all expenses incurred	2020-12-31	$150
Total plan assets at end of year	2020-12-31	$3,646,619
Total plan assets at beginning of year	2020-12-31	$3,297,079
Value of fidelity bond covering the plan	2020-12-31	$500,000
Total contributions received or receivable from participants	2020-12-31	$68,588
Other income received	2020-12-31	$203,706
Net income (gross income less expenses)	2020-12-31	$349,540
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$3,646,619
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$3,297,079
Assets. Value of participant loans	2020-12-31	$19,753
Assets. Value of assets in partnership/joint-venture interests	2020-12-31	$352,515
Total contributions received or receivable from employer(s)	2020-12-31	$77,396
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$150
2019 : MICHAEL J. GIESY, D.M.D., PLLC 401(K) PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources	2019-12-31	$541,214
Expenses. Total of all expenses incurred	2019-12-31	$10,752
Total plan assets at end of year	2019-12-31	$3,297,079
Total plan assets at beginning of year	2019-12-31	$2,766,617
Value of fidelity bond covering the plan	2019-12-31	$500,000
Total contributions received or receivable from participants	2019-12-31	$82,781
Other income received	2019-12-31	$374,764
Net income (gross income less expenses)	2019-12-31	$530,462
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$3,297,079
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$2,766,617
Assets. Value of participant loans	2019-12-31	$21,087
Assets. Value of assets in partnership/joint-venture interests	2019-12-31	$330,165
Total contributions received or receivable from employer(s)	2019-12-31	$83,669
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$10,752
2018 : MICHAEL J. GIESY, D.M.D., PLLC 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$302,537
Expenses. Total of all expenses incurred	2018-12-31	$5,712
Total plan assets at end of year	2018-12-31	$2,766,617
Total plan assets at beginning of year	2018-12-31	$2,469,792
Value of fidelity bond covering the plan	2018-12-31	$500,000
Total contributions received or receivable from participants	2018-12-31	$81,809
Other income received	2018-12-31	$136,289
Net income (gross income less expenses)	2018-12-31	$296,825
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$2,766,617
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$2,469,792
Assets. Value of participant loans	2018-12-31	$6,360
Assets. Value of assets in partnership/joint-venture interests	2018-12-31	$565,234
Total contributions received or receivable from employer(s)	2018-12-31	$84,439
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$5,712
2017 : MICHAEL J. GIESY, D.M.D., PLLC 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$373,404
Expenses. Total of all expenses incurred	2017-12-31	$5,391
Benefits paid (including direct rollovers)	2017-12-31	$354
Total plan assets at end of year	2017-12-31	$2,469,792
Total plan assets at beginning of year	2017-12-31	$2,101,779
Value of fidelity bond covering the plan	2017-12-31	$361,597
Total contributions received or receivable from participants	2017-12-31	$67,158
Other income received	2017-12-31	$233,384
Net income (gross income less expenses)	2017-12-31	$368,013
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$2,469,792
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$2,101,779
Assets. Value of participant loans	2017-12-31	$7,202
Assets. Value of assets in partnership/joint-venture interests	2017-12-31	$361,597
Total contributions received or receivable from employer(s)	2017-12-31	$72,862
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$5,037
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
2016 : MICHAEL J. GIESY, D.M.D., PLLC 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$235,757
Expenses. Total of all expenses incurred	2016-12-31	$11,158
Benefits paid (including direct rollovers)	2016-12-31	$4,570
Total plan assets at end of year	2016-12-31	$2,101,779
Total plan assets at beginning of year	2016-12-31	$1,877,180
Value of fidelity bond covering the plan	2016-12-31	$250,000
Total contributions received or receivable from participants	2016-12-31	$64,100
Other income received	2016-12-31	$100,698
Net income (gross income less expenses)	2016-12-31	$224,599
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$2,101,779
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$1,877,180
Assets. Value of participant loans	2016-12-31	$13,957
Assets. Value of assets in partnership/joint-venture interests	2016-12-31	$250,000
Total contributions received or receivable from employer(s)	2016-12-31	$70,959
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$6,588
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0

Form 5500 Responses for MICHAEL J. GIESY, D.M.D., PLLC 401(K) PROFIT SHARING PLAN

2022: MICHAEL J. GIESY, D.M.D., PLLC 401(K) PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: MICHAEL J. GIESY, D.M.D., PLLC 401(K) PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: MICHAEL J. GIESY, D.M.D., PLLC 401(K) PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: MICHAEL J. GIESY, D.M.D., PLLC 401(K) PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: MICHAEL J. GIESY, D.M.D., PLLC 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: MICHAEL J. GIESY, D.M.D., PLLC 401(K) 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	No
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: MICHAEL J. GIESY, D.M.D., PLLC 401(K) 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

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Company Name:	MICHAEL J. GIESY, D.M.D., PLLC
Employer identification number (EIN):	912047668
NAIC Classification:	621210
NAIC Description:	Offices of Dentists