401k Plan data: THOMAS M HEWLETT DDS PROFIT SHARING PLAN plan

THOMAS M HEWLETT DDS PROFIT SHARING PLAN 401k Plan overview

Plan Name	THOMAS M HEWLETT DDS PROFIT SHARING PLAN
Plan identification number	003

THOMAS M HEWLETT DDS 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
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.
Plan covering Self-Employed individuals.
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

THOMAS M HEWLETT DDS has sponsored the creation of one or more 401k plans.

Company Name: THOMAS M HEWLETT DDS

Employer identification number (EIN): 942667516

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THOMAS M HEWLETT DDS PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2021-01-01 THOMAS M. HEWLETT 2021-11-23 THOMAS M. HEWLETT 2021-11-23
003 2020-01-01 THOMAS HEWLETT 2021-06-18 THOMAS HEWLETT 2021-06-18
003 2019-01-01 THOMAS HEWLETT 2020-07-28 THOMAS HEWLETT 2020-07-28
003 2018-01-01 THOMAS MITCHELL HEWLETT 2019-10-12 THOMAS MITCHELL HEWLETT 2019-10-12
003 2017-01-01
003 2016-01-01
003 2015-01-01
003 2014-01-01
003 2013-01-01
003 2012-01-01 THOMAS M HEWLETT DDS THOMAS M HEWLETT DDS 2013-09-09
003 2011-01-01 PENSION FILERS 2012-06-22
003 2010-01-01 PENSION FILERS 2011-06-30

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
003	2021-01-01	THOMAS M. HEWLETT	2021-11-23	THOMAS M. HEWLETT	2021-11-23
003	2020-01-01	THOMAS HEWLETT	2021-06-18	THOMAS HEWLETT	2021-06-18
003	2019-01-01	THOMAS HEWLETT	2020-07-28	THOMAS HEWLETT	2020-07-28
003	2018-01-01	THOMAS MITCHELL HEWLETT	2019-10-12	THOMAS MITCHELL HEWLETT	2019-10-12
003	2017-01-01
003	2016-01-01
003	2015-01-01
003	2014-01-01
003	2013-01-01
003	2012-01-01	THOMAS M HEWLETT DDS		THOMAS M HEWLETT DDS	2013-09-09
003	2011-01-01	PENSION FILERS	2012-06-22
003	2010-01-01	PENSION FILERS	2011-06-30

Plan Statistics for THOMAS M HEWLETT DDS PROFIT SHARING PLAN

401k plan membership statisitcs for THOMAS M HEWLETT DDS PROFIT SHARING PLAN

Measure Date Value
2021: THOMAS M HEWLETT DDS PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 0
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 0
Total of all active and inactive participants 2021-01-01 0
Total participants 2021-01-01 0
Number of participants with account balances 2021-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: THOMAS M HEWLETT DDS PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 0
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 2
Total of all active and inactive participants 2020-01-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 2
Number of participants with account balances 2020-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: THOMAS M HEWLETT DDS PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 0
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 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 2
Number of participants with account balances 2019-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: THOMAS M HEWLETT DDS PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 0
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 6
Total of all active and inactive participants 2018-01-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 6
Number of participants with account balances 2018-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: THOMAS M HEWLETT DDS PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 5
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 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 7
Number of participants with account balances 2017-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 1
2016: THOMAS M HEWLETT DDS PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 6
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 0
Total of all active and inactive participants 2016-01-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 6
Number of participants with account balances 2016-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 1
2015: THOMAS M HEWLETT DDS PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 6
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 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: THOMAS M HEWLETT DDS PROFIT SHARING 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 5
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 1
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 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: THOMAS M HEWLETT DDS 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 6
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 1
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 1
2012: THOMAS M HEWLETT DDS 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 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

Measure	Date	Value
2021: THOMAS M HEWLETT DDS PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	0
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	0
Total of all active and inactive participants	2021-01-01	0
Total participants	2021-01-01	0
Number of participants with account balances	2021-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: THOMAS M HEWLETT DDS PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	0
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	2
Total of all active and inactive participants	2020-01-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	2
Number of participants with account balances	2020-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: THOMAS M HEWLETT DDS PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	0
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	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	2
Number of participants with account balances	2019-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: THOMAS M HEWLETT DDS PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	0
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	6
Total of all active and inactive participants	2018-01-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	6
Number of participants with account balances	2018-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: THOMAS M HEWLETT DDS PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	5
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	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	7
Number of participants with account balances	2017-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	1
2016: THOMAS M HEWLETT DDS PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	6
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	0
Total of all active and inactive participants	2016-01-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	6
Number of participants with account balances	2016-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	1
2015: THOMAS M HEWLETT DDS PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	6
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	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: THOMAS M HEWLETT DDS PROFIT SHARING 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	5
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	1
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	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: THOMAS M HEWLETT DDS 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	6
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	1
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	1
2012: THOMAS M HEWLETT DDS 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	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

Financial Data on THOMAS M HEWLETT DDS PROFIT SHARING PLAN

Measure	Date	Value
2021 : THOMAS M HEWLETT DDS PROFIT SHARING PLAN 2021 401k financial data
Total plan liabilities at end of year	2021-07-13	$0
Total plan liabilities at beginning of year	2021-07-13	$0
Total income from all sources	2021-07-13	$-187
Expenses. Total of all expenses incurred	2021-07-13	$48,013
Benefits paid (including direct rollovers)	2021-07-13	$48,013
Total plan assets at end of year	2021-07-13	$0
Total plan assets at beginning of year	2021-07-13	$48,200
Value of fidelity bond covering the plan	2021-07-13	$190,000
Other income received	2021-07-13	$-187
Net income (gross income less expenses)	2021-07-13	$-48,200
Net plan assets at end of year (total assets less liabilities)	2021-07-13	$0
Net plan assets at beginning of year (total assets less liabilities)	2021-07-13	$48,200
Assets. Value of assets in partnership/joint-venture interests	2021-07-13	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-07-13	$0
2020 : THOMAS M HEWLETT DDS PROFIT SHARING PLAN 2020 401k financial data
Total plan liabilities at end of year	2020-12-31	$0
Total plan liabilities at beginning of year	2020-12-31	$41,133
Total income from all sources	2020-12-31	$28,749
Expenses. Total of all expenses incurred	2020-12-31	$1,863,017
Benefits paid (including direct rollovers)	2020-12-31	$1,859,779
Total plan assets at end of year	2020-12-31	$48,200
Total plan assets at beginning of year	2020-12-31	$1,923,601
Value of fidelity bond covering the plan	2020-12-31	$190,000
Other income received	2020-12-31	$28,749
Net income (gross income less expenses)	2020-12-31	$-1,834,268
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$48,200
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$1,882,468
Assets. Value of assets in partnership/joint-venture interests	2020-12-31	$48,200
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$3,238
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
2019 : THOMAS M HEWLETT DDS PROFIT SHARING PLAN 2019 401k financial data
Total plan liabilities at end of year	2019-12-31	$41,133
Total plan liabilities at beginning of year	2019-12-31	$32,089
Total income from all sources	2019-12-31	$298,916
Expenses. Total of all expenses incurred	2019-12-31	$122,521
Benefits paid (including direct rollovers)	2019-12-31	$106,819
Total plan assets at end of year	2019-12-31	$1,923,601
Total plan assets at beginning of year	2019-12-31	$1,738,162
Value of fidelity bond covering the plan	2019-12-31	$185,000
Other income received	2019-12-31	$298,916
Net income (gross income less expenses)	2019-12-31	$176,395
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$1,882,468
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$1,706,073
Assets. Value of participant loans	2019-12-31	$0
Assets. Value of assets in partnership/joint-venture interests	2019-12-31	$49,764
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$15,702
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
2018 : THOMAS M HEWLETT DDS PROFIT SHARING PLAN 2018 401k financial data
Total plan liabilities at end of year	2018-12-31	$32,089
Total plan liabilities at beginning of year	2018-12-31	$0
Total income from all sources	2018-12-31	$49,234
Expenses. Total of all expenses incurred	2018-12-31	$174,161
Benefits paid (including direct rollovers)	2018-12-31	$158,604
Total plan assets at end of year	2018-12-31	$1,738,162
Total plan assets at beginning of year	2018-12-31	$1,831,000
Value of fidelity bond covering the plan	2018-12-31	$185,000
Total contributions received or receivable from participants	2018-12-31	$49,000
Other income received	2018-12-31	$-61,760
Net income (gross income less expenses)	2018-12-31	$-124,927
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$1,706,073
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$1,831,000
Assets. Value of participant loans	2018-12-31	$3,264
Assets. Value of assets in partnership/joint-venture interests	2018-12-31	$46,304
Total contributions received or receivable from employer(s)	2018-12-31	$61,994
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$15,557
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
2017 : THOMAS M HEWLETT DDS PROFIT SHARING PLAN 2017 401k financial data
Total plan liabilities at end of year	2017-12-31	$0
Total plan liabilities at beginning of year	2017-12-31	$0
Total income from all sources	2017-12-31	$256,370
Expenses. Total of all expenses incurred	2017-12-31	$12,980
Total plan assets at end of year	2017-12-31	$1,831,000
Total plan assets at beginning of year	2017-12-31	$1,587,610
Value of fidelity bond covering the plan	2017-12-31	$160,000
Total contributions received or receivable from participants	2017-12-31	$48,000
Other income received	2017-12-31	$164,016
Net income (gross income less expenses)	2017-12-31	$243,390
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$1,831,000
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$1,587,610
Assets. Value of participant loans	2017-12-31	$8,310
Assets. Value of assets in partnership/joint-venture interests	2017-12-31	$42,635
Total contributions received or receivable from employer(s)	2017-12-31	$44,354
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$12,980
2016 : THOMAS M HEWLETT DDS PROFIT SHARING PLAN 2016 401k financial data
Total plan liabilities at end of year	2016-12-31	$0
Total plan liabilities at beginning of year	2016-12-31	$0
Total income from all sources	2016-12-31	$133,354
Expenses. Total of all expenses incurred	2016-12-31	$95
Total plan assets at end of year	2016-12-31	$1,587,610
Total plan assets at beginning of year	2016-12-31	$1,454,351
Value of fidelity bond covering the plan	2016-12-31	$150,000
Total contributions received or receivable from participants	2016-12-31	$10,400
Other income received	2016-12-31	$63,844
Net income (gross income less expenses)	2016-12-31	$133,259
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$1,587,610
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$1,454,351
Assets. Value of participant loans	2016-12-31	$15,984
Assets. Value of assets in partnership/joint-venture interests	2016-12-31	$36,235
Total contributions received or receivable from employer(s)	2016-12-31	$59,110
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$95
2015 : THOMAS M HEWLETT DDS PROFIT SHARING 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	$459
Total income from all sources	2015-12-31	$40,375
Expenses. Total of all expenses incurred	2015-12-31	$36,027
Benefits paid (including direct rollovers)	2015-12-31	$30,452
Total plan assets at end of year	2015-12-31	$1,454,351
Total plan assets at beginning of year	2015-12-31	$1,450,462
Value of fidelity bond covering the plan	2015-12-31	$150,000
Total contributions received or receivable from participants	2015-12-31	$0
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	$-17,870
Noncash contributions received	2015-12-31	$0
Net income (gross income less expenses)	2015-12-31	$4,348
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,454,351
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,450,003
Assets. Value of participant loans	2015-12-31	$23,367
Assets. Value of assets in partnership/joint-venture interests	2015-12-31	$31,976
Total contributions received or receivable from employer(s)	2015-12-31	$58,245
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	$5,575
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : THOMAS M HEWLETT DDS PROFIT SHARING PLAN 2014 401k financial data
Total plan liabilities at end of year	2014-12-31	$459
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$74,372
Expenses. Total of all expenses incurred	2014-12-31	$10,517
Benefits paid (including direct rollovers)	2014-12-31	$459
Total plan assets at end of year	2014-12-31	$1,450,462
Total plan assets at beginning of year	2014-12-31	$1,386,148
Value of fidelity bond covering the plan	2014-12-31	$140,000
Other income received	2014-12-31	$18,893
Net income (gross income less expenses)	2014-12-31	$63,855
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,450,003
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,386,148
Assets. Value of participant loans	2014-12-31	$26,717
Assets. Value of assets in partnership/joint-venture interests	2014-12-31	$60,647
Total contributions received or receivable from employer(s)	2014-12-31	$55,479
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$10,058
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : THOMAS M HEWLETT DDS PROFIT SHARING PLAN 2013 401k financial data
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	$190,616
Expenses. Total of all expenses incurred	2013-12-31	$8,330
Total plan assets at end of year	2013-12-31	$1,386,148
Total plan assets at beginning of year	2013-12-31	$1,203,862
Value of fidelity bond covering the plan	2013-12-31	$100,000
Other income received	2013-12-31	$134,187
Net income (gross income less expenses)	2013-12-31	$182,286
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,386,148
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,203,862
Total contributions received or receivable from employer(s)	2013-12-31	$56,429
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$8,330
2012 : THOMAS M HEWLETT DDS PROFIT SHARING 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	$123,813
Expenses. Total of all expenses incurred	2012-12-31	$7,465
Benefits paid (including direct rollovers)	2012-12-31	$271
Total plan assets at end of year	2012-12-31	$1,203,862
Total plan assets at beginning of year	2012-12-31	$1,087,514
Value of fidelity bond covering the plan	2012-12-31	$100,000
Other income received	2012-12-31	$68,220
Net income (gross income less expenses)	2012-12-31	$116,348
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,203,862
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,087,514
Total contributions received or receivable from employer(s)	2012-12-31	$55,593
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$7,194
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0

Form 5500 Responses for THOMAS M HEWLETT DDS PROFIT SHARING PLAN

2021: THOMAS M HEWLETT DDS 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	Yes
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
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: THOMAS M HEWLETT DDS PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: THOMAS M HEWLETT DDS PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: THOMAS M HEWLETT DDS 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: THOMAS M HEWLETT DDS 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: THOMAS M HEWLETT DDS 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: THOMAS M HEWLETT DDS 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: THOMAS M HEWLETT DDS 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: THOMAS M HEWLETT DDS 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: THOMAS M HEWLETT DDS 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

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Company Name:	THOMAS M HEWLETT DDS
Employer identification number (EIN):	942667516
NAIC Classification:	621210
NAIC Description:	Offices of Dentists