401k Plan data: HENRY H. TAKEI, D.D.S., A PROF. CORP. MONEY PURCHASE PENSION PLAN plan

HENRY H. TAKEI, D.D.S., A PROF. CORP. MONEY PURCHASE PENSION PLAN 401k Plan overview

Plan Name	HENRY H. TAKEI, D.D.S., A PROF. CORP. MONEY PURCHASE PENSION PLAN
Plan identification number	002

HENRY H. TAKEI, D.D.S., A PROF. CORP. MONEY PURCHASE PENSION PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Money purchase (other than target benefit)

401k Sponsoring company profile

HENRY H. TAKEI, D.D.S., A.P.C. has sponsored the creation of one or more 401k plans.

Company Name: HENRY H. TAKEI, D.D.S., A.P.C.

Employer identification number (EIN): 953302120

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HENRY H. TAKEI, D.D.S., A PROF. CORP. MONEY PURCHASE PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2013-01-01 HENRY H. TAKEI, D.D.S.
002 2012-01-01 HENRY H. TAKEI, D.D.S.
002 2011-01-01 HENRY H TAKEI DDS
002 2009-01-01 HENRY H TAKEI DDS
002 2009-01-01 HENRY H TAKEI DDS

Plan id#	Filing Submission Date	Name of Administrator
002	2013-01-01	HENRY H. TAKEI, D.D.S.
002	2012-01-01	HENRY H. TAKEI, D.D.S.
002	2011-01-01	HENRY H TAKEI DDS
002	2009-01-01	HENRY H TAKEI DDS
002	2009-01-01	HENRY H TAKEI DDS

Plan Statistics for HENRY H. TAKEI, D.D.S., A PROF. CORP. MONEY PURCHASE PENSION PLAN

401k plan membership statisitcs for HENRY H. TAKEI, D.D.S., A PROF. CORP. MONEY PURCHASE PENSION PLAN

Measure Date Value
2013: HENRY H. TAKEI, D.D.S., A PROF. CORP. MONEY PURCHASE PENSION PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1
Total of all active and inactive participants 2013-01-01 1
Total participants 2013-01-01 1
Number of participants with account balances 2013-01-01 1
2012: HENRY H. TAKEI, D.D.S., A PROF. CORP. MONEY PURCHASE PENSION PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1
Number of retired or separated participants receiving benefits 2012-01-01 1
Total of all active and inactive participants 2012-01-01 2
Total participants 2012-01-01 2
Number of participants with account balances 2012-01-01 2
2011: HENRY H. TAKEI, D.D.S., A PROF. CORP. MONEY PURCHASE PENSION PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 2
Number of other retired or separated participants entitled to future benefits 2011-01-01 1
Total of all active and inactive participants 2011-01-01 3
Total participants 2011-01-01 3
Number of participants with account balances 2011-01-01 3
2009: HENRY H. TAKEI, D.D.S., A PROF. CORP. MONEY PURCHASE PENSION PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 7
Number of other retired or separated participants entitled to future benefits 2009-01-01 1
Total of all active and inactive participants 2009-01-01 8
Total participants 2009-01-01 8
Number of participants with account balances 2009-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 1

Measure	Date	Value
2013: HENRY H. TAKEI, D.D.S., A PROF. CORP. MONEY PURCHASE PENSION PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1
Total of all active and inactive participants	2013-01-01	1
Total participants	2013-01-01	1
Number of participants with account balances	2013-01-01	1
2012: HENRY H. TAKEI, D.D.S., A PROF. CORP. MONEY PURCHASE PENSION PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1
Number of retired or separated participants receiving benefits	2012-01-01	1
Total of all active and inactive participants	2012-01-01	2
Total participants	2012-01-01	2
Number of participants with account balances	2012-01-01	2
2011: HENRY H. TAKEI, D.D.S., A PROF. CORP. MONEY PURCHASE PENSION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	2
Number of other retired or separated participants entitled to future benefits	2011-01-01	1
Total of all active and inactive participants	2011-01-01	3
Total participants	2011-01-01	3
Number of participants with account balances	2011-01-01	3
2009: HENRY H. TAKEI, D.D.S., A PROF. CORP. MONEY PURCHASE PENSION PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	7
Number of other retired or separated participants entitled to future benefits	2009-01-01	1
Total of all active and inactive participants	2009-01-01	8
Total participants	2009-01-01	8
Number of participants with account balances	2009-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	1

Financial Data on HENRY H. TAKEI, D.D.S., A PROF. CORP. MONEY PURCHASE PENSION PLAN

Measure	Date	Value
2013 : HENRY H. TAKEI, D.D.S., A PROF. CORP. MONEY PURCHASE PENSION PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$60,425
Expenses. Total of all expenses incurred	2013-12-31	$72,336
Benefits paid (including direct rollovers)	2013-12-31	$72,336
Total plan assets at end of year	2013-12-31	$756,903
Total plan assets at beginning of year	2013-12-31	$768,814
Value of fidelity bond covering the plan	2013-12-31	$200,000
Other income received	2013-12-31	$59,595
Net income (gross income less expenses)	2013-12-31	$-11,911
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$756,903
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$768,814
Total contributions received or receivable from employer(s)	2013-12-31	$830
Funding deficiency by the employer to the plan for this plan year	2013-12-31	$0
Minimum employer required contribution for this plan year	2013-12-31	$830
Amount contributed by the employer to the plan for this plan year	2013-12-31	$830
2012 : HENRY H. TAKEI, D.D.S., A PROF. CORP. MONEY PURCHASE PENSION PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$-9,863
Expenses. Total of all expenses incurred	2012-12-31	$437,448
Benefits paid (including direct rollovers)	2012-12-31	$437,448
Total plan assets at end of year	2012-12-31	$768,814
Total plan assets at beginning of year	2012-12-31	$1,216,125
Value of fidelity bond covering the plan	2012-12-31	$200,000
Other income received	2012-12-31	$-11,063
Net income (gross income less expenses)	2012-12-31	$-447,311
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$768,814
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,216,125
Total contributions received or receivable from employer(s)	2012-12-31	$1,200
Funding deficiency by the employer to the plan for this plan year	2012-12-31	$0
Minimum employer required contribution for this plan year	2012-12-31	$1,200
Amount contributed by the employer to the plan for this plan year	2012-12-31	$1,200
2011 : HENRY H. TAKEI, D.D.S., A PROF. CORP. MONEY PURCHASE PENSION PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$-113,198
Expenses. Total of all expenses incurred	2011-12-31	$433,900
Benefits paid (including direct rollovers)	2011-12-31	$433,900
Total plan assets at end of year	2011-12-31	$1,216,125
Total plan assets at beginning of year	2011-12-31	$1,763,223
Value of fidelity bond covering the plan	2011-12-31	$200,000
Other income received	2011-12-31	$-116,031
Net income (gross income less expenses)	2011-12-31	$-547,098
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,216,125
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,763,223
Total contributions received or receivable from employer(s)	2011-12-31	$2,833
Funding deficiency by the employer to the plan for this plan year	2011-12-31	$0
Minimum employer required contribution for this plan year	2011-12-31	$2,833
Amount contributed by the employer to the plan for this plan year	2011-12-31	$2,833
2010 : HENRY H. TAKEI, D.D.S., A PROF. CORP. MONEY PURCHASE PENSION PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$74,308
Expenses. Total of all expenses incurred	2010-12-31	$35,730
Benefits paid (including direct rollovers)	2010-12-31	$35,730
Total plan assets at end of year	2010-12-31	$1,763,223
Total plan assets at beginning of year	2010-12-31	$1,724,645
Value of fidelity bond covering the plan	2010-12-31	$200,000
Other income received	2010-12-31	$27,664
Net income (gross income less expenses)	2010-12-31	$38,578
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,763,223
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,724,645
Total contributions received or receivable from employer(s)	2010-12-31	$46,644
Funding deficiency by the employer to the plan for this plan year	2010-12-31	$0
Minimum employer required contribution for this plan year	2010-12-31	$46,644
Amount contributed by the employer to the plan for this plan year	2010-12-31	$46,644

Form 5500 Responses for HENRY H. TAKEI, D.D.S., A PROF. CORP. MONEY PURCHASE PENSION PLAN

2013: HENRY H. TAKEI, D.D.S., A PROF. CORP. MONEY PURCHASE PENSION PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: HENRY H. TAKEI, D.D.S., A PROF. CORP. MONEY PURCHASE PENSION PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: HENRY H. TAKEI, D.D.S., A PROF. CORP. MONEY PURCHASE PENSION PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: HENRY H. TAKEI, D.D.S., A PROF. CORP. MONEY PURCHASE PENSION PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	HENRY H. TAKEI, D.D.S., A.P.C.
Employer identification number (EIN):	953302120
NAIC Classification:	621210
NAIC Description:	Offices of Dentists