401k Plan data: CRAIG R. JOLLEY, DMD, PLLC 401(K) PLAN plan

CRAIG R. JOLLEY, DMD, PLLC 401(K) PLAN 401k Plan overview

Plan Name	CRAIG R. JOLLEY, DMD, PLLC 401(K) PLAN
Plan identification number	001

CRAIG R. JOLLEY, DMD, PLLC 401(K) 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
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.
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

CRAIG R. JOLLEY, DMD, PLLC has sponsored the creation of one or more 401k plans.

Company Name: CRAIG R. JOLLEY, DMD, PLLC

Employer identification number (EIN): 141967811

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Additional information about CRAIG R. JOLLEY, DMD, PLLC

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division

Incorporation Date: 2006-06-23

Company Identification Number: 602627074

Legal Registered Office Address: 22525 SE 64TH PL STE 2041

ISSAQUAH
United States of America (USA)
980275383

More information about CRAIG R. JOLLEY, DMD, PLLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CRAIG R. JOLLEY, DMD, PLLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01 CRAIG R. JOLLEY 2021-10-12
001 2019-01-01 CRAIG R. JOLLEY 2020-09-24
001 2018-01-01 CRAIG R. JOLLEY 2019-10-02
001 2017-01-01
001 2016-01-01
001 2015-01-01
001 2014-01-01 CRAIG R. JOLLEY
001 2013-01-01 CRAIG R. JOLLEY 2014-09-23
001 2012-01-01 CRAIG R. JOLLEY 2013-07-25
001 2011-01-01 CRAIG R. JOLLEY 2012-09-05
001 2010-01-01 TODD HUGHES 2011-09-23

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2022-01-01
001	2021-01-01
001	2020-01-01	CRAIG R. JOLLEY	2021-10-12
001	2019-01-01	CRAIG R. JOLLEY	2020-09-24
001	2018-01-01	CRAIG R. JOLLEY	2019-10-02
001	2017-01-01
001	2016-01-01
001	2015-01-01
001	2014-01-01	CRAIG R. JOLLEY
001	2013-01-01	CRAIG R. JOLLEY	2014-09-23
001	2012-01-01	CRAIG R. JOLLEY	2013-07-25
001	2011-01-01	CRAIG R. JOLLEY	2012-09-05
001	2010-01-01	TODD HUGHES	2011-09-23

Plan Statistics for CRAIG R. JOLLEY, DMD, PLLC 401(K) PLAN

401k plan membership statisitcs for CRAIG R. JOLLEY, DMD, PLLC 401(K) PLAN

Measure Date Value
2022: CRAIG R. JOLLEY, DMD, PLLC 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 10
Number of retired or separated participants receiving benefits 2022-01-01 1
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 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 14
Number of participants with account balances 2022-01-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: CRAIG R. JOLLEY, DMD, PLLC 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 9
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 6
Total of all active and inactive participants 2021-01-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 15
Number of participants with account balances 2021-01-01 13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: CRAIG R. JOLLEY, DMD, PLLC 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 12
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 0
Total of all active and inactive participants 2020-01-01 12
Total participants 2020-01-01 12
Number of participants with account balances 2020-01-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: CRAIG R. JOLLEY, DMD, PLLC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 11
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 5
Total of all active and inactive participants 2019-01-01 16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 16
Number of participants with account balances 2019-01-01 13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: CRAIG R. JOLLEY, DMD, PLLC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 13
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 4
Total of all active and inactive participants 2018-01-01 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 17
Number of participants with account balances 2018-01-01 13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: CRAIG R. JOLLEY, DMD, PLLC 401(K) 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 13
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 4
Total of all active and inactive participants 2017-01-01 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 17
Number of participants with account balances 2017-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: CRAIG R. JOLLEY, DMD, PLLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 7
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 4
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 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: CRAIG R. JOLLEY, DMD, PLLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 5
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 5
Total of all active and inactive participants 2015-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 10
Number of participants with account balances 2015-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: CRAIG R. JOLLEY, DMD, PLLC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 6
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 4
Total of all active and inactive participants 2014-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 10
Number of participants with account balances 2014-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0

Measure	Date	Value
2022: CRAIG R. JOLLEY, DMD, PLLC 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	10
Number of retired or separated participants receiving benefits	2022-01-01	1
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	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	14
Number of participants with account balances	2022-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: CRAIG R. JOLLEY, DMD, PLLC 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	9
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	6
Total of all active and inactive participants	2021-01-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	15
Number of participants with account balances	2021-01-01	13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: CRAIG R. JOLLEY, DMD, PLLC 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	12
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	0
Total of all active and inactive participants	2020-01-01	12
Total participants	2020-01-01	12
Number of participants with account balances	2020-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: CRAIG R. JOLLEY, DMD, PLLC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	11
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	5
Total of all active and inactive participants	2019-01-01	16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	16
Number of participants with account balances	2019-01-01	13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: CRAIG R. JOLLEY, DMD, PLLC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	13
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	4
Total of all active and inactive participants	2018-01-01	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	17
Number of participants with account balances	2018-01-01	13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: CRAIG R. JOLLEY, DMD, PLLC 401(K) 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	13
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	4
Total of all active and inactive participants	2017-01-01	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	17
Number of participants with account balances	2017-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: CRAIG R. JOLLEY, DMD, PLLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	7
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	4
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	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: CRAIG R. JOLLEY, DMD, PLLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	5
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	5
Total of all active and inactive participants	2015-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	10
Number of participants with account balances	2015-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: CRAIG R. JOLLEY, DMD, PLLC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	6
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	4
Total of all active and inactive participants	2014-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	10
Number of participants with account balances	2014-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0

Financial Data on CRAIG R. JOLLEY, DMD, PLLC 401(K) PLAN

Measure	Date	Value
2022 : CRAIG R. JOLLEY, DMD, PLLC 401(K) PLAN 2022 401k financial data
Transfers to/from the plan	2022-12-31	$0
Total income from all sources	2022-12-31	$-40,737
Expenses. Total of all expenses incurred	2022-12-31	$73,585
Benefits paid (including direct rollovers)	2022-12-31	$70,062
Total plan assets at end of year	2022-12-31	$840,827
Total plan assets at beginning of year	2022-12-31	$955,149
Value of fidelity bond covering the plan	2022-12-31	$250,000
Total contributions received or receivable from participants	2022-12-31	$53,299
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	$-125,069
Noncash contributions received	2022-12-31	$0
Net income (gross income less expenses)	2022-12-31	$-114,322
Net plan assets at end of year (total assets less liabilities)	2022-12-31	$840,827
Net plan assets at beginning of year (total assets less liabilities)	2022-12-31	$955,149
Assets. Value of assets in partnership/joint-venture interests	2022-12-31	$176,808
Total contributions received or receivable from employer(s)	2022-12-31	$31,033
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	$3,523
2021 : CRAIG R. JOLLEY, DMD, PLLC 401(K) PLAN 2021 401k financial data
Total plan liabilities at beginning of year	2021-12-31	$0
Total income from all sources	2021-12-31	$168,393
Expenses. Total of all expenses incurred	2021-12-31	$261,570
Benefits paid (including direct rollovers)	2021-12-31	$259,244
Total plan assets at end of year	2021-12-31	$955,149
Total plan assets at beginning of year	2021-12-31	$1,048,326
Value of fidelity bond covering the plan	2021-12-31	$250,000
Total contributions received or receivable from participants	2021-12-31	$56,776
Contributions received from other sources (not participants or employers)	2021-12-31	$11,361
Other income received	2021-12-31	$83,410
Net income (gross income less expenses)	2021-12-31	$-93,177
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$955,149
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$1,048,326
Assets. Value of assets in partnership/joint-venture interests	2021-12-31	$190,868
Total contributions received or receivable from employer(s)	2021-12-31	$16,846
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$2,326
2020 : CRAIG R. JOLLEY, DMD, PLLC 401(K) 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	$0
Total income from all sources	2020-12-31	$172,809
Expenses. Total of all expenses incurred	2020-12-31	$130,627
Benefits paid (including direct rollovers)	2020-12-31	$130,527
Total plan assets at end of year	2020-12-31	$1,048,326
Total plan assets at beginning of year	2020-12-31	$1,006,144
Value of fidelity bond covering the plan	2020-12-31	$250,000
Total contributions received or receivable from participants	2020-12-31	$53,938
Expenses. Other expenses not covered elsewhere	2020-12-31	$0
Contributions received from other sources (not participants or employers)	2020-12-31	$0
Other income received	2020-12-31	$92,350
Noncash contributions received	2020-12-31	$0
Net income (gross income less expenses)	2020-12-31	$42,182
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$1,048,326
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$1,006,144
Assets. Value of assets in partnership/joint-venture interests	2020-12-31	$202,409
Total contributions received or receivable from employer(s)	2020-12-31	$26,521
Value of certain deemed distributions of participant loans	2020-12-31	$0
Value of corrective distributions	2020-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$100
2019 : CRAIG R. JOLLEY, DMD, PLLC 401(K) PLAN 2019 401k financial data
Total plan liabilities at end of year	2019-12-31	$0
Total plan liabilities at beginning of year	2019-12-31	$0
Total income from all sources	2019-12-31	$200,065
Expenses. Total of all expenses incurred	2019-12-31	$0
Benefits paid (including direct rollovers)	2019-12-31	$0
Total plan assets at end of year	2019-12-31	$1,006,144
Total plan assets at beginning of year	2019-12-31	$806,079
Value of fidelity bond covering the plan	2019-12-31	$250,000
Total contributions received or receivable from participants	2019-12-31	$72,693
Other income received	2019-12-31	$95,518
Net income (gross income less expenses)	2019-12-31	$200,065
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$1,006,144
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$806,079
Assets. Value of assets in partnership/joint-venture interests	2019-12-31	$213,386
Total contributions received or receivable from employer(s)	2019-12-31	$31,854
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$0
2018 : CRAIG R. JOLLEY, DMD, PLLC 401(K) PLAN 2018 401k financial data
Total plan liabilities at end of year	2018-12-31	$0
Total plan liabilities at beginning of year	2018-12-31	$0
Total income from all sources	2018-12-31	$72,201
Expenses. Total of all expenses incurred	2018-12-31	$6,189
Benefits paid (including direct rollovers)	2018-12-31	$6,039
Total plan assets at end of year	2018-12-31	$806,079
Total plan assets at beginning of year	2018-12-31	$740,067
Value of fidelity bond covering the plan	2018-12-31	$250,000
Total contributions received or receivable from participants	2018-12-31	$70,016
Expenses. Other expenses not covered elsewhere	2018-12-31	$0
Contributions received from other sources (not participants or employers)	2018-12-31	$0
Other income received	2018-12-31	$-30,780
Noncash contributions received	2018-12-31	$0
Net income (gross income less expenses)	2018-12-31	$66,012
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$806,079
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$740,067
Assets. Value of assets in partnership/joint-venture interests	2018-12-31	$219,501
Total contributions received or receivable from employer(s)	2018-12-31	$32,965
Value of certain deemed distributions of participant loans	2018-12-31	$0
Value of corrective distributions	2018-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$150
2017 : CRAIG R. JOLLEY, DMD, PLLC 401(K) 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	$145,187
Expenses. Total of all expenses incurred	2017-12-31	$185
Benefits paid (including direct rollovers)	2017-12-31	$0
Total plan assets at end of year	2017-12-31	$740,067
Total plan assets at beginning of year	2017-12-31	$595,065
Value of fidelity bond covering the plan	2017-12-31	$250,000
Total contributions received or receivable from participants	2017-12-31	$57,284
Contributions received from other sources (not participants or employers)	2017-12-31	$0
Other income received	2017-12-31	$60,326
Noncash contributions received	2017-12-31	$0
Net income (gross income less expenses)	2017-12-31	$145,002
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$740,067
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$595,065
Assets. Value of participant loans	2017-12-31	$34,370
Assets. Value of assets in partnership/joint-venture interests	2017-12-31	$222,737
Total contributions received or receivable from employer(s)	2017-12-31	$27,577
Value of certain deemed distributions of participant loans	2017-12-31	$0
Value of corrective distributions	2017-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$185
2016 : CRAIG R. JOLLEY, DMD, PLLC 401(K) 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	$64,965
Expenses. Total of all expenses incurred	2016-12-31	$29,805
Benefits paid (including direct rollovers)	2016-12-31	$29,705
Total plan assets at end of year	2016-12-31	$595,065
Total plan assets at beginning of year	2016-12-31	$559,905
Value of fidelity bond covering the plan	2016-12-31	$250,000
Total contributions received or receivable from participants	2016-12-31	$32,006
Other income received	2016-12-31	$13,455
Net income (gross income less expenses)	2016-12-31	$35,160
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$595,065
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$559,905
Assets. Value of assets in partnership/joint-venture interests	2016-12-31	$221,527
Total contributions received or receivable from employer(s)	2016-12-31	$19,504
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$100
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
2015 : CRAIG R. JOLLEY, DMD, PLLC 401(K) PLAN 2015 401k financial data
Total plan liabilities at end of year	2015-12-31	$0
Total plan liabilities at beginning of year	2015-12-31	$374
Total income from all sources	2015-12-31	$46,925
Expenses. Total of all expenses incurred	2015-12-31	$24,641
Benefits paid (including direct rollovers)	2015-12-31	$24,541
Total plan assets at end of year	2015-12-31	$559,905
Total plan assets at beginning of year	2015-12-31	$537,995
Value of fidelity bond covering the plan	2015-12-31	$250,000
Total contributions received or receivable from participants	2015-12-31	$33,040
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	$-6,780
Noncash contributions received	2015-12-31	$0
Net income (gross income less expenses)	2015-12-31	$22,284
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$559,905
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$537,621
Assets. Value of assets in partnership/joint-venture interests	2015-12-31	$227,786
Total contributions received or receivable from employer(s)	2015-12-31	$20,665
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	$100
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : CRAIG R. JOLLEY, DMD, PLLC 401(K) PLAN 2014 401k financial data
Total plan liabilities at end of year	2014-12-31	$374
Total plan liabilities at beginning of year	2014-12-31	$1,300
Total income from all sources	2014-12-31	$68,313
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	$537,995
Total plan assets at beginning of year	2014-12-31	$470,608
Value of fidelity bond covering the plan	2014-12-31	$250,000
Total contributions received or receivable from participants	2014-12-31	$35,869
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	$9,208
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$68,313
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$537,621
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$469,308
Assets. Value of assets in partnership/joint-venture interests	2014-12-31	$231,288
Total contributions received or receivable from employer(s)	2014-12-31	$23,236
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0

Form 5500 Responses for CRAIG R. JOLLEY, DMD, PLLC 401(K) PLAN

2022: CRAIG R. JOLLEY, DMD, PLLC 401(K) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: CRAIG R. JOLLEY, DMD, PLLC 401(K) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: CRAIG R. JOLLEY, DMD, PLLC 401(K) 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: CRAIG R. JOLLEY, DMD, PLLC 401(K) 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: CRAIG R. JOLLEY, DMD, PLLC 401(K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: CRAIG R. JOLLEY, DMD, PLLC 401(K) 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: CRAIG R. JOLLEY, DMD, PLLC 401(K) 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: CRAIG R. JOLLEY, DMD, PLLC 401(K) 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: CRAIG R. JOLLEY, DMD, PLLC 401(K) 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

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Company Name:	CRAIG R. JOLLEY, DMD, PLLC
Employer identification number (EIN):	141967811
NAIC Classification:	621210
NAIC Description:	Offices of Dentists

Jurisdiction of Incorporation:	Washington Secretary of State Corporations Division
Incorporation Date:	2006-06-23
Company Identification Number:	602627074
Legal Registered Office Address:	22525 SE 64TH PL STE 2041 ISSAQUAH United States of America (USA) 980275383