401k Plan data: ABSOLUTE DENTAL SERVICES, INC. ABSOLUTE DENTAL SERVICES, INC. 401(K) PROFIT SHAR plan

ABSOLUTE DENTAL SERVICES, INC. ABSOLUTE DENTAL SERVICES, INC. 401(K) PROFIT SHAR 401k Plan overview

Plan Name	ABSOLUTE DENTAL SERVICES, INC. ABSOLUTE DENTAL SERVICES, INC. 401(K) PROFIT SHAR
Plan identification number	001

ABSOLUTE DENTAL SERVICES, INC. ABSOLUTE DENTAL SERVICES, INC. 401(K) PROFIT SHAR 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

ABSOLUTE DENTAL SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name: ABSOLUTE DENTAL SERVICES, INC.

Employer identification number (EIN): 201531207

NAIC Classification: 339900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ABSOLUTE DENTAL SERVICES, INC. ABSOLUTE DENTAL SERVICES, INC. 401(K) PROFIT SHAR

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
001 2019-01-01
001 2018-01-01 C J JANSE VAN RENSBURG 2019-05-20
001 2017-01-01 C J JANSE VAN RENSBURG 2018-04-13
001 2016-01-01 C J JANSE VAN RENSBURG 2017-07-26
001 2015-01-01 C J JANSE VAN RENSBURG 2016-07-13
001 2014-01-01 C J JANSE VAN RENSBURG 2015-07-16
001 2013-01-01 CORNELIS J JANSE VAN RENSBURG 2014-08-19 CORNELIS J JANSE VAN RENSBURG 2014-08-19
001 2012-01-01 CORNELIS J JANSE VAN RENSBURG 2013-05-17 CORNELIS J JANSE VAN RENSBURG 2013-05-17
001 2011-01-01 CORNELIS J JANSE VAN RENSBURG 2012-10-05 CORNELIS J JANSE VAN RENSBURG 2012-10-05
001 2010-01-01 CORNELIS J JANSE VAN RENSBURG 2011-10-10

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
001	2019-01-01
001	2018-01-01	C J JANSE VAN RENSBURG	2019-05-20
001	2017-01-01	C J JANSE VAN RENSBURG	2018-04-13
001	2016-01-01	C J JANSE VAN RENSBURG	2017-07-26
001	2015-01-01	C J JANSE VAN RENSBURG	2016-07-13
001	2014-01-01	C J JANSE VAN RENSBURG	2015-07-16
001	2013-01-01	CORNELIS J JANSE VAN RENSBURG	2014-08-19	CORNELIS J JANSE VAN RENSBURG	2014-08-19
001	2012-01-01	CORNELIS J JANSE VAN RENSBURG	2013-05-17	CORNELIS J JANSE VAN RENSBURG	2013-05-17
001	2011-01-01	CORNELIS J JANSE VAN RENSBURG	2012-10-05	CORNELIS J JANSE VAN RENSBURG	2012-10-05
001	2010-01-01	CORNELIS J JANSE VAN RENSBURG	2011-10-10

Plan Statistics for ABSOLUTE DENTAL SERVICES, INC. ABSOLUTE DENTAL SERVICES, INC. 401(K) PROFIT SHAR

401k plan membership statisitcs for ABSOLUTE DENTAL SERVICES, INC. ABSOLUTE DENTAL SERVICES, INC. 401(K) PROFIT SHAR

Measure Date Value
2022: ABSOLUTE DENTAL SERVICES, INC. ABSOLUTE DENTAL SERVICES, INC. 401(K) PROFIT SHAR 2022 401k membership
Total participants, beginning-of-year 2022-01-01 174
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 165
Number of retired or separated participants receiving benefits 2022-01-01 4
Number of other retired or separated participants entitled to future benefits 2022-01-01 30
Total of all active and inactive participants 2022-01-01 199
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 199
Number of participants with account balances 2022-01-01 86
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: ABSOLUTE DENTAL SERVICES, INC. ABSOLUTE DENTAL SERVICES, INC. 401(K) PROFIT SHAR 2021 401k membership
Total participants, beginning-of-year 2021-01-01 137
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 142
Number of retired or separated participants receiving benefits 2021-01-01 4
Number of other retired or separated participants entitled to future benefits 2021-01-01 29
Total of all active and inactive participants 2021-01-01 175
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 175
Number of participants with account balances 2021-01-01 83
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: ABSOLUTE DENTAL SERVICES, INC. ABSOLUTE DENTAL SERVICES, INC. 401(K) PROFIT SHAR 2020 401k membership
Total participants, beginning-of-year 2020-01-01 136
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 112
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 25
Total of all active and inactive participants 2020-01-01 137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 137
Number of participants with account balances 2020-01-01 71
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: ABSOLUTE DENTAL SERVICES, INC. ABSOLUTE DENTAL SERVICES, INC. 401(K) PROFIT SHAR 2019 401k membership
Total participants, beginning-of-year 2019-01-01 133
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 113
Number of retired or separated participants receiving benefits 2019-01-01 4
Number of other retired or separated participants entitled to future benefits 2019-01-01 20
Total of all active and inactive participants 2019-01-01 137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 137
Number of participants with account balances 2019-01-01 67
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0

Measure	Date	Value
2022: ABSOLUTE DENTAL SERVICES, INC. ABSOLUTE DENTAL SERVICES, INC. 401(K) PROFIT SHAR 2022 401k membership
Total participants, beginning-of-year	2022-01-01	174
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	165
Number of retired or separated participants receiving benefits	2022-01-01	4
Number of other retired or separated participants entitled to future benefits	2022-01-01	30
Total of all active and inactive participants	2022-01-01	199
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	199
Number of participants with account balances	2022-01-01	86
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: ABSOLUTE DENTAL SERVICES, INC. ABSOLUTE DENTAL SERVICES, INC. 401(K) PROFIT SHAR 2021 401k membership
Total participants, beginning-of-year	2021-01-01	137
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	142
Number of retired or separated participants receiving benefits	2021-01-01	4
Number of other retired or separated participants entitled to future benefits	2021-01-01	29
Total of all active and inactive participants	2021-01-01	175
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	175
Number of participants with account balances	2021-01-01	83
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: ABSOLUTE DENTAL SERVICES, INC. ABSOLUTE DENTAL SERVICES, INC. 401(K) PROFIT SHAR 2020 401k membership
Total participants, beginning-of-year	2020-01-01	136
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	112
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	25
Total of all active and inactive participants	2020-01-01	137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	137
Number of participants with account balances	2020-01-01	71
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: ABSOLUTE DENTAL SERVICES, INC. ABSOLUTE DENTAL SERVICES, INC. 401(K) PROFIT SHAR 2019 401k membership
Total participants, beginning-of-year	2019-01-01	133
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	113
Number of retired or separated participants receiving benefits	2019-01-01	4
Number of other retired or separated participants entitled to future benefits	2019-01-01	20
Total of all active and inactive participants	2019-01-01	137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	137
Number of participants with account balances	2019-01-01	67
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0

Financial Data on ABSOLUTE DENTAL SERVICES, INC. ABSOLUTE DENTAL SERVICES, INC. 401(K) PROFIT SHAR

Measure	Date	Value
2022 : ABSOLUTE DENTAL SERVICES, INC. ABSOLUTE DENTAL SERVICES, INC. 401(K) PROFIT SHAR 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$235,074
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$94,118
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$72,480
Expenses. Certain deemed distributions of participant loans	2022-12-31	$0
Value of total corrective distributions	2022-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$574,726
Value of total assets at end of year	2022-12-31	$2,791,724
Value of total assets at beginning of year	2022-12-31	$2,650,768
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$21,638
Total interest from all sources	2022-12-31	$13
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$30,671
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$30,671
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$350,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$328,766
Participant contributions at beginning of year	2022-12-31	$874
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$74,276
Value of other receiveables (less allowance for doubtful accounts) at end of year	2022-12-31	$268
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2022-12-31	$192
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$140,956
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$2,791,724
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$2,650,768
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$2,283,093
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$2,183,176
Interest on participant loans	2022-12-31	$13
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$508,363
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$466,526
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-370,336
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$171,684
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$72,480
Contract administrator fees	2022-12-31	$21,638
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	PLANCHEC(K) CPAS, LLC
Accountancy firm EIN	2022-12-31	842614043
2021 : ABSOLUTE DENTAL SERVICES, INC. ABSOLUTE DENTAL SERVICES, INC. 401(K) PROFIT SHAR 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$662,021
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$113,646
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$91,393
Expenses. Certain deemed distributions of participant loans	2021-12-31	$0
Value of total corrective distributions	2021-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$530,182
Value of total assets at end of year	2021-12-31	$2,650,768
Value of total assets at beginning of year	2021-12-31	$2,102,393
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$22,253
Total interest from all sources	2021-12-31	$50
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$0
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$350,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$296,907
Participant contributions at end of year	2021-12-31	$874
Participant contributions at beginning of year	2021-12-31	$10,740
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$68,919
Value of other receiveables (less allowance for doubtful accounts) at end of year	2021-12-31	$192
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2021-12-31	$31
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$548,375
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$2,650,768
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$2,102,393
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$2,183,176
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$1,495,818
Interest on participant loans	2021-12-31	$50
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$19
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$19
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$466,526
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$456,598
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$131,789
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$164,356
Employer contributions (assets) at beginning of year	2021-12-31	$4,337
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$91,393
Contract administrator fees	2021-12-31	$22,253
Assets. Corporate common stocks other than exployer securities at beginning of year	2021-12-31	$134,850
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	PLANCHEC(K) CPAS, LLC
Accountancy firm EIN	2021-12-31	842614043
2020 : ABSOLUTE DENTAL SERVICES, INC. ABSOLUTE DENTAL SERVICES, INC. 401(K) PROFIT SHAR 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$17,568
Total income from all sources (including contributions)	2020-12-31	$366,349
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$309,164
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$292,803
Expenses. Certain deemed distributions of participant loans	2020-12-31	$0
Value of total corrective distributions	2020-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$303,883
Value of total assets at end of year	2020-12-31	$2,102,393
Value of total assets at beginning of year	2020-12-31	$2,062,776
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$16,361
Total interest from all sources	2020-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$0
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$150,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$190,379
Participant contributions at end of year	2020-12-31	$10,740
Participant contributions at beginning of year	2020-12-31	$7,513
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$4,847
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-12-31	$31
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-12-31	$17,568
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$57,185
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$2,102,393
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$2,045,208
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Assets. partnership/joint venture interests at end of year	2020-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$1,495,818
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$1,469,187
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$19
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$121,308
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$121,308
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$456,598
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$458,850
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$62,466
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$108,657
Employer contributions (assets) at end of year	2020-12-31	$4,337
Employer contributions (assets) at beginning of year	2020-12-31	$5,918
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$292,803
Contract administrator fees	2020-12-31	$16,361
Assets. Corporate common stocks other than exployer securities at end of year	2020-12-31	$134,850
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	PLANCHEC(K) CPAS, LLC
Accountancy firm EIN	2020-12-31	842614043
2019 : ABSOLUTE DENTAL SERVICES, INC. ABSOLUTE DENTAL SERVICES, INC. 401(K) PROFIT SHAR 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$17,568
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$633,322
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$147,101
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$132,121
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$310,388
Value of total assets at end of year	2019-12-31	$2,062,776
Value of total assets at beginning of year	2019-12-31	$1,558,987
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$14,980
Total interest from all sources	2019-12-31	$15,271
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$150,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$174,287
Participant contributions at end of year	2019-12-31	$7,513
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$17,568
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$486,221
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$2,045,208
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,558,987
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$1,469,187
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$1,139,374
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$121,308
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$106,037
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$106,037
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$15,271
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$458,850
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$313,576
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$307,663
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$136,101
Employer contributions (assets) at end of year	2019-12-31	$5,918
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$132,121
Contract administrator fees	2019-12-31	$14,980
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	PLANCHEC(K) CPAS, LLC
Accountancy firm EIN	2019-12-31	842614043

Form 5500 Responses for ABSOLUTE DENTAL SERVICES, INC. ABSOLUTE DENTAL SERVICES, INC. 401(K) PROFIT SHAR

2022: ABSOLUTE DENTAL SERVICES, INC. ABSOLUTE DENTAL SERVICES, INC. 401(K) PROFIT SHAR 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 – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: ABSOLUTE DENTAL SERVICES, INC. ABSOLUTE DENTAL SERVICES, INC. 401(K) PROFIT SHAR 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 – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: ABSOLUTE DENTAL SERVICES, INC. ABSOLUTE DENTAL SERVICES, INC. 401(K) PROFIT SHAR 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 – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: ABSOLUTE DENTAL SERVICES, INC. ABSOLUTE DENTAL SERVICES, INC. 401(K) PROFIT SHAR 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 – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-CP-GS6U

Policy instance

Insurance contract or identification number	GAP-CP-GS6U
Number of Individuals Covered	86
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $2,969
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,969
Insurance broker organization code?	4

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-CP-GS6U

Policy instance

Insurance contract or identification number	GAP-CP-GS6U
Number of Individuals Covered	142
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $2,670
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $2,670
Insurance broker organization code?	4

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-CP-GS6U

Policy instance

Insurance contract or identification number	GAP-CP-GS6U
Number of Individuals Covered	8
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $2,857
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $2,857
Insurance broker organization code?	4

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-CP-GS6U

Policy instance

Insurance contract or identification number	GAP-CP-GS6U
Number of Individuals Covered	8
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $2,478
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $2,478
Amount paid for insurance broker fees	0
Insurance broker organization code?	4

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Company Name:	ABSOLUTE DENTAL SERVICES, INC.
Employer identification number (EIN):	201531207
NAIC Classification:	339900