401k Plan data: COUNTRY DENTAL, PLLC 401(K) plan

COUNTRY DENTAL, PLLC 401(K) 401k Plan overview

Plan Name	COUNTRY DENTAL, PLLC 401(K)
Plan identification number	001

COUNTRY DENTAL, PLLC 401(K) 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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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

COUNTRY DENTAL, PLLC has sponsored the creation of one or more 401k plans.

Company Name: COUNTRY DENTAL, PLLC

Employer identification number (EIN): 273566348

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Additional information about COUNTRY DENTAL, PLLC

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 2010-09-27

Company Identification Number: 0801323490

Legal Registered Office Address: 700 JOLIET ST

PLAINVIEW
United States of America (USA)
79072

More information about COUNTRY DENTAL, PLLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COUNTRY DENTAL, PLLC 401(K)

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
001 2017-01-01 OLIVER L. RUSHER, DDS
001 2016-01-01 OLIVER L. RUSHER, DDS
001 2015-08-01 OLIVER L. RUSHER, DDS

Plan Statistics for COUNTRY DENTAL, PLLC 401(K)

401k plan membership statisitcs for COUNTRY DENTAL, PLLC 401(K)

Measure Date Value
2022: COUNTRY DENTAL, PLLC 401(K) 2022 401k membership
Total participants, beginning-of-year 2022-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 2
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 0
Total of all active and inactive participants 2022-01-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 2
Number of participants with account balances 2022-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: COUNTRY DENTAL, PLLC 401(K) 2021 401k membership
Total participants, beginning-of-year 2021-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 2
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 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 2
Number of participants with account balances 2021-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: COUNTRY DENTAL, PLLC 401(K) 2020 401k membership
Total participants, beginning-of-year 2020-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 4
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 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 4
Number of participants with account balances 2020-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: COUNTRY DENTAL, PLLC 401(K) 2019 401k membership
Total participants, beginning-of-year 2019-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 4
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 0
Total of all active and inactive participants 2019-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 4
Number of participants with account balances 2019-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: COUNTRY DENTAL, PLLC 401(K) 2018 401k membership
Total participants, beginning-of-year 2018-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 3
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 0
Total of all active and inactive participants 2018-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 3
Number of participants with account balances 2018-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: COUNTRY DENTAL, PLLC 401(K) 2017 401k membership
Total participants, beginning-of-year 2017-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 2
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 1
Total of all active and inactive participants 2017-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 3
Number of participants with account balances 2017-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: COUNTRY DENTAL, PLLC 401(K) 2016 401k membership
Total participants, beginning-of-year 2016-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 2
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 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 2
Number of participants with account balances 2016-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: COUNTRY DENTAL, PLLC 401(K) 2015 401k membership
Total participants, beginning-of-year 2015-08-01 2
Total number of active participants reported on line 7a of the Form 5500 2015-08-01 2
Number of retired or separated participants receiving benefits 2015-08-01 0
Number of other retired or separated participants entitled to future benefits 2015-08-01 0
Total of all active and inactive participants 2015-08-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-08-01 0
Total participants 2015-08-01 2
Number of participants with account balances 2015-08-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-08-01 0

Measure	Date	Value
2022: COUNTRY DENTAL, PLLC 401(K) 2022 401k membership
Total participants, beginning-of-year	2022-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	2
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	2
Number of participants with account balances	2022-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: COUNTRY DENTAL, PLLC 401(K) 2021 401k membership
Total participants, beginning-of-year	2021-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	2
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	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	2
Number of participants with account balances	2021-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: COUNTRY DENTAL, PLLC 401(K) 2020 401k membership
Total participants, beginning-of-year	2020-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	4
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	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	4
Number of participants with account balances	2020-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: COUNTRY DENTAL, PLLC 401(K) 2019 401k membership
Total participants, beginning-of-year	2019-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	4
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	0
Total of all active and inactive participants	2019-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	4
Number of participants with account balances	2019-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: COUNTRY DENTAL, PLLC 401(K) 2018 401k membership
Total participants, beginning-of-year	2018-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	3
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	0
Total of all active and inactive participants	2018-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	3
Number of participants with account balances	2018-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: COUNTRY DENTAL, PLLC 401(K) 2017 401k membership
Total participants, beginning-of-year	2017-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	2
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	1
Total of all active and inactive participants	2017-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	3
Number of participants with account balances	2017-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: COUNTRY DENTAL, PLLC 401(K) 2016 401k membership
Total participants, beginning-of-year	2016-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	2
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	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	2
Number of participants with account balances	2016-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: COUNTRY DENTAL, PLLC 401(K) 2015 401k membership
Total participants, beginning-of-year	2015-08-01	2
Total number of active participants reported on line 7a of the Form 5500	2015-08-01	2
Number of retired or separated participants receiving benefits	2015-08-01	0
Number of other retired or separated participants entitled to future benefits	2015-08-01	0
Total of all active and inactive participants	2015-08-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-08-01	0
Total participants	2015-08-01	2
Number of participants with account balances	2015-08-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-08-01	0

Financial Data on COUNTRY DENTAL, PLLC 401(K)

Measure	Date	Value
2022 : COUNTRY DENTAL, PLLC 401(K) 2022 401k financial data
Total plan liabilities at end of year	2022-12-31	$0
Total plan liabilities at beginning of year	2022-12-31	$0
Total income from all sources	2022-12-31	$1,099
Expenses. Total of all expenses incurred	2022-12-31	$1,723
Benefits paid (including direct rollovers)	2022-12-31	$0
Total plan assets at end of year	2022-12-31	$83,048
Total plan assets at beginning of year	2022-12-31	$83,672
Total contributions received or receivable from participants	2022-12-31	$0
Contributions received from other sources (not participants or employers)	2022-12-31	$0
Other income received	2022-12-31	$1,099
Net income (gross income less expenses)	2022-12-31	$-624
Net plan assets at end of year (total assets less liabilities)	2022-12-31	$83,048
Net plan assets at beginning of year (total assets less liabilities)	2022-12-31	$83,672
Total contributions received or receivable from employer(s)	2022-12-31	$0
Value of certain deemed distributions of participant loans	2022-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2022-12-31	$1,723
2021 : COUNTRY DENTAL, PLLC 401(K) 2021 401k financial data
Total plan liabilities at end of year	2021-12-31	$0
Total plan liabilities at beginning of year	2021-12-31	$0
Total income from all sources	2021-12-31	$8
Expenses. Total of all expenses incurred	2021-12-31	$1,755
Benefits paid (including direct rollovers)	2021-12-31	$0
Total plan assets at end of year	2021-12-31	$83,672
Total plan assets at beginning of year	2021-12-31	$85,419
Total contributions received or receivable from participants	2021-12-31	$0
Contributions received from other sources (not participants or employers)	2021-12-31	$0
Other income received	2021-12-31	$8
Net income (gross income less expenses)	2021-12-31	$-1,747
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$83,672
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$85,419
Total contributions received or receivable from employer(s)	2021-12-31	$0
Value of certain deemed distributions of participant loans	2021-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$1,755
2020 : COUNTRY DENTAL, PLLC 401(K) 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	$238
Expenses. Total of all expenses incurred	2020-12-31	$1,789
Benefits paid (including direct rollovers)	2020-12-31	$0
Total plan assets at end of year	2020-12-31	$85,419
Total plan assets at beginning of year	2020-12-31	$86,970
Total contributions received or receivable from participants	2020-12-31	$0
Contributions received from other sources (not participants or employers)	2020-12-31	$0
Other income received	2020-12-31	$238
Net income (gross income less expenses)	2020-12-31	$-1,551
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$85,419
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$86,970
Total contributions received or receivable from employer(s)	2020-12-31	$0
Value of certain deemed distributions of participant loans	2020-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$1,789
2019 : COUNTRY DENTAL, PLLC 401(K) 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	$10,320
Expenses. Total of all expenses incurred	2019-12-31	$2,266
Benefits paid (including direct rollovers)	2019-12-31	$0
Total plan assets at end of year	2019-12-31	$86,970
Total plan assets at beginning of year	2019-12-31	$78,916
Total contributions received or receivable from participants	2019-12-31	$6,045
Contributions received from other sources (not participants or employers)	2019-12-31	$0
Other income received	2019-12-31	$1,555
Net income (gross income less expenses)	2019-12-31	$8,054
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$86,970
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$78,916
Total contributions received or receivable from employer(s)	2019-12-31	$2,720
Value of certain deemed distributions of participant loans	2019-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$2,266
2018 : COUNTRY DENTAL, PLLC 401(K) 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	$23,800
Expenses. Total of all expenses incurred	2018-12-31	$13,031
Benefits paid (including direct rollovers)	2018-12-31	$11,396
Total plan assets at end of year	2018-12-31	$78,916
Total plan assets at beginning of year	2018-12-31	$68,147
Total contributions received or receivable from participants	2018-12-31	$14,641
Other income received	2018-12-31	$1,705
Net income (gross income less expenses)	2018-12-31	$10,769
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$78,916
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$68,147
Total contributions received or receivable from employer(s)	2018-12-31	$7,454
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$1,635
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
2017 : COUNTRY DENTAL, PLLC 401(K) 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	$27,117
Expenses. Total of all expenses incurred	2017-12-31	$1,159
Total plan assets at end of year	2017-12-31	$68,147
Total plan assets at beginning of year	2017-12-31	$42,189
Total contributions received or receivable from participants	2017-12-31	$17,054
Other income received	2017-12-31	$1,896
Net income (gross income less expenses)	2017-12-31	$25,958
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$68,147
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$42,189
Total contributions received or receivable from employer(s)	2017-12-31	$8,167
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$1,159
2016 : COUNTRY DENTAL, PLLC 401(K) 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	$31,903
Expenses. Total of all expenses incurred	2016-12-31	$464
Total plan assets at end of year	2016-12-31	$42,189
Total plan assets at beginning of year	2016-12-31	$10,750
Total contributions received or receivable from participants	2016-12-31	$21,289
Other income received	2016-12-31	$584
Net income (gross income less expenses)	2016-12-31	$31,439
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$42,189
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$10,750
Total contributions received or receivable from employer(s)	2016-12-31	$10,030
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$464
2015 : COUNTRY DENTAL, PLLC 401(K) 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	$0
Total income from all sources	2015-12-31	$10,750
Expenses. Total of all expenses incurred	2015-12-31	$0
Total plan assets at end of year	2015-12-31	$10,750
Total plan assets at beginning of year	2015-12-31	$0
Total contributions received or receivable from participants	2015-12-31	$10,000
Expenses. Other expenses not covered elsewhere	2015-12-31	$0
Other income received	2015-12-31	$0
Net income (gross income less expenses)	2015-12-31	$10,750
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$10,750
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$0
Total contributions received or receivable from employer(s)	2015-12-31	$750

Form 5500 Responses for COUNTRY DENTAL, PLLC 401(K)

2022: COUNTRY DENTAL, PLLC 401(K) 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: COUNTRY DENTAL, PLLC 401(K) 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: COUNTRY DENTAL, PLLC 401(K) 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: COUNTRY DENTAL, PLLC 401(K) 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: COUNTRY DENTAL, PLLC 401(K) 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: COUNTRY DENTAL, PLLC 401(K) 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: COUNTRY DENTAL, PLLC 401(K) 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: COUNTRY DENTAL, PLLC 401(K) 2015 form 5500 responses
2015-08-01	Type of plan entity	Single employer plan
2015-08-01	First time form 5500 has been submitted	Yes
2015-08-01	Submission has been amended	No
2015-08-01	This submission is the final filing	No
2015-08-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2015-08-01	Plan is a collectively bargained plan	No
2015-08-01	Plan funding arrangement – Trust	Yes
2015-08-01	Plan benefit arrangement - Trust	Yes

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Company Name:	COUNTRY DENTAL, PLLC
Employer identification number (EIN):	273566348
NAIC Classification:	621210
NAIC Description:	Offices of Dentists

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	2010-09-27
Company Identification Number:	0801323490
Legal Registered Office Address:	700 JOLIET ST PLAINVIEW United States of America (USA) 79072