401k Plan data: FISHERS PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN plan

FISHERS PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	FISHERS PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN
Plan identification number	001

FISHERS PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
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

FISHERS PEDIATRIC DENTISTRY, PC has sponsored the creation of one or more 401k plans.

Company Name: FISHERS PEDIATRIC DENTISTRY, PC

Employer identification number (EIN): 351989892

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FISHERS PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 CHARLES SIMPSON 2016-06-09
001 2014-01-01 ANA VAZQUEZ-ACREE, DMD ANA VAZQUEZ-ACREE, DMD 2015-09-09
001 2013-01-01 ANA VAZQUEZ-ACREE, DMD ANA VAZQUEZ-ACREE, DMD 2014-08-16
001 2012-01-01 ANA VAZQUEZ-ACREE, DMD ANA VAZQUEZ-ACREE, DMD 2013-09-30
001 2011-01-01 ANA VAZQUEZ-ACREE, DMD ANA VAZQUEZ-ACREE, DMD 2012-07-10
001 2010-01-01 ANA VAZQUEZ-ACREE, DMD ANA VAZQUEZ-ACREE, DMD 2011-09-26
001 2009-01-01 ANA VAZQUEZ-ACREE, DMD ANA VAZQUEZ-ACREE, DMD 2010-07-14
001 2009-01-01 ANA VAZQUEZ-ACREE, DMD ANA VAZQUEZ-ACREE, DMD 2010-07-13

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2015-01-01	CHARLES SIMPSON	2016-06-09
001	2014-01-01	ANA VAZQUEZ-ACREE, DMD		ANA VAZQUEZ-ACREE, DMD	2015-09-09
001	2013-01-01	ANA VAZQUEZ-ACREE, DMD		ANA VAZQUEZ-ACREE, DMD	2014-08-16
001	2012-01-01	ANA VAZQUEZ-ACREE, DMD		ANA VAZQUEZ-ACREE, DMD	2013-09-30
001	2011-01-01	ANA VAZQUEZ-ACREE, DMD		ANA VAZQUEZ-ACREE, DMD	2012-07-10
001	2010-01-01	ANA VAZQUEZ-ACREE, DMD		ANA VAZQUEZ-ACREE, DMD	2011-09-26
001	2009-01-01	ANA VAZQUEZ-ACREE, DMD		ANA VAZQUEZ-ACREE, DMD	2010-07-14
001	2009-01-01	ANA VAZQUEZ-ACREE, DMD		ANA VAZQUEZ-ACREE, DMD	2010-07-13

Plan Statistics for FISHERS PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for FISHERS PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN

Measure Date Value
2014: FISHERS PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 22
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 0
Total of all active and inactive participants 2014-01-01 22
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 22
Number of participants with account balances 2014-01-01 22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: FISHERS PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 16
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 1
Total of all active and inactive participants 2013-01-01 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 17
Number of participants with account balances 2013-01-01 17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: FISHERS PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 16
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 16
Number of participants with account balances 2012-01-01 16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: FISHERS PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 16
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 16
Number of participants with account balances 2011-01-01 16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: FISHERS PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 16
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 16
Number of participants with account balances 2010-01-01 16
2009: FISHERS PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 18
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 16
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 16
Number of participants with account balances 2009-01-01 16

Measure	Date	Value
2014: FISHERS PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	22
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	0
Total of all active and inactive participants	2014-01-01	22
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	22
Number of participants with account balances	2014-01-01	22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: FISHERS PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	16
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	1
Total of all active and inactive participants	2013-01-01	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	17
Number of participants with account balances	2013-01-01	17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: FISHERS PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	16
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	16
Number of participants with account balances	2012-01-01	16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: FISHERS PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	16
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	16
Number of participants with account balances	2011-01-01	16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: FISHERS PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	16
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	16
Number of participants with account balances	2010-01-01	16
2009: FISHERS PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	18
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	16
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	16
Number of participants with account balances	2009-01-01	16

Financial Data on FISHERS PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2014 : FISHERS PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$134,014
Expenses. Total of all expenses incurred	2014-12-31	$190,914
Benefits paid (including direct rollovers)	2014-12-31	$190,914
Total plan assets at end of year	2014-12-31	$851,786
Total plan assets at beginning of year	2014-12-31	$908,686
Total contributions received or receivable from participants	2014-12-31	$57,635
Other income received	2014-12-31	$36,023
Net income (gross income less expenses)	2014-12-31	$-56,900
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$851,786
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$908,686
Total contributions received or receivable from employer(s)	2014-12-31	$40,356
2013 : FISHERS PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$232,006
Expenses. Total of all expenses incurred	2013-12-31	$15,794
Benefits paid (including direct rollovers)	2013-12-31	$15,794
Total plan assets at end of year	2013-12-31	$908,686
Total plan assets at beginning of year	2013-12-31	$692,474
Total contributions received or receivable from participants	2013-12-31	$67,467
Other income received	2013-12-31	$116,994
Net income (gross income less expenses)	2013-12-31	$216,212
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$908,686
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$692,474
Total contributions received or receivable from employer(s)	2013-12-31	$47,545
2012 : FISHERS PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$172,698
Expenses. Total of all expenses incurred	2012-12-31	$40,440
Benefits paid (including direct rollovers)	2012-12-31	$40,440
Total plan assets at end of year	2012-12-31	$692,474
Total plan assets at beginning of year	2012-12-31	$560,216
Total contributions received or receivable from participants	2012-12-31	$62,256
Other income received	2012-12-31	$68,115
Net income (gross income less expenses)	2012-12-31	$132,258
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$692,474
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$560,216
Total contributions received or receivable from employer(s)	2012-12-31	$42,327
2011 : FISHERS PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$81,097
Total plan assets at end of year	2011-12-31	$560,216
Total plan assets at beginning of year	2011-12-31	$479,119
Total contributions received or receivable from participants	2011-12-31	$61,341
Other income received	2011-12-31	$-22,204
Net income (gross income less expenses)	2011-12-31	$81,097
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$560,216
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$479,119
Total contributions received or receivable from employer(s)	2011-12-31	$41,960
2010 : FISHERS PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$137,457
Expenses. Total of all expenses incurred	2010-12-31	$92,222
Benefits paid (including direct rollovers)	2010-12-31	$92,222
Total plan assets at end of year	2010-12-31	$479,119
Total plan assets at beginning of year	2010-12-31	$433,884
Total contributions received or receivable from participants	2010-12-31	$62,459
Other income received	2010-12-31	$30,621
Net income (gross income less expenses)	2010-12-31	$45,235
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$479,119
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$433,884
Total contributions received or receivable from employer(s)	2010-12-31	$44,377

Form 5500 Responses for FISHERS PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN

2014: FISHERS PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: FISHERS PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: FISHERS PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: FISHERS PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: FISHERS PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: FISHERS PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	FISHERS PEDIATRIC DENTISTRY, PC
Employer identification number (EIN):	351989892
NAIC Classification:	621210
NAIC Description:	Offices of Dentists