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| Plan Name | MARTIN P. KORNAK, DDS, LTD. DEFINED BENEFIT PLAN AND AGREEMENT |
| Plan identification number | 002 |
| 401k Plan Type | Defined Benefit Pension |
| Plan Features/Benefits |
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| Company Name: | MARTIN P. KORNAK, DDS, LTD. |
| Employer identification number (EIN): | 362947227 |
| NAIC Classification: | 621210 |
| NAIC Description: | Offices of Dentists |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 002 | 2010-11-01 | MARTIN P. KORNAK | |||
| 002 | 2009-11-01 | MARTIN P. KORNAK |
| Measure | Date | Value |
|---|---|---|
| 2010: MARTIN P. KORNAK, DDS, LTD. DEFINED BENEFIT PLAN AND AGREEMENT 2010 401k membership | ||
| Total participants, beginning-of-year | 2010-11-01 | 4 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-11-01 | 0 |
| Number of retired or separated participants receiving benefits | 2010-11-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2010-11-01 | 0 |
| Total of all active and inactive participants | 2010-11-01 | 0 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2010-11-01 | 0 |
| Total participants | 2010-11-01 | 0 |
| 2009: MARTIN P. KORNAK, DDS, LTD. DEFINED BENEFIT PLAN AND AGREEMENT 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-11-01 | 5 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-11-01 | 4 |
| Number of retired or separated participants receiving benefits | 2009-11-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2009-11-01 | 0 |
| Total of all active and inactive participants | 2009-11-01 | 5 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2009-11-01 | 0 |
| Total participants | 2009-11-01 | 5 |
| Measure | Date | Value |
|---|---|---|
| 2011 : MARTIN P. KORNAK, DDS, LTD. DEFINED BENEFIT PLAN AND AGREEMENT 2011 401k financial data | ||
| Total income from all sources | 2011-06-30 | $140,805 |
| Expenses. Total of all expenses incurred | 2011-06-30 | $4,503,469 |
| Benefits paid (including direct rollovers) | 2011-06-30 | $4,503,469 |
| Total plan assets at end of year | 2011-06-30 | $0 |
| Total plan assets at beginning of year | 2011-06-30 | $4,362,664 |
| Value of fidelity bond covering the plan | 2011-06-30 | $350,000 |
| Other income received | 2011-06-30 | $140,805 |
| Net income (gross income less expenses) | 2011-06-30 | $-4,362,664 |
| Net plan assets at end of year (total assets less liabilities) | 2011-06-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-06-30 | $4,362,664 |
| 2010: MARTIN P. KORNAK, DDS, LTD. DEFINED BENEFIT PLAN AND AGREEMENT 2010 form 5500 responses | ||
|---|---|---|
| 2010-11-01 | Type of plan entity | Single employer plan |
| 2010-11-01 | This submission is the final filing | Yes |
| 2010-11-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2010-11-01 | Plan funding arrangement – Trust | Yes |
| 2010-11-01 | Plan benefit arrangement - Trust | Yes |
| 2009: MARTIN P. KORNAK, DDS, LTD. DEFINED BENEFIT PLAN AND AGREEMENT 2009 form 5500 responses | ||
| 2009-11-01 | Type of plan entity | Single employer plan |
| 2009-11-01 | Plan funding arrangement – Trust | Yes |
| 2009-11-01 | Plan benefit arrangement - Trust | Yes |
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