401k Plan data: NORTH SUBURBAN ENDODONTICS, PC 401(K) PLAN plan

NORTH SUBURBAN ENDODONTICS, PC 401(K) PLAN 401k Plan overview

Plan Name	NORTH SUBURBAN ENDODONTICS, PC 401(K) PLAN
Plan identification number	002

NORTH SUBURBAN ENDODONTICS, PC 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
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

NORTH SUBURBAN ENDODONTICS, PC has sponsored the creation of one or more 401k plans.

Company Name: NORTH SUBURBAN ENDODONTICS, PC

Employer identification number (EIN): 364057510

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTH SUBURBAN ENDODONTICS, PC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2013-01-01 KERMIT M. RADKE
002 2012-01-01 KERMIT M. RADKE

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2013-01-01	KERMIT M. RADKE
002	2012-01-01	KERMIT M. RADKE

Plan Statistics for NORTH SUBURBAN ENDODONTICS, PC 401(K) PLAN

401k plan membership statisitcs for NORTH SUBURBAN ENDODONTICS, PC 401(K) PLAN

Measure Date Value
2013: NORTH SUBURBAN ENDODONTICS, PC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 5
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 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 6
Number of participants with account balances 2013-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 1
2012: NORTH SUBURBAN ENDODONTICS, PC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 6
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 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 6
Number of participants with account balances 2012-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0

Measure	Date	Value
2013: NORTH SUBURBAN ENDODONTICS, PC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	5
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	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	6
Number of participants with account balances	2013-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	1
2012: NORTH SUBURBAN ENDODONTICS, PC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	6
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	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	6
Number of participants with account balances	2012-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0

Financial Data on NORTH SUBURBAN ENDODONTICS, PC 401(K) PLAN

Measure	Date	Value
2013 : NORTH SUBURBAN ENDODONTICS, PC 401(K) PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$12,183
Expenses. Total of all expenses incurred	2013-12-31	$57,962
Benefits paid (including direct rollovers)	2013-12-31	$57,962
Total plan assets at end of year	2013-12-31	$456,319
Total plan assets at beginning of year	2013-12-31	$502,098
Value of fidelity bond covering the plan	2013-12-31	$80,000
Other income received	2013-12-31	$-11,480
Net income (gross income less expenses)	2013-12-31	$-45,779
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$456,319
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$502,098
Total contributions received or receivable from employer(s)	2013-12-31	$23,663
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : NORTH SUBURBAN ENDODONTICS, PC 401(K) PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$480,567
Total plan assets at end of year	2012-12-31	$502,098
Total plan assets at beginning of year	2012-12-31	$21,531
Total contributions received or receivable from participants	2012-12-31	$17,000
Contributions received from other sources (not participants or employers)	2012-12-31	$442,006
Other income received	2012-12-31	$-2,120
Net income (gross income less expenses)	2012-12-31	$480,567
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$502,098
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$21,531
Total contributions received or receivable from employer(s)	2012-12-31	$23,681

Form 5500 Responses for NORTH SUBURBAN ENDODONTICS, PC 401(K) PLAN

2013: NORTH SUBURBAN ENDODONTICS, PC 401(K) 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: NORTH SUBURBAN ENDODONTICS, PC 401(K) 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

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Company Name:	NORTH SUBURBAN ENDODONTICS, PC
Employer identification number (EIN):	364057510
NAIC Classification:	621210
NAIC Description:	Offices of Dentists