401k Plan data: NORTHERN ILLINOIS ENDODONTICS, LTD. PENSION PLAN AND TRUST plan

NORTHERN ILLINOIS ENDODONTICS, LTD. PENSION PLAN AND TRUST 401k Plan overview

Plan Name	NORTHERN ILLINOIS ENDODONTICS, LTD. PENSION PLAN AND TRUST
Plan identification number	002

NORTHERN ILLINOIS ENDODONTICS, LTD. PENSION PLAN AND TRUST Benefits

401k Plan Type	Defined Benefit Pension
Plan Features/Benefits	Benefits are primarily pay related

401k Sponsoring company profile

NORTHERN ILLINOIS ENDODONTICS, LTD has sponsored the creation of one or more 401k plans.

Company Name: NORTHERN ILLINOIS ENDODONTICS, LTD

Employer identification number (EIN): 364199078

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTHERN ILLINOIS ENDODONTICS, LTD. PENSION PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2015-01-01 SCOTT A DRANCIK
002 2014-01-01 SCOTT DRANCIK
002 2013-01-01 SCOTT DRANCIK
002 2012-01-01 SCOTT DRANCIK
002 2011-01-01 SCOTT DRANCIK
002 2009-01-01 SCOTT DRANCIK

Plan id#	Filing Submission Date	Name of Administrator
002	2015-01-01	SCOTT A DRANCIK
002	2014-01-01	SCOTT DRANCIK
002	2013-01-01	SCOTT DRANCIK
002	2012-01-01	SCOTT DRANCIK
002	2011-01-01	SCOTT DRANCIK
002	2009-01-01	SCOTT DRANCIK

Plan Statistics for NORTHERN ILLINOIS ENDODONTICS, LTD. PENSION PLAN AND TRUST

401k plan membership statisitcs for NORTHERN ILLINOIS ENDODONTICS, LTD. PENSION PLAN AND TRUST

Measure Date Value
2015: NORTHERN ILLINOIS ENDODONTICS, LTD. PENSION PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year 2015-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: NORTHERN ILLINOIS ENDODONTICS, LTD. PENSION PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year 2014-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 7
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 1
Total of all active and inactive participants 2014-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: NORTHERN ILLINOIS ENDODONTICS, LTD. PENSION PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year 2013-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 7
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 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: NORTHERN ILLINOIS ENDODONTICS, LTD. PENSION PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 8
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 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: NORTHERN ILLINOIS ENDODONTICS, LTD. PENSION PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 7
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 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: NORTHERN ILLINOIS ENDODONTICS, LTD. PENSION PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 9
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 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 9

Measure	Date	Value
2015: NORTHERN ILLINOIS ENDODONTICS, LTD. PENSION PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year	2015-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: NORTHERN ILLINOIS ENDODONTICS, LTD. PENSION PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year	2014-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	7
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	1
Total of all active and inactive participants	2014-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: NORTHERN ILLINOIS ENDODONTICS, LTD. PENSION PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year	2013-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	7
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	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: NORTHERN ILLINOIS ENDODONTICS, LTD. PENSION PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	8
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	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: NORTHERN ILLINOIS ENDODONTICS, LTD. PENSION PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	7
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	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: NORTHERN ILLINOIS ENDODONTICS, LTD. PENSION PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	9
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	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	9

Financial Data on NORTHERN ILLINOIS ENDODONTICS, LTD. PENSION PLAN AND TRUST

Measure	Date	Value
2015 : NORTHERN ILLINOIS ENDODONTICS, LTD. PENSION PLAN AND TRUST 2015 401k financial data
Total income from all sources	2015-12-31	$0
Expenses. Total of all expenses incurred	2015-12-31	$780,850
Benefits paid (including direct rollovers)	2015-12-31	$780,850
Total plan assets at end of year	2015-12-31	$0
Total plan assets at beginning of year	2015-12-31	$780,850
Value of fidelity bond covering the plan	2015-12-31	$250,000
Net income (gross income less expenses)	2015-12-31	$-780,850
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$780,850
2014 : NORTHERN ILLINOIS ENDODONTICS, LTD. PENSION PLAN AND TRUST 2014 401k financial data
Total income from all sources	2014-12-31	$72,641
Total plan assets at end of year	2014-12-31	$780,850
Total plan assets at beginning of year	2014-12-31	$708,209
Value of fidelity bond covering the plan	2014-12-31	$250,000
Other income received	2014-12-31	$22,641
Net income (gross income less expenses)	2014-12-31	$72,641
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$780,850
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$708,209
Total contributions received or receivable from employer(s)	2014-12-31	$50,000
2013 : NORTHERN ILLINOIS ENDODONTICS, LTD. PENSION PLAN AND TRUST 2013 401k financial data
Total income from all sources	2013-12-31	$116,067
Total plan assets at end of year	2013-12-31	$708,209
Total plan assets at beginning of year	2013-12-31	$592,142
Value of fidelity bond covering the plan	2013-12-31	$150,000
Other income received	2013-12-31	$66,067
Net income (gross income less expenses)	2013-12-31	$116,067
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$708,209
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$592,142
Total contributions received or receivable from employer(s)	2013-12-31	$50,000
2012 : NORTHERN ILLINOIS ENDODONTICS, LTD. PENSION PLAN AND TRUST 2012 401k financial data
Total income from all sources	2012-12-31	$98,361
Total plan assets at end of year	2012-12-31	$592,142
Total plan assets at beginning of year	2012-12-31	$493,781
Value of fidelity bond covering the plan	2012-12-31	$150,000
Other income received	2012-12-31	$48,361
Net income (gross income less expenses)	2012-12-31	$98,361
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$592,142
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$493,781
Total contributions received or receivable from employer(s)	2012-12-31	$50,000
2011 : NORTHERN ILLINOIS ENDODONTICS, LTD. PENSION PLAN AND TRUST 2011 401k financial data
Total income from all sources	2011-12-31	$61,532
Total plan assets at end of year	2011-12-31	$493,781
Total plan assets at beginning of year	2011-12-31	$432,249
Value of fidelity bond covering the plan	2011-12-31	$150,000
Other income received	2011-12-31	$6,532
Net income (gross income less expenses)	2011-12-31	$61,532
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$493,781
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$432,249
Total contributions received or receivable from employer(s)	2011-12-31	$55,000
2010 : NORTHERN ILLINOIS ENDODONTICS, LTD. PENSION PLAN AND TRUST 2010 401k financial data
Total income from all sources	2010-12-31	$78,846
Expenses. Total of all expenses incurred	2010-12-31	$3,461
Benefits paid (including direct rollovers)	2010-12-31	$3,461
Total plan assets at end of year	2010-12-31	$432,249
Total plan assets at beginning of year	2010-12-31	$356,864
Value of fidelity bond covering the plan	2010-12-31	$150,000
Other income received	2010-12-31	$23,846
Net income (gross income less expenses)	2010-12-31	$75,385
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$432,249
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$356,864
Total contributions received or receivable from employer(s)	2010-12-31	$55,000

Form 5500 Responses for NORTHERN ILLINOIS ENDODONTICS, LTD. PENSION PLAN AND TRUST

2015: NORTHERN ILLINOIS ENDODONTICS, LTD. PENSION PLAN AND TRUST 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	This submission is the final filing	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: NORTHERN ILLINOIS ENDODONTICS, LTD. PENSION PLAN AND TRUST 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: NORTHERN ILLINOIS ENDODONTICS, LTD. PENSION PLAN AND TRUST 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: NORTHERN ILLINOIS ENDODONTICS, LTD. PENSION PLAN AND TRUST 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: NORTHERN ILLINOIS ENDODONTICS, LTD. PENSION PLAN AND TRUST 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
2009: NORTHERN ILLINOIS ENDODONTICS, LTD. PENSION PLAN AND TRUST 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:	NORTHERN ILLINOIS ENDODONTICS, LTD
Employer identification number (EIN):	364199078
NAIC Classification:	621210
NAIC Description:	Offices of Dentists