401k Plan data: CENTRE DENTAL ASSOCIATES, PC 401(K) PLAN plan

CENTRE DENTAL ASSOCIATES, PC 401(K) PLAN 401k Plan overview

Plan Name	CENTRE DENTAL ASSOCIATES, PC 401(K) PLAN
Plan identification number	001

CENTRE DENTAL ASSOCIATES, PC 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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.
Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.

401k Sponsoring company profile

CENTRE DENTAL ASSOCIATES, PC has sponsored the creation of one or more 401k plans.

Company Name: CENTRE DENTAL ASSOCIATES, PC

Employer identification number (EIN): 382226183

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CENTRE DENTAL ASSOCIATES, PC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2010-10-01 KATIE BERGHUIS
001 2009-10-01 JOHN WILER JOHN WILER 2011-04-26
001 2008-10-01
001 2008-10-01 JOHN WILER 2010-04-28

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2010-10-01	KATIE BERGHUIS
001	2009-10-01	JOHN WILER	JOHN WILER	2011-04-26
001	2008-10-01
001	2008-10-01		JOHN WILER	2010-04-28

Plan Statistics for CENTRE DENTAL ASSOCIATES, PC 401(K) PLAN

401k plan membership statisitcs for CENTRE DENTAL ASSOCIATES, PC 401(K) PLAN

Measure Date Value
2010: CENTRE DENTAL ASSOCIATES, PC 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-10-01 14
Total number of active participants reported on line 7a of the Form 5500 2010-10-01 10
Number of retired or separated participants receiving benefits 2010-10-01 0
Number of other retired or separated participants entitled to future benefits 2010-10-01 1
Total of all active and inactive participants 2010-10-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-10-01 0
Total participants 2010-10-01 11
Number of participants with account balances 2010-10-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-10-01 2
2009: CENTRE DENTAL ASSOCIATES, PC 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-10-01 15
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 13
Number of retired or separated participants receiving benefits 2009-10-01 0
Number of other retired or separated participants entitled to future benefits 2009-10-01 1
Total of all active and inactive participants 2009-10-01 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-10-01 0
Total participants 2009-10-01 14
Number of participants with account balances 2009-10-01 14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-10-01 0
2008: CENTRE DENTAL ASSOCIATES, PC 401(K) PLAN 2008 401k membership
Total participants, beginning-of-year 2008-10-01 13
Total number of active participants reported on line 7a of the Form 5500 2008-10-01 13
Number of retired or separated participants receiving benefits 2008-10-01 0
Number of other retired or separated participants entitled to future benefits 2008-10-01 2
Total of all active and inactive participants 2008-10-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2008-10-01 0
Total participants 2008-10-01 15
Number of participants with account balances 2008-10-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2008-10-01 0

Measure	Date	Value
2010: CENTRE DENTAL ASSOCIATES, PC 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-10-01	14
Total number of active participants reported on line 7a of the Form 5500	2010-10-01	10
Number of retired or separated participants receiving benefits	2010-10-01	0
Number of other retired or separated participants entitled to future benefits	2010-10-01	1
Total of all active and inactive participants	2010-10-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-10-01	0
Total participants	2010-10-01	11
Number of participants with account balances	2010-10-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-10-01	2
2009: CENTRE DENTAL ASSOCIATES, PC 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-10-01	15
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	13
Number of retired or separated participants receiving benefits	2009-10-01	0
Number of other retired or separated participants entitled to future benefits	2009-10-01	1
Total of all active and inactive participants	2009-10-01	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-10-01	0
Total participants	2009-10-01	14
Number of participants with account balances	2009-10-01	14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-10-01	0
2008: CENTRE DENTAL ASSOCIATES, PC 401(K) PLAN 2008 401k membership
Total participants, beginning-of-year	2008-10-01	13
Total number of active participants reported on line 7a of the Form 5500	2008-10-01	13
Number of retired or separated participants receiving benefits	2008-10-01	0
Number of other retired or separated participants entitled to future benefits	2008-10-01	2
Total of all active and inactive participants	2008-10-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2008-10-01	0
Total participants	2008-10-01	15
Number of participants with account balances	2008-10-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2008-10-01	0

Financial Data on CENTRE DENTAL ASSOCIATES, PC 401(K) PLAN

Measure	Date	Value
2011 : CENTRE DENTAL ASSOCIATES, PC 401(K) PLAN 2011 401k financial data
Total income from all sources	2011-09-30	$66,808
Expenses. Total of all expenses incurred	2011-09-30	$31,715
Benefits paid (including direct rollovers)	2011-09-30	$26,684
Total plan assets at end of year	2011-09-30	$585,356
Total plan assets at beginning of year	2011-09-30	$550,263
Value of fidelity bond covering the plan	2011-09-30	$80,000
Total contributions received or receivable from participants	2011-09-30	$49,546
Expenses. Other expenses not covered elsewhere	2011-09-30	$5,031
Contributions received from other sources (not participants or employers)	2011-09-30	$13
Other income received	2011-09-30	$-7,955
Net income (gross income less expenses)	2011-09-30	$35,093
Net plan assets at end of year (total assets less liabilities)	2011-09-30	$585,356
Net plan assets at beginning of year (total assets less liabilities)	2011-09-30	$550,263
Assets. Value of participant loans	2011-09-30	$24,795
Total contributions received or receivable from employer(s)	2011-09-30	$25,204
Value of certain deemed distributions of participant loans	2011-09-30	$0
2010 : CENTRE DENTAL ASSOCIATES, PC 401(K) PLAN 2010 401k financial data
Total income from all sources	2010-09-30	$116,054
Expenses. Total of all expenses incurred	2010-09-30	$66,584
Benefits paid (including direct rollovers)	2010-09-30	$40,684
Total plan assets at end of year	2010-09-30	$550,263
Total plan assets at beginning of year	2010-09-30	$500,793
Value of fidelity bond covering the plan	2010-09-30	$60,000
Total contributions received or receivable from participants	2010-09-30	$43,070
Expenses. Other expenses not covered elsewhere	2010-09-30	$3,995
Other income received	2010-09-30	$50,067
Net income (gross income less expenses)	2010-09-30	$49,470
Net plan assets at end of year (total assets less liabilities)	2010-09-30	$550,263
Net plan assets at beginning of year (total assets less liabilities)	2010-09-30	$500,793
Assets. Value of participant loans	2010-09-30	$13,520
Total contributions received or receivable from employer(s)	2010-09-30	$22,917
Value of certain deemed distributions of participant loans	2010-09-30	$21,905

Form 5500 Responses for CENTRE DENTAL ASSOCIATES, PC 401(K) PLAN

2010: CENTRE DENTAL ASSOCIATES, PC 401(K) PLAN 2010 form 5500 responses
2010-10-01	Type of plan entity	Single employer plan
2010-10-01	Submission has been amended	No
2010-10-01	This submission is the final filing	No
2010-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-10-01	Plan is a collectively bargained plan	No
2010-10-01	Plan funding arrangement – Trust	Yes
2010-10-01	Plan benefit arrangement - Trust	Yes
2009: CENTRE DENTAL ASSOCIATES, PC 401(K) PLAN 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	Submission has been amended	No
2009-10-01	This submission is the final filing	No
2009-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-10-01	Plan is a collectively bargained plan	No
2009-10-01	Plan funding arrangement – Trust	Yes
2009-10-01	Plan benefit arrangement - Trust	Yes
2008: CENTRE DENTAL ASSOCIATES, PC 401(K) PLAN 2008 form 5500 responses
2008-10-01	Type of plan entity	Single employer plan
2008-10-01	Submission has been amended	No
2008-10-01	This submission is the final filing	No
2008-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-10-01	Plan is a collectively bargained plan	No
2008-10-01	Plan funding arrangement – Trust	Yes
2008-10-01	Plan benefit arrangement - Trust	Yes

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Company Name:	CENTRE DENTAL ASSOCIATES, PC
Employer identification number (EIN):	382226183
NAIC Classification:	621210
NAIC Description:	Offices of Dentists