401k Plan data: XIAOMING HOU, DDS, PC 401(K) PLAN plan

XIAOMING HOU, DDS, PC 401(K) PLAN 401k Plan overview

Plan Name	XIAOMING HOU, DDS, PC 401(K) PLAN
Plan identification number	001

XIAOMING HOU, DDS, 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
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.
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

XIAOMING HOU, DDS, PC has sponsored the creation of one or more 401k plans.

Company Name: XIAOMING HOU, DDS, PC

Employer identification number (EIN): 383597639

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan XIAOMING HOU, DDS, PC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 XIAOMING HOU 2023-02-01
001 2021-01-01 XIAOMING HOU 2022-05-20
001 2020-01-01 XIAOMING HOU 2021-10-12
001 2019-01-01 XIAOMING HOU 2020-10-16
001 2019-01-01 XIAOMING HOU 2021-10-08
001 2018-01-01 XIAOMING HOU 2019-10-09
001 2017-01-01 XIAOMING HOU 2018-06-11
001 2016-01-01 XIAOMING HOU 2017-05-08
001 2015-01-01 XIAOMING HOU 2016-06-03
001 2014-01-01 XIAOMING HOU 2015-10-05
001 2013-01-01 XIAOMING HOU
001 2012-01-01 XIAOMING HOU
001 2011-01-01 XIAOMING HOU
001 2009-01-01 XIAOMING HOU

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2022-01-01	XIAOMING HOU	2023-02-01
001	2021-01-01	XIAOMING HOU	2022-05-20
001	2020-01-01	XIAOMING HOU	2021-10-12
001	2019-01-01	XIAOMING HOU	2020-10-16
001	2019-01-01	XIAOMING HOU	2021-10-08
001	2018-01-01	XIAOMING HOU	2019-10-09
001	2017-01-01	XIAOMING HOU	2018-06-11
001	2016-01-01	XIAOMING HOU	2017-05-08
001	2015-01-01	XIAOMING HOU	2016-06-03
001	2014-01-01	XIAOMING HOU	2015-10-05
001	2013-01-01	XIAOMING HOU
001	2012-01-01	XIAOMING HOU
001	2011-01-01	XIAOMING HOU
001	2009-01-01	XIAOMING HOU

Plan Statistics for XIAOMING HOU, DDS, PC 401(K) PLAN

401k plan membership statisitcs for XIAOMING HOU, DDS, PC 401(K) PLAN

Measure Date Value
2013: XIAOMING HOU, DDS, PC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 9
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 3
Total of all active and inactive participants 2013-01-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 12
Number of participants with account balances 2013-01-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 2
2012: XIAOMING HOU, DDS, PC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 9
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 2
Total of all active and inactive participants 2012-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 10
Number of participants with account balances 2012-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: XIAOMING HOU, DDS, PC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 9
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 2
Total of all active and inactive participants 2011-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 9
Number of participants with account balances 2011-01-01 9
2009: XIAOMING HOU, DDS, PC 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 6
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 4
Total of all active and inactive participants 2009-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 10
Number of participants with account balances 2009-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2013: XIAOMING HOU, DDS, PC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	9
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	3
Total of all active and inactive participants	2013-01-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	12
Number of participants with account balances	2013-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	2
2012: XIAOMING HOU, DDS, PC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	9
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	2
Total of all active and inactive participants	2012-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	10
Number of participants with account balances	2012-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: XIAOMING HOU, DDS, PC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	9
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	2
Total of all active and inactive participants	2011-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	9
Number of participants with account balances	2011-01-01	9
2009: XIAOMING HOU, DDS, PC 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	6
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	4
Total of all active and inactive participants	2009-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	10
Number of participants with account balances	2009-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on XIAOMING HOU, DDS, PC 401(K) PLAN

Measure	Date	Value
2013 : XIAOMING HOU, DDS, PC 401(K) PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$129,003
Expenses. Total of all expenses incurred	2013-12-31	$14,060
Benefits paid (including direct rollovers)	2013-12-31	$14,060
Total plan assets at end of year	2013-12-31	$699,659
Total plan assets at beginning of year	2013-12-31	$584,716
Total contributions received or receivable from participants	2013-12-31	$45,865
Other income received	2013-12-31	$56,483
Net income (gross income less expenses)	2013-12-31	$114,943
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$699,659
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$584,716
Total contributions received or receivable from employer(s)	2013-12-31	$26,655
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : XIAOMING HOU, DDS, PC 401(K) PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$69,490
Total plan assets at end of year	2012-12-31	$584,716
Total plan assets at beginning of year	2012-12-31	$515,226
Total contributions received or receivable from participants	2012-12-31	$42,930
Other income received	2012-12-31	$88
Net income (gross income less expenses)	2012-12-31	$69,490
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$584,716
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$515,226
Total contributions received or receivable from employer(s)	2012-12-31	$26,472
2011 : XIAOMING HOU, DDS, PC 401(K) PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$70,331
Expenses. Total of all expenses incurred	2011-12-31	$30
Total plan assets at end of year	2011-12-31	$515,226
Total plan assets at beginning of year	2011-12-31	$444,925
Total contributions received or receivable from participants	2011-12-31	$43,343
Expenses. Other expenses not covered elsewhere	2011-12-31	$30
Other income received	2011-12-31	$203
Net income (gross income less expenses)	2011-12-31	$70,301
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$515,226
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$444,925
Total contributions received or receivable from employer(s)	2011-12-31	$26,785
2010 : XIAOMING HOU, DDS, PC 401(K) PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$68,115
Expenses. Total of all expenses incurred	2010-12-31	$15,512
Benefits paid (including direct rollovers)	2010-12-31	$15,512
Total plan assets at end of year	2010-12-31	$444,925
Total plan assets at beginning of year	2010-12-31	$392,322
Total contributions received or receivable from participants	2010-12-31	$43,147
Other income received	2010-12-31	$337
Net income (gross income less expenses)	2010-12-31	$52,603
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$444,925
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$392,322
Assets. Value of participant loans	2010-12-31	$188
Total contributions received or receivable from employer(s)	2010-12-31	$24,631
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : XIAOMING HOU, DDS, PC 401(K) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for XIAOMING HOU, DDS, PC 401(K) PLAN

2013: XIAOMING HOU, DDS, 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: XIAOMING HOU, DDS, 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
2011: XIAOMING HOU, DDS, PC 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: XIAOMING HOU, DDS, PC 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

Policy instance

Number of Individuals Covered	11
Insurance policy start date	2013-01-25
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $6,428
Total amount of fees paid to insurance company	USD $85
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker name	PENSYS, INC.

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Company Name:	XIAOMING HOU, DDS, PC
Employer identification number (EIN):	383597639
NAIC Classification:	621210
NAIC Description:	Offices of Dentists