401k Plan data: XIAOMING HOU, DDS, PC DEFINED BENEFIT PENSION PLAN plan

XIAOMING HOU, DDS, PC DEFINED BENEFIT PENSION PLAN 401k Plan overview

Plan Name	XIAOMING HOU, DDS, PC DEFINED BENEFIT PENSION PLAN
Plan identification number	002

XIAOMING HOU, DDS, PC DEFINED BENEFIT PENSION PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily pay related
Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).
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 DEFINED BENEFIT PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2017-01-01 XIAOMING HOU, DDS 2017-08-17
002 2016-01-01 XIAOMING HOU 2017-05-09
002 2015-01-01 XIAOMING HOU 2016-06-03
002 2014-01-01 XIAOMING HOU 2015-10-05
002 2013-01-01 XIAOMING HOU
002 2012-01-01 XIAOMING HOU
002 2011-01-01 XIAOMING HOU
002 2009-01-01 XIAOMING HOU

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2017-01-01	XIAOMING HOU, DDS	2017-08-17
002	2016-01-01	XIAOMING HOU	2017-05-09
002	2015-01-01	XIAOMING HOU	2016-06-03
002	2014-01-01	XIAOMING HOU	2015-10-05
002	2013-01-01	XIAOMING HOU
002	2012-01-01	XIAOMING HOU
002	2011-01-01	XIAOMING HOU
002	2009-01-01	XIAOMING HOU

Plan Statistics for XIAOMING HOU, DDS, PC DEFINED BENEFIT PENSION PLAN

401k plan membership statisitcs for XIAOMING HOU, DDS, PC DEFINED BENEFIT PENSION PLAN

Measure Date Value
2013: XIAOMING HOU, DDS, PC DEFINED BENEFIT PENSION PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 11
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 0
Total of all active and inactive participants 2013-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 11
2012: XIAOMING HOU, DDS, PC DEFINED BENEFIT PENSION PLAN 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 1
Total of all active and inactive participants 2012-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 9
Number of participants with account balances 2012-01-01 0
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 DEFINED BENEFIT PENSION PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 8
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 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 8
Number of participants with account balances 2011-01-01 0
2009: XIAOMING HOU, DDS, PC DEFINED BENEFIT PENSION PLAN 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 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 0
Total of all active and inactive participants 2009-01-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 6
Number of participants with account balances 2009-01-01 0

Measure	Date	Value
2013: XIAOMING HOU, DDS, PC DEFINED BENEFIT PENSION PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	11
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	0
Total of all active and inactive participants	2013-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	11
2012: XIAOMING HOU, DDS, PC DEFINED BENEFIT PENSION PLAN 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	1
Total of all active and inactive participants	2012-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	9
Number of participants with account balances	2012-01-01	0
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 DEFINED BENEFIT PENSION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	8
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	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	8
Number of participants with account balances	2011-01-01	0
2009: XIAOMING HOU, DDS, PC DEFINED BENEFIT PENSION PLAN 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	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	0
Total of all active and inactive participants	2009-01-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	6
Number of participants with account balances	2009-01-01	0

Financial Data on XIAOMING HOU, DDS, PC DEFINED BENEFIT PENSION PLAN

Measure	Date	Value
2013 : XIAOMING HOU, DDS, PC DEFINED BENEFIT PENSION PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$161,769
Expenses. Total of all expenses incurred	2013-12-31	$8,423
Benefits paid (including direct rollovers)	2013-12-31	$8,408
Total plan assets at end of year	2013-12-31	$920,864
Total plan assets at beginning of year	2013-12-31	$767,518
Expenses. Other expenses not covered elsewhere	2013-12-31	$15
Other income received	2013-12-31	$-6,231
Net income (gross income less expenses)	2013-12-31	$153,346
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$920,864
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$767,518
Total contributions received or receivable from employer(s)	2013-12-31	$168,000
2012 : XIAOMING HOU, DDS, PC DEFINED BENEFIT PENSION PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$250,066
Total plan assets at end of year	2012-12-31	$767,518
Total plan assets at beginning of year	2012-12-31	$517,452
Other income received	2012-12-31	$66
Net income (gross income less expenses)	2012-12-31	$250,066
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$767,518
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$517,452
Total contributions received or receivable from employer(s)	2012-12-31	$250,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : XIAOMING HOU, DDS, PC DEFINED BENEFIT PENSION PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$175,039
Expenses. Total of all expenses incurred	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$517,452
Total plan assets at beginning of year	2011-12-31	$342,413
Other income received	2011-12-31	$39
Net income (gross income less expenses)	2011-12-31	$175,039
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$517,452
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$342,413
Total contributions received or receivable from employer(s)	2011-12-31	$175,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : XIAOMING HOU, DDS, PC DEFINED BENEFIT PENSION PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$105,365
Expenses. Total of all expenses incurred	2010-12-31	$0
Total plan assets at end of year	2010-12-31	$342,413
Total plan assets at beginning of year	2010-12-31	$237,048
Other income received	2010-12-31	$217
Net income (gross income less expenses)	2010-12-31	$105,365
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$342,413
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$237,048
Total contributions received or receivable from employer(s)	2010-12-31	$105,148
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 DEFINED BENEFIT PENSION 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 DEFINED BENEFIT PENSION PLAN

2013: XIAOMING HOU, DDS, PC DEFINED BENEFIT PENSION 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 DEFINED BENEFIT PENSION 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 DEFINED BENEFIT PENSION 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 – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: XIAOMING HOU, DDS, PC DEFINED BENEFIT PENSION 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 – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	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

700064

Policy instance

Insurance contract or identification number	700064
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $7,675
Total amount of fees paid to insurance company	USD $2,433
Commission paid to Insurance Broker	USD $7,675
Insurance broker organization code?	7
Amount paid for insurance broker fees	2433
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