401k Plan data: NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST plan

NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 401k Plan overview

Plan Name	NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST
Plan identification number	001

NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 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.
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.
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.

401k Sponsoring company profile

NORTHRIDGE DENTAL CENTER, S.C. has sponsored the creation of one or more 401k plans.

Company Name: NORTHRIDGE DENTAL CENTER, S.C.

Employer identification number (EIN): 391414167

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01 JOHN A. FITCH
001 2016-01-01 JOHN A. FITCH
001 2015-01-01 JOHN A. FITCH
001 2014-01-01 JOHN A. FITCH
001 2013-01-01 JOHN A. FITCH
001 2012-01-01 JOHN A. FITCH
001 2011-01-01 JOHN A FITCH DDS
001 2010-01-01 JOHN A FITCH DDS
001 2009-01-01 JOHN A FITCH DDS

Plan id#	Filing Submission Date	Name of Administrator
001	2017-01-01	JOHN A. FITCH
001	2016-01-01	JOHN A. FITCH
001	2015-01-01	JOHN A. FITCH
001	2014-01-01	JOHN A. FITCH
001	2013-01-01	JOHN A. FITCH
001	2012-01-01	JOHN A. FITCH
001	2011-01-01	JOHN A FITCH DDS
001	2010-01-01	JOHN A FITCH DDS
001	2009-01-01	JOHN A FITCH DDS

Plan Statistics for NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST

401k plan membership statisitcs for NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST

Measure Date Value
2017: NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year 2017-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 0
Number of participants with account balances 2017-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year 2016-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 11
Total of all active and inactive participants 2016-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 11
Number of participants with account balances 2016-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year 2015-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 11
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 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 11
Number of participants with account balances 2015-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year 2014-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 12
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 2
Total of all active and inactive participants 2014-01-01 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 14
Number of participants with account balances 2014-01-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year 2013-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 14
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 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 14
Number of participants with account balances 2013-01-01 14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 13
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 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 13
Number of participants with account balances 2012-01-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 12
Total of all active and inactive participants 2011-01-01 12
Total participants 2011-01-01 12
Number of participants with account balances 2011-01-01 12
2010: NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year 2010-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 13
Total of all active and inactive participants 2010-01-01 13
Total participants 2010-01-01 13
Number of participants with account balances 2010-01-01 13
2009: NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 13
Number of other retired or separated participants entitled to future benefits 2009-01-01 1
Total of all active and inactive participants 2009-01-01 14
Total participants 2009-01-01 14
Number of participants with account balances 2009-01-01 14

Measure	Date	Value
2017: NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year	2017-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	0
Number of participants with account balances	2017-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year	2016-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	11
Total of all active and inactive participants	2016-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	11
Number of participants with account balances	2016-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year	2015-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	11
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	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	11
Number of participants with account balances	2015-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year	2014-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	12
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	2
Total of all active and inactive participants	2014-01-01	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	14
Number of participants with account balances	2014-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year	2013-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	14
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	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	14
Number of participants with account balances	2013-01-01	14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	13
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	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	13
Number of participants with account balances	2012-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	12
Total of all active and inactive participants	2011-01-01	12
Total participants	2011-01-01	12
Number of participants with account balances	2011-01-01	12
2010: NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year	2010-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	13
Total of all active and inactive participants	2010-01-01	13
Total participants	2010-01-01	13
Number of participants with account balances	2010-01-01	13
2009: NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	13
Number of other retired or separated participants entitled to future benefits	2009-01-01	1
Total of all active and inactive participants	2009-01-01	14
Total participants	2009-01-01	14
Number of participants with account balances	2009-01-01	14

Financial Data on NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST

Measure	Date	Value
2017 : NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2017 401k financial data
Total income from all sources	2017-03-31	$14,022
Expenses. Total of all expenses incurred	2017-03-31	$559,325
Benefits paid (including direct rollovers)	2017-03-31	$558,243
Total plan assets at end of year	2017-03-31	$0
Total plan assets at beginning of year	2017-03-31	$545,303
Value of fidelity bond covering the plan	2017-03-31	$110,000
Other income received	2017-03-31	$14,022
Net income (gross income less expenses)	2017-03-31	$-545,303
Net plan assets at end of year (total assets less liabilities)	2017-03-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2017-03-31	$545,303
Expenses. Administrative service providers (salaries,fees and commissions)	2017-03-31	$1,082
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-03-31	$0
2016 : NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2016 401k financial data
Total income from all sources	2016-12-31	$77,844
Expenses. Total of all expenses incurred	2016-12-31	$1,053,070
Benefits paid (including direct rollovers)	2016-12-31	$1,051,122
Total plan assets at end of year	2016-12-31	$545,303
Total plan assets at beginning of year	2016-12-31	$1,520,529
Value of fidelity bond covering the plan	2016-12-31	$200,000
Total contributions received or receivable from participants	2016-12-31	$9,680
Other income received	2016-12-31	$49,594
Net income (gross income less expenses)	2016-12-31	$-975,226
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$545,303
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$1,520,529
Total contributions received or receivable from employer(s)	2016-12-31	$18,570
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$1,948
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
2015 : NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2015 401k financial data
Total income from all sources	2015-12-31	$-28,503
Expenses. Total of all expenses incurred	2015-12-31	$75,090
Benefits paid (including direct rollovers)	2015-12-31	$75,090
Total plan assets at end of year	2015-12-31	$1,520,529
Total plan assets at beginning of year	2015-12-31	$1,624,122
Value of fidelity bond covering the plan	2015-12-31	$200,000
Total contributions received or receivable from participants	2015-12-31	$13,780
Other income received	2015-12-31	$-58,966
Net income (gross income less expenses)	2015-12-31	$-103,593
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,520,529
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,624,122
Total contributions received or receivable from employer(s)	2015-12-31	$16,683
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2014 401k financial data
Total income from all sources	2014-12-31	$140,312
Expenses. Total of all expenses incurred	2014-12-31	$62,045
Benefits paid (including direct rollovers)	2014-12-31	$61,925
Total plan assets at end of year	2014-12-31	$1,624,122
Total plan assets at beginning of year	2014-12-31	$1,545,855
Value of fidelity bond covering the plan	2014-12-31	$200,000
Total contributions received or receivable from participants	2014-12-31	$36,428
Other income received	2014-12-31	$83,732
Net income (gross income less expenses)	2014-12-31	$78,267
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,624,122
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,545,855
Total contributions received or receivable from employer(s)	2014-12-31	$20,152
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$120
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2013 401k financial data
Total income from all sources	2013-12-31	$272,482
Expenses. Total of all expenses incurred	2013-12-31	$3,005
Total plan assets at end of year	2013-12-31	$1,545,855
Total plan assets at beginning of year	2013-12-31	$1,276,378
Value of fidelity bond covering the plan	2013-12-31	$200,000
Total contributions received or receivable from participants	2013-12-31	$43,910
Contributions received from other sources (not participants or employers)	2013-12-31	$3,498
Other income received	2013-12-31	$203,950
Net income (gross income less expenses)	2013-12-31	$269,477
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,545,855
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,276,378
Total contributions received or receivable from employer(s)	2013-12-31	$21,124
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$3,005
2012 : NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2012 401k financial data
Total income from all sources	2012-12-31	$182,979
Expenses. Total of all expenses incurred	2012-12-31	$11,451
Total plan assets at end of year	2012-12-31	$1,276,378
Total plan assets at beginning of year	2012-12-31	$1,104,850
Value of fidelity bond covering the plan	2012-12-31	$200,000
Total contributions received or receivable from participants	2012-12-31	$20,670
Other income received	2012-12-31	$141,424
Net income (gross income less expenses)	2012-12-31	$171,528
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,276,378
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,104,850
Total contributions received or receivable from employer(s)	2012-12-31	$20,885
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$11,451
2011 : NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2011 401k financial data
Total income from all sources	2011-12-31	$-8,720
Expenses. Total of all expenses incurred	2011-12-31	$57,589
Benefits paid (including direct rollovers)	2011-12-31	$46,638
Total plan assets at end of year	2011-12-31	$1,104,850
Total plan assets at beginning of year	2011-12-31	$1,171,159
Value of fidelity bond covering the plan	2011-12-31	$200,000
Total contributions received or receivable from participants	2011-12-31	$7,861
Expenses. Other expenses not covered elsewhere	2011-12-31	$10,951
Other income received	2011-12-31	$-37,331
Net income (gross income less expenses)	2011-12-31	$-66,309
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,104,850
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,171,159
Total contributions received or receivable from employer(s)	2011-12-31	$20,750
Funding deficiency by the employer to the plan for this plan year	2011-12-31	$0
Minimum employer required contribution for this plan year	2011-12-31	$0
Amount contributed by the employer to the plan for this plan year	2011-12-31	$0
2010 : NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2010 401k financial data
Total income from all sources	2010-12-31	$144,571
Expenses. Total of all expenses incurred	2010-12-31	$10,599
Benefits paid (including direct rollovers)	2010-12-31	$310
Total plan assets at end of year	2010-12-31	$1,171,159
Total plan assets at beginning of year	2010-12-31	$1,037,187
Total contributions received or receivable from participants	2010-12-31	$8,859
Expenses. Other expenses not covered elsewhere	2010-12-31	$10,289
Other income received	2010-12-31	$116,224
Net income (gross income less expenses)	2010-12-31	$133,972
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,171,159
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,037,187
Total contributions received or receivable from employer(s)	2010-12-31	$19,488
Funding deficiency by the employer to the plan for this plan year	2010-12-31	$0
Minimum employer required contribution for this plan year	2010-12-31	$0
Amount contributed by the employer to the plan for this plan year	2010-12-31	$0

Form 5500 Responses for NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST

2017: NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING 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
2010: NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: NORTHRIDGE DENTAL CENTER, S.C. 401(K) PROFIT SHARING 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

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

108933

Policy instance

Insurance contract or identification number	108933
Number of Individuals Covered	11
Insurance policy start date	2016-01-01
Insurance policy end date	2016-12-31
Total amount of commissions paid to insurance broker	USD $3,133
Total amount of fees paid to insurance company	USD $632
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,133
Insurance broker organization code?	7
Amount paid for insurance broker fees	632
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker name	PPG RETIREMENT PLAN SERVICES, LTD.

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

Policy contract number

108933

Policy instance

Insurance contract or identification number	108933
Number of Individuals Covered	11
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $6,391
Total amount of fees paid to insurance company	USD $802
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,391
Insurance broker organization code?	7
Amount paid for insurance broker fees	802
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker name	PPG RETIREMENT PLAN SERVICES, LTD.

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

Policy contract number

108933

Policy instance

Insurance contract or identification number	108933
Number of Individuals Covered	12
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $6,304
Total amount of fees paid to insurance company	USD $923
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,304
Insurance broker organization code?	7
Amount paid for insurance broker fees	923
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker name	PPG RETIREMENT PLAN SERVICES, LTD.

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

Policy contract number

108933

Policy instance

Insurance contract or identification number	108933
Number of Individuals Covered	14
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $13,247
Total amount of fees paid to insurance company	USD $3,017
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $13,247
Insurance broker organization code?	7
Amount paid for insurance broker fees	3017
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker name	PPG RETIREMENT PLAN SERVICES, LTD.

Potentially related plans

NORTHRIDGE DENTAL GROUP 401(K) PLAN [EIN = 954851964]

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Company Name:	NORTHRIDGE DENTAL CENTER, S.C.
Employer identification number (EIN):	391414167
NAIC Classification:	621210
NAIC Description:	Offices of Dentists