401k Plan data: CSRA ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN plan

CSRA ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	CSRA ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN
Plan identification number	001

CSRA ENDODONTICS, LLC 401(K) PROFIT SHARING 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.
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

CSRA ENDODONTICS, LLC has sponsored the creation of one or more 401k plans.

Company Name: CSRA ENDODONTICS, LLC

Employer identification number (EIN): 465714599

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Additional information about CSRA ENDODONTICS, LLC

Jurisdiction of Incorporation: Georgia Department of States Corporations Division

Incorporation Date:

Company Identification Number: 1940713

More information about CSRA ENDODONTICS, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CSRA ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01 BRIAN OLSON BRIAN OLSON 2019-06-19
001 2017-01-01 BRIAN OLSON BRIAN OLSON 2018-09-21

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01
001	2021-01-01
001	2020-01-01
001	2019-01-01
001	2018-01-01	BRIAN OLSON	BRIAN OLSON	2019-06-19
001	2017-01-01	BRIAN OLSON	BRIAN OLSON	2018-09-21

Plan Statistics for CSRA ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for CSRA ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN

Measure Date Value
2022: CSRA ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 4
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 3
Total of all active and inactive participants 2022-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 7
Number of participants with account balances 2022-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: CSRA ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 4
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 3
Total of all active and inactive participants 2021-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 7
Number of participants with account balances 2021-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: CSRA ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 4
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 3
Total of all active and inactive participants 2020-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 7
Number of participants with account balances 2020-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: CSRA ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 5
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 2
Total of all active and inactive participants 2019-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 7
Number of participants with account balances 2019-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: CSRA ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 5
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 2
Total of all active and inactive participants 2018-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 7
Number of participants with account balances 2018-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: CSRA ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 5
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 2
Total of all active and inactive participants 2017-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 7
Number of participants with account balances 2017-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0

Measure	Date	Value
2022: CSRA ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	4
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	3
Total of all active and inactive participants	2022-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	7
Number of participants with account balances	2022-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: CSRA ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	4
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	3
Total of all active and inactive participants	2021-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	7
Number of participants with account balances	2021-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: CSRA ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	4
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	3
Total of all active and inactive participants	2020-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	7
Number of participants with account balances	2020-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: CSRA ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	5
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	2
Total of all active and inactive participants	2019-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	7
Number of participants with account balances	2019-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: CSRA ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	5
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	2
Total of all active and inactive participants	2018-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	7
Number of participants with account balances	2018-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: CSRA ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	5
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	2
Total of all active and inactive participants	2017-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	7
Number of participants with account balances	2017-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0

Financial Data on CSRA ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2022 : CSRA ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN 2022 401k financial data
Total income from all sources	2022-12-31	$-147,230
Expenses. Total of all expenses incurred	2022-12-31	$6,085
Total plan assets at end of year	2022-12-31	$1,100,083
Total plan assets at beginning of year	2022-12-31	$1,253,398
Total contributions received or receivable from participants	2022-12-31	$34,450
Other income received	2022-12-31	$-191,987
Net income (gross income less expenses)	2022-12-31	$-153,315
Net plan assets at end of year (total assets less liabilities)	2022-12-31	$1,100,083
Net plan assets at beginning of year (total assets less liabilities)	2022-12-31	$1,253,398
Total contributions received or receivable from employer(s)	2022-12-31	$10,307
Expenses. Administrative service providers (salaries,fees and commissions)	2022-12-31	$6,085
2021 : CSRA ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN 2021 401k financial data
Total income from all sources	2021-12-31	$173,472
Expenses. Total of all expenses incurred	2021-12-31	$6,212
Total plan assets at end of year	2021-12-31	$1,253,398
Total plan assets at beginning of year	2021-12-31	$1,086,138
Total contributions received or receivable from participants	2021-12-31	$33,600
Other income received	2021-12-31	$129,153
Net income (gross income less expenses)	2021-12-31	$167,260
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$1,253,398
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$1,086,138
Assets. Value of participant loans	2021-12-31	$107
Total contributions received or receivable from employer(s)	2021-12-31	$10,719
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$6,212
2020 : CSRA ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources	2020-12-31	$129,461
Expenses. Total of all expenses incurred	2020-12-31	$5,350
Total plan assets at end of year	2020-12-31	$1,086,138
Total plan assets at beginning of year	2020-12-31	$962,027
Total contributions received or receivable from participants	2020-12-31	$35,200
Other income received	2020-12-31	$83,069
Net income (gross income less expenses)	2020-12-31	$124,111
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$1,086,138
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$962,027
Assets. Value of participant loans	2020-12-31	$1,194
Total contributions received or receivable from employer(s)	2020-12-31	$11,192
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$5,350
2019 : CSRA ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources	2019-12-31	$179,685
Expenses. Total of all expenses incurred	2019-12-31	$5,101
Total plan assets at end of year	2019-12-31	$962,027
Total plan assets at beginning of year	2019-12-31	$787,443
Total contributions received or receivable from participants	2019-12-31	$30,707
Other income received	2019-12-31	$133,717
Net income (gross income less expenses)	2019-12-31	$174,584
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$962,027
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$787,443
Assets. Value of participant loans	2019-12-31	$3,969
Total contributions received or receivable from employer(s)	2019-12-31	$15,261
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$5,101
2018 : CSRA ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$-47,050
Expenses. Total of all expenses incurred	2018-12-31	$4,635
Total plan assets at end of year	2018-12-31	$787,443
Total plan assets at beginning of year	2018-12-31	$839,128
Total contributions received or receivable from participants	2018-12-31	$10,520
Other income received	2018-12-31	$-62,584
Net income (gross income less expenses)	2018-12-31	$-51,685
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$787,443
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$839,128
Total contributions received or receivable from employer(s)	2018-12-31	$5,014
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$4,635
2017 : CSRA ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$163,929
Expenses. Total of all expenses incurred	2017-12-31	$4,110
Total plan assets at end of year	2017-12-31	$839,128
Total plan assets at beginning of year	2017-12-31	$679,309
Total contributions received or receivable from participants	2017-12-31	$58,773
Other income received	2017-12-31	$93,502
Net income (gross income less expenses)	2017-12-31	$159,819
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$839,128
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$679,309
Total contributions received or receivable from employer(s)	2017-12-31	$11,654
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$4,110

Form 5500 Responses for CSRA ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN

2022: CSRA ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: CSRA ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: CSRA ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: CSRA ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: CSRA ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: CSRA ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN 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	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes

Potentially related plans

CSRA ENDODONTICS, LLC 401(K) PROFIT SHARING PLAN LLC 401(K) PROFIT SHARING [EIN = 455714599]

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Company Name:	CSRA ENDODONTICS, LLC
Employer identification number (EIN):	465714599
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Jurisdiction of Incorporation:	Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number:	1940713