401k Plan data: CHRISTOPHER H. BROWN, B.S.D., D.D.S., P.A. PROFIT SHARING PLAN AND TRUST plan

CHRISTOPHER H. BROWN, B.S.D., D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 401k Plan overview

Plan Name	CHRISTOPHER H. BROWN, B.S.D., D.D.S., P.A. PROFIT SHARING PLAN AND TRUST
Plan identification number	003

CHRISTOPHER H. BROWN, B.S.D., D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 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
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.
Life insurance

401k Sponsoring company profile

CHRISTOPHER H. BROWN, B.S.D., D.D.S., P.A. has sponsored the creation of one or more 401k plans.

Company Name: CHRISTOPHER H. BROWN, B.S.D., D.D.S., P.A.

Employer identification number (EIN): 561801617

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHRISTOPHER H. BROWN, B.S.D., D.D.S., P.A. PROFIT SHARING PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2022-01-01
003 2021-01-01 CHRISTOPHER BROWN 2022-10-04 CHRISTOPHER BROWN 2022-10-04
003 2020-01-01 SHARON C. THRONEBURG 2021-09-01 SHARON C. THRONEBURG 2021-09-01
003 2019-01-01 SHARON C. THRONEBURG 2020-08-26 SHARON C. THRONEBURG 2020-08-26
003 2018-01-01 SHARON THRONEBURG 2019-10-04 SHARON THRONEBURG 2019-10-04
003 2017-01-01 CHRISTOPHER BROWN 2018-10-03 CHRISTOPHER BROWN 2018-10-03
003 2016-01-01 CHRISTOPHER BROWN 2017-08-31 CHRISTOPHER BROWN 2017-08-31
003 2015-01-01
003 2014-01-01 CHRISTOPHER H. BROWN
003 2013-01-01 CHRISTOPHER H. BROWN
003 2012-01-01 CHRISTOPHER H. BROWN
003 2011-01-01 CHRISTOPHER H. BROWN
003 2010-01-01 CHRISTOPHER H. BROWN 2011-05-16

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
003	2022-01-01
003	2021-01-01	CHRISTOPHER BROWN	2022-10-04	CHRISTOPHER BROWN	2022-10-04
003	2020-01-01	SHARON C. THRONEBURG	2021-09-01	SHARON C. THRONEBURG	2021-09-01
003	2019-01-01	SHARON C. THRONEBURG	2020-08-26	SHARON C. THRONEBURG	2020-08-26
003	2018-01-01	SHARON THRONEBURG	2019-10-04	SHARON THRONEBURG	2019-10-04
003	2017-01-01	CHRISTOPHER BROWN	2018-10-03	CHRISTOPHER BROWN	2018-10-03
003	2016-01-01	CHRISTOPHER BROWN	2017-08-31	CHRISTOPHER BROWN	2017-08-31
003	2015-01-01
003	2014-01-01	CHRISTOPHER H. BROWN
003	2013-01-01	CHRISTOPHER H. BROWN
003	2012-01-01	CHRISTOPHER H. BROWN
003	2011-01-01	CHRISTOPHER H. BROWN
003	2010-01-01	CHRISTOPHER H. BROWN	2011-05-16

Plan Statistics for CHRISTOPHER H. BROWN, B.S.D., D.D.S., P.A. PROFIT SHARING PLAN AND TRUST

401k plan membership statisitcs for CHRISTOPHER H. BROWN, B.S.D., D.D.S., P.A. PROFIT SHARING PLAN AND TRUST

Measure Date Value
2015: CHRISTOPHER H. BROWN, B.S.D., D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year 2015-01-01 31
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 26
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 4
Total of all active and inactive participants 2015-01-01 30
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 30
Number of participants with account balances 2015-01-01 30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 2
2014: CHRISTOPHER H. BROWN, B.S.D., D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year 2014-01-01 30
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 24
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 5
Total of all active and inactive participants 2014-01-01 29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 29
Number of participants with account balances 2014-01-01 29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 3
2013: CHRISTOPHER H. BROWN, B.S.D., D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year 2013-01-01 31
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 28
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 1
Total of all active and inactive participants 2013-01-01 29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 29
Number of participants with account balances 2013-01-01 29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: CHRISTOPHER H. BROWN, B.S.D., D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 27
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 27
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 29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 29
Number of participants with account balances 2012-01-01 29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 1
2011: CHRISTOPHER H. BROWN, B.S.D., D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 27
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 23
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 23
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 23
Number of participants with account balances 2011-01-01 23
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 1

Measure	Date	Value
2015: CHRISTOPHER H. BROWN, B.S.D., D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year	2015-01-01	31
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	26
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	4
Total of all active and inactive participants	2015-01-01	30
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	30
Number of participants with account balances	2015-01-01	30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	2
2014: CHRISTOPHER H. BROWN, B.S.D., D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year	2014-01-01	30
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	24
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	5
Total of all active and inactive participants	2014-01-01	29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	29
Number of participants with account balances	2014-01-01	29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	3
2013: CHRISTOPHER H. BROWN, B.S.D., D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year	2013-01-01	31
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	28
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	1
Total of all active and inactive participants	2013-01-01	29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	29
Number of participants with account balances	2013-01-01	29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: CHRISTOPHER H. BROWN, B.S.D., D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	27
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	27
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	29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	29
Number of participants with account balances	2012-01-01	29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	1
2011: CHRISTOPHER H. BROWN, B.S.D., D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	27
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	23
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	23
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	23
Number of participants with account balances	2011-01-01	23
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	1

Financial Data on CHRISTOPHER H. BROWN, B.S.D., D.D.S., P.A. PROFIT SHARING PLAN AND TRUST

Measure	Date	Value
2015 : CHRISTOPHER H. BROWN, B.S.D., D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2015 401k financial data
Transfers to/from the plan	2015-12-31	$0
Total plan liabilities at end of year	2015-12-31	$0
Total plan liabilities at beginning of year	2015-12-31	$0
Total income from all sources	2015-12-31	$-213,076
Expenses. Total of all expenses incurred	2015-12-31	$53,558
Benefits paid (including direct rollovers)	2015-12-31	$46,388
Total plan assets at end of year	2015-12-31	$861,692
Total plan assets at beginning of year	2015-12-31	$1,128,326
Value of fidelity bond covering the plan	2015-12-31	$400,000
Total contributions received or receivable from participants	2015-12-31	$0
Expenses. Other expenses not covered elsewhere	2015-12-31	$0
Contributions received from other sources (not participants or employers)	2015-12-31	$0
Other income received	2015-12-31	$-329,287
Noncash contributions received	2015-12-31	$0
Net income (gross income less expenses)	2015-12-31	$-266,634
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$861,692
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,128,326
Total contributions received or receivable from employer(s)	2015-12-31	$116,211
Value of certain deemed distributions of participant loans	2015-12-31	$0
Value of corrective distributions	2015-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$7,170
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : CHRISTOPHER H. BROWN, B.S.D., D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
Total plan liabilities at end of year	2014-12-31	$0
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$124,685
Expenses. Total of all expenses incurred	2014-12-31	$39,431
Benefits paid (including direct rollovers)	2014-12-31	$32,714
Total plan assets at end of year	2014-12-31	$1,128,326
Total plan assets at beginning of year	2014-12-31	$1,043,072
Value of fidelity bond covering the plan	2014-12-31	$389,000
Total contributions received or receivable from participants	2014-12-31	$0
Expenses. Other expenses not covered elsewhere	2014-12-31	$0
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$12,632
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$85,254
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,128,326
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,043,072
Total contributions received or receivable from employer(s)	2014-12-31	$112,053
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$6,717
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : CHRISTOPHER H. BROWN, B.S.D., D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2013 401k financial data
Total plan liabilities at end of year	2013-12-31	$0
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$-104,731
Expenses. Total of all expenses incurred	2013-12-31	$20,165
Benefits paid (including direct rollovers)	2013-12-31	$11,706
Total plan assets at end of year	2013-12-31	$1,043,072
Total plan assets at beginning of year	2013-12-31	$1,167,968
Value of fidelity bond covering the plan	2013-12-31	$389,000
Total contributions received or receivable from participants	2013-12-31	$0
Expenses. Other expenses not covered elsewhere	2013-12-31	$0
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$-221,264
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$-124,896
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,043,072
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,167,968
Total contributions received or receivable from employer(s)	2013-12-31	$116,533
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$8,459
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : CHRISTOPHER H. BROWN, B.S.D., D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$181,516
Expenses. Total of all expenses incurred	2012-12-31	$12,368
Benefits paid (including direct rollovers)	2012-12-31	$737
Total plan assets at end of year	2012-12-31	$1,167,968
Total plan assets at beginning of year	2012-12-31	$998,820
Value of fidelity bond covering the plan	2012-12-31	$389,000
Total contributions received or receivable from participants	2012-12-31	$0
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$67,055
Noncash contributions received	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$169,148
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,167,968
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$998,820
Total contributions received or receivable from employer(s)	2012-12-31	$114,461
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$11,631
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : CHRISTOPHER H. BROWN, B.S.D., D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2011 401k financial data
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$-131,607
Expenses. Total of all expenses incurred	2011-12-31	$50,369
Benefits paid (including direct rollovers)	2011-12-31	$34,479
Total plan assets at end of year	2011-12-31	$998,820
Total plan assets at beginning of year	2011-12-31	$1,180,796
Value of fidelity bond covering the plan	2011-12-31	$150,000
Total contributions received or receivable from participants	2011-12-31	$0
Expenses. Other expenses not covered elsewhere	2011-12-31	$0
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-229,987
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$-181,976
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$998,820
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,180,796
Total contributions received or receivable from employer(s)	2011-12-31	$98,380
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$15,890
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0

Form 5500 Responses for CHRISTOPHER H. BROWN, B.S.D., D.D.S., P.A. PROFIT SHARING PLAN AND TRUST

2015: CHRISTOPHER H. BROWN, B.S.D., D.D.S., P.A. 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: CHRISTOPHER H. BROWN, B.S.D., D.D.S., P.A. 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: CHRISTOPHER H. BROWN, B.S.D., D.D.S., P.A. 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: CHRISTOPHER H. BROWN, B.S.D., D.D.S., P.A. 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 – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: CHRISTOPHER H. BROWN, B.S.D., D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 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 funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

6103379

Policy instance

Insurance contract or identification number	6103379
Number of Individuals Covered	1
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Are there contracts with allocated funds for individual policies?	Yes
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

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

6103379

Policy instance

Insurance contract or identification number	6103379
Number of Individuals Covered	1
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Are there contracts with allocated funds for individual policies?	Yes
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

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Company Name:	CHRISTOPHER H. BROWN, B.S.D., D.D.S., P.A.
Employer identification number (EIN):	561801617
NAIC Classification:	621210
NAIC Description:	Offices of Dentists