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T. DAVID PULLIAM, D.D.S., P.A. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameT. DAVID PULLIAM, D.D.S., P.A. 401(K) PROFIT SHARING PLAN
Plan identification number 001

T. DAVID PULLIAM, D.D.S., P.A. 401(K) PROFIT SHARING PLAN Benefits

401k Plan TypeDefined 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.
  • Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

T. DAVID PULLIAM, D. D. S. , P. A. has sponsored the creation of one or more 401k plans.

Company Name:T. DAVID PULLIAM, D. D. S. , P. A.
Employer identification number (EIN):592058064
NAIC Classification:621210
NAIC Description:Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan T. DAVID PULLIAM, D.D.S., P.A. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012016-01-01T. DAVID PULLIAM2016-11-17 T DAVID PULLIAM2016-11-17
0012015-01-01T. DAVID PULLIAM2016-09-22
0012014-01-01T. DAVID PULLIAM2015-07-28
0012013-01-01T. DAVID PULLIAM
0012012-01-01T. DAVID PULLIAM
0012011-01-01T. DAVID PULLIAM
0012009-01-01T. DAVID PULLIAM

Plan Statistics for T. DAVID PULLIAM, D.D.S., P.A. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for T. DAVID PULLIAM, D.D.S., P.A. 401(K) PROFIT SHARING PLAN

Measure Date Value
2013: T. DAVID PULLIAM, D.D.S., P.A. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-017
Total number of active participants reported on line 7a of the Form 55002013-01-017
Number of other retired or separated participants entitled to future benefits2013-01-011
Total of all active and inactive participants2013-01-018
Total participants2013-01-018
Number of participants with account balances2013-01-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: T. DAVID PULLIAM, D.D.S., P.A. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-017
Total number of active participants reported on line 7a of the Form 55002012-01-017
Total of all active and inactive participants2012-01-017
Total participants2012-01-017
Number of participants with account balances2012-01-017
2011: T. DAVID PULLIAM, D.D.S., P.A. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-017
Total number of active participants reported on line 7a of the Form 55002011-01-017
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-017
Number of participants with account balances2011-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: T. DAVID PULLIAM, D.D.S., P.A. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-017
Total number of active participants reported on line 7a of the Form 55002009-01-017
Total of all active and inactive participants2009-01-017
Total participants2009-01-017
Number of participants with account balances2009-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on T. DAVID PULLIAM, D.D.S., P.A. 401(K) PROFIT SHARING PLAN

Measure Date Value
2013 : T. DAVID PULLIAM, D.D.S., P.A. 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total plan liabilities at end of year2013-12-31$0
Total plan liabilities at beginning of year2013-12-31$0
Total income from all sources2013-12-31$-10,075
Total plan assets at end of year2013-12-31$661,237
Total plan assets at beginning of year2013-12-31$671,312
Value of fidelity bond covering the plan2013-12-31$100,000
Total contributions received or receivable from participants2013-12-31$14,800
Other income received2013-12-31$-40,740
Net income (gross income less expenses)2013-12-31$-10,075
Net plan assets at end of year (total assets less liabilities)2013-12-31$661,237
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$671,312
Total contributions received or receivable from employer(s)2013-12-31$15,865
2012 : T. DAVID PULLIAM, D.D.S., P.A. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources2012-12-31$101,352
Expenses. Total of all expenses incurred2012-12-31$3,517
Total plan assets at end of year2012-12-31$671,312
Total plan assets at beginning of year2012-12-31$573,477
Value of fidelity bond covering the plan2012-12-31$100,000
Total contributions received or receivable from participants2012-12-31$22,500
Other income received2012-12-31$63,949
Net income (gross income less expenses)2012-12-31$97,835
Net plan assets at end of year (total assets less liabilities)2012-12-31$671,312
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$573,477
Total contributions received or receivable from employer(s)2012-12-31$14,903
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$3,517
2011 : T. DAVID PULLIAM, D.D.S., P.A. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan2011-12-31$0
Total plan liabilities at end of year2011-12-31$0
Total plan liabilities at beginning of year2011-12-31$0
Total income from all sources2011-12-31$-7,169
Expenses. Total of all expenses incurred2011-12-31$2,591
Total plan assets at end of year2011-12-31$573,477
Total plan assets at beginning of year2011-12-31$583,237
Value of fidelity bond covering the plan2011-12-31$100,000
Other income received2011-12-31$-20,168
Net income (gross income less expenses)2011-12-31$-9,760
Net plan assets at end of year (total assets less liabilities)2011-12-31$573,477
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$583,237
Total contributions received or receivable from employer(s)2011-12-31$12,999
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$2,591
2010 : T. DAVID PULLIAM, D.D.S., P.A. 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources2010-12-31$70,989
Expenses. Total of all expenses incurred2010-12-31$2,475
Total plan assets at end of year2010-12-31$583,237
Total plan assets at beginning of year2010-12-31$514,723
Value of fidelity bond covering the plan2010-12-31$100,000
Total contributions received or receivable from participants2010-12-31$22,000
Other income received2010-12-31$27,343
Net income (gross income less expenses)2010-12-31$68,514
Net plan assets at end of year (total assets less liabilities)2010-12-31$583,237
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$514,723
Assets. Value of assets in partnership/joint-venture interests2010-12-31$0
Total contributions received or receivable from employer(s)2010-12-31$21,646
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$2,475

Form 5500 Responses for T. DAVID PULLIAM, D.D.S., P.A. 401(K) PROFIT SHARING PLAN

2013: T. DAVID PULLIAM, D.D.S., P.A. 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: T. DAVID PULLIAM, D.D.S., P.A. 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: T. DAVID PULLIAM, D.D.S., P.A. 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: T. DAVID PULLIAM, D.D.S., P.A. 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

ALLIANZ LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number21271425
Policy instance 2
Insurance contract or identification number21271425
Number of Individuals Covered1
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Are there contracts with allocated funds for individual policies?Yes
Insurance broker organization code?4
Insurance broker nameCHARLES O'KELLEY, CFP, CHFC
LINCOLN BENEFIT LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 65595 )
Policy contract numberLBCA083852
Policy instance 4
Insurance contract or identification numberLBCA083852
Number of Individuals Covered1
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Are there contracts with allocated funds for individual policies?Yes
Insurance broker organization code?4
Insurance broker nameCHARLES O'KELLEY, CFP, CHFC
LINCOLN BENEFIT LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 65595 )
Policy contract numberLBCA083851
Policy instance 3
Insurance contract or identification numberLBCA083851
Number of Individuals Covered1
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Are there contracts with allocated funds for individual policies?Yes
Insurance broker organization code?4
Insurance broker nameCHARLES O'KELLEY, CFP, CHFC
ALLIANZ LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number21271414
Policy instance 1
Insurance contract or identification number21271414
Number of Individuals Covered1
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Are there contracts with allocated funds for individual policies?Yes
Insurance broker organization code?4
Insurance broker nameCHARLES O'KELLEY, CFP, CHFC
ALLIANZ LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number21271414
Policy instance 1
Insurance contract or identification number21271414
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerN/A
Insurance broker organization code?4
Insurance broker nameCHARLES O'KELLEY, CFP, CHFC
LINCOLN BENEFIT LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 65595 )
Policy contract numberLBCA083852
Policy instance 4
Insurance contract or identification numberLBCA083852
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerN/A
Insurance broker organization code?4
Insurance broker nameCHARLES O'KELLEY, CFP, CHFC
LINCOLN BENEFIT LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 65595 )
Policy contract numberLBCA083851
Policy instance 3
Insurance contract or identification numberLBCA083851
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerN/A
Insurance broker organization code?4
Insurance broker nameCHARLES O'KELLEY, CFP, CHFC
ALLIANZ LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number21271425
Policy instance 2
Insurance contract or identification number21271425
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerN/A
Insurance broker organization code?4
Insurance broker nameCHARLES O'KELLEY, CFP, CHFC
LINCOLN BENEFIT LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 65595 )
Policy contract numberLBCA083851
Policy instance 3
Insurance contract or identification numberLBCA083851
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANZ LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number21271425
Policy instance 2
Insurance contract or identification number21271425
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANZ LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number21271414
Policy instance 1
Insurance contract or identification number21271414
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LINCOLN BENEFIT LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 65595 )
Policy contract numberLBCA083852
Policy instance 4
Insurance contract or identification numberLBCA083852
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LINCOLN BENEFIT LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 65595 )
Policy contract numberLBCA083852
Policy instance 4
Insurance contract or identification numberLBCA083852
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LINCOLN BENEFIT LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 65595 )
Policy contract numberLBCA083851
Policy instance 3
Insurance contract or identification numberLBCA083851
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANZ LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number21271425
Policy instance 2
Insurance contract or identification number21271425
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANZ LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number21271414
Policy instance 1
Insurance contract or identification number21271414
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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