401k Plan data: DENTAL HEALTH CORP OF MEMPHIS 401 K PROFIT SHARING PLAN TRUST plan

DENTAL HEALTH CORP OF MEMPHIS 401 K PROFIT SHARING PLAN TRUST 401k Plan overview

Plan Name	DENTAL HEALTH CORP OF MEMPHIS 401 K PROFIT SHARING PLAN TRUST
Plan identification number	001

DENTAL HEALTH CORP OF MEMPHIS 401 K PROFIT SHARING PLAN 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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

DENTAL HEALTH CORP OF MEMPHIS has sponsored the creation of one or more 401k plans.

Company Name: DENTAL HEALTH CORP OF MEMPHIS

Employer identification number (EIN): 621479482

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DENTAL HEALTH CORP OF MEMPHIS 401 K PROFIT SHARING PLAN TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2019-01-01
001 2018-01-01 HELEN COPELAND 2019-07-31
001 2016-01-01 VINCENT COPELAND 2017-07-28
001 2015-01-01 VINCENT H COPELAND 2016-07-22
001 2014-01-01 VINCENT COPELAND 2015-05-14
001 2013-01-01 VINCENT H. COPELAND 2014-06-11
001 2012-01-01 DENTAL HEALTH CORP OF MEMPHIS 2013-07-18
001 2011-01-01 DENTAL HEALTH CORP OF MEMPHIS 2012-08-28

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2019-01-01
001	2018-01-01	HELEN COPELAND	2019-07-31
001	2016-01-01	VINCENT COPELAND	2017-07-28
001	2015-01-01	VINCENT H COPELAND	2016-07-22
001	2014-01-01	VINCENT COPELAND	2015-05-14
001	2013-01-01	VINCENT H. COPELAND	2014-06-11
001	2012-01-01	DENTAL HEALTH CORP OF MEMPHIS	2013-07-18
001	2011-01-01	DENTAL HEALTH CORP OF MEMPHIS	2012-08-28

Plan Statistics for DENTAL HEALTH CORP OF MEMPHIS 401 K PROFIT SHARING PLAN TRUST

401k plan membership statisitcs for DENTAL HEALTH CORP OF MEMPHIS 401 K PROFIT SHARING PLAN TRUST

Measure Date Value
2019: DENTAL HEALTH CORP OF MEMPHIS 401 K PROFIT SHARING PLAN TRUST 2019 401k membership
Total participants, beginning-of-year 2019-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 12
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 1
Total of all active and inactive participants 2019-01-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 13
Number of participants with account balances 2019-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0

Measure	Date	Value
2019: DENTAL HEALTH CORP OF MEMPHIS 401 K PROFIT SHARING PLAN TRUST 2019 401k membership
Total participants, beginning-of-year	2019-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	12
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	1
Total of all active and inactive participants	2019-01-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	13
Number of participants with account balances	2019-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0

Financial Data on DENTAL HEALTH CORP OF MEMPHIS 401 K PROFIT SHARING PLAN TRUST

Measure	Date	Value
2019 : DENTAL HEALTH CORP OF MEMPHIS 401 K PROFIT SHARING PLAN TRUST 2019 401k financial data
Transfers to/from the plan	2019-12-31	$0
Total plan liabilities at end of year	2019-12-31	$0
Total plan liabilities at beginning of year	2019-12-31	$0
Total income from all sources	2019-12-31	$216,785
Expenses. Total of all expenses incurred	2019-12-31	$10,943
Benefits paid (including direct rollovers)	2019-12-31	$0
Total plan assets at end of year	2019-12-31	$1,095,428
Total plan assets at beginning of year	2019-12-31	$889,586
Value of fidelity bond covering the plan	2019-12-31	$100,000
Total contributions received or receivable from participants	2019-12-31	$37,554
Expenses. Other expenses not covered elsewhere	2019-12-31	$0
Contributions received from other sources (not participants or employers)	2019-12-31	$0
Other income received	2019-12-31	$166,468
Noncash contributions received	2019-12-31	$0
Net income (gross income less expenses)	2019-12-31	$205,842
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$1,095,428
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$889,586
Assets. Value of participant loans	2019-12-31	$0
Total contributions received or receivable from employer(s)	2019-12-31	$12,763
Value of certain deemed distributions of participant loans	2019-12-31	$0
Value of corrective distributions	2019-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$10,943
2010 : DENTAL HEALTH CORP OF MEMPHIS 401 K PROFIT SHARING PLAN TRUST 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$94,790
Expenses. Total of all expenses incurred	2010-12-31	$1,372
Benefits paid (including direct rollovers)	2010-12-31	$1,332
Total plan assets at end of year	2010-12-31	$407,183
Total plan assets at beginning of year	2010-12-31	$313,765
Value of fidelity bond covering the plan	2010-12-31	$20,000
Total contributions received or receivable from participants	2010-12-31	$22,913
Expenses. Other expenses not covered elsewhere	2010-12-31	$0
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$58,157
Net income (gross income less expenses)	2010-12-31	$93,418
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$407,183
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$313,765
Assets. Value of participant loans	2010-12-31	$11,916
Total contributions received or receivable from employer(s)	2010-12-31	$13,720
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$40
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
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 DENTAL HEALTH CORP OF MEMPHIS 401 K PROFIT SHARING PLAN TRUST

2019: DENTAL HEALTH CORP OF MEMPHIS 401 K PROFIT SHARING PLAN TRUST 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

Insurance Providers Used on plan

COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )

Policy contract number

E7650153

Policy instance

Insurance contract or identification number	E7650153
Number of Individuals Covered	3
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $1,155
Total amount of fees paid to insurance company	USD $12
Are there contracts with allocated funds for individual policies?	0
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	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
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
Commission paid to Insurance Broker	USD $7
Additional information about fees paid to insurance broker	PRODUCER
Insurance broker organization code?	3

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Company Name:	DENTAL HEALTH CORP OF MEMPHIS
Employer identification number (EIN):	621479482
NAIC Classification:	621210
NAIC Description:	Offices of Dentists