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K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameK.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN
Plan identification number 001

K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • 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.
  • Plan covering Self-Employed individuals.
  • 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

K. O. CROSBY, D.D.S. has sponsored the creation of one or more 401k plans.

Company Name:K. O. CROSBY, D.D.S.
Employer identification number (EIN):770115035
NAIC Classification:621210
NAIC Description:Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01K.O. CROSBY, D.D.S.2023-07-11
0012021-01-01K.O. CROSBY, D.D.S.2022-07-28
0012020-01-01K.O. CROSBY, D.D.S.2021-07-26
0012019-01-01K.O. CROSBY, D.D.S.2020-07-28 K.O. CROSBY, D.D.S.2020-07-28
0012018-01-01
0012017-01-01
0012016-01-01
0012015-01-01
0012014-01-01
0012013-01-01
0012012-01-01RICHARD AUNE
0012011-01-01RICHARD AUNE
0012010-01-01RICHARD AUNE

Plan Statistics for K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN

Measure Date Value
2022: K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-017
Total number of active participants reported on line 7a of the Form 55002022-01-016
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-011
Total of all active and inactive participants2022-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-017
Number of participants with account balances2022-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-018
Total number of active participants reported on line 7a of the Form 55002021-01-015
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-011
Total of all active and inactive participants2021-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-016
Number of participants with account balances2021-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-019
Total number of active participants reported on line 7a of the Form 55002020-01-018
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-012
Total of all active and inactive participants2020-01-0110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0110
Number of participants with account balances2020-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-018
Total number of active participants reported on line 7a of the Form 55002019-01-015
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-012
Total of all active and inactive participants2019-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-017
Number of participants with account balances2019-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-019
Total number of active participants reported on line 7a of the Form 55002018-01-017
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-011
Total of all active and inactive participants2018-01-018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-018
Number of participants with account balances2018-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-019
Total number of active participants reported on line 7a of the Form 55002017-01-018
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-012
Total of all active and inactive participants2017-01-0110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0110
Number of participants with account balances2017-01-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-018
Total number of active participants reported on line 7a of the Form 55002016-01-016
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-011
Total of all active and inactive participants2016-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-017
Number of participants with account balances2016-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0110
Total number of active participants reported on line 7a of the Form 55002015-01-017
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-011
Total of all active and inactive participants2015-01-018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-018
Number of participants with account balances2015-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0111
Total number of active participants reported on line 7a of the Form 55002014-01-018
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-012
Total of all active and inactive participants2014-01-0110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0110
Number of participants with account balances2014-01-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0110
Total number of active participants reported on line 7a of the Form 55002013-01-017
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-013
Total of all active and inactive participants2013-01-0110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0110
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: K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0110
Total number of active participants reported on line 7a of the Form 55002012-01-016
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-013
Total of all active and inactive participants2012-01-019
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-019
Number of participants with account balances2012-01-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-019
Total number of active participants reported on line 7a of the Form 55002011-01-016
Number of other retired or separated participants entitled to future benefits2011-01-013
Total of all active and inactive participants2011-01-019
Total participants2011-01-019
Number of participants with account balances2011-01-018
2010: K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-018
Total number of active participants reported on line 7a of the Form 55002010-01-018
Number of other retired or separated participants entitled to future benefits2010-01-011
Total of all active and inactive participants2010-01-019
Total participants2010-01-019
Number of participants with account balances2010-01-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010

Financial Data on K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN

Measure Date Value
2022 : K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2022 401k financial data
Total income from all sources2022-12-31$-212,976
Expenses. Total of all expenses incurred2022-12-31$9,863
Benefits paid (including direct rollovers)2022-12-31$0
Total plan assets at end of year2022-12-31$1,478,773
Total plan assets at beginning of year2022-12-31$1,701,612
Value of fidelity bond covering the plan2022-12-31$200,000
Total contributions received or receivable from participants2022-12-31$36,900
Other income received2022-12-31$-260,294
Net income (gross income less expenses)2022-12-31$-222,839
Net plan assets at end of year (total assets less liabilities)2022-12-31$1,478,773
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$1,701,612
Assets. Value of assets in partnership/joint-venture interests2022-12-31$44,598
Total contributions received or receivable from employer(s)2022-12-31$10,418
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$9,863
2021 : K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2021 401k financial data
Total income from all sources2021-12-31$165,068
Expenses. Total of all expenses incurred2021-12-31$16,312
Benefits paid (including direct rollovers)2021-12-31$8,120
Total plan assets at end of year2021-12-31$1,701,612
Total plan assets at beginning of year2021-12-31$1,552,856
Value of fidelity bond covering the plan2021-12-31$200,000
Total contributions received or receivable from participants2021-12-31$31,100
Other income received2021-12-31$121,165
Net income (gross income less expenses)2021-12-31$148,756
Net plan assets at end of year (total assets less liabilities)2021-12-31$1,701,612
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$1,552,856
Assets. Value of assets in partnership/joint-venture interests2021-12-31$44,598
Total contributions received or receivable from employer(s)2021-12-31$12,803
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$8,192
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
2020 : K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources2020-12-31$155,510
Expenses. Total of all expenses incurred2020-12-31$13,590
Benefits paid (including direct rollovers)2020-12-31$6,277
Total plan assets at end of year2020-12-31$1,552,856
Total plan assets at beginning of year2020-12-31$1,410,936
Value of fidelity bond covering the plan2020-12-31$100,000
Total contributions received or receivable from participants2020-12-31$31,657
Other income received2020-12-31$110,776
Net income (gross income less expenses)2020-12-31$141,920
Net plan assets at end of year (total assets less liabilities)2020-12-31$1,552,856
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$1,410,936
Assets. Value of assets in partnership/joint-venture interests2020-12-31$44,598
Total contributions received or receivable from employer(s)2020-12-31$13,077
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$7,313
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
2019 : K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources2019-12-31$234,272
Expenses. Total of all expenses incurred2019-12-31$14,628
Benefits paid (including direct rollovers)2019-12-31$6,803
Total plan assets at end of year2019-12-31$1,410,936
Total plan assets at beginning of year2019-12-31$1,191,292
Value of fidelity bond covering the plan2019-12-31$100,000
Total contributions received or receivable from participants2019-12-31$35,992
Other income received2019-12-31$178,998
Net income (gross income less expenses)2019-12-31$219,644
Net plan assets at end of year (total assets less liabilities)2019-12-31$1,410,936
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$1,191,292
Assets. Value of assets in partnership/joint-venture interests2019-12-31$46,353
Total contributions received or receivable from employer(s)2019-12-31$19,282
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$7,825
2018 : K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources2018-12-31$-26,755
Expenses. Total of all expenses incurred2018-12-31$28,908
Benefits paid (including direct rollovers)2018-12-31$20,419
Total plan assets at end of year2018-12-31$1,191,292
Total plan assets at beginning of year2018-12-31$1,246,955
Value of fidelity bond covering the plan2018-12-31$100,000
Total contributions received or receivable from participants2018-12-31$36,851
Other income received2018-12-31$-83,686
Net income (gross income less expenses)2018-12-31$-55,663
Net plan assets at end of year (total assets less liabilities)2018-12-31$1,191,292
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$1,246,955
Assets. Value of assets in partnership/joint-venture interests2018-12-31$46,351
Total contributions received or receivable from employer(s)2018-12-31$20,080
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$8,489
2017 : K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources2017-12-31$242,852
Expenses. Total of all expenses incurred2017-12-31$12,492
Benefits paid (including direct rollovers)2017-12-31$3,821
Total plan assets at end of year2017-12-31$1,246,955
Total plan assets at beginning of year2017-12-31$1,016,595
Value of fidelity bond covering the plan2017-12-31$100,000
Total contributions received or receivable from participants2017-12-31$32,919
Other income received2017-12-31$191,697
Net income (gross income less expenses)2017-12-31$230,360
Net plan assets at end of year (total assets less liabilities)2017-12-31$1,246,955
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$1,016,595
Assets. Value of assets in partnership/joint-venture interests2017-12-31$46,352
Total contributions received or receivable from employer(s)2017-12-31$18,236
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$8,671
2016 : K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total plan liabilities at end of year2016-12-31$0
Total plan liabilities at beginning of year2016-12-31$0
Total income from all sources2016-12-31$116,905
Expenses. Total of all expenses incurred2016-12-31$23,085
Benefits paid (including direct rollovers)2016-12-31$15,757
Total plan assets at end of year2016-12-31$1,016,595
Total plan assets at beginning of year2016-12-31$922,775
Value of fidelity bond covering the plan2016-12-31$100,000
Total contributions received or receivable from participants2016-12-31$31,480
Expenses. Other expenses not covered elsewhere2016-12-31$0
Contributions received from other sources (not participants or employers)2016-12-31$0
Other income received2016-12-31$68,866
Noncash contributions received2016-12-31$0
Net income (gross income less expenses)2016-12-31$93,820
Net plan assets at end of year (total assets less liabilities)2016-12-31$1,016,595
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$922,775
Assets. Value of assets in partnership/joint-venture interests2016-12-31$46,350
Total contributions received or receivable from employer(s)2016-12-31$16,559
Value of certain deemed distributions of participant loans2016-12-31$0
Value of corrective distributions2016-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$7,328
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources2015-12-31$10,739
Expenses. Total of all expenses incurred2015-12-31$22,305
Benefits paid (including direct rollovers)2015-12-31$13,662
Total plan assets at end of year2015-12-31$922,775
Total plan assets at beginning of year2015-12-31$934,341
Value of fidelity bond covering the plan2015-12-31$100,000
Total contributions received or receivable from participants2015-12-31$31,992
Expenses. Other expenses not covered elsewhere2015-12-31$63
Other income received2015-12-31$-38,410
Net income (gross income less expenses)2015-12-31$-11,566
Net plan assets at end of year (total assets less liabilities)2015-12-31$922,775
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$934,341
Assets. Value of assets in partnership/joint-venture interests2015-12-31$46,570
Total contributions received or receivable from employer(s)2015-12-31$17,157
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$8,580
2014 : K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources2014-12-31$105,169
Expenses. Total of all expenses incurred2014-12-31$9,754
Benefits paid (including direct rollovers)2014-12-31$976
Total plan assets at end of year2014-12-31$934,341
Total plan assets at beginning of year2014-12-31$838,926
Value of fidelity bond covering the plan2014-12-31$100,000
Total contributions received or receivable from participants2014-12-31$29,542
Expenses. Other expenses not covered elsewhere2014-12-31$19
Other income received2014-12-31$59,636
Net income (gross income less expenses)2014-12-31$95,415
Net plan assets at end of year (total assets less liabilities)2014-12-31$934,341
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$838,926
Assets. Value of assets in partnership/joint-venture interests2014-12-31$46,501
Total contributions received or receivable from employer(s)2014-12-31$15,991
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$8,759
2013 : K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources2013-12-31$135,103
Expenses. Total of all expenses incurred2013-12-31$8,790
Total plan assets at end of year2013-12-31$838,926
Total plan assets at beginning of year2013-12-31$712,613
Value of fidelity bond covering the plan2013-12-31$75,000
Total contributions received or receivable from participants2013-12-31$29,901
Expenses. Other expenses not covered elsewhere2013-12-31$11
Other income received2013-12-31$89,132
Net income (gross income less expenses)2013-12-31$126,313
Net plan assets at end of year (total assets less liabilities)2013-12-31$838,926
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$712,613
Assets. Value of assets in partnership/joint-venture interests2013-12-31$46,500
Total contributions received or receivable from employer(s)2013-12-31$16,070
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$8,779
2012 : K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources2012-12-31$100,744
Expenses. Total of all expenses incurred2012-12-31$5,055
Total plan assets at end of year2012-12-31$712,613
Total plan assets at beginning of year2012-12-31$616,924
Value of fidelity bond covering the plan2012-12-31$75,000
Total contributions received or receivable from participants2012-12-31$27,542
Expenses. Other expenses not covered elsewhere2012-12-31$7
Other income received2012-12-31$58,849
Net income (gross income less expenses)2012-12-31$95,689
Net plan assets at end of year (total assets less liabilities)2012-12-31$712,613
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$616,924
Assets. Value of participant loans2012-12-31$549
Assets. Value of assets in partnership/joint-venture interests2012-12-31$46,493
Total contributions received or receivable from employer(s)2012-12-31$14,353
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$5,048
2011 : K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources2011-12-31$27,712
Expenses. Total of all expenses incurred2011-12-31$3,392
Total plan assets at end of year2011-12-31$616,924
Total plan assets at beginning of year2011-12-31$592,604
Value of fidelity bond covering the plan2011-12-31$75,000
Total contributions received or receivable from participants2011-12-31$26,739
Expenses. Other expenses not covered elsewhere2011-12-31$8
Other income received2011-12-31$-13,048
Net income (gross income less expenses)2011-12-31$24,320
Net plan assets at end of year (total assets less liabilities)2011-12-31$616,924
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$592,604
Assets. Value of participant loans2011-12-31$2,537
Assets. Value of assets in partnership/joint-venture interests2011-12-31$45,853
Total contributions received or receivable from employer(s)2011-12-31$14,021
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$3,384
2010 : K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources2010-12-31$57,660
Expenses. Total of all expenses incurred2010-12-31$2,970
Total plan assets at end of year2010-12-31$592,604
Total plan assets at beginning of year2010-12-31$537,914
Value of fidelity bond covering the plan2010-12-31$75,000
Total contributions received or receivable from participants2010-12-31$29,470
Expenses. Other expenses not covered elsewhere2010-12-31$6
Other income received2010-12-31$12,163
Net income (gross income less expenses)2010-12-31$54,690
Net plan assets at end of year (total assets less liabilities)2010-12-31$592,604
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$537,914
Assets. Value of participant loans2010-12-31$4,504
Assets. Value of assets in partnership/joint-venture interests2010-12-31$45,559
Total contributions received or receivable from employer(s)2010-12-31$16,027
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$2,964

Form 5500 Responses for K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN

2022: K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2010: K.O. CROSBY, D.D.S. 401(K) PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberE1434860
Policy instance 1
Insurance contract or identification numberE1434860
Number of Individuals Covered4
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $2,005
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 BrokerUSD $2,005
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberE1434860
Policy instance 1
Insurance contract or identification numberE1434860
Number of Individuals Covered6
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $1,735
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 BrokerUSD $1,735
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberE1434860
Policy instance 1
Insurance contract or identification numberE1434860
Number of Individuals Covered10
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $1,569
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 BrokerUSD $1,569
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberE1434860
Policy instance 1
Insurance contract or identification numberE1434860
Number of Individuals Covered7
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,508
Total amount of fees paid to insurance companyUSD $0
Commission paid to Insurance BrokerUSD $1,508
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberE1434860
Policy instance 1
Insurance contract or identification numberE1434860
Number of Individuals Covered8
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $1,300
Total amount of fees paid to insurance companyUSD $0
Commission paid to Insurance BrokerUSD $1,300
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3

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