401k Plan data: GEORGE HSIEH DDS PROFIT SHARING PLAN plan

GEORGE HSIEH DDS PROFIT SHARING PLAN 401k Plan overview

Plan Name	GEORGE HSIEH DDS PROFIT SHARING PLAN
Plan identification number	002

GEORGE HSIEH DDS PROFIT SHARING PLAN 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

401k Sponsoring company profile

GEORGE HSIEH DDS has sponsored the creation of one or more 401k plans.

Company Name: GEORGE HSIEH DDS

Employer identification number (EIN): 952951416

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GEORGE HSIEH DDS PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2015-01-01 GEORGE HSIEH
002 2014-01-01 GEORGE HSIEH
002 2012-01-01 GEORGE HSIEH
002 2011-01-01 GEORGE HSIEH
002 2010-01-01 GEORGE HSIEH DDS
002 2009-01-01 GEORGE HSIEH DDS

Plan id#	Filing Submission Date	Name of Administrator
002	2015-01-01	GEORGE HSIEH
002	2014-01-01	GEORGE HSIEH
002	2012-01-01	GEORGE HSIEH
002	2011-01-01	GEORGE HSIEH
002	2010-01-01	GEORGE HSIEH DDS
002	2009-01-01	GEORGE HSIEH DDS

Plan Statistics for GEORGE HSIEH DDS PROFIT SHARING PLAN

401k plan membership statisitcs for GEORGE HSIEH DDS PROFIT SHARING PLAN

Measure Date Value
2015: GEORGE HSIEH DDS PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1
Total of all active and inactive participants 2015-01-01 0
Total participants 2015-01-01 0
Number of participants with account balances 2015-01-01 1
2014: GEORGE HSIEH DDS PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1
Total of all active and inactive participants 2014-01-01 0
Total participants 2014-01-01 0
Number of participants with account balances 2014-01-01 1
2012: GEORGE HSIEH DDS PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1
Total of all active and inactive participants 2012-01-01 1
Total participants 2012-01-01 1
Number of participants with account balances 2012-01-01 1
2011: GEORGE HSIEH DDS PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 3
Total of all active and inactive participants 2011-01-01 3
Total participants 2011-01-01 3
Number of participants with account balances 2011-01-01 7
2010: GEORGE HSIEH DDS PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 3
Number of retired or separated participants receiving benefits 2010-01-01 4
Total of all active and inactive participants 2010-01-01 7
Total participants 2010-01-01 7
Number of participants with account balances 2010-01-01 7
2009: GEORGE HSIEH DDS PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 3
Number of other retired or separated participants entitled to future benefits 2009-01-01 4
Total of all active and inactive participants 2009-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 1
Total participants 2009-01-01 8
Number of participants with account balances 2009-01-01 8

Measure	Date	Value
2015: GEORGE HSIEH DDS PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1
Total of all active and inactive participants	2015-01-01	0
Total participants	2015-01-01	0
Number of participants with account balances	2015-01-01	1
2014: GEORGE HSIEH DDS PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1
Total of all active and inactive participants	2014-01-01	0
Total participants	2014-01-01	0
Number of participants with account balances	2014-01-01	1
2012: GEORGE HSIEH DDS PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1
Total of all active and inactive participants	2012-01-01	1
Total participants	2012-01-01	1
Number of participants with account balances	2012-01-01	1
2011: GEORGE HSIEH DDS PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	3
Total of all active and inactive participants	2011-01-01	3
Total participants	2011-01-01	3
Number of participants with account balances	2011-01-01	7
2010: GEORGE HSIEH DDS PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	3
Number of retired or separated participants receiving benefits	2010-01-01	4
Total of all active and inactive participants	2010-01-01	7
Total participants	2010-01-01	7
Number of participants with account balances	2010-01-01	7
2009: GEORGE HSIEH DDS PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	3
Number of other retired or separated participants entitled to future benefits	2009-01-01	4
Total of all active and inactive participants	2009-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	1
Total participants	2009-01-01	8
Number of participants with account balances	2009-01-01	8

Financial Data on GEORGE HSIEH DDS PROFIT SHARING PLAN

Measure	Date	Value
2015 : GEORGE HSIEH DDS PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$-80,354
Expenses. Total of all expenses incurred	2015-12-31	$51,217
Benefits paid (including direct rollovers)	2015-12-31	$50,000
Total plan assets at end of year	2015-12-31	$367,402
Total plan assets at beginning of year	2015-12-31	$498,973
Expenses. Other expenses not covered elsewhere	2015-12-31	$1,217
Other income received	2015-12-31	$-80,354
Net income (gross income less expenses)	2015-12-31	$-131,571
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$367,402
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$498,973
2014 : GEORGE HSIEH DDS PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$-23,003
Expenses. Total of all expenses incurred	2014-12-31	$32,991
Benefits paid (including direct rollovers)	2014-12-31	$28,685
Total plan assets at end of year	2014-12-31	$498,973
Total plan assets at beginning of year	2014-12-31	$554,967
Expenses. Other expenses not covered elsewhere	2014-12-31	$4,306
Other income received	2014-12-31	$-23,003
Net income (gross income less expenses)	2014-12-31	$-55,994
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$498,973
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$554,967
2012 : GEORGE HSIEH DDS PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$20,417
Expenses. Total of all expenses incurred	2012-12-31	$109,351
Benefits paid (including direct rollovers)	2012-12-31	$107,160
Total plan assets at end of year	2012-12-31	$718,103
Total plan assets at beginning of year	2012-12-31	$807,037
Value of fidelity bond covering the plan	2012-12-31	$500,000
Expenses. Other expenses not covered elsewhere	2012-12-31	$2,191
Other income received	2012-12-31	$10,417
Net income (gross income less expenses)	2012-12-31	$-88,934
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$718,103
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$807,037
Total contributions received or receivable from employer(s)	2012-12-31	$10,000
2011 : GEORGE HSIEH DDS PROFIT SHARING PLAN 2011 401k financial data
Total plan liabilities at beginning of year	2011-12-31	$963
Total income from all sources	2011-12-31	$53,012
Expenses. Total of all expenses incurred	2011-12-31	$40,129
Benefits paid (including direct rollovers)	2011-12-31	$34,037
Total plan assets at end of year	2011-12-31	$807,037
Total plan assets at beginning of year	2011-12-31	$795,117
Value of fidelity bond covering the plan	2011-12-31	$250,000
Expenses. Other expenses not covered elsewhere	2011-12-31	$6,092
Other income received	2011-12-31	$30,012
Net income (gross income less expenses)	2011-12-31	$12,883
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$807,037
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$794,154
Total contributions received or receivable from employer(s)	2011-12-31	$23,000
2010 : GEORGE HSIEH DDS PROFIT SHARING PLAN 2010 401k financial data
Total plan liabilities at end of year	2010-12-31	$963
Total income from all sources	2010-12-31	$286,017
Expenses. Total of all expenses incurred	2010-12-31	$32,842
Benefits paid (including direct rollovers)	2010-12-31	$31,460
Total plan assets at end of year	2010-12-31	$795,117
Total plan assets at beginning of year	2010-12-31	$540,979
Value of fidelity bond covering the plan	2010-12-31	$228,000
Assets. Value of tangible personal property	2010-12-31	$454,493
Expenses. Other expenses not covered elsewhere	2010-12-31	$1,382
Other income received	2010-12-31	$263,032
Net income (gross income less expenses)	2010-12-31	$253,175
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$794,154
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$540,979
Total contributions received or receivable from employer(s)	2010-12-31	$22,985

Form 5500 Responses for GEORGE HSIEH DDS PROFIT SHARING PLAN

2015: GEORGE HSIEH DDS PROFIT SHARING PLAN 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 – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: GEORGE HSIEH DDS PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2012: GEORGE HSIEH DDS PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: GEORGE HSIEH DDS PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: GEORGE HSIEH DDS PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: GEORGE HSIEH DDS PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	GEORGE HSIEH DDS
Employer identification number (EIN):	952951416
NAIC Classification:	621210
NAIC Description:	Offices of Dentists