401k Plan data: CHILDREN'S DENTAL GROUP 401(K) RETIREMENT PLAN plan

CHILDREN'S DENTAL GROUP 401(K) RETIREMENT PLAN 401k Plan overview

Plan Name	CHILDREN'S DENTAL GROUP 401(K) RETIREMENT PLAN
Plan identification number	002

CHILDREN'S DENTAL GROUP 401(K) RETIREMENT PLAN 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

SCOTT JACKS, DDS, INC. DBA CHILDRENS DENTAL GROUP has sponsored the creation of one or more 401k plans.

Company Name: SCOTT JACKS, DDS, INC. DBA CHILDRENS DENTAL GROUP

Employer identification number (EIN): 953408351

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHILDREN'S DENTAL GROUP 401(K) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2014-01-01 CHRIS SAKAMOTO
002 2013-01-01 CHRIS SAKAMOTO
002 2012-01-01 CHRIS SAKAMOTO
002 2011-01-01 CHRIS SAKAMOTO
002 2009-01-01 JOHN FEHMER

Plan id#	Filing Submission Date	Name of Administrator
002	2014-01-01	CHRIS SAKAMOTO
002	2013-01-01	CHRIS SAKAMOTO
002	2012-01-01	CHRIS SAKAMOTO
002	2011-01-01	CHRIS SAKAMOTO
002	2009-01-01	JOHN FEHMER

Plan Statistics for CHILDREN'S DENTAL GROUP 401(K) RETIREMENT PLAN

401k plan membership statisitcs for CHILDREN'S DENTAL GROUP 401(K) RETIREMENT PLAN

Measure Date Value
2014: CHILDREN'S DENTAL GROUP 401(K) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 250
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 187
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 24
Total of all active and inactive participants 2014-01-01 211
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 211
Number of participants with account balances 2014-01-01 92
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: CHILDREN'S DENTAL GROUP 401(K) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 262
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 228
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 19
Total of all active and inactive participants 2013-01-01 247
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 247
Number of participants with account balances 2013-01-01 96
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: CHILDREN'S DENTAL GROUP 401(K) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 243
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 235
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 13
Total of all active and inactive participants 2012-01-01 248
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 248
Number of participants with account balances 2012-01-01 88
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: CHILDREN'S DENTAL GROUP 401(K) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 242
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 224
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 8
Total of all active and inactive participants 2011-01-01 232
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 232
Number of participants with account balances 2011-01-01 80
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: CHILDREN'S DENTAL GROUP 401(K) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 230
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 202
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 3
Total of all active and inactive participants 2009-01-01 205
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 205
Number of participants with account balances 2009-01-01 32
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2014: CHILDREN'S DENTAL GROUP 401(K) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	250
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	187
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	24
Total of all active and inactive participants	2014-01-01	211
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	211
Number of participants with account balances	2014-01-01	92
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: CHILDREN'S DENTAL GROUP 401(K) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	262
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	228
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	19
Total of all active and inactive participants	2013-01-01	247
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	247
Number of participants with account balances	2013-01-01	96
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: CHILDREN'S DENTAL GROUP 401(K) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	243
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	235
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	13
Total of all active and inactive participants	2012-01-01	248
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	248
Number of participants with account balances	2012-01-01	88
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: CHILDREN'S DENTAL GROUP 401(K) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	242
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	224
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	8
Total of all active and inactive participants	2011-01-01	232
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	232
Number of participants with account balances	2011-01-01	80
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: CHILDREN'S DENTAL GROUP 401(K) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	230
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	202
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	3
Total of all active and inactive participants	2009-01-01	205
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	205
Number of participants with account balances	2009-01-01	32
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on CHILDREN'S DENTAL GROUP 401(K) RETIREMENT PLAN

Measure	Date	Value
2014 : CHILDREN'S DENTAL GROUP 401(K) RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total transfer of assets to this plan	2014-12-31	$67,569
Total transfer of assets from this plan	2014-12-31	$25,782
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$658,514
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$356,141
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$337,800
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$475,772
Value of total assets at end of year	2014-12-31	$3,550,461
Value of total assets at beginning of year	2014-12-31	$3,206,301
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$18,341
Total interest from all sources	2014-12-31	$2,057
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Administrative expenses professional fees incurred	2014-12-31	$18,341
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$355,046
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$370,658
Participant contributions at end of year	2014-12-31	$23,009
Participant contributions at beginning of year	2014-12-31	$44,476
Total non interest bearing cash at end of year	2014-12-31	$2,263
Total non interest bearing cash at beginning of year	2014-12-31	$6,556
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$302,373
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$3,550,461
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$3,206,301
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$3,395,552
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$2,874,013
Interest on participant loans	2014-12-31	$1,782
Interest earned on other investments	2014-12-31	$275
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$31,079
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$188,783
Net investment gain/loss from pooled separate accounts	2014-12-31	$180,685
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$105,114
Employer contributions (assets) at end of year	2014-12-31	$98,558
Employer contributions (assets) at beginning of year	2014-12-31	$92,473
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$337,800
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	LODGEN LACHER GOLDITCH SARDI SAUNDE
Accountancy firm EIN	2014-12-31	954346929
2013 : CHILDREN'S DENTAL GROUP 401(K) RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total transfer of assets to this plan	2013-12-31	$45,889
Total transfer of assets from this plan	2013-12-31	$146,929
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$792,527
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$7,301
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$4,455
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$411,841
Value of total assets at end of year	2013-12-31	$3,206,301
Value of total assets at beginning of year	2013-12-31	$2,522,115
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$2,846
Total interest from all sources	2013-12-31	$2,286
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Administrative expenses professional fees incurred	2013-12-31	$2,846
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$320,630
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$319,368
Participant contributions at end of year	2013-12-31	$44,476
Participant contributions at beginning of year	2013-12-31	$6,603
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$651
Total non interest bearing cash at end of year	2013-12-31	$6,556
Total non interest bearing cash at beginning of year	2013-12-31	$4,878
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$785,226
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$3,206,301
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$2,522,115
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$2,874,013
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$2,244,715
Interest on participant loans	2013-12-31	$1,349
Interest earned on other investments	2013-12-31	$937
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$188,783
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$185,284
Net investment gain/loss from pooled separate accounts	2013-12-31	$378,400
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$92,473
Employer contributions (assets) at end of year	2013-12-31	$92,473
Employer contributions (assets) at beginning of year	2013-12-31	$79,984
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$4,455
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	LODGEN LACHER GOLDITCH SARDI SAUNDE
Accountancy firm EIN	2013-12-31	954346929
2012 : CHILDREN'S DENTAL GROUP 401(K) RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total transfer of assets to this plan	2012-12-31	$216,966
Total transfer of assets from this plan	2012-12-31	$872
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$589,613
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$140,162
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$139,011
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$398,412
Value of total assets at end of year	2012-12-31	$2,522,115
Value of total assets at beginning of year	2012-12-31	$1,856,570
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$1,151
Total interest from all sources	2012-12-31	$1,310
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Administrative expenses professional fees incurred	2012-12-31	$1,151
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$200,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$318,428
Participant contributions at end of year	2012-12-31	$6,603
Participant contributions at beginning of year	2012-12-31	$6,802
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$651
Total non interest bearing cash at end of year	2012-12-31	$4,878
Total non interest bearing cash at beginning of year	2012-12-31	$4,878
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$449,451
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$2,522,115
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$1,856,570
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$2,244,715
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$1,608,827
Interest on participant loans	2012-12-31	$324
Interest earned on other investments	2012-12-31	$986
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$185,284
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$178,879
Net investment gain/loss from pooled separate accounts	2012-12-31	$189,891
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$79,984
Employer contributions (assets) at end of year	2012-12-31	$79,984
Employer contributions (assets) at beginning of year	2012-12-31	$57,184
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$139,011
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	LODGEN LACHER GOLDITCH SARDI SAUNDE
Accountancy firm EIN	2012-12-31	954346929
2011 : CHILDREN'S DENTAL GROUP 401(K) RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total transfer of assets to this plan	2011-12-31	$90,137
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$308,848
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$12,418
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$2,852
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$329,483
Value of total assets at end of year	2011-12-31	$1,856,570
Value of total assets at beginning of year	2011-12-31	$1,470,003
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$9,566
Total interest from all sources	2011-12-31	$1,170
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Administrative expenses professional fees incurred	2011-12-31	$9,566
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$200,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$249,284
Participant contributions at end of year	2011-12-31	$6,802
Participant contributions at beginning of year	2011-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$23,015
Other income not declared elsewhere	2011-12-31	$207
Total non interest bearing cash at end of year	2011-12-31	$4,878
Total non interest bearing cash at beginning of year	2011-12-31	$4,878
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$296,430
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$1,856,570
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$1,470,003
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$1,608,827
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$1,255,739
Interest on participant loans	2011-12-31	$112
Interest earned on other investments	2011-12-31	$1,058
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$178,879
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$174,382
Net investment gain/loss from pooled separate accounts	2011-12-31	$-22,012
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$57,184
Employer contributions (assets) at end of year	2011-12-31	$57,184
Employer contributions (assets) at beginning of year	2011-12-31	$35,004
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$2,852
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	LODGEN LACHER GOLDITCH SARDI SAUNDE
Accountancy firm EIN	2011-12-31	954346929
2010 : CHILDREN'S DENTAL GROUP 401(K) RETIREMENT PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total transfer of assets to this plan	2010-12-31	$23,913
Total transfer of assets from this plan	2010-12-31	$2,349
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$398,336
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$88,460
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$80,029
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$236,885
Value of total assets at end of year	2010-12-31	$1,470,003
Value of total assets at beginning of year	2010-12-31	$1,138,563
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$8,431
Total interest from all sources	2010-12-31	$4,428
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Administrative expenses professional fees incurred	2010-12-31	$8,419
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$200,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$197,271
Participant contributions at end of year	2010-12-31	$0
Participant contributions at beginning of year	2010-12-31	$4,841
Other income not declared elsewhere	2010-12-31	$-1
Administrative expenses (other) incurred	2010-12-31	$12
Total non interest bearing cash at end of year	2010-12-31	$4,878
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$309,876
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$1,470,003
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,138,563
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$1,255,739
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$938,990
Interest earned on other investments	2010-12-31	$4,428
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$174,382
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$163,377
Net investment gain/loss from pooled separate accounts	2010-12-31	$157,024
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$39,614
Employer contributions (assets) at end of year	2010-12-31	$35,004
Employer contributions (assets) at beginning of year	2010-12-31	$31,355
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$80,029
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	LODGEN LACHER GOLDITCH SARDI SAUNDE
Accountancy firm EIN	2010-12-31	954346929
2009 : CHILDREN'S DENTAL GROUP 401(K) RETIREMENT PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for CHILDREN'S DENTAL GROUP 401(K) RETIREMENT PLAN

2014: CHILDREN'S DENTAL GROUP 401(K) RETIREMENT PLAN 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 - Trust	Yes
2013: CHILDREN'S DENTAL GROUP 401(K) RETIREMENT PLAN 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 - Trust	Yes
2012: CHILDREN'S DENTAL GROUP 401(K) RETIREMENT PLAN 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 - Trust	Yes
2011: CHILDREN'S DENTAL GROUP 401(K) RETIREMENT PLAN 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 - Trust	Yes
2009: CHILDREN'S DENTAL GROUP 401(K) RETIREMENT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	SCOTT JACKS, DDS, INC. DBA CHILDRENS DENTAL GROUP
Employer identification number (EIN):	953408351
NAIC Classification:	621210
NAIC Description:	Offices of Dentists