401k Plan data: PREMIERE DENTAL CARE, INC. DB PLAN plan

PREMIERE DENTAL CARE, INC. DB PLAN 401k Plan overview

Plan Name	PREMIERE DENTAL CARE, INC. DB PLAN
Plan identification number	001

PREMIERE DENTAL CARE, INC. DB PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).
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
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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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

PREMIERE DENTAL CARE, INC. has sponsored the creation of one or more 401k plans.

Company Name: PREMIERE DENTAL CARE, INC.

Employer identification number (EIN): 954465021

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PREMIERE DENTAL CARE, INC. DB PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01
001 2016-01-01
001 2015-01-01 HAI TAN TU
001 2015-01-01
001 2014-01-01 HAI TAN TU
001 2014-01-01
001 2013-01-01
001 2012-01-01 YASUHIRO MATSUMURA 2013-10-12 YASUHIRO MATSUMURA 2013-10-12
001 2011-01-01 YASUHIRO MATSUMURA 2012-10-06 YASUHIRO MATSUMURA 2012-10-06
001 2010-01-01 YASUHIRO MATSUMURA 2011-10-15 YASUHIRO MATSUMURA 2011-10-15
001 2009-01-01 YASUHIRO MATSUMURA YASUHIRO MATSUMURA 2010-10-14
001 2009-01-01 HAI TAN TU

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01
001	2021-01-01
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01
001	2016-01-01
001	2015-01-01	HAI TAN TU
001	2015-01-01
001	2014-01-01	HAI TAN TU
001	2014-01-01
001	2013-01-01
001	2012-01-01	YASUHIRO MATSUMURA	2013-10-12	YASUHIRO MATSUMURA	2013-10-12
001	2011-01-01	YASUHIRO MATSUMURA	2012-10-06	YASUHIRO MATSUMURA	2012-10-06
001	2010-01-01	YASUHIRO MATSUMURA	2011-10-15	YASUHIRO MATSUMURA	2011-10-15
001	2009-01-01	YASUHIRO MATSUMURA		YASUHIRO MATSUMURA	2010-10-14
001	2009-01-01	HAI TAN TU

Plan Statistics for PREMIERE DENTAL CARE, INC. DB PLAN

401k plan membership statisitcs for PREMIERE DENTAL CARE, INC. DB PLAN

Measure Date Value
2015: PREMIERE DENTAL CARE, INC. DB PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 4
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: PREMIERE DENTAL CARE, INC. DB PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 4
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 0
Total of all active and inactive participants 2014-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2009: PREMIERE DENTAL CARE, INC. DB PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 4
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 0
Total of all active and inactive participants 2009-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 4
Number of participants with account balances 2009-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2015: PREMIERE DENTAL CARE, INC. DB PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	4
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: PREMIERE DENTAL CARE, INC. DB PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	4
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	0
Total of all active and inactive participants	2014-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2009: PREMIERE DENTAL CARE, INC. DB PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	4
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	0
Total of all active and inactive participants	2009-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	4
Number of participants with account balances	2009-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on PREMIERE DENTAL CARE, INC. DB PLAN

Measure	Date	Value
2015 : PREMIERE DENTAL CARE, INC. DB PLAN 2015 401k financial data
Total plan liabilities at end of year	2015-12-31	$0
Total plan liabilities at beginning of year	2015-12-31	$0
Total income from all sources	2015-12-31	$36
Expenses. Total of all expenses incurred	2015-12-31	$0
Total plan assets at end of year	2015-12-31	$133,369
Total plan assets at beginning of year	2015-12-31	$133,333
Other income received	2015-12-31	$36
Net income (gross income less expenses)	2015-12-31	$36
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$133,369
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$133,333
2014 : PREMIERE DENTAL CARE, INC. DB PLAN 2014 401k financial data
Total plan liabilities at end of year	2014-12-31	$0
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$-10,963
Expenses. Total of all expenses incurred	2014-12-31	$0
Total plan assets at end of year	2014-12-31	$133,333
Total plan assets at beginning of year	2014-12-31	$144,296
Other income received	2014-12-31	$-10,963
Net income (gross income less expenses)	2014-12-31	$-10,963
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$133,333
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$144,296
2013 : PREMIERE DENTAL CARE, INC. DB PLAN 2013 401k financial data
Total plan liabilities at end of year	2013-12-31	$0
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$26,346
Expenses. Total of all expenses incurred	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$144,296
Total plan assets at beginning of year	2013-12-31	$117,950
Other income received	2013-12-31	$26,346
Net income (gross income less expenses)	2013-12-31	$26,346
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$144,296
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$117,950
2012 : PREMIERE DENTAL CARE, INC. DB PLAN 2012 401k financial data
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$6,703
Expenses. Total of all expenses incurred	2012-12-31	$0
Total plan assets at end of year	2012-12-31	$117,950
Total plan assets at beginning of year	2012-12-31	$111,247
Other income received	2012-12-31	$6,703
Net income (gross income less expenses)	2012-12-31	$6,703
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$117,950
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$111,247
2011 : PREMIERE DENTAL CARE, INC. DB PLAN 2011 401k financial data
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$-10,502
Expenses. Total of all expenses incurred	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$111,247
Total plan assets at beginning of year	2011-12-31	$121,749
Other income received	2011-12-31	$-10,502
Net income (gross income less expenses)	2011-12-31	$-10,502
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$111,247
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$121,749
2010 : PREMIERE DENTAL CARE, INC. DB PLAN 2010 401k financial data
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	$7,160
Expenses. Total of all expenses incurred	2010-12-31	$0
Total plan assets at end of year	2010-12-31	$121,749
Total plan assets at beginning of year	2010-12-31	$114,589
Other income received	2010-12-31	$7,160
Net income (gross income less expenses)	2010-12-31	$7,160
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$121,749
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$114,589

Form 5500 Responses for PREMIERE DENTAL CARE, INC. DB PLAN

2015: PREMIERE DENTAL CARE, INC. DB 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: PREMIERE DENTAL CARE, INC. DB 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 – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2009: PREMIERE DENTAL CARE, INC. DB 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 – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	PREMIERE DENTAL CARE, INC.
Employer identification number (EIN):	954465021
NAIC Classification:	621210
NAIC Description:	Offices of Dentists