401k Plan data: WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION PLAN plan

WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION PLAN 401k Plan overview

Plan Name	WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION PLAN
Plan identification number	003

WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION PLAN Benefits

401k Plan Type	Defined Benefit Pension
Plan Features/Benefits	Benefits are primarily pay related

401k Sponsoring company profile

WILFRED A. MYASAKI, D.M.D., INC. has sponsored the creation of one or more 401k plans.

Company Name: WILFRED A. MYASAKI, D.M.D., INC.

Employer identification number (EIN): 990201445

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2017-01-01 WILFRED A. MIYASAKI
003 2016-01-01 WILFRED A. MIYASAKI
003 2016-01-01 WILFRED A. MIYASAKI
003 2015-01-01 WILFRED A. MIYASAKI
003 2014-01-01 WILFRED A. MIYASAKI
003 2013-01-01 WILFRED A. MIYASAKI
003 2012-01-01 WILFRED A. MIYASAKI
003 2011-01-01 WILFRED A. MIYASAKI
003 2010-01-01 WILFRED A. MIYASAKI
003 2009-01-01 WILFRED A. MIYASAKI

Plan id#	Filing Submission Date	Name of Administrator
003	2017-01-01	WILFRED A. MIYASAKI
003	2016-01-01	WILFRED A. MIYASAKI
003	2016-01-01	WILFRED A. MIYASAKI
003	2015-01-01	WILFRED A. MIYASAKI
003	2014-01-01	WILFRED A. MIYASAKI
003	2013-01-01	WILFRED A. MIYASAKI
003	2012-01-01	WILFRED A. MIYASAKI
003	2011-01-01	WILFRED A. MIYASAKI
003	2010-01-01	WILFRED A. MIYASAKI
003	2009-01-01	WILFRED A. MIYASAKI

Plan Statistics for WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION PLAN

401k plan membership statisitcs for WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION PLAN

Measure Date Value
2017: WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 0
Number of participants with account balances 2017-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION PLAN 2016 401k membership
Market value of plan assets 2016-12-31 2,110,847
Acturial value of plan assets 2016-12-31 2,110,847
Funding target for retired participants and beneficiaries receiving payment 2016-12-31 0
Number of terminated vested participants 2016-12-31 0
Fundng target for terminated vested participants 2016-12-31 0
Active participant vested funding target 2016-12-31 1,986,413
Number of active participants 2016-12-31 10
Total funding liabilities for active participants 2016-12-31 1,990,972
Total participant count 2016-12-31 10
Total funding target for all participants 2016-12-31 1,990,972
Balance at beginning of prior year after applicable adjustments 2016-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2016-12-31 31,798
Carryover balanced portion elected for use to offset prior years funding requirement 2016-12-31 0
Prefunding balanced used to offset prior years funding requirement 2016-12-31 0
Amount remaining of carryover balance 2016-12-31 0
Amount remaining of prefunding balance 2016-12-31 31,798
Present value of excess contributions 2016-12-31 122,130
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2016-12-31 129,543
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2016-12-31 0
Reductions in caryover balances due to elections or deemed elections 2016-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2016-12-31 0
Balance of carryovers at beginning of current year 2016-12-31 0
Balance of prefunding at beginning of current year 2016-12-31 30,854
Total employer contributions 2016-12-31 340,000
Total employee contributions 2016-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2016-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2016-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2016-12-31 312,479
Unpaid minimum required contributions for all prior years 2016-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2016-12-31 0
Remaining amount of unpaid minimum required contributions 2016-12-31 0
Minimum required contributions for current year target normal cost 2016-12-31 179,216
Net shortfall amortization installment of oustanding balance 2016-12-31 0
Waiver amortization installment 2016-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2016-12-31 90,195
Carryover balance elected to use to offset funding requirement 2016-12-31 0
Prefunding balance elected to use to offset funding requirement 2016-12-31 0
Additional cash requirement 2016-12-31 90,195
Contributions allocatedtoward minimum required contributions for current year 2016-12-31 312,479
Unpaid minimum required contributions for current year 2016-12-31 0
Unpaid minimum required contributions for all years 2016-12-31 0
Total participants, beginning-of-year 2016-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 10
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 10
Number of participants with account balances 2016-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 7
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 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 7
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 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 7
2013: WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 7
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 0
Total of all active and inactive participants 2013-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION 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 7
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 0
Total of all active and inactive participants 2012-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 7
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 1
Total of all active and inactive participants 2011-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 8
2010: WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 7
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 1
Total of all active and inactive participants 2010-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 8
2009: WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 6
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 1
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 0
Total participants 2009-01-01 7

Measure	Date	Value
2017: WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	0
Number of participants with account balances	2017-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION PLAN 2016 401k membership
Market value of plan assets	2016-12-31	2,110,847
Acturial value of plan assets	2016-12-31	2,110,847
Funding target for retired participants and beneficiaries receiving payment	2016-12-31	0
Number of terminated vested participants	2016-12-31	0
Fundng target for terminated vested participants	2016-12-31	0
Active participant vested funding target	2016-12-31	1,986,413
Number of active participants	2016-12-31	10
Total funding liabilities for active participants	2016-12-31	1,990,972
Total participant count	2016-12-31	10
Total funding target for all participants	2016-12-31	1,990,972
Balance at beginning of prior year after applicable adjustments	2016-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2016-12-31	31,798
Carryover balanced portion elected for use to offset prior years funding requirement	2016-12-31	0
Prefunding balanced used to offset prior years funding requirement	2016-12-31	0
Amount remaining of carryover balance	2016-12-31	0
Amount remaining of prefunding balance	2016-12-31	31,798
Present value of excess contributions	2016-12-31	122,130
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2016-12-31	129,543
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2016-12-31	0
Reductions in caryover balances due to elections or deemed elections	2016-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2016-12-31	0
Balance of carryovers at beginning of current year	2016-12-31	0
Balance of prefunding at beginning of current year	2016-12-31	30,854
Total employer contributions	2016-12-31	340,000
Total employee contributions	2016-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2016-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2016-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2016-12-31	312,479
Unpaid minimum required contributions for all prior years	2016-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2016-12-31	0
Remaining amount of unpaid minimum required contributions	2016-12-31	0
Minimum required contributions for current year target normal cost	2016-12-31	179,216
Net shortfall amortization installment of oustanding balance	2016-12-31	0
Waiver amortization installment	2016-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2016-12-31	90,195
Carryover balance elected to use to offset funding requirement	2016-12-31	0
Prefunding balance elected to use to offset funding requirement	2016-12-31	0
Additional cash requirement	2016-12-31	90,195
Contributions allocatedtoward minimum required contributions for current year	2016-12-31	312,479
Unpaid minimum required contributions for current year	2016-12-31	0
Unpaid minimum required contributions for all years	2016-12-31	0
Total participants, beginning-of-year	2016-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	10
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	10
Number of participants with account balances	2016-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	7
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	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	7
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	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	7
2013: WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	7
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	0
Total of all active and inactive participants	2013-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION 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	7
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	0
Total of all active and inactive participants	2012-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	7
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	1
Total of all active and inactive participants	2011-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	8
2010: WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	7
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	1
Total of all active and inactive participants	2010-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	8
2009: WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	6
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	1
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	0
Total participants	2009-01-01	7

Financial Data on WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION PLAN

Measure	Date	Value
2017 : WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION PLAN 2017 401k financial data
Total plan liabilities at end of year	2017-12-19	$0
Total plan liabilities at beginning of year	2017-12-19	$0
Total income from all sources	2017-12-19	$249,377
Expenses. Total of all expenses incurred	2017-12-19	$4,705,904
Benefits paid (including direct rollovers)	2017-12-19	$4,602,165
Total plan assets at end of year	2017-12-19	$0
Total plan assets at beginning of year	2017-12-19	$4,456,527
Value of fidelity bond covering the plan	2017-12-19	$1,560,000
Expenses. Other expenses not covered elsewhere	2017-12-19	$100,842
Other income received	2017-12-19	$249,377
Net income (gross income less expenses)	2017-12-19	$-4,456,527
Net plan assets at end of year (total assets less liabilities)	2017-12-19	$0
Net plan assets at beginning of year (total assets less liabilities)	2017-12-19	$4,456,527
Assets. Value of participant loans	2017-12-19	$0
Assets. Value of real-estate (other than employer real property)	2017-12-19	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-19	$2,897
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-19	$2,889,865
2016 : WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION PLAN 2016 401k financial data
Total plan liabilities at end of year	2016-12-31	$0
Total plan liabilities at beginning of year	2016-12-31	$0
Total income from all sources	2016-12-31	$611,761
Expenses. Total of all expenses incurred	2016-12-31	$68,764
Total plan assets at end of year	2016-12-31	$4,456,527
Total plan assets at beginning of year	2016-12-31	$3,913,530
Value of fidelity bond covering the plan	2016-12-31	$1,560,000
Expenses. Other expenses not covered elsewhere	2016-12-31	$68,764
Other income received	2016-12-31	$271,761
Net income (gross income less expenses)	2016-12-31	$542,997
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$4,456,527
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$3,913,530
Assets. Value of participant loans	2016-12-31	$58,525
Assets. Value of real-estate (other than employer real property)	2016-12-31	$2,513,000
Total contributions received or receivable from employer(s)	2016-12-31	$340,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
2015 : WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION 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	$258,750
Expenses. Total of all expenses incurred	2015-12-31	$54,713
Total plan assets at end of year	2015-12-31	$3,913,530
Total plan assets at beginning of year	2015-12-31	$3,709,493
Value of fidelity bond covering the plan	2015-12-31	$1,560,000
Expenses. Other expenses not covered elsewhere	2015-12-31	$54,713
Other income received	2015-12-31	$88,750
Net income (gross income less expenses)	2015-12-31	$204,037
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$3,913,530
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$3,709,493
Assets. Value of participant loans	2015-12-31	$66,809
Assets. Value of real-estate (other than employer real property)	2015-12-31	$2,229,000
Total contributions received or receivable from employer(s)	2015-12-31	$170,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION 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	$384,116
Expenses. Total of all expenses incurred	2014-12-31	$29,132
Total plan assets at end of year	2014-12-31	$3,709,493
Total plan assets at beginning of year	2014-12-31	$3,354,509
Value of fidelity bond covering the plan	2014-12-31	$1,500,000
Expenses. Other expenses not covered elsewhere	2014-12-31	$29,132
Other income received	2014-12-31	$234,116
Net income (gross income less expenses)	2014-12-31	$354,984
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$3,709,493
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$3,354,509
Assets. Value of participant loans	2014-12-31	$23,737
Assets. Value of real-estate (other than employer real property)	2014-12-31	$1,560,000
Total contributions received or receivable from employer(s)	2014-12-31	$150,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION 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	$522,178
Expenses. Total of all expenses incurred	2013-12-31	$92,749
Benefits paid (including direct rollovers)	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$3,354,509
Total plan assets at beginning of year	2013-12-31	$2,925,080
Value of fidelity bond covering the plan	2013-12-31	$1,500,000
Total contributions received or receivable from participants	2013-12-31	$0
Expenses. Other expenses not covered elsewhere	2013-12-31	$92,749
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$222,178
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$429,429
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$3,354,509
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$2,925,080
Assets. Value of participant loans	2013-12-31	$29,000
Assets. Value of real-estate (other than employer real property)	2013-12-31	$1,433,000
Total contributions received or receivable from employer(s)	2013-12-31	$300,000
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION 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	$587,484
Expenses. Total of all expenses incurred	2012-12-31	$131,420
Benefits paid (including direct rollovers)	2012-12-31	$106,366
Total plan assets at end of year	2012-12-31	$2,925,080
Total plan assets at beginning of year	2012-12-31	$2,469,016
Value of fidelity bond covering the plan	2012-12-31	$1,500,000
Total contributions received or receivable from participants	2012-12-31	$0
Expenses. Other expenses not covered elsewhere	2012-12-31	$21,343
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$387,622
Noncash contributions received	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$456,064
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$2,925,080
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$2,469,016
Assets. Value of participant loans	2012-12-31	$0
Assets. Value of real-estate (other than employer real property)	2012-12-31	$1,735,000
Total contributions received or receivable from employer(s)	2012-12-31	$199,862
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$3,711
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION 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	$331,916
Expenses. Total of all expenses incurred	2011-12-31	$17,080
Benefits paid (including direct rollovers)	2011-12-31	$4,576
Total plan assets at end of year	2011-12-31	$2,469,016
Total plan assets at beginning of year	2011-12-31	$2,154,180
Value of fidelity bond covering the plan	2011-12-31	$500,000
Total contributions received or receivable from participants	2011-12-31	$0
Expenses. Other expenses not covered elsewhere	2011-12-31	$11,244
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$96,916
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$314,836
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$2,469,016
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$2,154,180
Assets. Value of participant loans	2011-12-31	$4,098
Assets. Value of real-estate (other than employer real property)	2011-12-31	$1,449,000
Total contributions received or receivable from employer(s)	2011-12-31	$235,000
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$1,260
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION 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	$475,466
Expenses. Total of all expenses incurred	2010-12-31	$28,795
Benefits paid (including direct rollovers)	2010-12-31	$0
Total plan assets at end of year	2010-12-31	$2,154,180
Total plan assets at beginning of year	2010-12-31	$1,707,509
Value of fidelity bond covering the plan	2010-12-31	$500,000
Total contributions received or receivable from participants	2010-12-31	$0
Expenses. Other expenses not covered elsewhere	2010-12-31	$26,453
Contributions received from other sources (not participants or employers)	2010-12-31	$190,145
Other income received	2010-12-31	$75,321
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$446,671
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$2,154,180
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,707,509
Assets. Value of participant loans	2010-12-31	$9,596
Assets. Value of real-estate (other than employer real property)	2010-12-31	$489,700
Total contributions received or receivable from employer(s)	2010-12-31	$210,000
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$2,342
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION 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 WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION PLAN

2017: WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION 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 – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION 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 – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION 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 – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION 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 – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION 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 – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: WILFRED A. MIYASAKI, D.M.D., INC. DEFINED BENEFIT PENSION 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

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

21286345

Policy instance

Insurance contract or identification number	21286345
Number of Individuals Covered	1
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-19
Total amount of commissions paid to insurance broker	USD $995
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	1
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $733
Insurance broker organization code?	3
Insurance broker name	FRASER GRANT DAVID

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Company Name:	WILFRED A. MYASAKI, D.M.D., INC.
Employer identification number (EIN):	990201445
NAIC Classification:	621210
NAIC Description:	Offices of Dentists