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| Plan Name | THOMAS C CHAMBERLIN DDS MS PROF ASSOC EMPLOYEES PROFIT-SHARING PLAN AND TRUST |
| Plan identification number | 002 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | THOMAS C CHAMBERLIN, DDS, MS, PA PROFIT-SHARING PLAN AND TRUST |
| Employer identification number (EIN): | 020354515 |
| NAIC Classification: | 621210 |
| NAIC Description: | Offices of Dentists |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 002 | 2011-12-01 | THOMAS C CHAMBERLIN | |||
| 002 | 2009-12-01 | THOMAS C CHAMBERLIN |
| Measure | Date | Value |
|---|---|---|
| 2011: THOMAS C CHAMBERLIN DDS MS PROF ASSOC EMPLOYEES PROFIT-SHARING PLAN AND TRUST 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-12-01 | 2 |
| Total of all active and inactive participants | 2011-12-01 | 0 |
| Total participants | 2011-12-01 | 0 |
| 2009: THOMAS C CHAMBERLIN DDS MS PROF ASSOC EMPLOYEES PROFIT-SHARING PLAN AND TRUST 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-12-01 | 12 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-12-01 | 11 |
| Total of all active and inactive participants | 2009-12-01 | 11 |
| Total participants | 2009-12-01 | 11 |
| Number of participants with account balances | 2009-12-01 | 11 |
| Measure | Date | Value |
|---|---|---|
| 2012 : THOMAS C CHAMBERLIN DDS MS PROF ASSOC EMPLOYEES PROFIT-SHARING PLAN AND TRUST 2012 401k financial data | ||
| Total income from all sources | 2012-11-30 | $87,110 |
| Expenses. Total of all expenses incurred | 2012-11-30 | $87,110 |
| Benefits paid (including direct rollovers) | 2012-11-30 | $87,110 |
| Total plan assets at end of year | 2012-11-30 | $0 |
| Contributions received from other sources (not participants or employers) | 2012-11-30 | $79,260 |
| Other income received | 2012-11-30 | $7,850 |
| 2011 : THOMAS C CHAMBERLIN DDS MS PROF ASSOC EMPLOYEES PROFIT-SHARING PLAN AND TRUST 2011 401k financial data | ||
| Total income from all sources | 2011-11-30 | $90,904 |
| Expenses. Total of all expenses incurred | 2011-11-30 | $3,605,290 |
| Benefits paid (including direct rollovers) | 2011-11-30 | $3,605,290 |
| Total plan assets at end of year | 2011-11-30 | $79,260 |
| Total plan assets at beginning of year | 2011-11-30 | $3,593,646 |
| Other income received | 2011-11-30 | $90,904 |
| Net income (gross income less expenses) | 2011-11-30 | $-3,514,386 |
| Net plan assets at end of year (total assets less liabilities) | 2011-11-30 | $79,260 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-11-30 | $3,593,646 |
| 2011: THOMAS C CHAMBERLIN DDS MS PROF ASSOC EMPLOYEES PROFIT-SHARING PLAN AND TRUST 2011 form 5500 responses | ||
|---|---|---|
| 2011-12-01 | Type of plan entity | Single employer plan |
| 2011-12-01 | This submission is the final filing | Yes |
| 2011-12-01 | Plan funding arrangement – Trust | Yes |
| 2011-12-01 | Plan benefit arrangement - Trust | Yes |
| 2009: THOMAS C CHAMBERLIN DDS MS PROF ASSOC EMPLOYEES PROFIT-SHARING PLAN AND TRUST 2009 form 5500 responses | ||
| 2009-12-01 | Type of plan entity | Single employer plan |
| 2009-12-01 | Plan funding arrangement – Trust | Yes |
| 2009-12-01 | Plan benefit arrangement - Trust | Yes |
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