401k Plan data: ROBERT A. HILLER, D.M.D., LTD. PROFIT SHARING PLAN plan

ROBERT A. HILLER, D.M.D., LTD. PROFIT SHARING PLAN 401k Plan overview

Plan Name	ROBERT A. HILLER, D.M.D., LTD. PROFIT SHARING PLAN
Plan identification number	001

ROBERT A. HILLER, D.M.D., LTD. PROFIT SHARING 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.

401k Sponsoring company profile

ROBERT A. HILLER, D.M.D., LTD. has sponsored the creation of one or more 401k plans.

Company Name: ROBERT A. HILLER, D.M.D., LTD.

Employer identification number (EIN): 030352499

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ROBERT A. HILLER, D.M.D., LTD. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2020-01-01 EDITH B. HILLER 2021-09-15
001 2019-01-01 EDITH B. HILLER 2020-09-30
001 2018-01-01 EDITH B. HILLER 2019-10-09
001 2017-01-01 EDITH B. HILLER 2018-10-10
001 2016-01-01 EDITH B. HILLER
001 2015-01-01 EDITH B. HILLER
001 2014-01-01 EDITH B. HILLER
001 2013-01-01 PENNY BOUSQUET
001 2012-01-01 PENNY BOUSQUET
001 2011-01-01 PENNY MCCOY-BOUSQUET
001 2010-01-01 GERMAINE LEVERETTE
001 2009-01-01 PENNY BOUSQUET

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2020-01-01	EDITH B. HILLER	2021-09-15
001	2019-01-01	EDITH B. HILLER	2020-09-30
001	2018-01-01	EDITH B. HILLER	2019-10-09
001	2017-01-01	EDITH B. HILLER	2018-10-10
001	2016-01-01	EDITH B. HILLER
001	2015-01-01	EDITH B. HILLER
001	2014-01-01	EDITH B. HILLER
001	2013-01-01	PENNY BOUSQUET
001	2012-01-01	PENNY BOUSQUET
001	2011-01-01	PENNY MCCOY-BOUSQUET
001	2010-01-01	GERMAINE LEVERETTE
001	2009-01-01	PENNY BOUSQUET

Plan Statistics for ROBERT A. HILLER, D.M.D., LTD. PROFIT SHARING PLAN

401k plan membership statisitcs for ROBERT A. HILLER, D.M.D., LTD. PROFIT SHARING PLAN

Measure Date Value
2016: ROBERT A. HILLER, D.M.D., LTD. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 5
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 1
Total of all active and inactive participants 2016-01-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 6
Number of participants with account balances 2016-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: ROBERT A. HILLER, D.M.D., LTD. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 8
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
Number of participants with account balances 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: ROBERT A. HILLER, D.M.D., LTD. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 9
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 1
Total of all active and inactive participants 2014-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 8
Number of participants with account balances 2014-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: ROBERT A. HILLER, D.M.D., LTD. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 8
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 1
Total of all active and inactive participants 2013-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 9
Number of participants with account balances 2013-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: ROBERT A. HILLER, D.M.D., LTD. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 8
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 1
Total of all active and inactive participants 2012-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 9
Number of participants with account balances 2012-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: ROBERT A. HILLER, D.M.D., LTD. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 9
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 0
Total of all active and inactive participants 2011-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 9
Number of participants with account balances 2011-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: ROBERT A. HILLER, D.M.D., LTD. PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 8
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 2
Total of all active and inactive participants 2010-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 10
Number of participants with account balances 2010-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: ROBERT A. HILLER, D.M.D., LTD. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 8
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 2
Total of all active and inactive participants 2009-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 10
Number of participants with account balances 2009-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2016: ROBERT A. HILLER, D.M.D., LTD. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	5
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	1
Total of all active and inactive participants	2016-01-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	6
Number of participants with account balances	2016-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: ROBERT A. HILLER, D.M.D., LTD. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	8
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
Number of participants with account balances	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: ROBERT A. HILLER, D.M.D., LTD. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	9
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	1
Total of all active and inactive participants	2014-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	8
Number of participants with account balances	2014-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: ROBERT A. HILLER, D.M.D., LTD. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	8
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	1
Total of all active and inactive participants	2013-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	9
Number of participants with account balances	2013-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: ROBERT A. HILLER, D.M.D., LTD. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	8
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	1
Total of all active and inactive participants	2012-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	9
Number of participants with account balances	2012-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: ROBERT A. HILLER, D.M.D., LTD. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	9
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	0
Total of all active and inactive participants	2011-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	9
Number of participants with account balances	2011-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: ROBERT A. HILLER, D.M.D., LTD. PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	8
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	2
Total of all active and inactive participants	2010-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	10
Number of participants with account balances	2010-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: ROBERT A. HILLER, D.M.D., LTD. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	8
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	2
Total of all active and inactive participants	2009-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	10
Number of participants with account balances	2009-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on ROBERT A. HILLER, D.M.D., LTD. PROFIT SHARING PLAN

Measure	Date	Value
2016 : ROBERT A. HILLER, D.M.D., LTD. PROFIT SHARING PLAN 2016 401k financial data
Transfers to/from the plan	2016-12-31	$0
Total plan liabilities at end of year	2016-12-31	$57
Total plan liabilities at beginning of year	2016-12-31	$0
Total income from all sources	2016-12-31	$145,277
Expenses. Total of all expenses incurred	2016-12-31	$108,492
Benefits paid (including direct rollovers)	2016-12-31	$106,845
Total plan assets at end of year	2016-12-31	$626,610
Total plan assets at beginning of year	2016-12-31	$589,768
Value of fidelity bond covering the plan	2016-12-31	$160,000
Total contributions received or receivable from participants	2016-12-31	$24,969
Expenses. Other expenses not covered elsewhere	2016-12-31	$1,524
Contributions received from other sources (not participants or employers)	2016-12-31	$0
Other income received	2016-12-31	$110,472
Noncash contributions received	2016-12-31	$0
Net income (gross income less expenses)	2016-12-31	$36,785
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$626,553
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$589,768
Assets. Value of participant loans	2016-12-31	$2,730
Assets. Value of real-estate (other than employer real property)	2016-12-31	$0
Total contributions received or receivable from employer(s)	2016-12-31	$9,836
Value of certain deemed distributions of participant loans	2016-12-31	$0
Value of corrective distributions	2016-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$123
2015 : ROBERT A. HILLER, D.M.D., LTD. PROFIT SHARING PLAN 2015 401k financial data
Transfers to/from the plan	2015-12-31	$0
Total plan liabilities at end of year	2015-12-31	$0
Total plan liabilities at beginning of year	2015-12-31	$124,360
Total income from all sources	2015-12-31	$67,195
Expenses. Total of all expenses incurred	2015-12-31	$14,563
Benefits paid (including direct rollovers)	2015-12-31	$9,083
Total plan assets at end of year	2015-12-31	$589,768
Total plan assets at beginning of year	2015-12-31	$661,496
Value of fidelity bond covering the plan	2015-12-31	$160,000
Total contributions received or receivable from participants	2015-12-31	$26,450
Expenses. Other expenses not covered elsewhere	2015-12-31	$5,280
Contributions received from other sources (not participants or employers)	2015-12-31	$0
Other income received	2015-12-31	$36,465
Noncash contributions received	2015-12-31	$0
Net income (gross income less expenses)	2015-12-31	$52,632
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$589,768
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$537,136
Assets. Value of participant loans	2015-12-31	$2,661
Assets. Value of real-estate (other than employer real property)	2015-12-31	$101,947
Total contributions received or receivable from employer(s)	2015-12-31	$4,280
Value of certain deemed distributions of participant loans	2015-12-31	$0
Value of corrective distributions	2015-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$200
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : ROBERT A. HILLER, D.M.D., LTD. PROFIT SHARING PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
Total plan liabilities at end of year	2014-12-31	$124,360
Total plan liabilities at beginning of year	2014-12-31	$143,272
Total income from all sources	2014-12-31	$99,430
Expenses. Total of all expenses incurred	2014-12-31	$70,137
Benefits paid (including direct rollovers)	2014-12-31	$58,413
Total plan assets at end of year	2014-12-31	$661,496
Total plan assets at beginning of year	2014-12-31	$651,115
Value of fidelity bond covering the plan	2014-12-31	$1,420,000
Total contributions received or receivable from participants	2014-12-31	$25,096
Expenses. Other expenses not covered elsewhere	2014-12-31	$11,424
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$64,474
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$29,293
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$537,136
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$507,843
Assets. Value of participant loans	2014-12-31	$7,574
Assets. Value of real-estate (other than employer real property)	2014-12-31	$67,047
Total contributions received or receivable from employer(s)	2014-12-31	$9,860
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$300
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : ROBERT A. HILLER, D.M.D., LTD. PROFIT SHARING PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
Total plan liabilities at end of year	2013-12-31	$143,272
Total plan liabilities at beginning of year	2013-12-31	$159,387
Total income from all sources	2013-12-31	$132,145
Expenses. Total of all expenses incurred	2013-12-31	$12,768
Benefits paid (including direct rollovers)	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$651,115
Total plan assets at beginning of year	2013-12-31	$547,853
Value of fidelity bond covering the plan	2013-12-31	$1,420,000
Total contributions received or receivable from participants	2013-12-31	$25,047
Expenses. Other expenses not covered elsewhere	2013-12-31	$12,298
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$97,208
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$119,377
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$507,843
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$388,466
Assets. Value of participant loans	2013-12-31	$12,963
Assets. Value of real-estate (other than employer real property)	2013-12-31	$143,272
Total contributions received or receivable from employer(s)	2013-12-31	$9,890
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	$470
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : ROBERT A. HILLER, D.M.D., LTD. PROFIT SHARING PLAN 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
Total plan liabilities at end of year	2012-12-31	$159,387
Total plan liabilities at beginning of year	2012-12-31	$175,914
Total income from all sources	2012-12-31	$76,488
Expenses. Total of all expenses incurred	2012-12-31	$24,778
Benefits paid (including direct rollovers)	2012-12-31	$7,251
Total plan assets at end of year	2012-12-31	$547,853
Total plan assets at beginning of year	2012-12-31	$512,670
Value of fidelity bond covering the plan	2012-12-31	$135,000
Total contributions received or receivable from participants	2012-12-31	$25,119
Expenses. Other expenses not covered elsewhere	2012-12-31	$14,393
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$41,491
Noncash contributions received	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$51,710
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$388,466
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$336,756
Assets. Value of participant loans	2012-12-31	$13,903
Assets. Value of real-estate (other than employer real property)	2012-12-31	$84,319
Total contributions received or receivable from employer(s)	2012-12-31	$9,878
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	$3,134
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : ROBERT A. HILLER, D.M.D., LTD. PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total plan liabilities at end of year	2011-12-31	$175,914
Total plan liabilities at beginning of year	2011-12-31	$190,175
Total income from all sources	2011-12-31	$30,893
Expenses. Total of all expenses incurred	2011-12-31	$33,630
Benefits paid (including direct rollovers)	2011-12-31	$13,368
Total plan assets at end of year	2011-12-31	$512,670
Total plan assets at beginning of year	2011-12-31	$529,668
Value of fidelity bond covering the plan	2011-12-31	$35,000
Total contributions received or receivable from participants	2011-12-31	$26,184
Expenses. Other expenses not covered elsewhere	2011-12-31	$15,122
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-5,463
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$-2,737
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$336,756
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$339,493
Assets. Value of participant loans	2011-12-31	$7,479
Assets. Value of real-estate (other than employer real property)	2011-12-31	$83,809
Total contributions received or receivable from employer(s)	2011-12-31	$10,172
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	$5,140
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : ROBERT A. HILLER, D.M.D., LTD. PROFIT SHARING PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total plan liabilities at end of year	2010-12-31	$190,567
Total plan liabilities at beginning of year	2010-12-31	$204,669
Total income from all sources	2010-12-31	$58,676
Expenses. Total of all expenses incurred	2010-12-31	$24,136
Benefits paid (including direct rollovers)	2010-12-31	$3,216
Total plan assets at end of year	2010-12-31	$529,374
Total plan assets at beginning of year	2010-12-31	$508,936
Value of fidelity bond covering the plan	2010-12-31	$35,000
Total contributions received or receivable from participants	2010-12-31	$26,880
Expenses. Other expenses not covered elsewhere	2010-12-31	$16,656
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$21,405
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$34,540
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$338,807
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$304,267
Assets. Value of participant loans	2010-12-31	$6,735
Assets. Value of real-estate (other than employer real property)	2010-12-31	$83,918
Total contributions received or receivable from employer(s)	2010-12-31	$10,391
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	$4,264
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : ROBERT A. HILLER, D.M.D., LTD. PROFIT SHARING 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 ROBERT A. HILLER, D.M.D., LTD. PROFIT SHARING PLAN

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

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

59918

Policy instance

Insurance contract or identification number	59918
Number of Individuals Covered	0
Insurance policy start date	2012-01-01
Insurance policy end date	2012-10-01
Total amount of commissions paid to insurance broker	USD $1,489
Total amount of fees paid to insurance company	USD $150
Are there contracts with allocated funds for individual policies?	No
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?	Yes
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
Other information about contract	GROUP ANNUITY
Commission paid to Insurance Broker	USD $1,489
Insurance broker organization code?	4
Amount paid for insurance broker fees	150
Additional information about fees paid to insurance broker	DISTRIBUTION FEES
Insurance broker name	FULL SPECTRUM RETIREMENT PLANS LLC

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

59918

Policy instance

Insurance contract or identification number	59918
Number of Individuals Covered	9
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $1,951
Total amount of fees paid to insurance company	USD $300
Are there contracts with allocated funds for types other than group deferred annuity or individual?	Yes
Other information about contract	GROUP ANNUITY

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

59918

Policy instance

Insurance contract or identification number	59918
Number of Individuals Covered	10
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $1,832
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for types other than group deferred annuity or individual?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Other information about contract	GROUP ANNUITY

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Company Name:	ROBERT A. HILLER, D.M.D., LTD.
Employer identification number (EIN):	030352499
NAIC Classification:	621210
NAIC Description:	Offices of Dentists