401k Plan data: SOUTHERN CALIFORNIA VETERINARY DENTAL SPECIALTIES, INC. PROFIT SHARING PLAN plan

SOUTHERN CALIFORNIA VETERINARY DENTAL SPECIALTIES, INC. PROFIT SHARING PLAN 401k Plan overview

Plan Name	SOUTHERN CALIFORNIA VETERINARY DENTAL SPECIALTIES, INC. PROFIT SHARING PLAN
Plan identification number	001

SOUTHERN CALIFORNIA VETERINARY DENTAL SPECIALTIES, INC. PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.
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

SOUTHERN CALIFORNIA VETERINARY DENTAL SPECIALTIES, INC. has sponsored the creation of one or more 401k plans.

Company Name: SOUTHERN CALIFORNIA VETERINARY DENTAL SPECIALTIES, INC.

Employer identification number (EIN): 030506122

NAIC Classification: 541940
NAIC Description: Veterinary Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SOUTHERN CALIFORNIA VETERINARY DENTAL SPECIALTIES, INC. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2023-01-01 TONI NIEMIEC 2024-08-05
001 2022-01-01 TONI NIEMIEC 2023-10-12 TONI NIEMIEC 2023-10-12
001 2021-01-01 TONI NIEMIEC 2022-09-20 TONI NIEMIEC 2022-09-20
001 2020-01-01 TONI NIEMIEC 2021-10-11 TONI L. NIEMIEC 2021-10-11
001 2019-01-01 TONI NIEMIEC 2020-10-12 TONI L. NIEMIEC 2020-10-12
001 2018-01-01 TONI L. NIEMIEC 2019-10-06 TONI L. NIEMIEC 2019-10-06
001 2017-01-01 TONI NIEMIEC 2018-10-02
001 2016-01-01 TONI NIEMIEC 2017-07-19 TONI NIEMIEC 2017-07-19
001 2015-01-01 TONI NIEMIEC 2016-10-16 TONI NIEMIEC 2016-10-16
001 2014-01-01 TONI NIEMIEC 2015-07-29 TONI NIEMIEC 2015-07-29
001 2013-01-01 TONI NIEMIEC 2014-10-07 TONI NIEMIEC 2014-10-07
001 2012-01-01 TONI NIEMIEC 2013-07-30 TONI NIEMIEC 2013-07-30
001 2011-01-01 TONI NIEMIEC
001 2010-01-01 TONI NIEMIEC TONI NIEMIEC 2011-06-01
001 2009-01-01 TONI NIEMIEC TONI NIEMIEC 2010-10-12

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2023-01-01	TONI NIEMIEC	2024-08-05
001	2022-01-01	TONI NIEMIEC	2023-10-12	TONI NIEMIEC	2023-10-12
001	2021-01-01	TONI NIEMIEC	2022-09-20	TONI NIEMIEC	2022-09-20
001	2020-01-01	TONI NIEMIEC	2021-10-11	TONI L. NIEMIEC	2021-10-11
001	2019-01-01	TONI NIEMIEC	2020-10-12	TONI L. NIEMIEC	2020-10-12
001	2018-01-01	TONI L. NIEMIEC	2019-10-06	TONI L. NIEMIEC	2019-10-06
001	2017-01-01	TONI NIEMIEC	2018-10-02
001	2016-01-01	TONI NIEMIEC	2017-07-19	TONI NIEMIEC	2017-07-19
001	2015-01-01	TONI NIEMIEC	2016-10-16	TONI NIEMIEC	2016-10-16
001	2014-01-01	TONI NIEMIEC	2015-07-29	TONI NIEMIEC	2015-07-29
001	2013-01-01	TONI NIEMIEC	2014-10-07	TONI NIEMIEC	2014-10-07
001	2012-01-01	TONI NIEMIEC	2013-07-30	TONI NIEMIEC	2013-07-30
001	2011-01-01	TONI NIEMIEC
001	2010-01-01	TONI NIEMIEC		TONI NIEMIEC	2011-06-01
001	2009-01-01	TONI NIEMIEC		TONI NIEMIEC	2010-10-12

Plan Statistics for SOUTHERN CALIFORNIA VETERINARY DENTAL SPECIALTIES, INC. PROFIT SHARING PLAN

401k plan membership statisitcs for SOUTHERN CALIFORNIA VETERINARY DENTAL SPECIALTIES, INC. PROFIT SHARING PLAN

Measure Date Value
2012: SOUTHERN CALIFORNIA VETERINARY DENTAL SPECIALTIES, INC. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 6
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 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
Number of participants with account balances 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: SOUTHERN CALIFORNIA VETERINARY DENTAL SPECIALTIES, INC. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 5
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 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 6
Number of participants with account balances 2011-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 1
2010: SOUTHERN CALIFORNIA VETERINARY DENTAL SPECIALTIES, INC. PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 5
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 0
Total of all active and inactive participants 2010-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 5
Number of participants with account balances 2010-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: SOUTHERN CALIFORNIA VETERINARY DENTAL SPECIALTIES, INC. PROFIT SHARING 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
2012: SOUTHERN CALIFORNIA VETERINARY DENTAL SPECIALTIES, INC. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	6
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	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
Number of participants with account balances	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: SOUTHERN CALIFORNIA VETERINARY DENTAL SPECIALTIES, INC. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	5
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	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	6
Number of participants with account balances	2011-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	1
2010: SOUTHERN CALIFORNIA VETERINARY DENTAL SPECIALTIES, INC. PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	5
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	0
Total of all active and inactive participants	2010-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	5
Number of participants with account balances	2010-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: SOUTHERN CALIFORNIA VETERINARY DENTAL SPECIALTIES, INC. PROFIT SHARING 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 SOUTHERN CALIFORNIA VETERINARY DENTAL SPECIALTIES, INC. PROFIT SHARING PLAN

Measure	Date	Value
2012 : SOUTHERN CALIFORNIA VETERINARY DENTAL SPECIALTIES, INC. PROFIT SHARING 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	$73,002
Expenses. Total of all expenses incurred	2012-12-31	$3,026
Benefits paid (including direct rollovers)	2012-12-31	$0
Total plan assets at end of year	2012-12-31	$346,602
Total plan assets at beginning of year	2012-12-31	$276,626
Total contributions received or receivable from participants	2012-12-31	$0
Expenses. Other expenses not covered elsewhere	2012-12-31	$0
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$7,606
Net income (gross income less expenses)	2012-12-31	$69,976
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$346,602
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$276,626
Total contributions received or receivable from employer(s)	2012-12-31	$65,396
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	$3,026
2011 : SOUTHERN CALIFORNIA VETERINARY DENTAL SPECIALTIES, INC. 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	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$57,987
Expenses. Total of all expenses incurred	2011-12-31	$2,405
Benefits paid (including direct rollovers)	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$276,626
Total plan assets at beginning of year	2011-12-31	$221,044
Total contributions received or receivable from participants	2011-12-31	$0
Expenses. Other expenses not covered elsewhere	2011-12-31	$0
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-2,537
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$55,582
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$276,626
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$221,044
Total contributions received or receivable from employer(s)	2011-12-31	$60,524
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	$2,405
2010 : SOUTHERN CALIFORNIA VETERINARY DENTAL SPECIALTIES, INC. 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	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$64,086
Expenses. Total of all expenses incurred	2010-12-31	$0
Benefits paid (including direct rollovers)	2010-12-31	$0
Total plan assets at end of year	2010-12-31	$221,044
Total plan assets at beginning of year	2010-12-31	$156,958
Total contributions received or receivable from participants	2010-12-31	$0
Expenses. Other expenses not covered elsewhere	2010-12-31	$0
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$4,870
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$64,086
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$221,044
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$156,958
Total contributions received or receivable from employer(s)	2010-12-31	$59,216
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	$0

Form 5500 Responses for SOUTHERN CALIFORNIA VETERINARY DENTAL SPECIALTIES, INC. PROFIT SHARING PLAN

2012: SOUTHERN CALIFORNIA VETERINARY DENTAL SPECIALTIES, INC. 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: SOUTHERN CALIFORNIA VETERINARY DENTAL SPECIALTIES, INC. 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: SOUTHERN CALIFORNIA VETERINARY DENTAL SPECIALTIES, INC. 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: SOUTHERN CALIFORNIA VETERINARY DENTAL SPECIALTIES, INC. 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

79383

Policy instance

Insurance contract or identification number	79383
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $1,320
Total amount of fees paid to insurance company	USD $228
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?	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
Commission paid to Insurance Broker	USD $1,320
Insurance broker organization code?	3
Amount paid for insurance broker fees	228
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker name	BENETECH, INC.

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

Policy contract number

79383

Policy instance

Insurance contract or identification number	79383
Number of Individuals Covered	6
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $1,026
Total amount of fees paid to insurance company	USD $7
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?	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

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

Policy contract number

79383

Policy instance

Insurance contract or identification number	79383
Number of Individuals Covered	5
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $715
Total amount of fees paid to insurance company	USD $68
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?	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
Commission paid to Insurance Broker	USD $715
Insurance broker organization code?	3
Amount paid for insurance broker fees	68
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker name	BENETECH, INC.

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Company Name:	SOUTHERN CALIFORNIA VETERINARY DENTAL SPECIALTIES, INC.
Employer identification number (EIN):	030506122
NAIC Classification:	541940
NAIC Description:	Veterinary Services