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GENTLE DENTAL ASSOCIATES, LLC 401(K) PLAN 401k Plan overview

Plan NameGENTLE DENTAL ASSOCIATES, LLC 401(K) PLAN
Plan identification number 001

GENTLE DENTAL ASSOCIATES, LLC 401(K) PLAN Benefits

401k Plan TypeDefined 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.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

GENTLE DENTAL ASSOCIATES, LLC has sponsored the creation of one or more 401k plans.

Company Name:GENTLE DENTAL ASSOCIATES, LLC
Employer identification number (EIN):043339875
NAIC Classification:621210
NAIC Description:Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GENTLE DENTAL ASSOCIATES, LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012017-01-01KIM STALEY KIM STALEY2018-10-12
0012016-01-01DONNA SIMONDS DONNA SIMONDS2017-10-12
0012015-01-012016-10-04
0012015-01-01DONNA SIMONDS DONNA SIMONDS2016-10-04
0012014-01-01DONNA SIMONDS DONNA SIMONDS2015-10-12
0012013-01-01DONNA SIMONDS DONNA SIMONDS2014-10-14
0012012-01-01DONNA SIMONDS DONNA SIMONDS2013-10-08
0012011-01-01DONNA SIMONDS
0012009-01-012010-07-23
0012009-01-01DONNA SIMONDS DONNA SIMONDS2010-07-23
0012009-01-01DONNA SIMONDS DONNA SIMONDS2010-07-23

Plan Statistics for GENTLE DENTAL ASSOCIATES, LLC 401(K) PLAN

401k plan membership statisitcs for GENTLE DENTAL ASSOCIATES, LLC 401(K) PLAN

Measure Date Value
2017: GENTLE DENTAL ASSOCIATES, LLC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01510
Total number of active participants reported on line 7a of the Form 55002017-01-01485
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0144
Total of all active and inactive participants2017-01-01529
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-011
Total participants2017-01-01530
Number of participants with account balances2017-01-01331
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: GENTLE DENTAL ASSOCIATES, LLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01375
Total number of active participants reported on line 7a of the Form 55002016-01-01454
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0156
Total of all active and inactive participants2016-01-01510
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01510
Number of participants with account balances2016-01-01284
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: GENTLE DENTAL ASSOCIATES, LLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01343
Total number of active participants reported on line 7a of the Form 55002015-01-01314
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0161
Total of all active and inactive participants2015-01-01375
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01375
Number of participants with account balances2015-01-01215
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: GENTLE DENTAL ASSOCIATES, LLC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01310
Total number of active participants reported on line 7a of the Form 55002014-01-01319
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0124
Total of all active and inactive participants2014-01-01343
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01343
Number of participants with account balances2014-01-01201
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: GENTLE DENTAL ASSOCIATES, LLC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01161
Total number of active participants reported on line 7a of the Form 55002013-01-01300
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0110
Total of all active and inactive participants2013-01-01310
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01310
Number of participants with account balances2013-01-01188
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-012
2012: GENTLE DENTAL ASSOCIATES, LLC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01163
Total number of active participants reported on line 7a of the Form 55002012-01-01149
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0112
Total of all active and inactive participants2012-01-01161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01161
Number of participants with account balances2012-01-01159
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: GENTLE DENTAL ASSOCIATES, LLC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01165
Total number of active participants reported on line 7a of the Form 55002011-01-01149
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0114
Total of all active and inactive participants2011-01-01163
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01163
Number of participants with account balances2011-01-01161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: GENTLE DENTAL ASSOCIATES, LLC 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01162
Total number of active participants reported on line 7a of the Form 55002009-01-01155
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0117
Total of all active and inactive participants2009-01-01172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01172
Number of participants with account balances2009-01-01170
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on GENTLE DENTAL ASSOCIATES, LLC 401(K) PLAN

Measure Date Value
2017 : GENTLE DENTAL ASSOCIATES, LLC 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$3,811,555
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$1,150,829
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,123,490
Value of total corrective distributions2017-12-31$21,839
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,526,763
Value of total assets at end of year2017-12-31$15,819,751
Value of total assets at beginning of year2017-12-31$13,159,025
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$5,500
Total interest from all sources2017-12-31$19,700
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31Yes
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$1,385,972
Participant contributions at end of year2017-12-31$95,101
Participant contributions at beginning of year2017-12-31$124,825
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$140,791
Other income not declared elsewhere2017-12-31$1,032
Administrative expenses (other) incurred2017-12-31$5,500
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$2,660,726
Value of net assets at end of year (total assets less liabilities)2017-12-31$15,819,751
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$13,159,025
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$14,374,298
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$11,714,416
Interest on participant loans2017-12-31$6,449
Interest earned on other investments2017-12-31$13,251
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$1,350,352
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$1,319,784
Net investment gain/loss from pooled separate accounts2017-12-31$2,264,060
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$1,123,490
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31Yes
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31BLUM, SHAPIRO & COMPANY PC
Accountancy firm EIN2017-12-31061009205
2016 : GENTLE DENTAL ASSOCIATES, LLC 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$2,102,967
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$1,290,958
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$1,277,007
Value of total corrective distributions2016-12-31$11,351
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,157,476
Value of total assets at end of year2016-12-31$13,159,025
Value of total assets at beginning of year2016-12-31$12,347,016
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$2,600
Total interest from all sources2016-12-31$21,914
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$1,144,323
Participant contributions at end of year2016-12-31$124,825
Participant contributions at beginning of year2016-12-31$126,683
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$13,153
Other income not declared elsewhere2016-12-31$134
Administrative expenses (other) incurred2016-12-31$2,600
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$812,009
Value of net assets at end of year (total assets less liabilities)2016-12-31$13,159,025
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$12,347,016
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$11,714,416
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$10,703,667
Interest on participant loans2016-12-31$7,383
Interest earned on other investments2016-12-31$14,531
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$1,319,784
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$1,516,666
Net investment gain/loss from pooled separate accounts2016-12-31$923,443
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$1,277,007
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31BLUM, SHAPIRO & COMPANY PC
Accountancy firm EIN2016-12-31061009205
2015 : GENTLE DENTAL ASSOCIATES, LLC 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$918,214
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$457,176
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$455,026
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,068,329
Value of total assets at end of year2015-12-31$12,347,016
Value of total assets at beginning of year2015-12-31$11,885,978
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$2,150
Total interest from all sources2015-12-31$24,494
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$1,068,329
Participant contributions at end of year2015-12-31$126,683
Participant contributions at beginning of year2015-12-31$213,890
Other income not declared elsewhere2015-12-31$482
Administrative expenses (other) incurred2015-12-31$2,150
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$461,038
Value of net assets at end of year (total assets less liabilities)2015-12-31$12,347,016
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$11,885,978
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$10,703,667
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$10,074,818
Interest on participant loans2015-12-31$9,433
Interest earned on other investments2015-12-31$15,061
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$1,516,666
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$1,597,270
Net investment gain/loss from pooled separate accounts2015-12-31$-175,091
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$455,026
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31GRANT THORNTON LLP
Accountancy firm EIN2015-12-31366055558
2014 : GENTLE DENTAL ASSOCIATES, LLC 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$1,520,205
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$74,951
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$73,401
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$953,611
Value of total assets at end of year2014-12-31$11,885,978
Value of total assets at beginning of year2014-12-31$10,440,724
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$1,550
Total interest from all sources2014-12-31$24,525
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$953,611
Participant contributions at end of year2014-12-31$213,890
Participant contributions at beginning of year2014-12-31$167,601
Other income not declared elsewhere2014-12-31$103
Administrative expenses (other) incurred2014-12-31$1,550
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$1,445,254
Value of net assets at end of year (total assets less liabilities)2014-12-31$11,885,978
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$10,440,724
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$10,074,818
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$8,893,922
Interest on participant loans2014-12-31$10,962
Interest earned on other investments2014-12-31$13,563
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$1,597,270
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$1,379,201
Net investment gain/loss from pooled separate accounts2014-12-31$541,966
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$73,401
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31GRANT THORNTON LLP
Accountancy firm EIN2014-12-31366055558
2013 : GENTLE DENTAL ASSOCIATES, LLC 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$2,337,453
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$993,838
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$937,791
Expenses. Certain deemed distributions of participant loans2013-12-31$95
Value of total corrective distributions2013-12-31$53,102
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$887,611
Value of total assets at end of year2013-12-31$10,440,724
Value of total assets at beginning of year2013-12-31$9,097,109
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$2,850
Total interest from all sources2013-12-31$17,900
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$6,566
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$6,566
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31Yes
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$876,011
Participant contributions at end of year2013-12-31$167,601
Participant contributions at beginning of year2013-12-31$109,641
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$11,600
Other income not declared elsewhere2013-12-31$61
Administrative expenses (other) incurred2013-12-31$2,850
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$1,343,615
Value of net assets at end of year (total assets less liabilities)2013-12-31$10,440,724
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$9,097,109
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$8,893,922
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$7,712,412
Interest on participant loans2013-12-31$7,516
Interest earned on other investments2013-12-31$10,384
Value of interest in common/collective trusts at end of year2013-12-31$0
Value of interest in common/collective trusts at beginning of year2013-12-31$1,275,056
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$1,379,201
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$74,718
Net investment gain/loss from pooled separate accounts2013-12-31$1,325,596
Net investment gain or loss from common/collective trusts2013-12-31$25,001
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$937,791
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31Yes
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31GRANT THORNTON LLP
Accountancy firm EIN2013-12-31366055558
2012 : GENTLE DENTAL ASSOCIATES, LLC 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$1,576,677
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$139,871
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$138,696
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$869,247
Value of total assets at end of year2012-12-31$9,097,109
Value of total assets at beginning of year2012-12-31$7,660,303
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$1,175
Total interest from all sources2012-12-31$5,390
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$159,165
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$159,165
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$869,247
Participant contributions at end of year2012-12-31$109,641
Participant contributions at beginning of year2012-12-31$132,462
Other income not declared elsewhere2012-12-31$115
Administrative expenses (other) incurred2012-12-31$1,175
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$1,436,806
Value of net assets at end of year (total assets less liabilities)2012-12-31$9,097,109
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$7,660,303
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$7,712,412
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$6,282,864
Interest on participant loans2012-12-31$5,390
Value of interest in common/collective trusts at end of year2012-12-31$1,275,056
Value of interest in common/collective trusts at beginning of year2012-12-31$1,244,977
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$529,819
Net investment gain or loss from common/collective trusts2012-12-31$12,941
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$138,696
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31GRANT THORNTON LLP
Accountancy firm EIN2012-12-31366055558
2011 : GENTLE DENTAL ASSOCIATES, LLC 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$403,236
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$76,269
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$74,744
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$803,741
Value of total assets at end of year2011-12-31$7,660,303
Value of total assets at beginning of year2011-12-31$7,333,336
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$1,525
Total interest from all sources2011-12-31$7,714
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$200,427
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$200,427
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$803,741
Participant contributions at end of year2011-12-31$132,462
Participant contributions at beginning of year2011-12-31$124,152
Administrative expenses (other) incurred2011-12-31$1,525
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$326,967
Value of net assets at end of year (total assets less liabilities)2011-12-31$7,660,303
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$7,333,336
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$6,282,864
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$5,857,489
Interest on participant loans2011-12-31$7,714
Value of interest in common/collective trusts at end of year2011-12-31$1,244,977
Value of interest in common/collective trusts at beginning of year2011-12-31$1,351,695
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-626,241
Net investment gain or loss from common/collective trusts2011-12-31$17,595
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$74,744
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31GRANT THORNTON LLP
Accountancy firm EIN2011-12-31366055558
2010 : GENTLE DENTAL ASSOCIATES, LLC 401(K) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$1,624,989
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$98,412
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$97,018
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$820,172
Value of total assets at end of year2010-12-31$7,333,336
Value of total assets at beginning of year2010-12-31$5,806,759
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$1,394
Total interest from all sources2010-12-31$6,915
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$159,983
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$159,983
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Participant contributions at end of year2010-12-31$124,152
Participant contributions at beginning of year2010-12-31$95,058
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$42
Administrative expenses (other) incurred2010-12-31$1,394
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$1,526,577
Value of net assets at end of year (total assets less liabilities)2010-12-31$7,333,336
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$5,806,759
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$5,857,489
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$4,276,963
Interest on participant loans2010-12-31$6,915
Value of interest in common/collective trusts at end of year2010-12-31$1,351,695
Value of interest in common/collective trusts at beginning of year2010-12-31$1,434,738
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$593,998
Net investment gain or loss from common/collective trusts2010-12-31$43,921
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$820,130
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$97,018
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31CCR, LLP
Accountancy firm EIN2010-12-31043069946
2009 : GENTLE DENTAL ASSOCIATES, LLC 401(K) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for GENTLE DENTAL ASSOCIATES, LLC 401(K) PLAN

2017: GENTLE DENTAL ASSOCIATES, LLC 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: GENTLE DENTAL ASSOCIATES, LLC 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: GENTLE DENTAL ASSOCIATES, LLC 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: GENTLE DENTAL ASSOCIATES, LLC 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: GENTLE DENTAL ASSOCIATES, LLC 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: GENTLE DENTAL ASSOCIATES, LLC 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: GENTLE DENTAL ASSOCIATES, LLC 401(K) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2009: GENTLE DENTAL ASSOCIATES, LLC 401(K) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberZH9705
Policy instance 1
Insurance contract or identification numberZH9705
Number of Individuals Covered530
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $36,328
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 BrokerUSD $36,328
Insurance broker organization code?3
Insurance broker nameWELLS FARGO ADVISORS INS AGENCY LLC
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberZH9705
Policy instance 1
Insurance contract or identification numberZH9705
Number of Individuals Covered375
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $30,226
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 BrokerUSD $30,226
Insurance broker organization code?3
Insurance broker nameWELLS FARGO ADVISORS INS AGENCY LLC
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberZH9705
Policy instance 1
Insurance contract or identification numberZH9705
Number of Individuals Covered343
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $23,451
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 BrokerUSD $23,451
Insurance broker organization code?3
Insurance broker nameWELLS FARGO ADVISORS INS AGENCY LLC
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberZH0705
Policy instance 1
Insurance contract or identification numberZH0705
Number of Individuals Covered300
Insurance policy start date2013-02-22
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $49,182
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 BrokerUSD $49,182
Insurance broker organization code?3
Insurance broker nameWELLS FARGO ADVISORS

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