SOUTH VALLEY PERIODONTICS PROFIT SHARING PLAN 401k Plan overview

SOUTH VALLEY PERIODONTICS PROFIT SHARING PLAN Benefits

401k Sponsoring company profile

Company Name:	SOUTH VALLEY PERIODONTICS
Employer identification number (EIN):	202397897
NAIC Classification:	621210
NAIC Description:	Offices of Dentists

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2015-01-01	STEVEN SKANCHY	2016-02-29	STEVEN SKANCHY	2016-02-29
001	2014-01-01	STEVEN SKANCHY	2015-03-18	STEVEN SKANCHY	2015-03-18
001	2013-01-01	STEVEN L. SKANCHY	2014-08-20
001	2012-01-01	STEVEN L. SKANCHY	2013-05-23
001	2011-01-01	STEVEN L SKANCHY	2012-05-29
001	2010-01-01	STEVEN L SKANCHY	2011-10-10
001	2009-01-01	STEVEN L SKANCHY

Plan Statistics for SOUTH VALLEY PERIODONTICS PROFIT SHARING PLAN

Measure	Date	Value
2009: SOUTH VALLEY PERIODONTICS PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	4
Number of other retired or separated participants entitled to future benefits	2009-01-01	1
Total of all active and inactive participants	2009-01-01	5
Total participants	2009-01-01	5
Number of participants with account balances	2009-01-01	5

Form 5500 Responses for SOUTH VALLEY PERIODONTICS PROFIT SHARING PLAN

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