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NORTH MISSISSIPPI ENDODONTICS, P.A. RETIREMENT PLAN & TRUST 401k Plan overview

Plan NameNORTH MISSISSIPPI ENDODONTICS, P.A. RETIREMENT PLAN & TRUST
Plan identification number 001

NORTH MISSISSIPPI ENDODONTICS, P.A. RETIREMENT PLAN & TRUST Benefits

401k Plan TypeDefined 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.
  • 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.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

NORTH MISSISSIPPI ENDODONTICS, P.A. has sponsored the creation of one or more 401k plans.

Company Name:NORTH MISSISSIPPI ENDODONTICS, P.A.
Employer identification number (EIN):204487258
NAIC Classification:621210
NAIC Description:Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTH MISSISSIPPI ENDODONTICS, P.A. RETIREMENT PLAN & TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012023-01-01
0012022-01-01
0012021-01-01
0012020-01-01MICHAEL LOWERY, D.M.D.2021-10-13
0012019-01-01MICHAEL LOWERY, D.M.D.2020-10-13
0012018-01-01MICHAEL LOWERY, D.M.D.2019-10-10
0012017-01-01MICHAEL LOWERY, D.M.D.
0012016-01-01MICHAEL LOWERY, D.M.D.
0012015-01-01MICHAEL LOWERY, D.M.D.
0012014-01-01MICHAEL LOWERY, D.M.D.
0012013-01-01MICHAEL LOWERY, D.M.D.
0012012-01-01MICHAEL LOWERY, D.M.D.
0012011-01-01MICHAEL LOWERY, D.M.D.
0012010-01-01MICHAEL LOWERY, D.M.D. MICHAEL LOWERY, D.M.D.2011-06-13
0012009-01-01MICHAEL LOWERY, D.M.D. MICHAEL LOWERY, D.M.D.2010-08-24

Plan Statistics for NORTH MISSISSIPPI ENDODONTICS, P.A. RETIREMENT PLAN & TRUST

401k plan membership statisitcs for NORTH MISSISSIPPI ENDODONTICS, P.A. RETIREMENT PLAN & TRUST

Measure Date Value
2017: NORTH MISSISSIPPI ENDODONTICS, P.A. RETIREMENT PLAN & TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-016
Total number of active participants reported on line 7a of the Form 55002017-01-015
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-015
Number of participants with account balances2017-01-015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: NORTH MISSISSIPPI ENDODONTICS, P.A. RETIREMENT PLAN & TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-016
Total number of active participants reported on line 7a of the Form 55002016-01-015
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-011
Total of all active and inactive participants2016-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-016
Number of participants with account balances2016-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: NORTH MISSISSIPPI ENDODONTICS, P.A. RETIREMENT PLAN & TRUST 2015 401k membership
Total participants, beginning-of-year2015-01-016
Total number of active participants reported on line 7a of the Form 55002015-01-015
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-011
Total of all active and inactive participants2015-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-016
Number of participants with account balances2015-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: NORTH MISSISSIPPI ENDODONTICS, P.A. RETIREMENT PLAN & TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-016
Total number of active participants reported on line 7a of the Form 55002014-01-015
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-011
Total of all active and inactive participants2014-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-016
Number of participants with account balances2014-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: NORTH MISSISSIPPI ENDODONTICS, P.A. RETIREMENT PLAN & TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-016
Total number of active participants reported on line 7a of the Form 55002013-01-015
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-011
Total of all active and inactive participants2013-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-016
Number of participants with account balances2013-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: NORTH MISSISSIPPI ENDODONTICS, P.A. RETIREMENT PLAN & TRUST 2012 401k membership
Total participants, beginning-of-year2012-01-015
Total number of active participants reported on line 7a of the Form 55002012-01-013
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-011
Total of all active and inactive participants2012-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-014
Number of participants with account balances2012-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: NORTH MISSISSIPPI ENDODONTICS, P.A. RETIREMENT PLAN & TRUST 2011 401k membership
Total participants, beginning-of-year2011-01-014
Total number of active participants reported on line 7a of the Form 55002011-01-013
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-012
Total of all active and inactive participants2011-01-015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-015
Number of participants with account balances2011-01-015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-012
2010: NORTH MISSISSIPPI ENDODONTICS, P.A. RETIREMENT PLAN & TRUST 2010 401k membership
Total participants, beginning-of-year2010-01-014
Total number of active participants reported on line 7a of the Form 55002010-01-014
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-014
Number of participants with account balances2010-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: NORTH MISSISSIPPI ENDODONTICS, P.A. RETIREMENT PLAN & TRUST 2009 401k membership
Total participants, beginning-of-year2009-01-013
Total number of active participants reported on line 7a of the Form 55002009-01-014
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-014
Number of participants with account balances2009-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on NORTH MISSISSIPPI ENDODONTICS, P.A. RETIREMENT PLAN & TRUST

Measure Date Value
2017 : NORTH MISSISSIPPI ENDODONTICS, P.A. RETIREMENT PLAN & TRUST 2017 401k financial data
Total plan liabilities at end of year2017-12-31$0
Total plan liabilities at beginning of year2017-12-31$0
Total income from all sources2017-12-31$234,566
Expenses. Total of all expenses incurred2017-12-31$10,453
Benefits paid (including direct rollovers)2017-12-31$10,403
Total plan assets at end of year2017-12-31$1,116,410
Total plan assets at beginning of year2017-12-31$892,297
Value of fidelity bond covering the plan2017-12-31$100,000
Total contributions received or receivable from participants2017-12-31$36,260
Expenses. Other expenses not covered elsewhere2017-12-31$50
Other income received2017-12-31$157,629
Net income (gross income less expenses)2017-12-31$224,113
Net plan assets at end of year (total assets less liabilities)2017-12-31$1,116,410
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$892,297
Assets. Value of assets in partnership/joint-venture interests2017-12-31$0
Total contributions received or receivable from employer(s)2017-12-31$40,677
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : NORTH MISSISSIPPI ENDODONTICS, P.A. RETIREMENT PLAN & TRUST 2016 401k financial data
Total plan liabilities at end of year2016-12-31$0
Total plan liabilities at beginning of year2016-12-31$0
Total income from all sources2016-12-31$137,778
Expenses. Total of all expenses incurred2016-12-31$0
Total plan assets at end of year2016-12-31$892,297
Total plan assets at beginning of year2016-12-31$754,519
Value of fidelity bond covering the plan2016-12-31$100,000
Total contributions received or receivable from participants2016-12-31$36,260
Other income received2016-12-31$61,789
Net income (gross income less expenses)2016-12-31$137,778
Net plan assets at end of year (total assets less liabilities)2016-12-31$892,297
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$754,519
Assets. Value of assets in partnership/joint-venture interests2016-12-31$89
Total contributions received or receivable from employer(s)2016-12-31$39,729
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : NORTH MISSISSIPPI ENDODONTICS, P.A. RETIREMENT PLAN & TRUST 2015 401k financial data
Total plan liabilities at end of year2015-12-31$0
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$65,381
Expenses. Total of all expenses incurred2015-12-31$0
Total plan assets at end of year2015-12-31$754,519
Total plan assets at beginning of year2015-12-31$689,138
Value of fidelity bond covering the plan2015-12-31$75,000
Total contributions received or receivable from participants2015-12-31$36,260
Other income received2015-12-31$-10,401
Net income (gross income less expenses)2015-12-31$65,381
Net plan assets at end of year (total assets less liabilities)2015-12-31$754,519
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$689,138
Assets. Value of assets in partnership/joint-venture interests2015-12-31$2,024
Total contributions received or receivable from employer(s)2015-12-31$39,522
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : NORTH MISSISSIPPI ENDODONTICS, P.A. RETIREMENT PLAN & TRUST 2014 401k financial data
Total plan liabilities at end of year2014-12-31$0
Total plan liabilities at beginning of year2014-12-31$0
Total income from all sources2014-12-31$97,467
Expenses. Total of all expenses incurred2014-12-31$6,664
Total plan assets at end of year2014-12-31$689,138
Total plan assets at beginning of year2014-12-31$598,335
Value of fidelity bond covering the plan2014-12-31$65,000
Total contributions received or receivable from participants2014-12-31$35,000
Other income received2014-12-31$23,409
Net income (gross income less expenses)2014-12-31$90,803
Net plan assets at end of year (total assets less liabilities)2014-12-31$689,138
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$598,335
Assets. Value of assets in partnership/joint-venture interests2014-12-31$8,814
Total contributions received or receivable from employer(s)2014-12-31$39,058
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$6,664
2013 : NORTH MISSISSIPPI ENDODONTICS, P.A. RETIREMENT PLAN & TRUST 2013 401k financial data
Transfers to/from the plan2013-12-31$0
Total plan liabilities at end of year2013-12-31$0
Total plan liabilities at beginning of year2013-12-31$0
Total income from all sources2013-12-31$131,311
Expenses. Total of all expenses incurred2013-12-31$4,919
Benefits paid (including direct rollovers)2013-12-31$0
Total plan assets at end of year2013-12-31$598,335
Total plan assets at beginning of year2013-12-31$471,943
Value of fidelity bond covering the plan2013-12-31$30,000
Total contributions received or receivable from participants2013-12-31$35,000
Expenses. Other expenses not covered elsewhere2013-12-31$0
Contributions received from other sources (not participants or employers)2013-12-31$0
Other income received2013-12-31$58,986
Noncash contributions received2013-12-31$0
Net income (gross income less expenses)2013-12-31$126,392
Net plan assets at end of year (total assets less liabilities)2013-12-31$598,335
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$471,943
Assets. Value of assets in partnership/joint-venture interests2013-12-31$8,814
Total contributions received or receivable from employer(s)2013-12-31$37,325
Value of certain deemed distributions of participant loans2013-12-31$0
Value of corrective distributions2013-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$4,919
2012 : NORTH MISSISSIPPI ENDODONTICS, P.A. RETIREMENT PLAN & TRUST 2012 401k financial data
Transfers to/from the plan2012-12-31$0
Total plan liabilities at end of year2012-12-31$0
Total plan liabilities at beginning of year2012-12-31$0
Total income from all sources2012-12-31$110,684
Expenses. Total of all expenses incurred2012-12-31$6,023
Benefits paid (including direct rollovers)2012-12-31$2,240
Total plan assets at end of year2012-12-31$471,943
Total plan assets at beginning of year2012-12-31$367,282
Value of fidelity bond covering the plan2012-12-31$30,000
Total contributions received or receivable from participants2012-12-31$34,000
Expenses. Other expenses not covered elsewhere2012-12-31$0
Contributions received from other sources (not participants or employers)2012-12-31$0
Other income received2012-12-31$40,754
Noncash contributions received2012-12-31$0
Net income (gross income less expenses)2012-12-31$104,661
Net plan assets at end of year (total assets less liabilities)2012-12-31$471,943
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$367,282
Assets. Value of assets in partnership/joint-venture interests2012-12-31$9,062
Total contributions received or receivable from employer(s)2012-12-31$35,930
Value of certain deemed distributions of participant loans2012-12-31$0
Value of corrective distributions2012-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$3,783
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : NORTH MISSISSIPPI ENDODONTICS, P.A. RETIREMENT PLAN & TRUST 2011 401k financial data
Transfers to/from the plan2011-12-31$0
Total plan liabilities at end of year2011-12-31$0
Total plan liabilities at beginning of year2011-12-31$0
Total income from all sources2011-12-31$70,425
Expenses. Total of all expenses incurred2011-12-31$3,088
Benefits paid (including direct rollovers)2011-12-31$0
Total plan assets at end of year2011-12-31$367,282
Total plan assets at beginning of year2011-12-31$299,945
Value of fidelity bond covering the plan2011-12-31$30,000
Total contributions received or receivable from participants2011-12-31$33,000
Expenses. Other expenses not covered elsewhere2011-12-31$0
Contributions received from other sources (not participants or employers)2011-12-31$0
Other income received2011-12-31$2,293
Noncash contributions received2011-12-31$0
Net income (gross income less expenses)2011-12-31$67,337
Net plan assets at end of year (total assets less liabilities)2011-12-31$367,282
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$299,945
Assets. Value of assets in partnership/joint-venture interests2011-12-31$8,943
Total contributions received or receivable from employer(s)2011-12-31$35,132
Value of certain deemed distributions of participant loans2011-12-31$0
Value of corrective distributions2011-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$3,088
2010 : NORTH MISSISSIPPI ENDODONTICS, P.A. RETIREMENT PLAN & TRUST 2010 401k financial data
Transfers to/from the plan2010-12-31$0
Total plan liabilities at end of year2010-12-31$0
Total plan liabilities at beginning of year2010-12-31$0
Total income from all sources2010-12-31$97,152
Expenses. Total of all expenses incurred2010-12-31$2,239
Benefits paid (including direct rollovers)2010-12-31$0
Total plan assets at end of year2010-12-31$299,945
Total plan assets at beginning of year2010-12-31$205,032
Value of fidelity bond covering the plan2010-12-31$30,000
Total contributions received or receivable from participants2010-12-31$34,950
Expenses. Other expenses not covered elsewhere2010-12-31$2,239
Contributions received from other sources (not participants or employers)2010-12-31$0
Other income received2010-12-31$25,396
Noncash contributions received2010-12-31$0
Net income (gross income less expenses)2010-12-31$94,913
Net plan assets at end of year (total assets less liabilities)2010-12-31$299,945
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$205,032
Assets. Value of assets in partnership/joint-venture interests2010-12-31$8,799
Total contributions received or receivable from employer(s)2010-12-31$36,806
Value of certain deemed distributions of participant loans2010-12-31$0
Value of corrective distributions2010-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$0

Form 5500 Responses for NORTH MISSISSIPPI ENDODONTICS, P.A. RETIREMENT PLAN & TRUST

2017: NORTH MISSISSIPPI ENDODONTICS, P.A. RETIREMENT PLAN & TRUST 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: NORTH MISSISSIPPI ENDODONTICS, P.A. RETIREMENT PLAN & TRUST 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: NORTH MISSISSIPPI ENDODONTICS, P.A. RETIREMENT PLAN & TRUST 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: NORTH MISSISSIPPI ENDODONTICS, P.A. RETIREMENT PLAN & TRUST 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 – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: NORTH MISSISSIPPI ENDODONTICS, P.A. RETIREMENT PLAN & TRUST 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 – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: NORTH MISSISSIPPI ENDODONTICS, P.A. RETIREMENT PLAN & TRUST 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: NORTH MISSISSIPPI ENDODONTICS, P.A. RETIREMENT PLAN & TRUST 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
2010: NORTH MISSISSIPPI ENDODONTICS, P.A. RETIREMENT PLAN & TRUST 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: NORTH MISSISSIPPI ENDODONTICS, P.A. RETIREMENT PLAN & TRUST 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

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number916929-01
Policy instance 1
Insurance contract or identification number916929-01
Number of Individuals Covered5
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $4,698
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 $4,268
Insurance broker organization code?3
Insurance broker nameMASSACHUSETTS MUTUAL LIFE INSURANCE
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number916929-01
Policy instance 1
Insurance contract or identification number916929-01
Number of Individuals Covered6
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $3,166
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 $3,166
Insurance broker organization code?3
Insurance broker nameINVEST FINANCIAL CORPORATION

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