401k Plan data: DAVID W. LARSEN, DMD, LLC 401(K) PLAN plan

DAVID W. LARSEN, DMD, LLC 401(K) PLAN 401k Plan overview

Plan Name	DAVID W. LARSEN, DMD, LLC 401(K) PLAN
Plan identification number	003

DAVID W. LARSEN, DMD, LLC 401(K) 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
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.
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

DAVID W. LARSEN, DMD, LLC has sponsored the creation of one or more 401k plans.

Company Name: DAVID W. LARSEN, DMD, LLC

Employer identification number (EIN): 262198710

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DAVID W. LARSEN, DMD, LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2023-01-01 DAVID LARSEN 2024-06-11
003 2022-01-01 DAVID W. LARSEN 2023-06-20
003 2021-01-01 DAVID W. LARSEN 2022-04-13
003 2020-01-01 DAVID W. LARSEN 2021-02-02
003 2019-01-01 DAVID W. LARSEN 2020-01-30
003 2018-01-01 DAVID W. LARSEN 2019-06-25
003 2017-01-01 DAVID W. LARSEN 2018-01-29
003 2016-01-01 DAVID W. LARSEN 2017-02-01
003 2015-01-01 DAVID W. LARSEN 2016-01-20
003 2014-01-01 DAVID W. LARSEN 2015-01-23
003 2013-01-01 DAVID W. LARSEN

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
003	2023-01-01	DAVID LARSEN	2024-06-11
003	2022-01-01	DAVID W. LARSEN	2023-06-20
003	2021-01-01	DAVID W. LARSEN	2022-04-13
003	2020-01-01	DAVID W. LARSEN	2021-02-02
003	2019-01-01	DAVID W. LARSEN	2020-01-30
003	2018-01-01	DAVID W. LARSEN	2019-06-25
003	2017-01-01	DAVID W. LARSEN	2018-01-29
003	2016-01-01	DAVID W. LARSEN	2017-02-01
003	2015-01-01	DAVID W. LARSEN	2016-01-20
003	2014-01-01	DAVID W. LARSEN	2015-01-23
003	2013-01-01	DAVID W. LARSEN

Plan Statistics for DAVID W. LARSEN, DMD, LLC 401(K) PLAN

401k plan membership statisitcs for DAVID W. LARSEN, DMD, LLC 401(K) PLAN

Measure Date Value
2013: DAVID W. LARSEN, DMD, LLC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 11
Total of all active and inactive participants 2013-01-01 11
Total participants 2013-01-01 11
Number of participants with account balances 2013-01-01 7

Measure	Date	Value
2013: DAVID W. LARSEN, DMD, LLC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	11
Total of all active and inactive participants	2013-01-01	11
Total participants	2013-01-01	11
Number of participants with account balances	2013-01-01	7

Financial Data on DAVID W. LARSEN, DMD, LLC 401(K) PLAN

Measure	Date	Value
2013 : DAVID W. LARSEN, DMD, LLC 401(K) PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$510,595
Total plan assets at end of year	2013-12-31	$510,595
Total plan assets at beginning of year	2013-12-31	$0
Value of fidelity bond covering the plan	2013-12-31	$75,000
Total contributions received or receivable from participants	2013-12-31	$36,790
Contributions received from other sources (not participants or employers)	2013-12-31	$380,722
Other income received	2013-12-31	$43,766
Net income (gross income less expenses)	2013-12-31	$510,595
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$510,595
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$0
Total contributions received or receivable from employer(s)	2013-12-31	$49,317

Form 5500 Responses for DAVID W. LARSEN, DMD, LLC 401(K) PLAN

2013: DAVID W. LARSEN, DMD, LLC 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	First time form 5500 has been submitted	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	DAVID W. LARSEN, DMD, LLC
Employer identification number (EIN):	262198710
NAIC Classification:	621210
NAIC Description:	Offices of Dentists