401k Plan data: JOHN C. BAAR PROFIT SHARING PLAN plan

JOHN C. BAAR PROFIT SHARING PLAN 401k Plan overview

Plan Name	JOHN C. BAAR PROFIT SHARING PLAN
Plan identification number	001

JOHN C. BAAR PROFIT SHARING PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Money purchase (other than target benefit) Profit-sharing Plan covering Self-Employed individuals.

401k Sponsoring company profile

JOHN C. BAAR JR DDS LLC has sponsored the creation of one or more 401k plans.

Company Name: JOHN C. BAAR JR DDS LLC

Employer identification number (EIN): 271440246

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JOHN C. BAAR PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2012-01-01 JOHN C. BAAR JOHN C. BAAR 2013-08-21
001 2011-01-01 JOHN C. BAAR JOHN C. BAAR 2012-10-14

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2012-01-01	JOHN C. BAAR		JOHN C. BAAR	2013-08-21
001	2011-01-01	JOHN C. BAAR		JOHN C. BAAR	2012-10-14

Plan Statistics for JOHN C. BAAR PROFIT SHARING PLAN

401k plan membership statisitcs for JOHN C. BAAR PROFIT SHARING PLAN

Measure Date Value
2012: JOHN C. BAAR PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 0
Number of participants with account balances 2012-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: JOHN C. BAAR PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 3
Number of other retired or separated participants entitled to future benefits 2011-01-01 1
Total of all active and inactive participants 2011-01-01 4
Total participants 2011-01-01 4

Measure	Date	Value
2012: JOHN C. BAAR PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	0
Number of participants with account balances	2012-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: JOHN C. BAAR PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	3
Number of other retired or separated participants entitled to future benefits	2011-01-01	1
Total of all active and inactive participants	2011-01-01	4
Total participants	2011-01-01	4

Financial Data on JOHN C. BAAR PROFIT SHARING PLAN

Measure	Date	Value
2012 : JOHN C. BAAR PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$21,818
Expenses. Total of all expenses incurred	2012-12-31	$1,308,123
Benefits paid (including direct rollovers)	2012-12-31	$1,307,036
Total plan assets at beginning of year	2012-12-31	$1,286,305
Other income received	2012-12-31	$17,832
Net income (gross income less expenses)	2012-12-31	$-1,286,305
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,286,305
Total contributions received or receivable from employer(s)	2012-12-31	$3,986
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$1,087
2011 : JOHN C. BAAR PROFIT SHARING PLAN 2011 401k financial data
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$36,140
Expenses. Total of all expenses incurred	2011-12-31	$471
Total plan assets at end of year	2011-12-31	$1,286,305
Total plan assets at beginning of year	2011-12-31	$1,250,636
Other income received	2011-12-31	$34,162
Net income (gross income less expenses)	2011-12-31	$35,669
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,286,305
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,250,636
Total contributions received or receivable from employer(s)	2011-12-31	$1,978
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$471
2010 : JOHN C. BAAR PROFIT SHARING PLAN 2010 401k financial data
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$27,614
Expenses. Total of all expenses incurred	2010-12-31	$424
Total plan assets at end of year	2010-12-31	$1,250,636
Total plan assets at beginning of year	2010-12-31	$1,223,446
Other income received	2010-12-31	$25,640
Net income (gross income less expenses)	2010-12-31	$27,190
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,250,636
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,223,446
Total contributions received or receivable from employer(s)	2010-12-31	$1,974
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$424

Form 5500 Responses for JOHN C. BAAR PROFIT SHARING PLAN

2012: JOHN C. BAAR PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	This submission is the final filing	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: JOHN C. BAAR PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	JOHN C. BAAR JR DDS LLC
Employer identification number (EIN):	271440246
NAIC Classification:	621210
NAIC Description:	Offices of Dentists