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JAMES J. KLEMENS, DDS MD 401K PLAN 401k Plan overview

Plan NameJAMES J. KLEMENS, DDS MD 401K PLAN
Plan identification number 001

JAMES J. KLEMENS, DDS MD 401K 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.
  • 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.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan covering Self-Employed individuals.
  • 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

JAMES J. KLEMENS DDS has sponsored the creation of one or more 401k plans.

Company Name:JAMES J. KLEMENS DDS
Employer identification number (EIN):271812493
NAIC Classification:621210
NAIC Description:Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JAMES J. KLEMENS, DDS MD 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012023-01-01JAMES J KLEMENS2024-06-05
0012022-01-01JAMES J KLEMENS2023-07-31
0012021-01-01JAMES J KLEMENS2022-07-01 JAMES J KLEMENS2022-07-01
0012020-01-01JAMES J KLEMENS2021-05-28
0012019-01-01JAMES J KLEMENS2020-06-08 JAMES J KLEMENS2020-06-08
0012018-01-01JAMES J KLEMENS2019-06-19 JAMES J KLEMENS2019-06-19
0012017-01-01JAMES J KLEMENS2018-06-15 JAMES J KLEMENS2018-06-15
0012016-01-01JAMES KLEMENS2017-06-12
0012015-01-01JAMES J KLEMENS2016-06-24 JAMES J KLEMENS2016-06-24
0012014-01-01JAMES J. KLEMENS
0012013-01-01JAMES KLEMENS JAMES KLEMENS2014-06-30
0012012-01-01JAMES J KLEMENS2013-05-22 JAMES J KLEMENS2013-05-22
0012011-01-01JAMES J KLEMENS2012-06-27 JAMES J KLEMENS2012-06-27
0012010-01-01JAMES KLEMENS2011-08-12 JAMES KLEMENS2011-08-12

Plan Statistics for JAMES J. KLEMENS, DDS MD 401K PLAN

401k plan membership statisitcs for JAMES J. KLEMENS, DDS MD 401K PLAN

Measure Date Value
2014: JAMES J. KLEMENS, DDS MD 401K PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-016
Total number of active participants reported on line 7a of the Form 55002014-01-014
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-012
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 balances2014-01-015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: JAMES J. KLEMENS, DDS MD 401K PLAN 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

Financial Data on JAMES J. KLEMENS, DDS MD 401K PLAN

Measure Date Value
2014 : JAMES J. KLEMENS, DDS MD 401K PLAN 2014 401k financial data
Transfers to/from the plan2014-12-31$0
Total income from all sources2014-12-31$43,820
Expenses. Total of all expenses incurred2014-12-31$35
Benefits paid (including direct rollovers)2014-12-31$10
Total plan assets at end of year2014-12-31$179,685
Total plan assets at beginning of year2014-12-31$135,900
Total contributions received or receivable from participants2014-12-31$21,094
Expenses. Other expenses not covered elsewhere2014-12-31$25
Contributions received from other sources (not participants or employers)2014-12-31$0
Other income received2014-12-31$9,648
Net income (gross income less expenses)2014-12-31$43,785
Net plan assets at end of year (total assets less liabilities)2014-12-31$179,685
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$135,900
Assets. Value of participant loans2014-12-31$0
Total contributions received or receivable from employer(s)2014-12-31$13,078
Value of certain deemed distributions of participant loans2014-12-31$0
Value of corrective distributions2014-12-31$0
Funding deficiency by the employer to the plan for this plan year2014-12-31$0
Minimum employer required contribution for this plan year2014-12-31$0
Amount contributed by the employer to the plan for this plan year2014-12-31$0
2013 : JAMES J. KLEMENS, DDS MD 401K PLAN 2013 401k financial data
Transfers to/from the plan2013-12-31$0
Total income from all sources2013-12-31$48,646
Expenses. Total of all expenses incurred2013-12-31$0
Benefits paid (including direct rollovers)2013-12-31$0
Total plan assets at end of year2013-12-31$135,900
Total plan assets at beginning of year2013-12-31$87,254
Total contributions received or receivable from participants2013-12-31$21,372
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$13,973
Net income (gross income less expenses)2013-12-31$48,646
Net plan assets at end of year (total assets less liabilities)2013-12-31$135,900
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$87,254
Assets. Value of participant loans2013-12-31$0
Total contributions received or receivable from employer(s)2013-12-31$13,301
Value of certain deemed distributions of participant loans2013-12-31$0
Value of corrective distributions2013-12-31$0

Form 5500 Responses for JAMES J. KLEMENS, DDS MD 401K PLAN

2014: JAMES J. KLEMENS, DDS MD 401K 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
2013: JAMES J. KLEMENS, DDS MD 401K 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

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-833047
Policy instance 1
Insurance contract or identification numberGA-833047
Number of Individuals Covered5
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $561
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 $561
Insurance broker organization code?3
Insurance broker nameMML INSURANCE AGENCY LLC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-833047
Policy instance 1
Insurance contract or identification numberGA-833047
Number of Individuals Covered6
Insurance policy start date2013-06-15
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $95
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 $95
Insurance broker organization code?3
Insurance broker nameMML INSURANCE AGENCY LLC

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