401k Plan data: WESTERN DENTAL SERVICES, INC. - EMPLOYEE FLEXIBLE BENEFIT PLAN plan

WESTERN DENTAL SERVICES, INC. - EMPLOYEE FLEXIBLE BENEFIT PLAN 401k Plan overview

Plan Name	WESTERN DENTAL SERVICES, INC. - EMPLOYEE FLEXIBLE BENEFIT PLAN
Plan identification number	501

WESTERN DENTAL SERVICES, INC. - EMPLOYEE FLEXIBLE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Other welfare benefit cover Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

WESTERN DENTAL SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name: WESTERN DENTAL SERVICES, INC.

Employer identification number (EIN): 330065869

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WESTERN DENTAL SERVICES, INC. - EMPLOYEE FLEXIBLE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2013-01-01 BRADLEY ROGERS BRADLEY ROGERS 2014-10-09
501 2012-01-01 DAVID JOE DAVID JOE 2013-10-14
501 2011-01-01 DAVID JOE
501 2009-01-01 DAVID JOE
501 2009-01-01 DAVID JOE 2010-10-08

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2013-01-01	BRADLEY ROGERS	BRADLEY ROGERS	2014-10-09
501	2012-01-01	DAVID JOE	DAVID JOE	2013-10-14
501	2011-01-01	DAVID JOE
501	2009-01-01	DAVID JOE
501	2009-01-01		DAVID JOE	2010-10-08

Plan Statistics for WESTERN DENTAL SERVICES, INC. - EMPLOYEE FLEXIBLE BENEFIT PLAN

401k plan membership statisitcs for WESTERN DENTAL SERVICES, INC. - EMPLOYEE FLEXIBLE BENEFIT PLAN

Measure Date Value
2013: WESTERN DENTAL SERVICES, INC. - EMPLOYEE FLEXIBLE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,671
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 71
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 71
2012: WESTERN DENTAL SERVICES, INC. - EMPLOYEE FLEXIBLE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,720
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,671
Total of all active and inactive participants 2012-01-01 1,671
Total participants 2012-01-01 1,671
2011: WESTERN DENTAL SERVICES, INC. - EMPLOYEE FLEXIBLE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 2,034
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,720
Total of all active and inactive participants 2011-01-01 1,720
Total participants 2011-01-01 1,720
2009: WESTERN DENTAL SERVICES, INC. - EMPLOYEE FLEXIBLE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,129
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,698
Total of all active and inactive participants 2009-01-01 1,698
Total participants 2009-01-01 1,698

Measure	Date	Value
2013: WESTERN DENTAL SERVICES, INC. - EMPLOYEE FLEXIBLE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,671
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	71
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	71
2012: WESTERN DENTAL SERVICES, INC. - EMPLOYEE FLEXIBLE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,720
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,671
Total of all active and inactive participants	2012-01-01	1,671
Total participants	2012-01-01	1,671
2011: WESTERN DENTAL SERVICES, INC. - EMPLOYEE FLEXIBLE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	2,034
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,720
Total of all active and inactive participants	2011-01-01	1,720
Total participants	2011-01-01	1,720
2009: WESTERN DENTAL SERVICES, INC. - EMPLOYEE FLEXIBLE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,129
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,698
Total of all active and inactive participants	2009-01-01	1,698
Total participants	2009-01-01	1,698

Form 5500 Responses for WESTERN DENTAL SERVICES, INC. - EMPLOYEE FLEXIBLE BENEFIT PLAN

2013: WESTERN DENTAL SERVICES, INC. - EMPLOYEE FLEXIBLE BENEFIT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: WESTERN DENTAL SERVICES, INC. - EMPLOYEE FLEXIBLE BENEFIT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: WESTERN DENTAL SERVICES, INC. - EMPLOYEE FLEXIBLE BENEFIT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: WESTERN DENTAL SERVICES, INC. - EMPLOYEE FLEXIBLE BENEFIT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	WESTERN DENTAL SERVICES, INC.
Employer identification number (EIN):	330065869
NAIC Classification:	621210
NAIC Description:	Offices of Dentists