DAVID L. FORTHOFER DDS INC. PROFIT-SHARING PLAN & TRUST 401k Plan overview

DAVID L. FORTHOFER DDS INC. PROFIT-SHARING PLAN & TRUST Benefits

401k Sponsoring company profile

Company Name:	DAVID L. FORTHOFER DDS, INC.
Employer identification number (EIN):	341236941
NAIC Classification:	621210
NAIC Description:	Offices of Dentists

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2015-11-01	DAVID L. FORTHOFER		DAVID L. FORTHOFER	2017-06-12
001	2014-11-01	DAVID L. FORTHOFER		DAVID L. FORTHOFER	2016-06-06
001	2013-11-01	DAVID L. FORTHOFER		DAVID L. FORTHOFER	2015-06-05
001	2012-11-01	DAVID L. FORTHOFER		DAVID L. FORTHOFER	2014-06-10
001	2011-11-01	DAVID L. FORTHOFER		DAVID L. FORTHOFER	2013-05-31
001	2009-11-01	DAVID L. FORTHOFER		DAVID L. FORTHOFER	2011-07-11
001	2008-11-01

Plan Statistics for DAVID L. FORTHOFER DDS INC. PROFIT-SHARING PLAN & TRUST

Measure	Date	Value
2015: DAVID L. FORTHOFER DDS INC. PROFIT-SHARING PLAN & TRUST 2015 401k membership
Total participants, beginning-of-year	2015-11-01	2
Total number of active participants reported on line 7a of the Form 5500	2015-11-01	0
Number of retired or separated participants receiving benefits	2015-11-01	0
Number of other retired or separated participants entitled to future benefits	2015-11-01	0
Total of all active and inactive participants	2015-11-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-11-01	0
Total participants	2015-11-01	0
Number of participants with account balances	2015-11-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-11-01	0
2014: DAVID L. FORTHOFER DDS INC. PROFIT-SHARING PLAN & TRUST 2014 401k membership
Total participants, beginning-of-year	2014-11-01	2
Total number of active participants reported on line 7a of the Form 5500	2014-11-01	2
Number of retired or separated participants receiving benefits	2014-11-01	0
Number of other retired or separated participants entitled to future benefits	2014-11-01	0
Total of all active and inactive participants	2014-11-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-11-01	0
Total participants	2014-11-01	2
Number of participants with account balances	2014-11-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-11-01	0
2013: DAVID L. FORTHOFER DDS INC. PROFIT-SHARING PLAN & TRUST 2013 401k membership
Total participants, beginning-of-year	2013-11-01	2
Total number of active participants reported on line 7a of the Form 5500	2013-11-01	2
Number of retired or separated participants receiving benefits	2013-11-01	0
Number of other retired or separated participants entitled to future benefits	2013-11-01	0
Total of all active and inactive participants	2013-11-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-11-01	0
Total participants	2013-11-01	2
Number of participants with account balances	2013-11-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-11-01	0
2012: DAVID L. FORTHOFER DDS INC. PROFIT-SHARING PLAN & TRUST 2012 401k membership
Total participants, beginning-of-year	2012-11-01	2
Total number of active participants reported on line 7a of the Form 5500	2012-11-01	2
Number of retired or separated participants receiving benefits	2012-11-01	0
Number of other retired or separated participants entitled to future benefits	2012-11-01	0
Total of all active and inactive participants	2012-11-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-11-01	0
Total participants	2012-11-01	2
Number of participants with account balances	2012-11-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-11-01	0
2011: DAVID L. FORTHOFER DDS INC. PROFIT-SHARING PLAN & TRUST 2011 401k membership
Total participants, beginning-of-year	2011-11-01	2
Total number of active participants reported on line 7a of the Form 5500	2011-11-01	2
Number of retired or separated participants receiving benefits	2011-11-01	0
Number of other retired or separated participants entitled to future benefits	2011-11-01	0
Total of all active and inactive participants	2011-11-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-11-01	0
Total participants	2011-11-01	2
Number of participants with account balances	2011-11-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-11-01	0
2009: DAVID L. FORTHOFER DDS INC. PROFIT-SHARING PLAN & TRUST 2009 401k membership
Total participants, beginning-of-year	2009-11-01	3
Total number of active participants reported on line 7a of the Form 5500	2009-11-01	3
Number of retired or separated participants receiving benefits	2009-11-01	0
Number of other retired or separated participants entitled to future benefits	2009-11-01	0
Total of all active and inactive participants	2009-11-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-11-01	0
Total participants	2009-11-01	3
Number of participants with account balances	2009-11-01	3

Financial Data on DAVID L. FORTHOFER DDS INC. PROFIT-SHARING PLAN & TRUST

Form 5500 Responses for DAVID L. FORTHOFER DDS INC. PROFIT-SHARING PLAN & TRUST

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• DAVID L. DARLINGTON RETIREMENT TRUST [EIN = 505061631]

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