401k Plan data: PAUL A. CLARK DDS PROFIT SHARING PLAN plan

PAUL A. CLARK DDS PROFIT SHARING PLAN 401k Plan overview

Plan Name	PAUL A. CLARK DDS PROFIT SHARING PLAN
Plan identification number	002

PAUL A. CLARK DDS PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.
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

PAUL A. CLARK DDS has sponsored the creation of one or more 401k plans.

Company Name: PAUL A. CLARK DDS

Employer identification number (EIN): 341387476

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PAUL A. CLARK DDS PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2015-01-01 PAUL CLARK
002 2014-01-01 PAUL CLARK
002 2013-01-01 PAUL CLARK
002 2012-01-01 PAUL CLARK
002 2011-01-01 PAUL CLARK
002 2010-01-01 PAUL CLARK
002 2009-01-01 PAUL CLARK

Plan id#	Filing Submission Date	Name of Administrator
002	2015-01-01	PAUL CLARK
002	2014-01-01	PAUL CLARK
002	2013-01-01	PAUL CLARK
002	2012-01-01	PAUL CLARK
002	2011-01-01	PAUL CLARK
002	2010-01-01	PAUL CLARK
002	2009-01-01	PAUL CLARK

Plan Statistics for PAUL A. CLARK DDS PROFIT SHARING PLAN

401k plan membership statisitcs for PAUL A. CLARK DDS PROFIT SHARING PLAN

Measure Date Value
2015: PAUL A. CLARK DDS PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 0
Number of participants with account balances 2015-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: PAUL A. CLARK DDS PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 5
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 5
Number of participants with account balances 2014-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: PAUL A. CLARK DDS PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 7
Total of all active and inactive participants 2013-01-01 7
Total participants 2013-01-01 7
Number of participants with account balances 2013-01-01 7
2012: PAUL A. CLARK DDS PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 7
Total of all active and inactive participants 2012-01-01 7
Total participants 2012-01-01 7
Number of participants with account balances 2012-01-01 7
2011: PAUL A. CLARK DDS PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 7
Total of all active and inactive participants 2011-01-01 7
Total participants 2011-01-01 7
Number of participants with account balances 2011-01-01 7
2010: PAUL A. CLARK DDS PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 7
Total of all active and inactive participants 2010-01-01 7
Total participants 2010-01-01 7
Number of participants with account balances 2010-01-01 7
2009: PAUL A. CLARK DDS PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 7
Total of all active and inactive participants 2009-01-01 7
Total participants 2009-01-01 7
Number of participants with account balances 2009-01-01 7

Measure	Date	Value
2015: PAUL A. CLARK DDS PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	0
Number of participants with account balances	2015-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: PAUL A. CLARK DDS PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	5
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	5
Number of participants with account balances	2014-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: PAUL A. CLARK DDS PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	7
Total of all active and inactive participants	2013-01-01	7
Total participants	2013-01-01	7
Number of participants with account balances	2013-01-01	7
2012: PAUL A. CLARK DDS PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	7
Total of all active and inactive participants	2012-01-01	7
Total participants	2012-01-01	7
Number of participants with account balances	2012-01-01	7
2011: PAUL A. CLARK DDS PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	7
Total of all active and inactive participants	2011-01-01	7
Total participants	2011-01-01	7
Number of participants with account balances	2011-01-01	7
2010: PAUL A. CLARK DDS PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	7
Total of all active and inactive participants	2010-01-01	7
Total participants	2010-01-01	7
Number of participants with account balances	2010-01-01	7
2009: PAUL A. CLARK DDS PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	7
Total of all active and inactive participants	2009-01-01	7
Total participants	2009-01-01	7
Number of participants with account balances	2009-01-01	7

Financial Data on PAUL A. CLARK DDS PROFIT SHARING PLAN

Measure	Date	Value
2015 : PAUL A. CLARK DDS PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$106,170
Expenses. Total of all expenses incurred	2015-12-31	$2,332,766
Benefits paid (including direct rollovers)	2015-12-31	$2,332,766
Total plan assets at end of year	2015-12-31	$0
Total plan assets at beginning of year	2015-12-31	$2,226,596
Value of fidelity bond covering the plan	2015-12-31	$150,000
Total contributions received or receivable from participants	2015-12-31	$27,640
Other income received	2015-12-31	$67,387
Net income (gross income less expenses)	2015-12-31	$-2,226,596
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$2,226,596
Total contributions received or receivable from employer(s)	2015-12-31	$11,143
2014 : PAUL A. CLARK DDS PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$238,400
Expenses. Total of all expenses incurred	2014-12-31	$392,725
Benefits paid (including direct rollovers)	2014-12-31	$392,725
Total plan assets at end of year	2014-12-31	$2,226,596
Total plan assets at beginning of year	2014-12-31	$2,380,921
Value of fidelity bond covering the plan	2014-12-31	$150,000
Total contributions received or receivable from participants	2014-12-31	$6,796
Other income received	2014-12-31	$219,920
Net income (gross income less expenses)	2014-12-31	$-154,325
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$2,226,596
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$2,380,921
Total contributions received or receivable from employer(s)	2014-12-31	$11,684
2013 : PAUL A. CLARK DDS PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$503,406
Total plan assets at end of year	2013-12-31	$2,380,921
Total plan assets at beginning of year	2013-12-31	$1,877,515
Value of fidelity bond covering the plan	2013-12-31	$150,000
Total contributions received or receivable from participants	2013-12-31	$7,211
Other income received	2013-12-31	$483,016
Net income (gross income less expenses)	2013-12-31	$503,406
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$2,380,921
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,877,515
Total contributions received or receivable from employer(s)	2013-12-31	$13,179
2012 : PAUL A. CLARK DDS PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$272,655
Total plan assets at end of year	2012-12-31	$1,877,515
Total plan assets at beginning of year	2012-12-31	$1,604,860
Value of fidelity bond covering the plan	2012-12-31	$150,000
Total contributions received or receivable from participants	2012-12-31	$16,926
Other income received	2012-12-31	$242,855
Net income (gross income less expenses)	2012-12-31	$272,655
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,877,515
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,604,860
Total contributions received or receivable from employer(s)	2012-12-31	$12,874
2011 : PAUL A. CLARK DDS PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$-42,909
Total plan assets at end of year	2011-12-31	$1,604,860
Total plan assets at beginning of year	2011-12-31	$1,647,769
Value of fidelity bond covering the plan	2011-12-31	$150,000
Total contributions received or receivable from participants	2011-12-31	$10,580
Other income received	2011-12-31	$-65,817
Net income (gross income less expenses)	2011-12-31	$-42,909
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,604,860
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,647,769
Total contributions received or receivable from employer(s)	2011-12-31	$12,328
2010 : PAUL A. CLARK DDS PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$240,069
Total plan assets at end of year	2010-12-31	$1,647,769
Total plan assets at beginning of year	2010-12-31	$1,407,700
Value of fidelity bond covering the plan	2010-12-31	$150,000
Total contributions received or receivable from participants	2010-12-31	$20,074
Other income received	2010-12-31	$207,609
Net income (gross income less expenses)	2010-12-31	$240,069
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,647,769
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,407,700
Total contributions received or receivable from employer(s)	2010-12-31	$12,386

Form 5500 Responses for PAUL A. CLARK DDS PROFIT SHARING PLAN

2015: PAUL A. CLARK DDS PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	This submission is the final filing	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: PAUL A. CLARK DDS PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: PAUL A. CLARK DDS PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: PAUL A. CLARK DDS PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: PAUL A. CLARK DDS 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
2010: PAUL A. CLARK DDS PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: PAUL A. CLARK DDS PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	PAUL A. CLARK DDS
Employer identification number (EIN):	341387476
NAIC Classification:	621210
NAIC Description:	Offices of Dentists