401k Plan data: THOMAS J. VAN VOOREN, DMD PROFIT SHARING PLAN plan

THOMAS J. VAN VOOREN, DMD PROFIT SHARING PLAN 401k Plan overview

Plan Name	THOMAS J. VAN VOOREN, DMD PROFIT SHARING PLAN
Plan identification number	002

THOMAS J. VAN VOOREN, DMD PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
Participant-directed brokerage accounts provided as an investment option under the plan.
Plan covering Self-Employed individuals.
Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.

401k Sponsoring company profile

THOMAS J. VAN VOOREN, D.M.D. has sponsored the creation of one or more 401k plans.

Company Name: THOMAS J. VAN VOOREN, D.M.D.

Employer identification number (EIN): 362975284

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THOMAS J. VAN VOOREN, DMD PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2013-01-01 THOMAS J. VAN VOOREN THOMAS J. VAN VOOREN 2014-06-20
002 2012-01-01 THOMAS J. VAN VOOREN THOMAS J. VAN VOOREN 2013-06-28
002 2011-01-01 THOMAS J. VAN VOOREN THOMAS J. VAN VOOREN 2012-07-25
002 2009-01-01 THOMAS J. VAN VOOREN THOMAS J. VAN VOOREN 2010-07-06

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2013-01-01	THOMAS J. VAN VOOREN	THOMAS J. VAN VOOREN	2014-06-20
002	2012-01-01	THOMAS J. VAN VOOREN	THOMAS J. VAN VOOREN	2013-06-28
002	2011-01-01	THOMAS J. VAN VOOREN	THOMAS J. VAN VOOREN	2012-07-25
002	2009-01-01	THOMAS J. VAN VOOREN	THOMAS J. VAN VOOREN	2010-07-06

Plan Statistics for THOMAS J. VAN VOOREN, DMD PROFIT SHARING PLAN

401k plan membership statisitcs for THOMAS J. VAN VOOREN, DMD PROFIT SHARING PLAN

Measure Date Value
2013: THOMAS J. VAN VOOREN, DMD PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 0
Number of participants with account balances 2013-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: THOMAS J. VAN VOOREN, DMD 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 4
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 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 4
Number of participants with account balances 2012-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: THOMAS J. VAN VOOREN, DMD 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 4
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 4
Number of participants with account balances 2011-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: THOMAS J. VAN VOOREN, DMD PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 4
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 4
Number of participants with account balances 2009-01-01 4

Measure	Date	Value
2013: THOMAS J. VAN VOOREN, DMD PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	0
Number of participants with account balances	2013-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: THOMAS J. VAN VOOREN, DMD 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	4
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	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	4
Number of participants with account balances	2012-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: THOMAS J. VAN VOOREN, DMD 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	4
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	4
Number of participants with account balances	2011-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: THOMAS J. VAN VOOREN, DMD PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	4
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	4
Number of participants with account balances	2009-01-01	4

Financial Data on THOMAS J. VAN VOOREN, DMD PROFIT SHARING PLAN

Measure	Date	Value
2013 : THOMAS J. VAN VOOREN, DMD PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$417,132
Expenses. Total of all expenses incurred	2013-12-31	$2,182,465
Benefits paid (including direct rollovers)	2013-12-31	$2,182,295
Total plan assets at end of year	2013-12-31	$0
Total plan assets at beginning of year	2013-12-31	$1,765,333
Value of fidelity bond covering the plan	2013-12-31	$2,000,000
Expenses. Other expenses not covered elsewhere	2013-12-31	$170
Other income received	2013-12-31	$353,702
Net income (gross income less expenses)	2013-12-31	$-1,765,333
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,765,333
Total contributions received or receivable from employer(s)	2013-12-31	$63,430
2012 : THOMAS J. VAN VOOREN, DMD PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$263,095
Expenses. Total of all expenses incurred	2012-12-31	$120
Total plan assets at end of year	2012-12-31	$1,765,333
Total plan assets at beginning of year	2012-12-31	$1,502,358
Value of fidelity bond covering the plan	2012-12-31	$2,000,000
Expenses. Other expenses not covered elsewhere	2012-12-31	$120
Other income received	2012-12-31	$199,295
Net income (gross income less expenses)	2012-12-31	$262,975
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,765,333
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,502,358
Total contributions received or receivable from employer(s)	2012-12-31	$63,800
2011 : THOMAS J. VAN VOOREN, DMD PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$44,419
Expenses. Total of all expenses incurred	2011-12-31	$120
Total plan assets at end of year	2011-12-31	$1,502,358
Total plan assets at beginning of year	2011-12-31	$1,458,059
Expenses. Other expenses not covered elsewhere	2011-12-31	$120
Other income received	2011-12-31	$-18,052
Net income (gross income less expenses)	2011-12-31	$44,299
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,502,358
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,458,059
Total contributions received or receivable from employer(s)	2011-12-31	$62,471
2010 : THOMAS J. VAN VOOREN, DMD PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$206,565
Expenses. Total of all expenses incurred	2010-12-31	$120
Total plan assets at end of year	2010-12-31	$1,458,059
Total plan assets at beginning of year	2010-12-31	$1,251,614
Value of fidelity bond covering the plan	2010-12-31	$150,000
Expenses. Other expenses not covered elsewhere	2010-12-31	$120
Other income received	2010-12-31	$145,194
Net income (gross income less expenses)	2010-12-31	$206,445
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,458,059
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,251,614
Total contributions received or receivable from employer(s)	2010-12-31	$61,371

Form 5500 Responses for THOMAS J. VAN VOOREN, DMD PROFIT SHARING PLAN

2013: THOMAS J. VAN VOOREN, DMD PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	This submission is the final filing	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: THOMAS J. VAN VOOREN, DMD 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: THOMAS J. VAN VOOREN, DMD 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
2009: THOMAS J. VAN VOOREN, DMD 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:	THOMAS J. VAN VOOREN, D.M.D.
Employer identification number (EIN):	362975284
NAIC Classification:	621210
NAIC Description:	Offices of Dentists