401k Plan data: D. SCOTT VANDERVEEN, D.D.S. PLLC PROFIT SHARING PLAN plan

D. SCOTT VANDERVEEN, D.D.S. PLLC PROFIT SHARING PLAN 401k Plan overview

Plan Name	D. SCOTT VANDERVEEN, D.D.S. PLLC PROFIT SHARING PLAN
Plan identification number	001

D. SCOTT VANDERVEEN, D.D.S. PLLC PROFIT SHARING PLAN Benefits

401k Plan Type

Defined 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

D SCOTT VANDERVEEN, DDS PLLC has sponsored the creation of one or more 401k plans.

Company Name: D SCOTT VANDERVEEN, DDS PLLC

Employer identification number (EIN): 371462706

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan D. SCOTT VANDERVEEN, D.D.S. PLLC PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2020-01-01 SCOTT VANDERVEEN 2021-10-08
001 2019-01-01 SCOTT VANDERVEEN 2020-08-10
001 2018-01-01 SCOTT VANDERVEEN 2019-07-25
001 2017-01-01 SCOTT VANDERVEEN 2018-10-24
001 2016-01-01 SCOTT VANDERVEEN 2017-08-01
001 2015-01-01 SCOTT VANDERVEEN 2016-07-29
001 2014-01-01 79SHEPHOLLOW 2015-07-30 79SHEPHOLLOW 2015-07-30
001 2013-01-01 DAVID VANDERVEEN 2014-07-31 DAVID VANDERVEEN 2014-07-31
001 2012-01-01 D SCOTT VANDERVEEN 2013-07-19 D SCOTT VANDERVEEN 2013-07-19
001 2011-01-01 D SCOTT VANDERVEEN 2012-07-30 D SCOTT VANDERVEEN 2012-07-30
001 2010-01-01 DAVID VANDERVEEN 2011-09-22 DAVID VANDERVEEN 2011-09-22

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2020-01-01	SCOTT VANDERVEEN	2021-10-08
001	2019-01-01	SCOTT VANDERVEEN	2020-08-10
001	2018-01-01	SCOTT VANDERVEEN	2019-07-25
001	2017-01-01	SCOTT VANDERVEEN	2018-10-24
001	2016-01-01	SCOTT VANDERVEEN	2017-08-01
001	2015-01-01	SCOTT VANDERVEEN	2016-07-29
001	2014-01-01	79SHEPHOLLOW	2015-07-30	79SHEPHOLLOW	2015-07-30
001	2013-01-01	DAVID VANDERVEEN	2014-07-31	DAVID VANDERVEEN	2014-07-31
001	2012-01-01	D SCOTT VANDERVEEN	2013-07-19	D SCOTT VANDERVEEN	2013-07-19
001	2011-01-01	D SCOTT VANDERVEEN	2012-07-30	D SCOTT VANDERVEEN	2012-07-30
001	2010-01-01	DAVID VANDERVEEN	2011-09-22	DAVID VANDERVEEN	2011-09-22

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Company Name:	D SCOTT VANDERVEEN, DDS PLLC
Employer identification number (EIN):	371462706
NAIC Classification:	621210
NAIC Description:	Offices of Dentists