401k Plan data: ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN plan

ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN 401k Plan overview

Plan Name	ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN
Plan identification number	001

ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing Code section 408 accounts and annuities - See Limited Pension Plan Reporting instructions for pension plan utilizing individual Code section 408 retirement accounts or annuities as the funding vehicle for providing benefits.

401k Sponsoring company profile

ANN ARBOR DENTAL SPECIALISTS PC has sponsored the creation of one or more 401k plans.

Company Name: ANN ARBOR DENTAL SPECIALISTS PC

Employer identification number (EIN): 381974367

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2018-01-01
001 2017-01-01 JAMES W CLARK
001 2016-01-01 JAMES W CLARK
001 2015-01-01 JAMES W CLARK
001 2014-01-01 JAMES W CLARK
001 2013-01-01 JAMES W CLARK
001 2012-01-01 JAMES W CLARK
001 2011-01-01 JAMES W CLARK
001 2010-01-01 JAMES W CLARK
001 2009-01-01 JAMES W CLARK
001 2009-01-01 JAMES W CLARK DDS

Plan Statistics for ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN

401k plan membership statisitcs for ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN

Measure Date Value
2018: ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 0
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 0
Number of participants with account balances 2018-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 8
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 8
Number of participants with account balances 2017-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 8
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 8
Number of participants with account balances 2016-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 8
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 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 8
Number of participants with account balances 2015-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE 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 7
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 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 7
Number of participants with account balances 2014-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 7
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 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 7
Number of participants with account balances 2013-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 8
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 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 8
Number of participants with account balances 2012-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 8
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 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 8
Number of participants with account balances 2011-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 9
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 9
Number of participants with account balances 2010-01-01 9
2009: ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 9
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 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 9
Number of participants with account balances 2009-01-01 9

Measure	Date	Value
2018: ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	0
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	0
Number of participants with account balances	2018-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	8
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	8
Number of participants with account balances	2017-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	8
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	8
Number of participants with account balances	2016-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	8
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	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	8
Number of participants with account balances	2015-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE 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	7
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	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	7
Number of participants with account balances	2014-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	7
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	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	7
Number of participants with account balances	2013-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	8
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	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	8
Number of participants with account balances	2012-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	8
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	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	8
Number of participants with account balances	2011-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	9
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	9
Number of participants with account balances	2010-01-01	9
2009: ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	9
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	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	9
Number of participants with account balances	2009-01-01	9

Financial Data on ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN

Measure	Date	Value
2018 : ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN 2018 401k financial data
Transfers to/from the plan	2018-12-31	$-1,695,970
Total income from all sources	2018-12-31	$86,609
Expenses. Total of all expenses incurred	2018-12-31	$816,005
Benefits paid (including direct rollovers)	2018-12-31	$816,005
Total plan assets at end of year	2018-12-31	$0
Total plan assets at beginning of year	2018-12-31	$2,425,366
Other income received	2018-12-31	$33,482
Net income (gross income less expenses)	2018-12-31	$-729,396
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$2,425,366
Total contributions received or receivable from employer(s)	2018-12-31	$53,127
2017 : ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$417,417
Expenses. Total of all expenses incurred	2017-12-31	$147,127
Benefits paid (including direct rollovers)	2017-12-31	$147,127
Total plan assets at end of year	2017-12-31	$2,425,366
Total plan assets at beginning of year	2017-12-31	$2,155,076
Value of fidelity bond covering the plan	2017-12-31	$200,000
Other income received	2017-12-31	$342,591
Net income (gross income less expenses)	2017-12-31	$270,290
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$2,425,366
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$2,155,076
Total contributions received or receivable from employer(s)	2017-12-31	$74,826
2016 : ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$175,332
Total plan assets at end of year	2016-12-31	$2,155,076
Total plan assets at beginning of year	2016-12-31	$1,979,744
Value of fidelity bond covering the plan	2016-12-31	$200,000
Other income received	2016-12-31	$120,258
Net income (gross income less expenses)	2016-12-31	$175,332
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$2,155,076
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$1,979,744
Total contributions received or receivable from employer(s)	2016-12-31	$55,074
2015 : ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$-23,866
Expenses. Total of all expenses incurred	2015-12-31	$80,000
Benefits paid (including direct rollovers)	2015-12-31	$80,000
Total plan assets at end of year	2015-12-31	$1,979,744
Total plan assets at beginning of year	2015-12-31	$2,083,610
Value of fidelity bond covering the plan	2015-12-31	$200,000
Other income received	2015-12-31	$-79,761
Net income (gross income less expenses)	2015-12-31	$-103,866
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,979,744
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$2,083,610
Total contributions received or receivable from employer(s)	2015-12-31	$55,895
2014 : ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$129,141
Total plan assets at end of year	2014-12-31	$2,083,610
Total plan assets at beginning of year	2014-12-31	$1,954,469
Value of fidelity bond covering the plan	2014-12-31	$200,000
Other income received	2014-12-31	$76,173
Net income (gross income less expenses)	2014-12-31	$129,141
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$2,083,610
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,954,469
Total contributions received or receivable from employer(s)	2014-12-31	$52,968
2013 : ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$340,145
Expenses. Total of all expenses incurred	2013-12-31	$429,968
Benefits paid (including direct rollovers)	2013-12-31	$429,968
Total plan assets at end of year	2013-12-31	$1,954,469
Total plan assets at beginning of year	2013-12-31	$2,044,292
Value of fidelity bond covering the plan	2013-12-31	$200,000
Other income received	2013-12-31	$289,168
Net income (gross income less expenses)	2013-12-31	$-89,823
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,954,469
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$2,044,292
Total contributions received or receivable from employer(s)	2013-12-31	$50,977
2012 : ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$263,114
Expenses. Total of all expenses incurred	2012-12-31	$65,000
Benefits paid (including direct rollovers)	2012-12-31	$65,000
Total plan assets at end of year	2012-12-31	$2,044,292
Total plan assets at beginning of year	2012-12-31	$1,846,178
Value of fidelity bond covering the plan	2012-12-31	$200,000
Other income received	2012-12-31	$207,681
Net income (gross income less expenses)	2012-12-31	$198,114
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$2,044,292
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,846,178
Total contributions received or receivable from employer(s)	2012-12-31	$55,433
2011 : ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$16,300
Expenses. Total of all expenses incurred	2011-12-31	$194,368
Benefits paid (including direct rollovers)	2011-12-31	$194,368
Total plan assets at end of year	2011-12-31	$1,846,178
Total plan assets at beginning of year	2011-12-31	$2,024,246
Value of fidelity bond covering the plan	2011-12-31	$200,000
Other income received	2011-12-31	$-40,484
Net income (gross income less expenses)	2011-12-31	$-178,068
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,846,178
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$2,024,246
Total contributions received or receivable from employer(s)	2011-12-31	$56,784
2010 : ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$219,272
Expenses. Total of all expenses incurred	2010-12-31	$75,000
Benefits paid (including direct rollovers)	2010-12-31	$75,000
Total plan assets at end of year	2010-12-31	$2,024,246
Total plan assets at beginning of year	2010-12-31	$1,879,974
Value of fidelity bond covering the plan	2010-12-31	$200,000
Other income received	2010-12-31	$162,139
Net income (gross income less expenses)	2010-12-31	$144,272
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$2,024,246
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,879,974
Total contributions received or receivable from employer(s)	2010-12-31	$57,133

Form 5500 Responses for ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN

2018: ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	This submission is the final filing	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE 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: ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE 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: ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE 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: ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE 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: ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE 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: ANN ARBOR DENTAL SPECIALISTS PC EMPLOYEE PROFIT SHARING 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	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	ANN ARBOR DENTAL SPECIALISTS PC
Employer identification number (EIN):	381974367
NAIC Classification:	621210
NAIC Description:	Offices of Dentists

Plan id#	Filing Submission Date	Name of Administrator
001	2018-01-01
001	2017-01-01	JAMES W CLARK
001	2016-01-01	JAMES W CLARK
001	2015-01-01	JAMES W CLARK
001	2014-01-01	JAMES W CLARK
001	2013-01-01	JAMES W CLARK
001	2012-01-01	JAMES W CLARK
001	2011-01-01	JAMES W CLARK
001	2010-01-01	JAMES W CLARK
001	2009-01-01	JAMES W CLARK
001	2009-01-01	JAMES W CLARK DDS