401k Plan data: M & G DENTAL LAB PROFIT SHARING 401(K) SAFE HARBO plan

M & G DENTAL LAB PROFIT SHARING 401(K) SAFE HARBO 401k Plan overview

Plan Name	M & G DENTAL LAB PROFIT SHARING 401(K) SAFE HARBO
Plan identification number	002

M & G DENTAL LAB PROFIT SHARING 401(K) SAFE HARBO 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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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

M & G DENTAL LAB, INC. has sponsored the creation of one or more 401k plans.

Company Name: M & G DENTAL LAB, INC.

Employer identification number (EIN): 411710614

NAIC Classification: 339110

Form 5500 Filing Information

Submission information for form 5500 for 401k plan M & G DENTAL LAB PROFIT SHARING 401(K) SAFE HARBO

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2015-01-01 PETER ECKMAN 2015-12-28
002 2014-01-01 PETER ECKMAN 2015-07-16
002 2013-01-01 PETER ECKMAN 2014-06-26
002 2012-01-01 PETER ECKMAN 2013-07-15
002 2011-01-01 PETER ECKMAN 2012-07-11
002 2010-01-01 PETER ECKMAN
002 2009-01-01 PETER ECKMAN

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2015-01-01	PETER ECKMAN	2015-12-28
002	2014-01-01	PETER ECKMAN	2015-07-16
002	2013-01-01	PETER ECKMAN	2014-06-26
002	2012-01-01	PETER ECKMAN	2013-07-15
002	2011-01-01	PETER ECKMAN	2012-07-11
002	2010-01-01	PETER ECKMAN
002	2009-01-01	PETER ECKMAN

Plan Statistics for M & G DENTAL LAB PROFIT SHARING 401(K) SAFE HARBO

401k plan membership statisitcs for M & G DENTAL LAB PROFIT SHARING 401(K) SAFE HARBO

Measure Date Value
2010: M & G DENTAL LAB PROFIT SHARING 401(K) SAFE HARBO 2010 401k membership
Total participants, beginning-of-year 2010-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1
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 4
Total of all active and inactive participants 2010-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 5
Number of participants with account balances 2010-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: M & G DENTAL LAB PROFIT SHARING 401(K) SAFE HARBO 2009 401k membership
Total participants, beginning-of-year 2009-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1
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 4
Total of all active and inactive participants 2009-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 5
Number of participants with account balances 2009-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2010: M & G DENTAL LAB PROFIT SHARING 401(K) SAFE HARBO 2010 401k membership
Total participants, beginning-of-year	2010-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1
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	4
Total of all active and inactive participants	2010-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	5
Number of participants with account balances	2010-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: M & G DENTAL LAB PROFIT SHARING 401(K) SAFE HARBO 2009 401k membership
Total participants, beginning-of-year	2009-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1
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	4
Total of all active and inactive participants	2009-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	5
Number of participants with account balances	2009-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on M & G DENTAL LAB PROFIT SHARING 401(K) SAFE HARBO

Measure	Date	Value
2010 : M & G DENTAL LAB PROFIT SHARING 401(K) SAFE HARBO 2010 401k financial data
Total income from all sources	2010-12-31	$95,759
Expenses. Total of all expenses incurred	2010-12-31	$6,552
Total plan assets at end of year	2010-12-31	$770,964
Total plan assets at beginning of year	2010-12-31	$681,757
Expenses. Other expenses not covered elsewhere	2010-12-31	$6,552
Other income received	2010-12-31	$84,916
Net income (gross income less expenses)	2010-12-31	$89,207
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$770,964
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$681,757
Total contributions received or receivable from employer(s)	2010-12-31	$10,843

Form 5500 Responses for M & G DENTAL LAB PROFIT SHARING 401(K) SAFE HARBO

2010: M & G DENTAL LAB PROFIT SHARING 401(K) SAFE HARBO 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: M & G DENTAL LAB PROFIT SHARING 401(K) SAFE HARBO 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	M & G DENTAL LAB, INC.
Employer identification number (EIN):	411710614
NAIC Classification:	339110