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| Plan Name | LIFETIME DENTAL SOLUTIONS 401(K) PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | LIFETIME DENTAL SOLUTIONS, PC |
| Employer identification number (EIN): | 421464667 |
| NAIC Classification: | 621210 |
| NAIC Description: | Offices of Dentists |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2022-10-01 | ||||
| 001 | 2021-10-01 | ||||
| 001 | 2020-10-01 | ||||
| 001 | 2019-10-01 | ||||
| 001 | 2018-10-01 | ||||
| 001 | 2017-10-01 | ||||
| 001 | 2016-10-01 | ||||
| 001 | 2015-10-01 | ||||
| 001 | 2014-10-01 | ||||
| 001 | 2013-10-01 | JOHN ROHLOFF | 2015-07-17 | ||
| 001 | 2012-10-01 | JOHN ROHLOFF | 2014-07-14 | ||
| 001 | 2011-10-01 | JOHN ROHLOFF | 2013-11-05 | ||
| 001 | 2009-10-01 | JOHN ROHLOFF | |||
| 001 | 2009-10-01 | DEAN VANDER WILT | |||
| 001 | 2008-10-01 |
| Measure | Date | Value |
|---|---|---|
| 2009: LIFETIME DENTAL SOLUTIONS 401(K) PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-10-01 | 17 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-10-01 | 17 |
| Number of retired or separated participants receiving benefits | 2009-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2009-10-01 | 0 |
| Total of all active and inactive participants | 2009-10-01 | 17 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2009-10-01 | 0 |
| Total participants | 2009-10-01 | 17 |
| Number of participants with account balances | 2009-10-01 | 13 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2009-10-01 | 0 |
| Measure | Date | Value |
|---|---|---|
| 2011 : LIFETIME DENTAL SOLUTIONS 401(K) PLAN 2011 401k financial data | ||
| Transfers to/from the plan | 2011-09-30 | $0 |
| Total income from all sources | 2011-09-30 | $30,937 |
| Expenses. Total of all expenses incurred | 2011-09-30 | $50,857 |
| Benefits paid (including direct rollovers) | 2011-09-30 | $50,857 |
| Total plan assets at end of year | 2011-09-30 | $222,817 |
| Total plan assets at beginning of year | 2011-09-30 | $242,737 |
| Total contributions received or receivable from participants | 2011-09-30 | $13,205 |
| Other income received | 2011-09-30 | $3,496 |
| Net income (gross income less expenses) | 2011-09-30 | $-19,920 |
| Net plan assets at end of year (total assets less liabilities) | 2011-09-30 | $222,817 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-09-30 | $242,737 |
| Total contributions received or receivable from employer(s) | 2011-09-30 | $14,236 |
| 2009: LIFETIME DENTAL SOLUTIONS 401(K) PLAN 2009 form 5500 responses | ||
|---|---|---|
| 2009-10-01 | Type of plan entity | Single employer plan |
| 2009-10-01 | Submission has been amended | No |
| 2009-10-01 | This submission is the final filing | No |
| 2009-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-10-01 | Plan is a collectively bargained plan | No |
| 2009-10-01 | Plan funding arrangement – Insurance | Yes |
| 2009-10-01 | Plan funding arrangement – Trust | Yes |
| 2009-10-01 | Plan benefit arrangement - Trust | Yes |
| 2008: LIFETIME DENTAL SOLUTIONS 401(K) PLAN 2008 form 5500 responses | ||
| 2008-10-01 | Type of plan entity | Single employer plan |
| 2008-10-01 | Submission has been amended | No |
| 2008-10-01 | This submission is the final filing | No |
| 2008-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2008-10-01 | Plan is a collectively bargained plan | No |
| JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 ) | |||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 49188 | ||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||
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