401k Plan data: DENNIS L. HETLAND, DDS RETIREMENT PLAN plan

DENNIS L. HETLAND, DDS RETIREMENT PLAN 401k Plan overview

Plan Name	DENNIS L. HETLAND, DDS RETIREMENT PLAN
Plan identification number	001

DENNIS L. HETLAND, DDS RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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.
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

DENNIS L. HETLAND, DDS has sponsored the creation of one or more 401k plans.

Company Name: DENNIS L. HETLAND, DDS

Employer identification number (EIN): 450408099

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DENNIS L. HETLAND, DDS RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01 DENNIS HETLAND 2017-07-18
001 2015-01-01 DENNIS HETLAND 2016-07-11
001 2014-01-01 DENNIS HETLAND 2015-10-09
001 2013-01-01 DENNIS HETLAND 2014-09-23
001 2012-01-01 DENNIS HETLAND
001 2011-01-01 DENNIS HETLAND
001 2009-01-01 DENNIS HETLAND
001 2008-01-01 DENNIS HETLAND
001 2007-01-01 DENNIS HETLAND

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2016-01-01	DENNIS HETLAND	2017-07-18
001	2015-01-01	DENNIS HETLAND	2016-07-11
001	2014-01-01	DENNIS HETLAND	2015-10-09
001	2013-01-01	DENNIS HETLAND	2014-09-23
001	2012-01-01	DENNIS HETLAND
001	2011-01-01	DENNIS HETLAND
001	2009-01-01	DENNIS HETLAND
001	2008-01-01	DENNIS HETLAND
001	2007-01-01	DENNIS HETLAND

Plan Statistics for DENNIS L. HETLAND, DDS RETIREMENT PLAN

401k plan membership statisitcs for DENNIS L. HETLAND, DDS RETIREMENT PLAN

Measure Date Value
2012: DENNIS L. HETLAND, DDS RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 10
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 1
Total of all active and inactive participants 2012-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 11
Number of participants with account balances 2012-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: DENNIS L. HETLAND, DDS RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 11
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 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 11
Number of participants with account balances 2011-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: DENNIS L. HETLAND, DDS RETIREMENT 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 10
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 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 10
Number of participants with account balances 2009-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0
2008: DENNIS L. HETLAND, DDS RETIREMENT PLAN 2008 401k membership
Total participants, beginning-of-year 2008-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2008-01-01 11
Number of retired or separated participants receiving benefits 2008-01-01 0
Number of other retired or separated participants entitled to future benefits 2008-01-01 0
Total of all active and inactive participants 2008-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2008-01-01 0
Total participants 2008-01-01 11
Number of participants with account balances 2008-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2008-01-01 0
2007: DENNIS L. HETLAND, DDS RETIREMENT PLAN 2007 401k membership
Total participants, beginning-of-year 2007-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2007-01-01 5
Number of retired or separated participants receiving benefits 2007-01-01 2
Number of other retired or separated participants entitled to future benefits 2007-01-01 2
Total of all active and inactive participants 2007-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2007-01-01 0
Total participants 2007-01-01 9
Number of participants with account balances 2007-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2007-01-01 0

Measure	Date	Value
2012: DENNIS L. HETLAND, DDS RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	10
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	1
Total of all active and inactive participants	2012-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	11
Number of participants with account balances	2012-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: DENNIS L. HETLAND, DDS RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	11
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	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	11
Number of participants with account balances	2011-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: DENNIS L. HETLAND, DDS RETIREMENT 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	10
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	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	10
Number of participants with account balances	2009-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0
2008: DENNIS L. HETLAND, DDS RETIREMENT PLAN 2008 401k membership
Total participants, beginning-of-year	2008-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2008-01-01	11
Number of retired or separated participants receiving benefits	2008-01-01	0
Number of other retired or separated participants entitled to future benefits	2008-01-01	0
Total of all active and inactive participants	2008-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2008-01-01	0
Total participants	2008-01-01	11
Number of participants with account balances	2008-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2008-01-01	0
2007: DENNIS L. HETLAND, DDS RETIREMENT PLAN 2007 401k membership
Total participants, beginning-of-year	2007-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2007-01-01	5
Number of retired or separated participants receiving benefits	2007-01-01	2
Number of other retired or separated participants entitled to future benefits	2007-01-01	2
Total of all active and inactive participants	2007-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2007-01-01	0
Total participants	2007-01-01	9
Number of participants with account balances	2007-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2007-01-01	0

Financial Data on DENNIS L. HETLAND, DDS RETIREMENT PLAN

Measure	Date	Value
2012 : DENNIS L. HETLAND, DDS RETIREMENT PLAN 2012 401k financial data
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$187,453
Expenses. Total of all expenses incurred	2012-12-31	$4,465
Total plan assets at end of year	2012-12-31	$765,808
Total plan assets at beginning of year	2012-12-31	$582,820
Value of fidelity bond covering the plan	2012-12-31	$100,000
Total contributions received or receivable from participants	2012-12-31	$34,189
Other income received	2012-12-31	$99,470
Net income (gross income less expenses)	2012-12-31	$182,988
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$765,808
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$582,820
Assets. Value of assets in partnership/joint-venture interests	2012-12-31	$293,261
Total contributions received or receivable from employer(s)	2012-12-31	$53,794
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$4,465
2011 : DENNIS L. HETLAND, DDS RETIREMENT PLAN 2011 401k financial data
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$131,355
Expenses. Total of all expenses incurred	2011-12-31	$3,584
Benefits paid (including direct rollovers)	2011-12-31	$851
Total plan assets at end of year	2011-12-31	$582,820
Total plan assets at beginning of year	2011-12-31	$455,049
Value of fidelity bond covering the plan	2011-12-31	$100,000
Total contributions received or receivable from participants	2011-12-31	$32,562
Contributions received from other sources (not participants or employers)	2011-12-31	$1,603
Other income received	2011-12-31	$45,128
Net income (gross income less expenses)	2011-12-31	$127,771
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$582,820
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$455,049
Assets. Value of assets in partnership/joint-venture interests	2011-12-31	$167,018
Total contributions received or receivable from employer(s)	2011-12-31	$52,062
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$2,733
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : DENNIS L. HETLAND, DDS RETIREMENT PLAN 2010 401k financial data
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$113,874
Expenses. Total of all expenses incurred	2010-12-31	$20,332
Benefits paid (including direct rollovers)	2010-12-31	$17,783
Total plan assets at end of year	2010-12-31	$455,049
Total plan assets at beginning of year	2010-12-31	$361,507
Value of fidelity bond covering the plan	2010-12-31	$25,000
Total contributions received or receivable from participants	2010-12-31	$26,016
Contributions received from other sources (not participants or employers)	2010-12-31	$1,085
Other income received	2010-12-31	$35,877
Net income (gross income less expenses)	2010-12-31	$93,542
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$455,049
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$361,507
Assets. Value of assets in partnership/joint-venture interests	2010-12-31	$90,000
Total contributions received or receivable from employer(s)	2010-12-31	$50,896
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$2,549
2008 : DENNIS L. HETLAND, DDS RETIREMENT PLAN 2008 401k financial data
Total plan liabilities at end of year	2008-12-31	$0
Total plan liabilities at beginning of year	2008-12-31	$0
Total income from all sources	2008-12-31	$-90,775
Expenses. Total of all expenses incurred	2008-12-31	$24,024
Benefits paid (including direct rollovers)	2008-12-31	$24,024
Total plan assets at end of year	2008-12-31	$229,649
Total plan assets at beginning of year	2008-12-31	$344,448
Total contributions received or receivable from participants	2008-12-31	$24,290
Other income received	2008-12-31	$-129,723
Net income (gross income less expenses)	2008-12-31	$-114,799
Net plan assets at end of year (total assets less liabilities)	2008-12-31	$229,649
Net plan assets at beginning of year (total assets less liabilities)	2008-12-31	$344,448
Total contributions received or receivable from employer(s)	2008-12-31	$14,658
2007 : DENNIS L. HETLAND, DDS RETIREMENT PLAN 2007 401k financial data
Total plan liabilities at end of year	2007-12-31	$0
Total plan liabilities at beginning of year	2007-12-31	$0
Total income from all sources	2007-12-31	$43,278
Expenses. Total of all expenses incurred	2007-12-31	$861
Benefits paid (including direct rollovers)	2007-12-31	$861
Total plan assets at end of year	2007-12-31	$344,448
Total plan assets at beginning of year	2007-12-31	$302,031
Total contributions received or receivable from participants	2007-12-31	$16,916
Other income received	2007-12-31	$26,362
Net income (gross income less expenses)	2007-12-31	$42,417
Net plan assets at end of year (total assets less liabilities)	2007-12-31	$344,448
Net plan assets at beginning of year (total assets less liabilities)	2007-12-31	$302,031

Form 5500 Responses for DENNIS L. HETLAND, DDS RETIREMENT PLAN

2012: DENNIS L. HETLAND, DDS RETIREMENT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: DENNIS L. HETLAND, DDS RETIREMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: DENNIS L. HETLAND, DDS RETIREMENT 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	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
2008: DENNIS L. HETLAND, DDS RETIREMENT PLAN 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Submission has been amended	Yes
2008-01-01	This submission is the final filing	No
2008-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-01-01	Plan is a collectively bargained plan	No
2008-01-01	Plan funding arrangement – Trust	Yes
2008-01-01	Plan benefit arrangement - Trust	Yes
2007: DENNIS L. HETLAND, DDS RETIREMENT PLAN 2007 form 5500 responses
2007-01-01	Type of plan entity	Single employer plan
2007-01-01	Submission has been amended	Yes
2007-01-01	This submission is the final filing	No
2007-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-01-01	Plan is a collectively bargained plan	No
2007-01-01	Plan funding arrangement – Trust	Yes
2007-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	DENNIS L. HETLAND, DDS
Employer identification number (EIN):	450408099
NAIC Classification:	621210
NAIC Description:	Offices of Dentists