DAVID S. GILMORE, DDS, MSD, INC. CASH BALANCE PLAN & TRUST 401k Plan overview

DAVID S. GILMORE, DDS, MSD, INC. CASH BALANCE PLAN & TRUST Benefits

401k Sponsoring company profile

Company Name:	DAVID S. GILMORE, DDS, MSD, INC.
Employer identification number (EIN):	452485902
NAIC Classification:	621210
NAIC Description:	Offices of Dentists

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	DAVID S. GILMORE	2023-06-06	DAVID S. GILMORE	2023-06-06
001	2021-01-01	DAVID S. GILMORE	2022-03-16	DAVID S. GILMORE	2022-03-16
001	2020-01-01	DAVID S. GILMORE	2021-09-16	DAVID S. GILMORE	2021-09-16
001	2019-01-01	DAVID S. GILMORE	2020-08-27	DAVID S. GILMORE	2020-08-27

Plan Statistics for DAVID S. GILMORE, DDS, MSD, INC. CASH BALANCE PLAN & TRUST

Measure	Date	Value
2021: DAVID S. GILMORE, DDS, MSD, INC. CASH BALANCE PLAN & TRUST 2021 401k membership
Market value of plan assets	2021-12-31	450,886
Acturial value of plan assets	2021-12-31	450,886
Funding target for retired participants and beneficiaries receiving payment	2021-12-31	0
Number of terminated vested participants	2021-12-31	2
Fundng target for terminated vested participants	2021-12-31	1,722
Active participant vested funding target	2021-12-31	361,801
Number of active participants	2021-12-31	6
Total funding liabilities for active participants	2021-12-31	361,801
Total participant count	2021-12-31	8
Total funding target for all participants	2021-12-31	363,523
Balance at beginning of prior year after applicable adjustments	2021-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2021-12-31	0
Carryover balanced portion elected for use to offset prior years funding requirement	2021-12-31	0
Prefunding balanced used to offset prior years funding requirement	2021-12-31	0
Present value of excess contributions	2021-12-31	39,090
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2021-12-31	39,090
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2021-12-31	0
Reductions in caryover balances due to elections or deemed elections	2021-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2021-12-31	0
Balance of carryovers at beginning of current year	2021-12-31	0
Balance of prefunding at beginning of current year	2021-12-31	0
Total employer contributions	2021-12-31	150,000
Contributions allocated toward unpaid minimum require contributions from prior years	2021-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2021-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2021-12-31	150,903
Remaining amount of unpaid minimum required contributions	2021-12-31	0
Minimum required contributions for current year target normal cost	2021-12-31	169,613
Net shortfall amortization installment of oustanding balance	2021-12-31	0
Waiver amortization installment	2021-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2021-12-31	82,250
Carryover balance elected to use to offset funding requirement	2021-12-31	0
Prefunding balance elected to use to offset funding requirement	2021-12-31	0
Additional cash requirement	2021-12-31	82,250
Contributions allocatedtoward minimum required contributions for current year	2021-12-31	150,903
Unpaid minimum required contributions for current year	2021-12-31	0
Unpaid minimum required contributions for all years	2021-12-31	0
2020: DAVID S. GILMORE, DDS, MSD, INC. CASH BALANCE PLAN & TRUST 2020 401k membership
Market value of plan assets	2020-12-31	203,871
Acturial value of plan assets	2020-12-31	203,871
Funding target for retired participants and beneficiaries receiving payment	2020-12-31	0
Number of terminated vested participants	2020-12-31	1
Fundng target for terminated vested participants	2020-12-31	607
Active participant vested funding target	2020-12-31	176,569
Number of active participants	2020-12-31	6
Total funding liabilities for active participants	2020-12-31	176,569
Total participant count	2020-12-31	7
Total funding target for all participants	2020-12-31	177,176
Balance at beginning of prior year after applicable adjustments	2020-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2020-12-31	0
Carryover balanced portion elected for use to offset prior years funding requirement	2020-12-31	0
Prefunding balanced used to offset prior years funding requirement	2020-12-31	0
Present value of excess contributions	2020-12-31	4,546
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2020-12-31	4,546
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2020-12-31	0
Reductions in caryover balances due to elections or deemed elections	2020-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2020-12-31	0
Balance of carryovers at beginning of current year	2020-12-31	0
Balance of prefunding at beginning of current year	2020-12-31	0
Total employer contributions	2020-12-31	180,000
Contributions allocated toward unpaid minimum require contributions from prior years	2020-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2020-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2020-12-31	181,941
Remaining amount of unpaid minimum required contributions	2020-12-31	0
Minimum required contributions for current year target normal cost	2020-12-31	169,546
Net shortfall amortization installment of oustanding balance	2020-12-31	0
Waiver amortization installment	2020-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2020-12-31	142,851
Carryover balance elected to use to offset funding requirement	2020-12-31	0
Prefunding balance elected to use to offset funding requirement	2020-12-31	0
Additional cash requirement	2020-12-31	142,851
Contributions allocatedtoward minimum required contributions for current year	2020-12-31	181,941
Unpaid minimum required contributions for current year	2020-12-31	0
Unpaid minimum required contributions for all years	2020-12-31	0
2019: DAVID S. GILMORE, DDS, MSD, INC. CASH BALANCE PLAN & TRUST 2019 401k membership
Market value of plan assets	2019-12-31	0
Acturial value of plan assets	2019-12-31	0
Funding target for retired participants and beneficiaries receiving payment	2019-12-31	0
Number of terminated vested participants	2019-12-31	0
Fundng target for terminated vested participants	2019-12-31	0
Active participant vested funding target	2019-12-31	0
Number of active participants	2019-12-31	6
Total funding liabilities for active participants	2019-12-31	0
Total participant count	2019-12-31	6
Total funding target for all participants	2019-12-31	0
Balance at beginning of prior year after applicable adjustments	2019-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2019-12-31	0
Carryover balanced portion elected for use to offset prior years funding requirement	2019-12-31	0
Prefunding balanced used to offset prior years funding requirement	2019-12-31	0
Present value of excess contributions	2019-12-31	0
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2019-12-31	0
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2019-12-31	0
Reductions in caryover balances due to elections or deemed elections	2019-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2019-12-31	0
Balance of carryovers at beginning of current year	2019-12-31	0
Balance of prefunding at beginning of current year	2019-12-31	0
Total employer contributions	2019-12-31	170,749
Contributions allocated toward unpaid minimum require contributions from prior years	2019-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2019-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2019-12-31	169,040
Remaining amount of unpaid minimum required contributions	2019-12-31	0
Minimum required contributions for current year target normal cost	2019-12-31	164,494
Net shortfall amortization installment of oustanding balance	2019-12-31	0
Waiver amortization installment	2019-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2019-12-31	164,494
Carryover balance elected to use to offset funding requirement	2019-12-31	0
Prefunding balance elected to use to offset funding requirement	2019-12-31	0
Additional cash requirement	2019-12-31	164,494
Contributions allocatedtoward minimum required contributions for current year	2019-12-31	169,040
Unpaid minimum required contributions for current year	2019-12-31	0
Unpaid minimum required contributions for all years	2019-12-31	0

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• DAVID S. KIM, M.D., RETIREMENT PLAN [EIN = 300050583]
• DAVID S. KAO, DDS, INC 401(K) PROFIT SHARING PLAN [EIN = 455143473]
• DAVID S. AMID, DDS, INC.CASH BALANCE PLAN [EIN = 463041300]
• DAVID S. KIM, M.D., DEFINED BENEFIT PENSION PLAN [EIN = 300050583]
• DAVID S. HAN, MS, DMD, APC RETIREMENT TRUST [EIN = 470924624]
• DAVID S. BENSON, DMD, P.A. CASH BALANCE PLAN & TRUST [EIN = 650875247]
• DAVID S. JARDENIL, PC CASH BALANCE PLAN [EIN = 352054517]

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