401k Plan data: DONALD H. LEMIRE JR., DDS PA CASH BALANCE PENSION PLAN AND TRUST plan

DONALD H. LEMIRE JR., DDS PA CASH BALANCE PENSION PLAN AND TRUST 401k Plan overview

Plan Name	DONALD H. LEMIRE JR., DDS PA CASH BALANCE PENSION PLAN AND TRUST
Plan identification number	001

DONALD H. LEMIRE JR., DDS PA CASH BALANCE PENSION PLAN AND TRUST Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily pay related
Cash balance or similar plan - Plan has a "cash balance" formula. For this purpose, a "cash balance" formula is a benefit formula in a defined benefit plan by whatever name (for example, personal account plan, pension equity plan, life cycle plan, cash account plan, etc.) that rather than, or in addition to, expressing the accrued benefit as a life annuity commencing at normal retirement age, defines benefits for each employee in terms more common to a defined contribution plan such as a single sum distribution amount (for example, 10 percent of final average pay times years of service, or the amount of the employee's hypothetical account balance).
Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).
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

DONALD H. LEMIRE, JR., D.D.S., P.A. has sponsored the creation of one or more 401k plans.

Company Name: DONALD H. LEMIRE, JR., D.D.S., P.A.

Employer identification number (EIN): 481206250

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Additional information about DONALD H. LEMIRE, JR., D.D.S., P.A.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 2004-12-30

Company Identification Number: P05000001381

Legal Registered Office Address: 1100 FIFTH AVENUE SOUTH SUITE 301

Naples

34102

More information about DONALD H. LEMIRE, JR., D.D.S., P.A.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DONALD H. LEMIRE JR., DDS PA CASH BALANCE PENSION PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01
001 2016-01-01
001 2015-01-01
001 2014-01-01
001 2013-01-01
001 2012-01-01 DONALD LEMIRE DONALD LEMIRE 2013-10-10
001 2011-01-01 DONALD LEMIRE 2012-08-27 DONALD LEMIRE 2012-08-27
001 2010-01-01 DONALD H LEMIRE JR 2011-10-11 DONALD H LEMIRE JR 2011-10-11

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2017-01-01
001	2016-01-01
001	2015-01-01
001	2014-01-01
001	2013-01-01
001	2012-01-01	DONALD LEMIRE		DONALD LEMIRE	2013-10-10
001	2011-01-01	DONALD LEMIRE	2012-08-27	DONALD LEMIRE	2012-08-27
001	2010-01-01	DONALD H LEMIRE JR	2011-10-11	DONALD H LEMIRE JR	2011-10-11

Plan Statistics for DONALD H. LEMIRE JR., DDS PA CASH BALANCE PENSION PLAN AND TRUST

401k plan membership statisitcs for DONALD H. LEMIRE JR., DDS PA CASH BALANCE PENSION PLAN AND TRUST

Measure Date Value
2017: DONALD H. LEMIRE JR., DDS PA CASH BALANCE PENSION PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year 2017-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 0
2016: DONALD H. LEMIRE JR., DDS PA CASH BALANCE PENSION PLAN AND TRUST 2016 401k membership
Market value of plan assets 2016-12-31 1,864,201
Acturial value of plan assets 2016-12-31 1,864,201
Funding target for retired participants and beneficiaries receiving payment 2016-12-31 0
Number of terminated vested participants 2016-12-31 5
Fundng target for terminated vested participants 2016-12-31 162,346
Active participant vested funding target 2016-12-31 1,294,994
Number of active participants 2016-12-31 2
Total funding liabilities for active participants 2016-12-31 1,294,994
Total participant count 2016-12-31 7
Total funding target for all participants 2016-12-31 1,457,340
Balance at beginning of prior year after applicable adjustments 2016-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2016-12-31 0
Carryover balanced portion elected for use to offset prior years funding requirement 2016-12-31 0
Prefunding balanced used to offset prior years funding requirement 2016-12-31 0
Amount remaining of carryover balance 2016-12-31 0
Amount remaining of prefunding balance 2016-12-31 0
Present value of excess contributions 2016-12-31 90,227
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2016-12-31 90,227
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2016-12-31 90,227
Reductions in caryover balances due to elections or deemed elections 2016-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2016-12-31 0
Balance of carryovers at beginning of current year 2016-12-31 0
Balance of prefunding at beginning of current year 2016-12-31 90,227
Contributions allocated toward unpaid minimum require contributions from prior years 2016-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2016-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2016-12-31 0
Unpaid minimum required contributions for all prior years 2016-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2016-12-31 0
Remaining amount of unpaid minimum required contributions 2016-12-31 0
Minimum required contributions for current year target normal cost 2016-12-31 0
Net shortfall amortization installment of oustanding balance 2016-12-31 0
Waiver amortization installment 2016-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2016-12-31 0
Carryover balance elected to use to offset funding requirement 2016-12-31 0
Prefunding balance elected to use to offset funding requirement 2016-12-31 0
Additional cash requirement 2016-12-31 0
Contributions allocatedtoward minimum required contributions for current year 2016-12-31 0
Unpaid minimum required contributions for current year 2016-12-31 0
Unpaid minimum required contributions for all years 2016-12-31 0
Total participants, beginning-of-year 2016-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 2
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 5
Total of all active and inactive participants 2016-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 7
2015: DONALD H. LEMIRE JR., DDS PA CASH BALANCE PENSION PLAN AND TRUST 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 6
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 1
Total of all active and inactive participants 2015-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: DONALD H. LEMIRE JR., DDS PA CASH BALANCE PENSION PLAN AND TRUST 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 6
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 1
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
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: DONALD H. LEMIRE JR., DDS PA CASH BALANCE PENSION PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year 2013-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 6
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 1
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
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: DONALD H. LEMIRE JR., DDS PA CASH BALANCE PENSION PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 5
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 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0

Measure	Date	Value
2017: DONALD H. LEMIRE JR., DDS PA CASH BALANCE PENSION PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year	2017-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	0
2016: DONALD H. LEMIRE JR., DDS PA CASH BALANCE PENSION PLAN AND TRUST 2016 401k membership
Market value of plan assets	2016-12-31	1,864,201
Acturial value of plan assets	2016-12-31	1,864,201
Funding target for retired participants and beneficiaries receiving payment	2016-12-31	0
Number of terminated vested participants	2016-12-31	5
Fundng target for terminated vested participants	2016-12-31	162,346
Active participant vested funding target	2016-12-31	1,294,994
Number of active participants	2016-12-31	2
Total funding liabilities for active participants	2016-12-31	1,294,994
Total participant count	2016-12-31	7
Total funding target for all participants	2016-12-31	1,457,340
Balance at beginning of prior year after applicable adjustments	2016-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2016-12-31	0
Carryover balanced portion elected for use to offset prior years funding requirement	2016-12-31	0
Prefunding balanced used to offset prior years funding requirement	2016-12-31	0
Amount remaining of carryover balance	2016-12-31	0
Amount remaining of prefunding balance	2016-12-31	0
Present value of excess contributions	2016-12-31	90,227
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2016-12-31	90,227
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2016-12-31	90,227
Reductions in caryover balances due to elections or deemed elections	2016-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2016-12-31	0
Balance of carryovers at beginning of current year	2016-12-31	0
Balance of prefunding at beginning of current year	2016-12-31	90,227
Contributions allocated toward unpaid minimum require contributions from prior years	2016-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2016-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2016-12-31	0
Unpaid minimum required contributions for all prior years	2016-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2016-12-31	0
Remaining amount of unpaid minimum required contributions	2016-12-31	0
Minimum required contributions for current year target normal cost	2016-12-31	0
Net shortfall amortization installment of oustanding balance	2016-12-31	0
Waiver amortization installment	2016-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2016-12-31	0
Carryover balance elected to use to offset funding requirement	2016-12-31	0
Prefunding balance elected to use to offset funding requirement	2016-12-31	0
Additional cash requirement	2016-12-31	0
Contributions allocatedtoward minimum required contributions for current year	2016-12-31	0
Unpaid minimum required contributions for current year	2016-12-31	0
Unpaid minimum required contributions for all years	2016-12-31	0
Total participants, beginning-of-year	2016-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	2
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	5
Total of all active and inactive participants	2016-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	7
2015: DONALD H. LEMIRE JR., DDS PA CASH BALANCE PENSION PLAN AND TRUST 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	6
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	1
Total of all active and inactive participants	2015-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: DONALD H. LEMIRE JR., DDS PA CASH BALANCE PENSION PLAN AND TRUST 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	6
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	1
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
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: DONALD H. LEMIRE JR., DDS PA CASH BALANCE PENSION PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year	2013-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	6
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	1
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
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: DONALD H. LEMIRE JR., DDS PA CASH BALANCE PENSION PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	5
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	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0

Financial Data on DONALD H. LEMIRE JR., DDS PA CASH BALANCE PENSION PLAN AND TRUST

Measure	Date	Value
2017 : DONALD H. LEMIRE JR., DDS PA CASH BALANCE PENSION PLAN AND TRUST 2017 401k financial data
Total plan liabilities at end of year	2017-10-19	$0
Total income from all sources	2017-10-19	$121,802
Expenses. Total of all expenses incurred	2017-10-19	$1,986,003
Benefits paid (including direct rollovers)	2017-10-19	$1,986,003
Total plan assets at end of year	2017-10-19	$0
Total plan assets at beginning of year	2017-10-19	$1,864,201
Value of fidelity bond covering the plan	2017-10-19	$250,000
Other income received	2017-10-19	$121,802
Net income (gross income less expenses)	2017-10-19	$-1,864,201
Net plan assets at end of year (total assets less liabilities)	2017-10-19	$0
Net plan assets at beginning of year (total assets less liabilities)	2017-10-19	$1,864,201
Assets. Value of real-estate (other than employer real property)	2017-10-19	$0
2016 : DONALD H. LEMIRE JR., DDS PA CASH BALANCE PENSION PLAN AND TRUST 2016 401k financial data
Total income from all sources	2016-12-31	$98,840
Expenses. Total of all expenses incurred	2016-12-31	$0
Total plan assets at end of year	2016-12-31	$1,864,201
Total plan assets at beginning of year	2016-12-31	$1,765,361
Value of fidelity bond covering the plan	2016-12-31	$250,000
Other income received	2016-12-31	$98,840
Net income (gross income less expenses)	2016-12-31	$98,840
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$1,864,201
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$1,765,361
Assets. Value of real-estate (other than employer real property)	2016-12-31	$0
2015 : DONALD H. LEMIRE JR., DDS PA CASH BALANCE PENSION PLAN AND TRUST 2015 401k financial data
Total income from all sources	2015-12-31	$52,706
Expenses. Total of all expenses incurred	2015-12-31	$0
Total plan assets at end of year	2015-12-31	$1,765,361
Total plan assets at beginning of year	2015-12-31	$1,712,655
Value of fidelity bond covering the plan	2015-12-31	$250,000
Other income received	2015-12-31	$-40,250
Net income (gross income less expenses)	2015-12-31	$52,706
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,765,361
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,712,655
Assets. Value of real-estate (other than employer real property)	2015-12-31	$0
Total contributions received or receivable from employer(s)	2015-12-31	$92,956
2014 : DONALD H. LEMIRE JR., DDS PA CASH BALANCE PENSION PLAN AND TRUST 2014 401k financial data
Total income from all sources	2014-12-31	$-10,745
Expenses. Total of all expenses incurred	2014-12-31	$0
Total plan assets at end of year	2014-12-31	$1,712,655
Total plan assets at beginning of year	2014-12-31	$1,723,400
Value of fidelity bond covering the plan	2014-12-31	$250,000
Other income received	2014-12-31	$-10,745
Net income (gross income less expenses)	2014-12-31	$-10,745
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,712,655
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,723,400
Assets. Value of real-estate (other than employer real property)	2014-12-31	$0
2013 : DONALD H. LEMIRE JR., DDS PA CASH BALANCE PENSION PLAN AND TRUST 2013 401k financial data
Total income from all sources	2013-12-31	$158,469
Expenses. Total of all expenses incurred	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$1,723,400
Total plan assets at beginning of year	2013-12-31	$1,564,931
Value of fidelity bond covering the plan	2013-12-31	$250,000
Other income received	2013-12-31	$158,469
Net income (gross income less expenses)	2013-12-31	$158,469
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,723,400
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,564,931
Assets. Value of real-estate (other than employer real property)	2013-12-31	$50,000
Total contributions received or receivable from employer(s)	2013-12-31	$0
2012 : DONALD H. LEMIRE JR., DDS PA CASH BALANCE PENSION PLAN AND TRUST 2012 401k financial data
Total income from all sources	2012-12-31	$472,706
Total plan assets at end of year	2012-12-31	$1,564,931
Total plan assets at beginning of year	2012-12-31	$1,092,225
Value of fidelity bond covering the plan	2012-12-31	$195,000
Other income received	2012-12-31	$-12,294
Net income (gross income less expenses)	2012-12-31	$472,706
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,564,931
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,092,225
Assets. Value of real-estate (other than employer real property)	2012-12-31	$50,000
Total contributions received or receivable from employer(s)	2012-12-31	$485,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0

Form 5500 Responses for DONALD H. LEMIRE JR., DDS PA CASH BALANCE PENSION PLAN AND TRUST

2017: DONALD H. LEMIRE JR., DDS PA CASH BALANCE PENSION PLAN AND TRUST 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: DONALD H. LEMIRE JR., DDS PA CASH BALANCE PENSION PLAN AND TRUST 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: DONALD H. LEMIRE JR., DDS PA CASH BALANCE PENSION PLAN AND TRUST 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: DONALD H. LEMIRE JR., DDS PA CASH BALANCE PENSION PLAN AND TRUST 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: DONALD H. LEMIRE JR., DDS PA CASH BALANCE PENSION PLAN AND TRUST 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: DONALD H. LEMIRE JR., DDS PA CASH BALANCE PENSION PLAN AND TRUST 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

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Company Name:	DONALD H. LEMIRE, JR., D.D.S., P.A.
Employer identification number (EIN):	481206250
NAIC Classification:	621210
NAIC Description:	Offices of Dentists

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	2004-12-30
Company Identification Number:	P05000001381
Legal Registered Office Address:	1100 FIFTH AVENUE SOUTH SUITE 301 Naples 34102