401k Plan data: DAVID C. PFOHL, D.M.D. DEFINED BENEFIT PLAN plan

DAVID C. PFOHL, D.M.D. DEFINED BENEFIT PLAN 401k Plan overview

Plan Name	DAVID C. PFOHL, D.M.D. DEFINED BENEFIT PLAN
Plan identification number	002

DAVID C. PFOHL, D.M.D. DEFINED BENEFIT PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily pay related
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).
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.

401k Sponsoring company profile

DAVID C. PFOHL, D.M.D. has sponsored the creation of one or more 401k plans.

Company Name: DAVID C. PFOHL, D.M.D.

Employer identification number (EIN): 541561899

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DAVID C. PFOHL, D.M.D. DEFINED BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2012-01-01 DAVID C. PFOHL
002 2011-01-01 DAVID C. PFOHL
002 2009-01-01 DAVID C. PFOHL

Plan id#	Filing Submission Date	Name of Administrator
002	2012-01-01	DAVID C. PFOHL
002	2011-01-01	DAVID C. PFOHL
002	2009-01-01	DAVID C. PFOHL

Plan Statistics for DAVID C. PFOHL, D.M.D. DEFINED BENEFIT PLAN

401k plan membership statisitcs for DAVID C. PFOHL, D.M.D. DEFINED BENEFIT PLAN

Measure Date Value
2012: DAVID C. PFOHL, D.M.D. DEFINED BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
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 0
Total of all active and inactive participants 2012-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 0
Number of participants with account balances 2012-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: DAVID C. PFOHL, D.M.D. DEFINED BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1
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 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: DAVID C. PFOHL, D.M.D. DEFINED BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 6
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 1
Total of all active and inactive participants 2009-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2012: DAVID C. PFOHL, D.M.D. DEFINED BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
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	0
Total of all active and inactive participants	2012-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	0
Number of participants with account balances	2012-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: DAVID C. PFOHL, D.M.D. DEFINED BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1
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	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: DAVID C. PFOHL, D.M.D. DEFINED BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	6
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	1
Total of all active and inactive participants	2009-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on DAVID C. PFOHL, D.M.D. DEFINED BENEFIT PLAN

Measure	Date	Value
2012 : DAVID C. PFOHL, D.M.D. DEFINED BENEFIT 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	$11,471
Total income from all sources	2012-12-31	$16,896
Expenses. Total of all expenses incurred	2012-12-31	$353,170
Benefits paid (including direct rollovers)	2012-12-31	$350,982
Total plan assets at end of year	2012-12-31	$0
Total plan assets at beginning of year	2012-12-31	$347,745
Value of fidelity bond covering the plan	2012-12-31	$2,000,000
Other income received	2012-12-31	$16,896
Net income (gross income less expenses)	2012-12-31	$-336,274
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$336,274
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$2,188
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : DAVID C. PFOHL, D.M.D. DEFINED BENEFIT PLAN 2011 401k financial data
Total plan liabilities at end of year	2011-12-31	$11,471
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$21,431
Expenses. Total of all expenses incurred	2011-12-31	$250,915
Benefits paid (including direct rollovers)	2011-12-31	$248,527
Total plan assets at end of year	2011-12-31	$347,745
Total plan assets at beginning of year	2011-12-31	$565,758
Value of fidelity bond covering the plan	2011-12-31	$2,000,000
Other income received	2011-12-31	$21,431
Net income (gross income less expenses)	2011-12-31	$-229,484
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$336,274
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$565,758
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$2,388
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : DAVID C. PFOHL, D.M.D. DEFINED BENEFIT 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	$189
Total income from all sources	2010-12-31	$9,437
Expenses. Total of all expenses incurred	2010-12-31	$1,478
Total plan assets at end of year	2010-12-31	$565,758
Total plan assets at beginning of year	2010-12-31	$557,988
Value of fidelity bond covering the plan	2010-12-31	$2,000,000
Other income received	2010-12-31	$9,437
Net income (gross income less expenses)	2010-12-31	$7,959
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$565,758
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$557,799
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$1,478
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : DAVID C. PFOHL, D.M.D. DEFINED BENEFIT PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for DAVID C. PFOHL, D.M.D. DEFINED BENEFIT PLAN

2012: DAVID C. PFOHL, D.M.D. DEFINED BENEFIT 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	Yes
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: DAVID C. PFOHL, D.M.D. DEFINED BENEFIT 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: DAVID C. PFOHL, D.M.D. DEFINED BENEFIT PLAN 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:	DAVID C. PFOHL, D.M.D.
Employer identification number (EIN):	541561899
NAIC Classification:	621210
NAIC Description:	Offices of Dentists