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| Plan Name | JEFFREY S. MCCOY, DDS & SUSAN F. GOODWIN, DDS, INC., 401(K) PSP |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | JEFFREY S. MCCOY, DDS & SUSAN FOWLER GOODWIN, DDS, INC. |
| Employer identification number (EIN): | 550774654 |
| 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 | 2022-01-01 | SUSAN FOWLER GOODWIN, DDS | 2023-10-10 | ||
| 001 | 2021-01-01 | ||||
| 001 | 2020-01-01 | ||||
| 001 | 2019-01-01 | ||||
| 001 | 2018-01-01 | SUSAN FOWLER GOODWIN, DDS | 2019-10-08 | ||
| 001 | 2017-01-01 | SUSAN FOWLER GOODWIN, DDS | 2018-07-30 | ||
| 001 | 2016-01-01 | SUSAN FOWLER GOODWIN | 2017-07-19 | SUSAN FOWLER GOODWIN | 2017-07-19 |
| 001 | 2015-01-01 | SUSAN FOWLER GOODWIN | 2016-10-13 | SUSAN FOWLER GOODWIN | 2016-10-13 |
| 001 | 2014-01-01 | SUSAN FOWLER GOODWIN | 2015-11-10 | SUSAN FOWLER GOODWIN | 2015-11-10 |
| 001 | 2013-01-01 | SUSAN FOWLER GOODWIN | 2014-10-08 | SUSAN FOWLER GOODWIN | 2014-10-08 |
| 001 | 2012-01-01 | SUSAN FOWLER GOODWIN | 2015-08-18 | SUSAN FOWLER GOODWIN | 2015-08-18 |
| 001 | 2011-01-01 | SUSAN FOWLER GOODWIN | 2012-10-15 | ||
| 001 | 2010-01-01 | SUSAN FOWLER GOODWIN | 2011-07-18 | ||
| 001 | 2007-01-01 | SUSAN F. MCCOY |
| Measure | Date | Value |
|---|---|---|
| 2007: JEFFREY S. MCCOY, DDS & SUSAN F. GOODWIN, DDS, INC., 401(K) PSP 2007 401k membership | ||
| Total participants, beginning-of-year | 2007-01-01 | 10 |
| Total number of active participants reported on line 7a of the Form 5500 | 2007-01-01 | 7 |
| Number of retired or separated participants receiving benefits | 2007-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2007-01-01 | 5 |
| Total of all active and inactive participants | 2007-01-01 | 12 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2007-01-01 | 0 |
| Total participants | 2007-01-01 | 12 |
| Number of participants with account balances | 2007-01-01 | 12 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2007-01-01 | 5 |
| Measure | Date | Value |
|---|---|---|
| 2007 : JEFFREY S. MCCOY, DDS & SUSAN F. GOODWIN, DDS, INC., 401(K) PSP 2007 401k financial data | ||
| Total income from all sources | 2007-12-31 | $111,064 |
| Expenses. Total of all expenses incurred | 2007-12-31 | $0 |
| Total plan assets at end of year | 2007-12-31 | $770,584 |
| Total plan assets at beginning of year | 2007-12-31 | $659,520 |
| Value of fidelity bond covering the plan | 2007-12-31 | $100,000 |
| Total contributions received or receivable from participants | 2007-12-31 | $37,000 |
| Other income received | 2007-12-31 | $758 |
| Net income (gross income less expenses) | 2007-12-31 | $111,064 |
| Net plan assets at end of year (total assets less liabilities) | 2007-12-31 | $770,584 |
| Net plan assets at beginning of year (total assets less liabilities) | 2007-12-31 | $659,520 |
| Total contributions received or receivable from employer(s) | 2007-12-31 | $73,306 |
| 2007: JEFFREY S. MCCOY, DDS & SUSAN F. GOODWIN, DDS, INC., 401(K) PSP 2007 form 5500 responses | ||
|---|---|---|
| 2007-01-01 | Type of plan entity | Single employer plan |
| 2007-01-01 | Submission has been amended | No |
| 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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