401k Plan data: WILLIAM C. HURST, SR., D.M.D., P.C. DEFINED BENEFIT PENSION PLAN & TRUST plan

WILLIAM C. HURST, SR., D.M.D., P.C. DEFINED BENEFIT PENSION PLAN & TRUST 401k Plan overview

Plan Name	WILLIAM C. HURST, SR., D.M.D., P.C. DEFINED BENEFIT PENSION PLAN & TRUST
Plan identification number	004

WILLIAM C. HURST, SR., D.M.D., P.C. DEFINED BENEFIT PENSION PLAN & TRUST Benefits

401k Plan Type	Defined Benefit Pension
Plan Features/Benefits	Benefits are primarily flat dollar (includes dollars per year of service) 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).

401k Sponsoring company profile

WILLIAM C. HURST, SR., D.M.D., P.C. has sponsored the creation of one or more 401k plans.

Company Name: WILLIAM C. HURST, SR., D.M.D., P.C.

Employer identification number (EIN): 582477931

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WILLIAM C. HURST, SR., D.M.D., P.C. DEFINED BENEFIT PENSION PLAN & TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
004 2012-01-01 WILLIAM C. HURST, SR., D.M.D.
004 2011-01-01 WILLIAM C. HURST, SR., D.M.D.
004 2010-01-01 WILLIAM C. HURST, SR., D.M.D.
004 2009-01-01 WILLIAM C. HURST, SR., D.M.D.
004 2009-01-01 WILLIAM C. HURST, SR., D.M.D.

Plan id#	Filing Submission Date	Name of Administrator
004	2012-01-01	WILLIAM C. HURST, SR., D.M.D.
004	2011-01-01	WILLIAM C. HURST, SR., D.M.D.
004	2010-01-01	WILLIAM C. HURST, SR., D.M.D.
004	2009-01-01	WILLIAM C. HURST, SR., D.M.D.
004	2009-01-01	WILLIAM C. HURST, SR., D.M.D.

Plan Statistics for WILLIAM C. HURST, SR., D.M.D., P.C. DEFINED BENEFIT PENSION PLAN & TRUST

401k plan membership statisitcs for WILLIAM C. HURST, SR., D.M.D., P.C. DEFINED BENEFIT PENSION PLAN & TRUST

Measure Date Value
2012: WILLIAM C. HURST, SR., D.M.D., P.C. DEFINED BENEFIT PENSION PLAN & TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 10
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
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: WILLIAM C. HURST, SR., D.M.D., P.C. DEFINED BENEFIT PENSION PLAN & TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 9
Number of retired or separated participants receiving benefits 2011-01-01 1
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 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 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
2010: WILLIAM C. HURST, SR., D.M.D., P.C. DEFINED BENEFIT PENSION PLAN & TRUST 2010 401k membership
Total participants, beginning-of-year 2010-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 9
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 1
Total of all active and inactive participants 2010-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: WILLIAM C. HURST, SR., D.M.D., P.C. DEFINED BENEFIT PENSION PLAN & TRUST 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
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: WILLIAM C. HURST, SR., D.M.D., P.C. DEFINED BENEFIT PENSION PLAN & TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	10
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
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: WILLIAM C. HURST, SR., D.M.D., P.C. DEFINED BENEFIT PENSION PLAN & TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	9
Number of retired or separated participants receiving benefits	2011-01-01	1
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	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	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
2010: WILLIAM C. HURST, SR., D.M.D., P.C. DEFINED BENEFIT PENSION PLAN & TRUST 2010 401k membership
Total participants, beginning-of-year	2010-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	9
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	1
Total of all active and inactive participants	2010-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: WILLIAM C. HURST, SR., D.M.D., P.C. DEFINED BENEFIT PENSION PLAN & TRUST 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
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on WILLIAM C. HURST, SR., D.M.D., P.C. DEFINED BENEFIT PENSION PLAN & TRUST

Measure	Date	Value
2012 : WILLIAM C. HURST, SR., D.M.D., P.C. DEFINED BENEFIT PENSION PLAN & TRUST 2012 401k financial data
Transfers to/from the plan	2012-03-30	$0
Total plan liabilities at end of year	2012-03-30	$0
Total plan liabilities at beginning of year	2012-03-30	$0
Total income from all sources	2012-03-30	$8,762
Expenses. Total of all expenses incurred	2012-03-30	$192,975
Benefits paid (including direct rollovers)	2012-03-30	$192,363
Total plan assets at end of year	2012-03-30	$0
Total plan assets at beginning of year	2012-03-30	$184,213
Value of fidelity bond covering the plan	2012-03-30	$60,000
Total contributions received or receivable from participants	2012-03-30	$0
Expenses. Other expenses not covered elsewhere	2012-03-30	$0
Contributions received from other sources (not participants or employers)	2012-03-30	$0
Other income received	2012-03-30	$8,762
Noncash contributions received	2012-03-30	$0
Net income (gross income less expenses)	2012-03-30	$-184,213
Net plan assets at end of year (total assets less liabilities)	2012-03-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-03-30	$184,213
Total contributions received or receivable from employer(s)	2012-03-30	$0
Value of certain deemed distributions of participant loans	2012-03-30	$0
Value of corrective distributions	2012-03-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-03-30	$612
2011 : WILLIAM C. HURST, SR., D.M.D., P.C. DEFINED BENEFIT PENSION PLAN & TRUST 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
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	$2,492
Expenses. Total of all expenses incurred	2011-12-31	$1,719
Benefits paid (including direct rollovers)	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$184,213
Total plan assets at beginning of year	2011-12-31	$183,440
Value of fidelity bond covering the plan	2011-12-31	$60,000
Total contributions received or receivable from participants	2011-12-31	$0
Expenses. Other expenses not covered elsewhere	2011-12-31	$0
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$2,492
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$773
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$184,213
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$183,440
Total contributions received or receivable from employer(s)	2011-12-31	$0
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$1,719
2010 : WILLIAM C. HURST, SR., D.M.D., P.C. DEFINED BENEFIT PENSION PLAN & TRUST 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
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	$25,154
Expenses. Total of all expenses incurred	2010-12-31	$1,636
Benefits paid (including direct rollovers)	2010-12-31	$0
Total plan assets at end of year	2010-12-31	$183,440
Total plan assets at beginning of year	2010-12-31	$159,922
Value of fidelity bond covering the plan	2010-12-31	$60,000
Total contributions received or receivable from participants	2010-12-31	$0
Expenses. Other expenses not covered elsewhere	2010-12-31	$0
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$16,830
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$23,518
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$183,440
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$159,922
Assets. Value of assets in partnership/joint-venture interests	2010-12-31	$10,738
Total contributions received or receivable from employer(s)	2010-12-31	$8,324
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$1,636

Form 5500 Responses for WILLIAM C. HURST, SR., D.M.D., P.C. DEFINED BENEFIT PENSION PLAN & TRUST

2012: WILLIAM C. HURST, SR., D.M.D., P.C. DEFINED BENEFIT PENSION PLAN & 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	Yes
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
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: WILLIAM C. HURST, SR., D.M.D., P.C. DEFINED BENEFIT PENSION PLAN & TRUST 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
2010: WILLIAM C. HURST, SR., D.M.D., P.C. DEFINED BENEFIT PENSION PLAN & TRUST 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: WILLIAM C. HURST, SR., D.M.D., P.C. DEFINED BENEFIT PENSION PLAN & TRUST 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:	WILLIAM C. HURST, SR., D.M.D., P.C.
Employer identification number (EIN):	582477931
NAIC Classification:	621210
NAIC Description:	Offices of Dentists