401k Plan data: MICHAEL SKINNER, DDS, PC 401(K) PROFIT SHARING PLAN plan

MICHAEL SKINNER, DDS, PC 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	MICHAEL SKINNER, DDS, PC 401(K) PROFIT SHARING PLAN
Plan identification number	002

MICHAEL SKINNER, DDS, PC 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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

MICHAEL SKINNER, D.D.S., P.C. has sponsored the creation of one or more 401k plans.

Company Name: MICHAEL SKINNER, D.D.S., P.C.

Employer identification number (EIN): 621723927

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MICHAEL SKINNER, DDS, PC 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2013-01-01 STEPHANIE SKINNER STEPHANIE SKINNER 2013-07-15
002 2012-01-01 STEPHANIE SKINNER STEPHANIE SKINNER 2013-07-15
002 2011-01-01 MICHAEL SKINNER, DDS MICHAEL SKINNER, DDS 2012-10-12
002 2010-01-01 STEPHANIE SKINNER STEPHANIE SKINNER 2011-10-03
002 2009-01-01 STEPHANIE SKINNER STEPHANIE SKINNER 2010-10-12

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2013-01-01	STEPHANIE SKINNER	STEPHANIE SKINNER	2013-07-15
002	2012-01-01	STEPHANIE SKINNER	STEPHANIE SKINNER	2013-07-15
002	2011-01-01	MICHAEL SKINNER, DDS	MICHAEL SKINNER, DDS	2012-10-12
002	2010-01-01	STEPHANIE SKINNER	STEPHANIE SKINNER	2011-10-03
002	2009-01-01	STEPHANIE SKINNER	STEPHANIE SKINNER	2010-10-12

Plan Statistics for MICHAEL SKINNER, DDS, PC 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for MICHAEL SKINNER, DDS, PC 401(K) PROFIT SHARING PLAN

Measure Date Value
2013: MICHAEL SKINNER, DDS, PC 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 19
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
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 0
Total of all active and inactive participants 2013-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 0
Number of participants with account balances 2013-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: MICHAEL SKINNER, DDS, PC 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 20
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 19
Total of all active and inactive participants 2012-01-01 19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 19
Number of participants with account balances 2012-01-01 19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: MICHAEL SKINNER, DDS, PC 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 7
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 12
Total of all active and inactive participants 2011-01-01 19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 19
Number of participants with account balances 2011-01-01 19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 1
2010: MICHAEL SKINNER, DDS, PC 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 4
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 11
Total of all active and inactive participants 2010-01-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 15
Number of participants with account balances 2010-01-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 2
2009: MICHAEL SKINNER, DDS, PC 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 7
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 9
Total of all active and inactive participants 2009-01-01 16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 16
Number of participants with account balances 2009-01-01 16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 1

Measure	Date	Value
2013: MICHAEL SKINNER, DDS, PC 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	19
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
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	0
Total of all active and inactive participants	2013-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	0
Number of participants with account balances	2013-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: MICHAEL SKINNER, DDS, PC 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	20
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	19
Total of all active and inactive participants	2012-01-01	19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	19
Number of participants with account balances	2012-01-01	19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: MICHAEL SKINNER, DDS, PC 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	7
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	12
Total of all active and inactive participants	2011-01-01	19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	19
Number of participants with account balances	2011-01-01	19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	1
2010: MICHAEL SKINNER, DDS, PC 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	4
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	11
Total of all active and inactive participants	2010-01-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	15
Number of participants with account balances	2010-01-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	2
2009: MICHAEL SKINNER, DDS, PC 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	7
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	9
Total of all active and inactive participants	2009-01-01	16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	16
Number of participants with account balances	2009-01-01	16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	1

Financial Data on MICHAEL SKINNER, DDS, PC 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2013 : MICHAEL SKINNER, DDS, PC 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-06-28	$56,591
Expenses. Total of all expenses incurred	2013-06-28	$1,381,214
Benefits paid (including direct rollovers)	2013-06-28	$1,375,488
Total plan assets at end of year	2013-06-28	$0
Total plan assets at beginning of year	2013-06-28	$1,324,623
Value of fidelity bond covering the plan	2013-06-28	$410,000
Total contributions received or receivable from participants	2013-06-28	$0
Contributions received from other sources (not participants or employers)	2013-06-28	$0
Other income received	2013-06-28	$56,591
Net income (gross income less expenses)	2013-06-28	$-1,324,623
Net plan assets at end of year (total assets less liabilities)	2013-06-28	$0
Net plan assets at beginning of year (total assets less liabilities)	2013-06-28	$1,324,623
Total contributions received or receivable from employer(s)	2013-06-28	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-06-28	$5,726
2012 : MICHAEL SKINNER, DDS, PC 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$152,712
Expenses. Total of all expenses incurred	2012-12-31	$63,709
Benefits paid (including direct rollovers)	2012-12-31	$51,977
Total plan assets at end of year	2012-12-31	$1,324,623
Total plan assets at beginning of year	2012-12-31	$1,235,620
Value of fidelity bond covering the plan	2012-12-31	$410,000
Total contributions received or receivable from participants	2012-12-31	$11,285
Expenses. Other expenses not covered elsewhere	2012-12-31	$0
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$139,142
Net income (gross income less expenses)	2012-12-31	$89,003
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,324,623
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,235,620
Total contributions received or receivable from employer(s)	2012-12-31	$2,285
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$11,732
2011 : MICHAEL SKINNER, DDS, PC 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$206,195
Expenses. Total of all expenses incurred	2011-12-31	$37,275
Benefits paid (including direct rollovers)	2011-12-31	$27,366
Total plan assets at end of year	2011-12-31	$1,235,620
Total plan assets at beginning of year	2011-12-31	$1,066,700
Value of fidelity bond covering the plan	2011-12-31	$410,000
Total contributions received or receivable from participants	2011-12-31	$39,800
Expenses. Other expenses not covered elsewhere	2011-12-31	$9,909
Contributions received from other sources (not participants or employers)	2011-12-31	$69,958
Other income received	2011-12-31	$46,463
Net income (gross income less expenses)	2011-12-31	$168,920
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,235,620
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,066,700
Total contributions received or receivable from employer(s)	2011-12-31	$49,974
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : MICHAEL SKINNER, DDS, PC 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$195,445
Expenses. Total of all expenses incurred	2010-12-31	$41,276
Benefits paid (including direct rollovers)	2010-12-31	$33,668
Total plan assets at end of year	2010-12-31	$1,066,700
Total plan assets at beginning of year	2010-12-31	$912,531
Value of fidelity bond covering the plan	2010-12-31	$410,000
Total contributions received or receivable from participants	2010-12-31	$41,100
Expenses. Other expenses not covered elsewhere	2010-12-31	$7,608
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$77,224
Net income (gross income less expenses)	2010-12-31	$154,169
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,066,700
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$912,531
Total contributions received or receivable from employer(s)	2010-12-31	$77,121
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : MICHAEL SKINNER, DDS, PC 401(K) PROFIT SHARING 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 MICHAEL SKINNER, DDS, PC 401(K) PROFIT SHARING PLAN

2013: MICHAEL SKINNER, DDS, PC 401(K) PROFIT SHARING PLAN 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	Yes
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: MICHAEL SKINNER, DDS, PC 401(K) PROFIT SHARING 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	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 – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: MICHAEL SKINNER, DDS, PC 401(K) PROFIT SHARING 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 – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: MICHAEL SKINNER, DDS, PC 401(K) PROFIT SHARING PLAN 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 – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: MICHAEL SKINNER, DDS, PC 401(K) PROFIT SHARING 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 – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	MICHAEL SKINNER, D.D.S., P.C.
Employer identification number (EIN):	621723927
NAIC Classification:	621210
NAIC Description:	Offices of Dentists