401k Plan data: ORAL & MAXILLOFACIAL SURGERY CLINIC OF SOUTH MISSISSIPPI, PA 401(K) PLAN plan

ORAL & MAXILLOFACIAL SURGERY CLINIC OF SOUTH MISSISSIPPI, PA 401(K) PLAN 401k Plan overview

Plan Name	ORAL & MAXILLOFACIAL SURGERY CLINIC OF SOUTH MISSISSIPPI, PA 401(K) PLAN
Plan identification number	001

ORAL & MAXILLOFACIAL SURGERY CLINIC OF SOUTH MISSISSIPPI, PA 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.
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

ORAL & MAXILLOFACIAL SURGERY CLINIC OF SOUTH MISSISSIPPI, PA has sponsored the creation of one or more 401k plans.

Company Name: ORAL & MAXILLOFACIAL SURGERY CLINIC OF SOUTH MISSISSIPPI, PA

Employer identification number (EIN): 640510106

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ORAL & MAXILLOFACIAL SURGERY CLINIC OF SOUTH MISSISSIPPI, PA 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2011-01-01 SANDRA ODOM
001 2010-01-01 SANDRA ODOM
001 2009-01-01 SANDRA ODOM
001 2009-01-01 SANDRA ODOM

Plan id#	Filing Submission Date	Name of Administrator
001	2011-01-01	SANDRA ODOM
001	2010-01-01	SANDRA ODOM
001	2009-01-01	SANDRA ODOM
001	2009-01-01	SANDRA ODOM

Plan Statistics for ORAL & MAXILLOFACIAL SURGERY CLINIC OF SOUTH MISSISSIPPI, PA 401(K) PLAN

401k plan membership statisitcs for ORAL & MAXILLOFACIAL SURGERY CLINIC OF SOUTH MISSISSIPPI, PA 401(K) PLAN

Measure Date Value
2011: ORAL & MAXILLOFACIAL SURGERY CLINIC OF SOUTH MISSISSIPPI, PA 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 48
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 36
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 48
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 48
Number of participants with account balances 2011-01-01 35
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: ORAL & MAXILLOFACIAL SURGERY CLINIC OF SOUTH MISSISSIPPI, PA 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 45
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 36
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 12
Total of all active and inactive participants 2010-01-01 48
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 48
Number of participants with account balances 2010-01-01 35
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: ORAL & MAXILLOFACIAL SURGERY CLINIC OF SOUTH MISSISSIPPI, PA 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 48
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 33
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 12
Total of all active and inactive participants 2009-01-01 45
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 45
Number of participants with account balances 2009-01-01 34
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2011: ORAL & MAXILLOFACIAL SURGERY CLINIC OF SOUTH MISSISSIPPI, PA 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	48
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	36
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	48
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	48
Number of participants with account balances	2011-01-01	35
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: ORAL & MAXILLOFACIAL SURGERY CLINIC OF SOUTH MISSISSIPPI, PA 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	45
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	36
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	12
Total of all active and inactive participants	2010-01-01	48
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	48
Number of participants with account balances	2010-01-01	35
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: ORAL & MAXILLOFACIAL SURGERY CLINIC OF SOUTH MISSISSIPPI, PA 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	48
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	33
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	12
Total of all active and inactive participants	2009-01-01	45
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	45
Number of participants with account balances	2009-01-01	34
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on ORAL & MAXILLOFACIAL SURGERY CLINIC OF SOUTH MISSISSIPPI, PA 401(K) PLAN

Measure	Date	Value
2011 : ORAL & MAXILLOFACIAL SURGERY CLINIC OF SOUTH MISSISSIPPI, PA 401(K) PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$77,760
Expenses. Total of all expenses incurred	2011-12-31	$450
Total plan assets at end of year	2011-12-31	$1,443,303
Total plan assets at beginning of year	2011-12-31	$1,365,993
Value of fidelity bond covering the plan	2011-12-31	$100,000
Total contributions received or receivable from participants	2011-12-31	$79,691
Contributions received from other sources (not participants or employers)	2011-12-31	$552
Other income received	2011-12-31	$-40,810
Net income (gross income less expenses)	2011-12-31	$77,310
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,443,303
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,365,993
Assets. Value of participant loans	2011-12-31	$54,994
Total contributions received or receivable from employer(s)	2011-12-31	$38,327
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$450
2010 : ORAL & MAXILLOFACIAL SURGERY CLINIC OF SOUTH MISSISSIPPI, PA 401(K) PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$254,156
Expenses. Total of all expenses incurred	2010-12-31	$400
Benefits paid (including direct rollovers)	2010-12-31	$0
Total plan assets at end of year	2010-12-31	$1,365,993
Total plan assets at beginning of year	2010-12-31	$1,112,237
Value of fidelity bond covering the plan	2010-12-31	$100,000
Total contributions received or receivable from participants	2010-12-31	$81,852
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$133,163
Net income (gross income less expenses)	2010-12-31	$253,756
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,365,993
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,112,237
Assets. Value of participant loans	2010-12-31	$48,932
Total contributions received or receivable from employer(s)	2010-12-31	$39,141
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	$400

Form 5500 Responses for ORAL & MAXILLOFACIAL SURGERY CLINIC OF SOUTH MISSISSIPPI, PA 401(K) PLAN

2011: ORAL & MAXILLOFACIAL SURGERY CLINIC OF SOUTH MISSISSIPPI, PA 401(K) 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 benefit arrangement – Insurance	Yes
2010: ORAL & MAXILLOFACIAL SURGERY CLINIC OF SOUTH MISSISSIPPI, PA 401(K) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
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 benefit arrangement – Insurance	Yes
2009: ORAL & MAXILLOFACIAL SURGERY CLINIC OF SOUTH MISSISSIPPI, PA 401(K) 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 benefit arrangement – Insurance	Yes

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Company Name:	ORAL & MAXILLOFACIAL SURGERY CLINIC OF SOUTH MISSISSIPPI, PA
Employer identification number (EIN):	640510106
NAIC Classification:	621210
NAIC Description:	Offices of Dentists