401k Plan data: MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST plan

MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST 401k Plan overview

Plan Name	MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST
Plan identification number	001

MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
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 L. POHLKAMP, DDS, P.A. has sponsored the creation of one or more 401k plans.

Company Name: MICHAEL L. POHLKAMP, DDS, P.A.

Employer identification number (EIN): 710699350

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01 FRANK J. POHLKAMP FRANK J. POHLKAMP 2017-06-26
001 2017-01-01 FRANK J. POHLKAMP 2017-05-22
001 2016-01-01 FRANK J. POHLKAMP FRANK J. POHLKAMP 2017-05-22
001 2015-01-01 FRANK J. POHLKAMP FRANK J. POHLKAMP 2016-09-06
001 2014-01-01 MICHAEL L. POHLKAMP, D.D.S. MICHAEL L. POHLKAMP, D.D.S 2015-07-21
001 2013-01-01 MICHAEL L. POHLKAMP, D.D.S. MICHAEL L. POHLKAMP, D.D.S 2014-04-18
001 2012-01-01 MICHAEL L. POHLKAMP, D.D.S. MICHAEL L. POHLKAMP, D.D.S 2013-04-22
001 2011-01-01 MICHAEL L. POHLKAMP, D.D.S.
001 2009-01-01 MICHAEL L. POHLKAMP, D.D.S.

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2017-01-01	FRANK J. POHLKAMP	FRANK J. POHLKAMP	2017-06-26
001	2017-01-01		FRANK J. POHLKAMP	2017-05-22
001	2016-01-01	FRANK J. POHLKAMP	FRANK J. POHLKAMP	2017-05-22
001	2015-01-01	FRANK J. POHLKAMP	FRANK J. POHLKAMP	2016-09-06
001	2014-01-01	MICHAEL L. POHLKAMP, D.D.S.	MICHAEL L. POHLKAMP, D.D.S	2015-07-21
001	2013-01-01	MICHAEL L. POHLKAMP, D.D.S.	MICHAEL L. POHLKAMP, D.D.S	2014-04-18
001	2012-01-01	MICHAEL L. POHLKAMP, D.D.S.	MICHAEL L. POHLKAMP, D.D.S	2013-04-22
001	2011-01-01	MICHAEL L. POHLKAMP, D.D.S.
001	2009-01-01	MICHAEL L. POHLKAMP, D.D.S.

Plan Statistics for MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST

401k plan membership statisitcs for MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST

Measure Date Value
2017: MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year 2017-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 0
Number of participants with account balances 2017-01-01 0
2016: MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year 2016-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 1
Total participants 2016-01-01 1
Number of participants with account balances 2016-01-01 1
2015: MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year 2015-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 3
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 1
Total of all active and inactive participants 2015-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 1
Total participants 2015-01-01 5
Number of participants with account balances 2015-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year 2014-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 3
Total of all active and inactive participants 2014-01-01 3
Total participants 2014-01-01 3
Number of participants with account balances 2014-01-01 3
2013: MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year 2013-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 4
Total of all active and inactive participants 2013-01-01 4
Total participants 2013-01-01 4
Number of participants with account balances 2013-01-01 4
2012: MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 3
Total of all active and inactive participants 2012-01-01 3
Total participants 2012-01-01 3
Number of participants with account balances 2012-01-01 3
2011: MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 3
Total of all active and inactive participants 2011-01-01 3
Total participants 2011-01-01 3
Number of participants with account balances 2011-01-01 3
2009: MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 3
Total of all active and inactive participants 2009-01-01 3
Total participants 2009-01-01 3
Number of participants with account balances 2009-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 1

Measure	Date	Value
2017: MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year	2017-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	0
Number of participants with account balances	2017-01-01	0
2016: MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year	2016-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	1
Total participants	2016-01-01	1
Number of participants with account balances	2016-01-01	1
2015: MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year	2015-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	3
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	1
Total of all active and inactive participants	2015-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	1
Total participants	2015-01-01	5
Number of participants with account balances	2015-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year	2014-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	3
Total of all active and inactive participants	2014-01-01	3
Total participants	2014-01-01	3
Number of participants with account balances	2014-01-01	3
2013: MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year	2013-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	4
Total of all active and inactive participants	2013-01-01	4
Total participants	2013-01-01	4
Number of participants with account balances	2013-01-01	4
2012: MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	3
Total of all active and inactive participants	2012-01-01	3
Total participants	2012-01-01	3
Number of participants with account balances	2012-01-01	3
2011: MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	3
Total of all active and inactive participants	2011-01-01	3
Total participants	2011-01-01	3
Number of participants with account balances	2011-01-01	3
2009: MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	3
Total of all active and inactive participants	2009-01-01	3
Total participants	2009-01-01	3
Number of participants with account balances	2009-01-01	3
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 L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST

Measure	Date	Value
2017 : MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST 2017 401k financial data
Total income from all sources	2017-04-30	$749
Expenses. Total of all expenses incurred	2017-04-30	$1,212,747
Benefits paid (including direct rollovers)	2017-04-30	$1,212,747
Total plan assets at end of year	2017-04-30	$0
Total plan assets at beginning of year	2017-04-30	$1,211,998
Value of fidelity bond covering the plan	2017-04-30	$265,000
Total contributions received or receivable from participants	2017-04-30	$0
Other income received	2017-04-30	$749
Net income (gross income less expenses)	2017-04-30	$-1,211,998
Net plan assets at end of year (total assets less liabilities)	2017-04-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2017-04-30	$1,211,998
Total contributions received or receivable from employer(s)	2017-04-30	$0
2016 : MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST 2016 401k financial data
Total income from all sources	2016-12-31	$113,781
Expenses. Total of all expenses incurred	2016-12-31	$37,407
Benefits paid (including direct rollovers)	2016-12-31	$37,257
Total plan assets at end of year	2016-12-31	$1,211,998
Total plan assets at beginning of year	2016-12-31	$1,135,624
Value of fidelity bond covering the plan	2016-12-31	$265,000
Total contributions received or receivable from participants	2016-12-31	$0
Other income received	2016-12-31	$113,781
Net income (gross income less expenses)	2016-12-31	$76,374
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$1,211,998
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$1,135,624
Total contributions received or receivable from employer(s)	2016-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$150
2015 : MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST 2015 401k financial data
Total income from all sources	2015-12-31	$1,748
Expenses. Total of all expenses incurred	2015-12-31	$150
Total plan assets at end of year	2015-12-31	$1,135,624
Total plan assets at beginning of year	2015-12-31	$1,134,026
Value of fidelity bond covering the plan	2015-12-31	$265,000
Total contributions received or receivable from participants	2015-12-31	$24,000
Other income received	2015-12-31	$-28,652
Net income (gross income less expenses)	2015-12-31	$1,598
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,135,624
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,134,026
Total contributions received or receivable from employer(s)	2015-12-31	$6,400
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$150
2014 : MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST 2014 401k financial data
Total income from all sources	2014-12-31	$177,300
Expenses. Total of all expenses incurred	2014-12-31	$25,960
Benefits paid (including direct rollovers)	2014-12-31	$25,810
Total plan assets at end of year	2014-12-31	$1,134,026
Total plan assets at beginning of year	2014-12-31	$982,686
Value of fidelity bond covering the plan	2014-12-31	$265,000
Total contributions received or receivable from participants	2014-12-31	$23,000
Other income received	2014-12-31	$112,639
Net income (gross income less expenses)	2014-12-31	$151,340
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,134,026
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$982,686
Total contributions received or receivable from employer(s)	2014-12-31	$41,661
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$150
2013 : MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST 2013 401k financial data
Total income from all sources	2013-12-31	$147,551
Expenses. Total of all expenses incurred	2013-12-31	$150
Total plan assets at end of year	2013-12-31	$982,686
Total plan assets at beginning of year	2013-12-31	$835,285
Value of fidelity bond covering the plan	2013-12-31	$265,000
Total contributions received or receivable from participants	2013-12-31	$23,000
Other income received	2013-12-31	$82,532
Net income (gross income less expenses)	2013-12-31	$147,401
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$982,686
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$835,285
Total contributions received or receivable from employer(s)	2013-12-31	$42,019
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$150
2012 : MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST 2012 401k financial data
Total income from all sources	2012-12-31	$122,951
Expenses. Total of all expenses incurred	2012-12-31	$150
Total plan assets at end of year	2012-12-31	$835,285
Total plan assets at beginning of year	2012-12-31	$712,484
Value of fidelity bond covering the plan	2012-12-31	$265,000
Total contributions received or receivable from participants	2012-12-31	$17,000
Other income received	2012-12-31	$65,088
Net income (gross income less expenses)	2012-12-31	$122,801
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$835,285
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$712,484
Total contributions received or receivable from employer(s)	2012-12-31	$40,863
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$150
2011 : MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST 2011 401k financial data
Total income from all sources	2011-12-31	$95,375
Expenses. Total of all expenses incurred	2011-12-31	$150
Total plan assets at end of year	2011-12-31	$712,484
Total plan assets at beginning of year	2011-12-31	$617,259
Value of fidelity bond covering the plan	2011-12-31	$265,000
Total contributions received or receivable from participants	2011-12-31	$16,500
Other income received	2011-12-31	$38,824
Net income (gross income less expenses)	2011-12-31	$95,225
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$712,484
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$617,259
Total contributions received or receivable from employer(s)	2011-12-31	$40,051
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$150
2010 : MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST 2010 401k financial data
Total income from all sources	2010-12-31	$121,495
Expenses. Total of all expenses incurred	2010-12-31	$150
Total plan assets at end of year	2010-12-31	$617,259
Total plan assets at beginning of year	2010-12-31	$495,914
Value of fidelity bond covering the plan	2010-12-31	$265,000
Other income received	2010-12-31	$67,950
Net income (gross income less expenses)	2010-12-31	$121,345
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$617,259
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$495,914
Total contributions received or receivable from employer(s)	2010-12-31	$53,545
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$150
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0

Form 5500 Responses for MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST

2017: MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	Yes
2017-01-01	This submission is the final filing	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: MICHAEL L. POHLKAMP D.D.S., P. A. PROFIT SHARING PLAN AND TRUST 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	MICHAEL L. POHLKAMP, DDS, P.A.
Employer identification number (EIN):	710699350
NAIC Classification:	621210
NAIC Description:	Offices of Dentists