401k Plan data: D. SCOTT FOOSHEE D.D.S. PROFIT SHARING PLAN plan

D. SCOTT FOOSHEE D.D.S. PROFIT SHARING PLAN 401k Plan overview

Plan Name	D. SCOTT FOOSHEE D.D.S. PROFIT SHARING PLAN
Plan identification number	001

D. SCOTT FOOSHEE D.D.S. PROFIT SHARING PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing 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

D. SCOTT FOOSHEE D.D.S. has sponsored the creation of one or more 401k plans.

Company Name: D. SCOTT FOOSHEE D.D.S.

Employer identification number (EIN): 731124101

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan D. SCOTT FOOSHEE D.D.S. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2013-01-01 D. SCOTT FOOSHEE D.D.S. D. SCOTT FOOSHEE D.D.S. 2015-08-11
001 2012-01-01 D. SCOTT FOOSHEE D.D.S. D. SCOTT FOOSHEE D.D.S. 2013-07-17
001 2011-01-01 JOHN WHIPPLE JOHN WHIPPLE 2012-06-05
001 2009-01-01 JOHN WHIPPLE JOHN WHIPPLE 2010-10-12

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2013-01-01	D. SCOTT FOOSHEE D.D.S.	D. SCOTT FOOSHEE D.D.S.	2015-08-11
001	2012-01-01	D. SCOTT FOOSHEE D.D.S.	D. SCOTT FOOSHEE D.D.S.	2013-07-17
001	2011-01-01	JOHN WHIPPLE	JOHN WHIPPLE	2012-06-05
001	2009-01-01	JOHN WHIPPLE	JOHN WHIPPLE	2010-10-12

Plan Statistics for D. SCOTT FOOSHEE D.D.S. PROFIT SHARING PLAN

401k plan membership statisitcs for D. SCOTT FOOSHEE D.D.S. PROFIT SHARING PLAN

Measure Date Value
2013: D. SCOTT FOOSHEE D.D.S. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 8
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: D. SCOTT FOOSHEE D.D.S. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 8
Total of all active and inactive participants 2012-01-01 8
Total participants 2012-01-01 8
2011: D. SCOTT FOOSHEE D.D.S. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 8
Total of all active and inactive participants 2011-01-01 8
Total participants 2011-01-01 8
Number of participants with account balances 2011-01-01 8
2009: D. SCOTT FOOSHEE D.D.S. PROFIT SHARING PLAN 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 9
Total of all active and inactive participants 2009-01-01 9
Total participants 2009-01-01 9
Number of participants with account balances 2009-01-01 9

Measure	Date	Value
2013: D. SCOTT FOOSHEE D.D.S. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	8
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: D. SCOTT FOOSHEE D.D.S. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	8
Total of all active and inactive participants	2012-01-01	8
Total participants	2012-01-01	8
2011: D. SCOTT FOOSHEE D.D.S. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	8
Total of all active and inactive participants	2011-01-01	8
Total participants	2011-01-01	8
Number of participants with account balances	2011-01-01	8
2009: D. SCOTT FOOSHEE D.D.S. PROFIT SHARING PLAN 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	9
Total of all active and inactive participants	2009-01-01	9
Total participants	2009-01-01	9
Number of participants with account balances	2009-01-01	9

Financial Data on D. SCOTT FOOSHEE D.D.S. PROFIT SHARING PLAN

Measure	Date	Value
2013 : D. SCOTT FOOSHEE D.D.S. PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$80,730
Expenses. Total of all expenses incurred	2013-12-31	$791,030
Benefits paid (including direct rollovers)	2013-12-31	$789,476
Total plan assets at end of year	2013-12-31	$0
Total plan assets at beginning of year	2013-12-31	$710,300
Value of fidelity bond covering the plan	2013-12-31	$71,000
Other income received	2013-12-31	$80,730
Net income (gross income less expenses)	2013-12-31	$-710,300
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$710,300
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$1,554
2012 : D. SCOTT FOOSHEE D.D.S. PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$87,745
Expenses. Total of all expenses incurred	2012-12-31	$15,189
Total plan assets at end of year	2012-12-31	$710,300
Total plan assets at beginning of year	2012-12-31	$637,744
Value of fidelity bond covering the plan	2012-12-31	$71,000
Other income received	2012-12-31	$68,711
Net income (gross income less expenses)	2012-12-31	$72,556
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$710,300
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$637,744
Total contributions received or receivable from employer(s)	2012-12-31	$19,034
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$15,189
2011 : D. SCOTT FOOSHEE D.D.S. PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$34,341
Expenses. Total of all expenses incurred	2011-12-31	$18,140
Total plan assets at end of year	2011-12-31	$637,743
Total plan assets at beginning of year	2011-12-31	$621,543
Value of fidelity bond covering the plan	2011-12-31	$52,500
Other income received	2011-12-31	$13,007
Net income (gross income less expenses)	2011-12-31	$16,201
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$637,743
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$621,543
Total contributions received or receivable from employer(s)	2011-12-31	$21,334
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$18,140
2010 : D. SCOTT FOOSHEE D.D.S. PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$110,947
Expenses. Total of all expenses incurred	2010-12-31	$41,270
Benefits paid (including direct rollovers)	2010-12-31	$26,831
Total plan assets at end of year	2010-12-31	$621,543
Total plan assets at beginning of year	2010-12-31	$551,865
Value of fidelity bond covering the plan	2010-12-31	$52,500
Other income received	2010-12-31	$89,476
Net income (gross income less expenses)	2010-12-31	$69,677
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$621,543
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$551,865
Total contributions received or receivable from employer(s)	2010-12-31	$21,471
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$14,439

Form 5500 Responses for D. SCOTT FOOSHEE D.D.S. PROFIT SHARING PLAN

2013: D. SCOTT FOOSHEE D.D.S. PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	This submission is the final filing	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: D. SCOTT FOOSHEE D.D.S. PROFIT SHARING PLAN 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: D. SCOTT FOOSHEE D.D.S. PROFIT SHARING PLAN 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: D. SCOTT FOOSHEE D.D.S. PROFIT SHARING PLAN 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:	D. SCOTT FOOSHEE D.D.S.
Employer identification number (EIN):	731124101
NAIC Classification:	621210
NAIC Description:	Offices of Dentists