JOHN P. THEOBALD, DDS PROFIT SHARING PLAN 401k Plan overview

JOHN P. THEOBALD, DDS PROFIT SHARING PLAN Benefits

401k Sponsoring company profile

Company Name:	JOHN P. THEOBALD, D.D.S.
Employer identification number (EIN):	731128933
NAIC Classification:	621210
NAIC Description:	Offices of Dentists

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2009-01-01			JOHN THEOBALD	2010-05-27
001	2009-01-01	JOHN THEOBALD
001	2007-01-01	JOHN THEOBALD

Plan Statistics for JOHN P. THEOBALD, DDS PROFIT SHARING PLAN

Measure	Date	Value
2009: JOHN P. THEOBALD, DDS PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1
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	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	1
Number of participants with account balances	2009-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0
2007: JOHN P. THEOBALD, DDS PROFIT SHARING PLAN 2007 401k membership
Total participants, beginning-of-year	2007-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2007-01-01	1
Number of retired or separated participants receiving benefits	2007-01-01	0
Number of other retired or separated participants entitled to future benefits	2007-01-01	0
Total of all active and inactive participants	2007-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2007-01-01	0
Total participants	2007-01-01	1
Number of participants with account balances	2007-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2007-01-01	0

Financial Data on JOHN P. THEOBALD, DDS PROFIT SHARING PLAN

Form 5500 Responses for JOHN P. THEOBALD, DDS PROFIT SHARING PLAN

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