401k Plan data: EDWARD M. MATSUISHI, D.D.S., INC. PROFIT SHARING PLAN plan

EDWARD M. MATSUISHI, D.D.S., INC. PROFIT SHARING PLAN 401k Plan overview

Plan Name	EDWARD M. MATSUISHI, D.D.S., INC. PROFIT SHARING PLAN
Plan identification number	004

EDWARD M. MATSUISHI, D.D.S., INC. 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
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

EDWARD M. MATSUISHI, D.D.S., INC. has sponsored the creation of one or more 401k plans.

Company Name: EDWARD M. MATSUISHI, D.D.S., INC.

Employer identification number (EIN): 942261851

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EDWARD M. MATSUISHI, D.D.S., INC. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
004 2014-01-01 EDWARD M. MATSUISHI, D.D.S.
004 2013-01-01 EDWARD M. MATSUISHI, DDS
004 2012-01-01 EDWARD M. MATSUISHI, DDS
004 2011-01-01 SALLY M. PASTERNACK
004 2010-01-01 SALLY PASTERNACK 2011-08-23

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
004	2014-01-01	EDWARD M. MATSUISHI, D.D.S.
004	2013-01-01	EDWARD M. MATSUISHI, DDS
004	2012-01-01	EDWARD M. MATSUISHI, DDS
004	2011-01-01	SALLY M. PASTERNACK
004	2010-01-01	SALLY PASTERNACK	2011-08-23

Plan Statistics for EDWARD M. MATSUISHI, D.D.S., INC. PROFIT SHARING PLAN

401k plan membership statisitcs for EDWARD M. MATSUISHI, D.D.S., INC. PROFIT SHARING PLAN

Measure Date Value
2014: EDWARD M. MATSUISHI, D.D.S., INC. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 0
Number of participants with account balances 2014-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: EDWARD M. MATSUISHI, D.D.S., INC. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 9
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 1
Total of all active and inactive participants 2013-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 10
Number of participants with account balances 2013-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: EDWARD M. MATSUISHI, D.D.S., INC. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 8
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 1
Total of all active and inactive participants 2012-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 9
Number of participants with account balances 2012-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 3
2011: EDWARD M. MATSUISHI, D.D.S., INC. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 10
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 3
Total of all active and inactive participants 2011-01-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 13
Number of participants with account balances 2011-01-01 13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 2

Measure	Date	Value
2014: EDWARD M. MATSUISHI, D.D.S., INC. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	0
Number of participants with account balances	2014-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: EDWARD M. MATSUISHI, D.D.S., INC. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	9
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	1
Total of all active and inactive participants	2013-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	10
Number of participants with account balances	2013-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: EDWARD M. MATSUISHI, D.D.S., INC. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	8
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	1
Total of all active and inactive participants	2012-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	9
Number of participants with account balances	2012-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	3
2011: EDWARD M. MATSUISHI, D.D.S., INC. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	10
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	3
Total of all active and inactive participants	2011-01-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	13
Number of participants with account balances	2011-01-01	13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	2

Financial Data on EDWARD M. MATSUISHI, D.D.S., INC. PROFIT SHARING PLAN

Measure	Date	Value
2014 : EDWARD M. MATSUISHI, D.D.S., INC. PROFIT SHARING PLAN 2014 401k financial data
Transfers to/from the plan	2014-11-15	$0
Total plan liabilities at end of year	2014-11-15	$0
Total plan liabilities at beginning of year	2014-11-15	$0
Total income from all sources	2014-11-15	$113,558
Expenses. Total of all expenses incurred	2014-11-15	$4,405,241
Benefits paid (including direct rollovers)	2014-11-15	$4,405,031
Total plan assets at end of year	2014-11-15	$0
Total plan assets at beginning of year	2014-11-15	$4,291,683
Value of fidelity bond covering the plan	2014-11-15	$440,000
Other income received	2014-11-15	$113,558
Net income (gross income less expenses)	2014-11-15	$-4,291,683
Net plan assets at end of year (total assets less liabilities)	2014-11-15	$0
Net plan assets at beginning of year (total assets less liabilities)	2014-11-15	$4,291,683
Assets. Value of assets in partnership/joint-venture interests	2014-11-15	$0
Assets. Value of real-estate (other than employer real property)	2014-11-15	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-11-15	$210
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-11-15	$6,000
2013 : EDWARD M. MATSUISHI, D.D.S., INC. PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$264,240
Expenses. Total of all expenses incurred	2013-12-31	$111,850
Benefits paid (including direct rollovers)	2013-12-31	$111,820
Total plan assets at end of year	2013-12-31	$4,291,683
Total plan assets at beginning of year	2013-12-31	$4,139,293
Value of fidelity bond covering the plan	2013-12-31	$440,000
Expenses. Other expenses not covered elsewhere	2013-12-31	$30
Contributions received from other sources (not participants or employers)	2013-12-31	$264,240
Net income (gross income less expenses)	2013-12-31	$152,390
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$4,291,683
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$4,139,293
Assets. Value of assets in partnership/joint-venture interests	2013-12-31	$2,400
Assets. Value of real-estate (other than employer real property)	2013-12-31	$6,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : EDWARD M. MATSUISHI, D.D.S., INC. PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$523,212
Expenses. Total of all expenses incurred	2012-12-31	$159,388
Benefits paid (including direct rollovers)	2012-12-31	$159,388
Total plan assets at end of year	2012-12-31	$4,139,293
Total plan assets at beginning of year	2012-12-31	$3,775,469
Value of fidelity bond covering the plan	2012-12-31	$420,000
Other income received	2012-12-31	$417,303
Net income (gross income less expenses)	2012-12-31	$363,824
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$4,139,293
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$3,775,469
Assets. Value of assets in partnership/joint-venture interests	2012-12-31	$2,400
Assets. Value of real-estate (other than employer real property)	2012-12-31	$6,000
Total contributions received or receivable from employer(s)	2012-12-31	$105,909
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : EDWARD M. MATSUISHI, D.D.S., INC. PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$3,714,497
Expenses. Total of all expenses incurred	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$3,775,469
Total plan assets at beginning of year	2011-12-31	$60,972
Value of fidelity bond covering the plan	2011-12-31	$320,000
Contributions received from other sources (not participants or employers)	2011-12-31	$3,587,825
Other income received	2011-12-31	$16,173
Net income (gross income less expenses)	2011-12-31	$3,714,497
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$3,775,469
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$60,972
Assets. Value of assets in partnership/joint-venture interests	2011-12-31	$2,400
Assets. Value of real-estate (other than employer real property)	2011-12-31	$6,000
Total contributions received or receivable from employer(s)	2011-12-31	$110,499

Form 5500 Responses for EDWARD M. MATSUISHI, D.D.S., INC. PROFIT SHARING PLAN

2014: EDWARD M. MATSUISHI, D.D.S., INC. PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	Yes
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: EDWARD M. MATSUISHI, D.D.S., INC. 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	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: EDWARD M. MATSUISHI, D.D.S., INC. 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 – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: EDWARD M. MATSUISHI, D.D.S., INC. 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 – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	EDWARD M. MATSUISHI, D.D.S., INC.
Employer identification number (EIN):	942261851
NAIC Classification:	621210
NAIC Description:	Offices of Dentists