401k Plan data: DON R. MILLER, D.D.S., INC. 401(K) PROFIT SHARING PLAN plan

DON R. MILLER, D.D.S., INC. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	DON R. MILLER, D.D.S., INC. 401(K) PROFIT SHARING PLAN
Plan identification number	002

DON R. MILLER, D.D.S., INC. 401(K) 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
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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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.
Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.

401k Sponsoring company profile

DON R. MILLER, D.D.S., INC. has sponsored the creation of one or more 401k plans.

Company Name: DON R. MILLER, D.D.S., INC.

Employer identification number (EIN): 953563497

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DON R. MILLER, D.D.S., INC. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2019-07-01
002 2018-07-01
002 2017-07-01
002 2016-07-01
002 2015-07-01
002 2014-07-01
002 2013-07-01 DON R. MILLER, D.D.S.
002 2012-07-01 DON R. MILLER, D.D.S.
002 2011-07-01 DON R. MILLER, D.D.S.
002 2009-07-01 DOUGLAS S. HENDRY

Plan Statistics for DON R. MILLER, D.D.S., INC. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for DON R. MILLER, D.D.S., INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2013: DON R. MILLER, D.D.S., INC. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 5
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 5
Number of retired or separated participants receiving benefits 2013-07-01 0
Number of other retired or separated participants entitled to future benefits 2013-07-01 0
Total of all active and inactive participants 2013-07-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-07-01 0
Total participants 2013-07-01 5
Number of participants with account balances 2013-07-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-07-01 0
2012: DON R. MILLER, D.D.S., INC. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 6
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 5
Number of retired or separated participants receiving benefits 2012-07-01 0
Number of other retired or separated participants entitled to future benefits 2012-07-01 0
Total of all active and inactive participants 2012-07-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-07-01 0
Total participants 2012-07-01 5
Number of participants with account balances 2012-07-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-07-01 0
2011: DON R. MILLER, D.D.S., INC. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 6
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 5
Number of retired or separated participants receiving benefits 2011-07-01 0
Number of other retired or separated participants entitled to future benefits 2011-07-01 1
Total of all active and inactive participants 2011-07-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 0
Total participants 2011-07-01 6
Number of participants with account balances 2011-07-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-07-01 0
2009: DON R. MILLER, D.D.S., INC. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 6
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 6
Number of retired or separated participants receiving benefits 2009-07-01 0
Number of other retired or separated participants entitled to future benefits 2009-07-01 0
Total of all active and inactive participants 2009-07-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 0
Total participants 2009-07-01 6
Number of participants with account balances 2009-07-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-07-01 0

Measure	Date	Value
2013: DON R. MILLER, D.D.S., INC. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	5
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	5
Number of retired or separated participants receiving benefits	2013-07-01	0
Number of other retired or separated participants entitled to future benefits	2013-07-01	0
Total of all active and inactive participants	2013-07-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-07-01	0
Total participants	2013-07-01	5
Number of participants with account balances	2013-07-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-07-01	0
2012: DON R. MILLER, D.D.S., INC. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	6
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	5
Number of retired or separated participants receiving benefits	2012-07-01	0
Number of other retired or separated participants entitled to future benefits	2012-07-01	0
Total of all active and inactive participants	2012-07-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-01	0
Total participants	2012-07-01	5
Number of participants with account balances	2012-07-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-01	0
2011: DON R. MILLER, D.D.S., INC. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	6
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	5
Number of retired or separated participants receiving benefits	2011-07-01	0
Number of other retired or separated participants entitled to future benefits	2011-07-01	1
Total of all active and inactive participants	2011-07-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
Total participants	2011-07-01	6
Number of participants with account balances	2011-07-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-07-01	0
2009: DON R. MILLER, D.D.S., INC. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	6
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	6
Number of retired or separated participants receiving benefits	2009-07-01	0
Number of other retired or separated participants entitled to future benefits	2009-07-01	0
Total of all active and inactive participants	2009-07-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	0
Total participants	2009-07-01	6
Number of participants with account balances	2009-07-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-07-01	0

Financial Data on DON R. MILLER, D.D.S., INC. 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2014 : DON R. MILLER, D.D.S., INC. 401(K) PROFIT SHARING PLAN 2014 401k financial data
Transfers to/from the plan	2014-06-30	$0
Total plan liabilities at end of year	2014-06-30	$0
Total plan liabilities at beginning of year	2014-06-30	$0
Total income from all sources	2014-06-30	$60,076
Expenses. Total of all expenses incurred	2014-06-30	$12,223
Benefits paid (including direct rollovers)	2014-06-30	$12,223
Total plan assets at end of year	2014-06-30	$507,765
Total plan assets at beginning of year	2014-06-30	$459,912
Value of fidelity bond covering the plan	2014-06-30	$46,000
Total contributions received or receivable from participants	2014-06-30	$34,000
Expenses. Other expenses not covered elsewhere	2014-06-30	$0
Contributions received from other sources (not participants or employers)	2014-06-30	$0
Other income received	2014-06-30	$8,424
Noncash contributions received	2014-06-30	$0
Net income (gross income less expenses)	2014-06-30	$47,853
Net plan assets at end of year (total assets less liabilities)	2014-06-30	$507,765
Net plan assets at beginning of year (total assets less liabilities)	2014-06-30	$459,912
Total contributions received or receivable from employer(s)	2014-06-30	$17,652
Value of certain deemed distributions of participant loans	2014-06-30	$0
Value of corrective distributions	2014-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-06-30	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-06-30	$0
2013 : DON R. MILLER, D.D.S., INC. 401(K) PROFIT SHARING PLAN 2013 401k financial data
Transfers to/from the plan	2013-06-30	$0
Total plan liabilities at end of year	2013-06-30	$0
Total plan liabilities at beginning of year	2013-06-30	$0
Total income from all sources	2013-06-30	$32,434
Expenses. Total of all expenses incurred	2013-06-30	$79
Benefits paid (including direct rollovers)	2013-06-30	$79
Total plan assets at end of year	2013-06-30	$459,912
Total plan assets at beginning of year	2013-06-30	$427,557
Value of fidelity bond covering the plan	2013-06-30	$45,000
Total contributions received or receivable from participants	2013-06-30	$14,000
Expenses. Other expenses not covered elsewhere	2013-06-30	$0
Contributions received from other sources (not participants or employers)	2013-06-30	$0
Other income received	2013-06-30	$10,869
Noncash contributions received	2013-06-30	$0
Net income (gross income less expenses)	2013-06-30	$32,355
Net plan assets at end of year (total assets less liabilities)	2013-06-30	$459,912
Net plan assets at beginning of year (total assets less liabilities)	2013-06-30	$427,557
Total contributions received or receivable from employer(s)	2013-06-30	$7,565
Value of certain deemed distributions of participant loans	2013-06-30	$0
Value of corrective distributions	2013-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-06-30	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-06-30	$0
2012 : DON R. MILLER, D.D.S., INC. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Transfers to/from the plan	2012-06-30	$0
Total plan liabilities at end of year	2012-06-30	$0
Total plan liabilities at beginning of year	2012-06-30	$0
Total income from all sources	2012-06-30	$11,689
Expenses. Total of all expenses incurred	2012-06-30	$0
Benefits paid (including direct rollovers)	2012-06-30	$0
Total plan assets at end of year	2012-06-30	$427,557
Total plan assets at beginning of year	2012-06-30	$415,868
Value of fidelity bond covering the plan	2012-06-30	$43,000
Total contributions received or receivable from participants	2012-06-30	$0
Expenses. Other expenses not covered elsewhere	2012-06-30	$0
Contributions received from other sources (not participants or employers)	2012-06-30	$0
Other income received	2012-06-30	$3,244
Noncash contributions received	2012-06-30	$0
Net income (gross income less expenses)	2012-06-30	$11,689
Net plan assets at end of year (total assets less liabilities)	2012-06-30	$427,557
Net plan assets at beginning of year (total assets less liabilities)	2012-06-30	$415,868
Total contributions received or receivable from employer(s)	2012-06-30	$8,445
Value of certain deemed distributions of participant loans	2012-06-30	$0
Value of corrective distributions	2012-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-06-30	$0
2011 : DON R. MILLER, D.D.S., INC. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan	2011-06-30	$0
Total plan liabilities at end of year	2011-06-30	$0
Total plan liabilities at beginning of year	2011-06-30	$0
Total income from all sources	2011-06-30	$32,769
Expenses. Total of all expenses incurred	2011-06-30	$0
Benefits paid (including direct rollovers)	2011-06-30	$0
Total plan assets at end of year	2011-06-30	$415,868
Total plan assets at beginning of year	2011-06-30	$383,099
Value of fidelity bond covering the plan	2011-06-30	$42,000
Total contributions received or receivable from participants	2011-06-30	$17,000
Expenses. Other expenses not covered elsewhere	2011-06-30	$0
Contributions received from other sources (not participants or employers)	2011-06-30	$0
Other income received	2011-06-30	$9,351
Noncash contributions received	2011-06-30	$0
Net income (gross income less expenses)	2011-06-30	$32,769
Net plan assets at end of year (total assets less liabilities)	2011-06-30	$415,868
Net plan assets at beginning of year (total assets less liabilities)	2011-06-30	$383,099
Total contributions received or receivable from employer(s)	2011-06-30	$6,418
Value of certain deemed distributions of participant loans	2011-06-30	$0
Value of corrective distributions	2011-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-06-30	$0

Form 5500 Responses for DON R. MILLER, D.D.S., INC. 401(K) PROFIT SHARING PLAN

2013: DON R. MILLER, D.D.S., INC. 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Trust	Yes
2013-07-01	Plan benefit arrangement - Trust	Yes
2012: DON R. MILLER, D.D.S., INC. 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Trust	Yes
2012-07-01	Plan benefit arrangement - Trust	Yes
2011: DON R. MILLER, D.D.S., INC. 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Trust	Yes
2011-07-01	Plan benefit arrangement - Trust	Yes
2009: DON R. MILLER, D.D.S., INC. 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Trust	Yes
2009-07-01	Plan benefit arrangement - Trust	Yes

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Company Name:	DON R. MILLER, D.D.S., INC.
Employer identification number (EIN):	953563497
NAIC Classification:	621210
NAIC Description:	Offices of Dentists

Plan id#	Filing Submission Date	Name of Administrator
002	2019-07-01
002	2018-07-01
002	2017-07-01
002	2016-07-01
002	2015-07-01
002	2014-07-01
002	2013-07-01	DON R. MILLER, D.D.S.
002	2012-07-01	DON R. MILLER, D.D.S.
002	2011-07-01	DON R. MILLER, D.D.S.
002	2009-07-01	DOUGLAS S. HENDRY