401k Plan data: 16111 MANCHESTER ROAD LLC 401K PLAN plan

16111 MANCHESTER ROAD LLC 401K PLAN 401k Plan overview

Plan Name	16111 MANCHESTER ROAD LLC 401K PLAN
Plan identification number	001

16111 MANCHESTER ROAD LLC 401K PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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

16111 MANCHESTER ROAD, L.L.C. has sponsored the creation of one or more 401k plans.

Company Name: 16111 MANCHESTER ROAD, L.L.C.

Employer identification number (EIN): 200385749

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan 16111 MANCHESTER ROAD LLC 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2023-01-01 HEATHER ZIEBA 2024-07-30
001 2022-01-01 HEATHER ZIEBA 2023-07-11
001 2021-01-01 HEATHER ZIEBA 2022-07-07
001 2020-01-01 HEATHER ZIEBA 2021-10-12
001 2019-01-01 HEATHER L. ZIEBA 2020-06-18 HEATHER L. ZIEBA 2020-06-18
001 2018-01-01 HEATHER L. ZIEBA 2019-06-28 HEATHER L. ZIEBA 2019-06-28
001 2017-01-01 HEATHER L. ZIEBA 2018-07-27 HEATHER L. ZIEBA 2018-07-27
001 2016-01-01 HEATHER L. ZIEBA 2017-07-14 HEATHER L. ZIEBA 2017-07-14
001 2015-01-01 HEATHER L. ZIEBA 2016-07-08 HEATHER L. ZIEBA 2016-07-08
001 2014-01-01 HEATHER L. ZIEBA 2015-07-03 HEATHER L. ZIEBA 2015-07-03
001 2013-01-01 HEATHER L. ZIEBA 2014-06-25 HEATHER L. ZIEBA 2014-06-25
001 2012-01-01 HEATHER L. ZIEBA 2013-06-27 HEATHER L. ZIEBA 2013-06-27
001 2011-01-01 HEATHER L. ZIEBA 2012-05-10 HEATHER L. ZIEBA 2012-05-10
001 2010-01-01 HEATHER L. ZIEBA 2011-06-24 HEATHER L. ZIEBA 2011-06-24
001 2009-01-01 HEATHER L. ZIEBA HEATHER L. ZIEBA 2010-07-12

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2023-01-01	HEATHER ZIEBA	2024-07-30
001	2022-01-01	HEATHER ZIEBA	2023-07-11
001	2021-01-01	HEATHER ZIEBA	2022-07-07
001	2020-01-01	HEATHER ZIEBA	2021-10-12
001	2019-01-01	HEATHER L. ZIEBA	2020-06-18	HEATHER L. ZIEBA	2020-06-18
001	2018-01-01	HEATHER L. ZIEBA	2019-06-28	HEATHER L. ZIEBA	2019-06-28
001	2017-01-01	HEATHER L. ZIEBA	2018-07-27	HEATHER L. ZIEBA	2018-07-27
001	2016-01-01	HEATHER L. ZIEBA	2017-07-14	HEATHER L. ZIEBA	2017-07-14
001	2015-01-01	HEATHER L. ZIEBA	2016-07-08	HEATHER L. ZIEBA	2016-07-08
001	2014-01-01	HEATHER L. ZIEBA	2015-07-03	HEATHER L. ZIEBA	2015-07-03
001	2013-01-01	HEATHER L. ZIEBA	2014-06-25	HEATHER L. ZIEBA	2014-06-25
001	2012-01-01	HEATHER L. ZIEBA	2013-06-27	HEATHER L. ZIEBA	2013-06-27
001	2011-01-01	HEATHER L. ZIEBA	2012-05-10	HEATHER L. ZIEBA	2012-05-10
001	2010-01-01	HEATHER L. ZIEBA	2011-06-24	HEATHER L. ZIEBA	2011-06-24
001	2009-01-01	HEATHER L. ZIEBA		HEATHER L. ZIEBA	2010-07-12

Plan Statistics for 16111 MANCHESTER ROAD LLC 401K PLAN

401k plan membership statisitcs for 16111 MANCHESTER ROAD LLC 401K PLAN

Measure Date Value
2009: 16111 MANCHESTER ROAD LLC 401K PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 3
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 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 3
Number of participants with account balances 2009-01-01 3

Measure	Date	Value
2009: 16111 MANCHESTER ROAD LLC 401K PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	3
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	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	3
Number of participants with account balances	2009-01-01	3

Form 5500 Responses for 16111 MANCHESTER ROAD LLC 401K PLAN

2009: 16111 MANCHESTER ROAD LLC 401K PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	16111 MANCHESTER ROAD, L.L.C.
Employer identification number (EIN):	200385749
NAIC Classification:	621210
NAIC Description:	Offices of Dentists