401k Plan data: PAHLS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN plan

PAHLS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	PAHLS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN
Plan identification number	001

PAHLS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.

401k Sponsoring company profile

PAHLS DENTISTRY, P.C. has sponsored the creation of one or more 401k plans.

Company Name: PAHLS DENTISTRY, P.C.

Employer identification number (EIN): 270532167

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Additional information about PAHLS DENTISTRY, P.C.

Jurisdiction of Incorporation: Oregon Secretary of State Corporations Division

Incorporation Date: 2009-05-28

Company Identification Number: 60566495

Legal Registered Office Address: 2270 NW AVIATION DR

ROSEBURG
United States of America (USA)
97470

More information about PAHLS DENTISTRY, P.C.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PAHLS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01
001 2016-01-01 HEIDI PAHLS HEIDI PAHLS 2017-10-16
001 2015-01-01 HEIDI PAHLS HEIDI PAHLS 2016-08-09
001 2014-01-01 HEIDI PAHLS HEIDI PAHLS 2015-09-11
001 2013-01-01 HEIDI PAHLS HEIDI PAHLS 2014-10-09
001 2012-01-01 HEIDI PAHLS HEIDI PAHLS 2013-06-28
001 2011-01-01 HEIDI PAHLS HEIDI PAHLS 2012-06-21

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2017-01-01
001	2016-01-01	HEIDI PAHLS	HEIDI PAHLS	2017-10-16
001	2015-01-01	HEIDI PAHLS	HEIDI PAHLS	2016-08-09
001	2014-01-01	HEIDI PAHLS	HEIDI PAHLS	2015-09-11
001	2013-01-01	HEIDI PAHLS	HEIDI PAHLS	2014-10-09
001	2012-01-01	HEIDI PAHLS	HEIDI PAHLS	2013-06-28
001	2011-01-01	HEIDI PAHLS	HEIDI PAHLS	2012-06-21

Plan Statistics for PAHLS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for PAHLS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN

Measure Date Value
2017: PAHLS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 14
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 3
Total of all active and inactive participants 2017-01-01 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 17
Number of participants with account balances 2017-01-01 17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: PAHLS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 14
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 14
Number of participants with account balances 2016-01-01 14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: PAHLS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 10
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 2
Total of all active and inactive participants 2015-01-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 12
Number of participants with account balances 2015-01-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: PAHLS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 11
Number of other retired or separated participants entitled to future benefits 2014-01-01 2
Total of all active and inactive participants 2014-01-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 13
Number of participants with account balances 2014-01-01 13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: PAHLS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 11
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 2
Total of all active and inactive participants 2013-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 11
Number of participants with account balances 2013-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 1
2012: PAHLS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 11
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 0
Total of all active and inactive participants 2012-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 11
Number of participants with account balances 2012-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: PAHLS DENTISTRY, P.C. 401(K) 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 0
Total of all active and inactive participants 2011-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 10
Number of participants with account balances 2011-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2017: PAHLS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	14
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	3
Total of all active and inactive participants	2017-01-01	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	17
Number of participants with account balances	2017-01-01	17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: PAHLS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	14
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	14
Number of participants with account balances	2016-01-01	14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: PAHLS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	10
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	2
Total of all active and inactive participants	2015-01-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	12
Number of participants with account balances	2015-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: PAHLS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	11
Number of other retired or separated participants entitled to future benefits	2014-01-01	2
Total of all active and inactive participants	2014-01-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	13
Number of participants with account balances	2014-01-01	13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: PAHLS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	11
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	2
Total of all active and inactive participants	2013-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	11
Number of participants with account balances	2013-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	1
2012: PAHLS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	11
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	0
Total of all active and inactive participants	2012-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	11
Number of participants with account balances	2012-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: PAHLS DENTISTRY, P.C. 401(K) 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	0
Total of all active and inactive participants	2011-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	10
Number of participants with account balances	2011-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on PAHLS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2017 : PAHLS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total plan liabilities at end of year	2017-12-31	$1,050
Total plan liabilities at beginning of year	2017-12-31	$1,050
Total income from all sources	2017-12-31	$360,671
Expenses. Total of all expenses incurred	2017-12-31	$4,365
Total plan assets at end of year	2017-12-31	$1,917,080
Total plan assets at beginning of year	2017-12-31	$1,560,774
Value of fidelity bond covering the plan	2017-12-31	$400,000
Total contributions received or receivable from participants	2017-12-31	$70,403
Other income received	2017-12-31	$159,117
Net income (gross income less expenses)	2017-12-31	$356,306
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$1,916,030
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$1,559,724
Assets. Value of real-estate (other than employer real property)	2017-12-31	$230,630
Total contributions received or receivable from employer(s)	2017-12-31	$131,151
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$4,365
2016 : PAHLS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total plan liabilities at end of year	2016-12-31	$1,050
Total plan liabilities at beginning of year	2016-12-31	$1,050
Total income from all sources	2016-12-31	$217,077
Expenses. Total of all expenses incurred	2016-12-31	$13,873
Total plan assets at end of year	2016-12-31	$1,560,774
Total plan assets at beginning of year	2016-12-31	$1,357,570
Value of fidelity bond covering the plan	2016-12-31	$400,000
Total contributions received or receivable from participants	2016-12-31	$64,804
Expenses. Other expenses not covered elsewhere	2016-12-31	$10,442
Other income received	2016-12-31	$99,324
Net income (gross income less expenses)	2016-12-31	$203,204
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$1,559,724
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$1,356,520
Assets. Value of real-estate (other than employer real property)	2016-12-31	$282,308
Total contributions received or receivable from employer(s)	2016-12-31	$52,949
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$3,431
2015 : PAHLS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2015 401k financial data
Transfers to/from the plan	2015-12-31	$0
Total plan liabilities at end of year	2015-12-31	$1,050
Total plan liabilities at beginning of year	2015-12-31	$1,050
Total income from all sources	2015-12-31	$94,265
Expenses. Total of all expenses incurred	2015-12-31	$23,287
Benefits paid (including direct rollovers)	2015-12-31	$3,346
Total plan assets at end of year	2015-12-31	$1,357,570
Total plan assets at beginning of year	2015-12-31	$1,286,592
Value of fidelity bond covering the plan	2015-12-31	$400,000
Total contributions received or receivable from participants	2015-12-31	$63,764
Expenses. Other expenses not covered elsewhere	2015-12-31	$6,040
Other income received	2015-12-31	$-4,213
Net income (gross income less expenses)	2015-12-31	$70,978
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,356,520
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,285,542
Assets. Value of real-estate (other than employer real property)	2015-12-31	$282,308
Total contributions received or receivable from employer(s)	2015-12-31	$34,714
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$13,901
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : PAHLS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total plan liabilities at end of year	2014-12-31	$1,050
Total plan liabilities at beginning of year	2014-12-31	$1,050
Total income from all sources	2014-12-31	$150,971
Expenses. Total of all expenses incurred	2014-12-31	$107,264
Benefits paid (including direct rollovers)	2014-12-31	$93,283
Total plan assets at end of year	2014-12-31	$1,286,592
Total plan assets at beginning of year	2014-12-31	$1,242,885
Value of fidelity bond covering the plan	2014-12-31	$400,000
Total contributions received or receivable from participants	2014-12-31	$60,351
Expenses. Other expenses not covered elsewhere	2014-12-31	$5,811
Other income received	2014-12-31	$54,043
Net income (gross income less expenses)	2014-12-31	$43,707
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,285,542
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,241,835
Assets. Value of real-estate (other than employer real property)	2014-12-31	$282,308
Total contributions received or receivable from employer(s)	2014-12-31	$36,577
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$8,170
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : PAHLS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
Total plan liabilities at end of year	2013-12-31	$1,050
Total plan liabilities at beginning of year	2013-12-31	$1,050
Total income from all sources	2013-12-31	$186,521
Expenses. Total of all expenses incurred	2013-12-31	$9,074
Benefits paid (including direct rollovers)	2013-12-31	$576
Total plan assets at end of year	2013-12-31	$1,242,885
Total plan assets at beginning of year	2013-12-31	$1,065,438
Value of fidelity bond covering the plan	2013-12-31	$400,000
Total contributions received or receivable from participants	2013-12-31	$61,149
Expenses. Other expenses not covered elsewhere	2013-12-31	$5,602
Other income received	2013-12-31	$100,508
Net income (gross income less expenses)	2013-12-31	$177,447
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,241,835
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,064,388
Assets. Value of real-estate (other than employer real property)	2013-12-31	$282,308
Total contributions received or receivable from employer(s)	2013-12-31	$24,864
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$2,896
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : PAHLS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at end of year	2012-12-31	$1,050
Total plan liabilities at beginning of year	2012-12-31	$2,800
Total income from all sources	2012-12-31	$166,476
Expenses. Total of all expenses incurred	2012-12-31	$6,702
Total plan assets at end of year	2012-12-31	$1,065,438
Total plan assets at beginning of year	2012-12-31	$907,414
Value of fidelity bond covering the plan	2012-12-31	$400,000
Total contributions received or receivable from participants	2012-12-31	$64,419
Expenses. Other expenses not covered elsewhere	2012-12-31	$6,702
Other income received	2012-12-31	$75,099
Net income (gross income less expenses)	2012-12-31	$159,774
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,064,388
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$904,614
Assets. Value of real-estate (other than employer real property)	2012-12-31	$275,411
Total contributions received or receivable from employer(s)	2012-12-31	$26,958
2011 : PAHLS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total plan liabilities at end of year	2011-12-31	$2,800
Total plan liabilities at beginning of year	2011-12-31	$3,000
Total income from all sources	2011-12-31	$133,834
Expenses. Total of all expenses incurred	2011-12-31	$11,928
Total plan assets at end of year	2011-12-31	$907,414
Total plan assets at beginning of year	2011-12-31	$785,708
Value of fidelity bond covering the plan	2011-12-31	$400,000
Total contributions received or receivable from participants	2011-12-31	$63,180
Expenses. Other expenses not covered elsewhere	2011-12-31	$11,928
Contributions received from other sources (not participants or employers)	2011-12-31	$14,570
Other income received	2011-12-31	$28,646
Net income (gross income less expenses)	2011-12-31	$121,906
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$904,614
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$782,708
Assets. Value of real-estate (other than employer real property)	2011-12-31	$303,636
Total contributions received or receivable from employer(s)	2011-12-31	$27,438

Form 5500 Responses for PAHLS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN

2017: PAHLS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: PAHLS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: PAHLS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: PAHLS DENTISTRY, P.C. 401(K) 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	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
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: PAHLS DENTISTRY, P.C. 401(K) 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: PAHLS DENTISTRY, P.C. 401(K) 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: PAHLS DENTISTRY, P.C. 401(K) 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:	PAHLS DENTISTRY, P.C.
Employer identification number (EIN):	270532167
NAIC Classification:	621210
NAIC Description:	Offices of Dentists

Jurisdiction of Incorporation:	Oregon Secretary of State Corporations Division
Incorporation Date:	2009-05-28
Company Identification Number:	60566495
Legal Registered Office Address:	2270 NW AVIATION DR ROSEBURG United States of America (USA) 97470