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OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN 401k Plan overview

Plan NameOAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN
Plan identification number 001

OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN Benefits

401k Plan TypeDefined 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.
  • Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of 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.
  • Plan covering Self-Employed individuals.
  • 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

OAKLAND ORAL SURGERY ASSOCIATES, PC has sponsored the creation of one or more 401k plans.

Company Name:OAKLAND ORAL SURGERY ASSOCIATES, PC
Employer identification number (EIN):382256100
NAIC Classification:621210
NAIC Description:Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01MARK AZZOPARDI2023-05-05
0012021-01-01MARK AZZOPARDI2022-05-17
0012020-01-01MARK AZZOPARDI2021-08-11 MARK AZZOPARDI2021-08-11
0012019-01-01MARK AZZOPARDI2020-07-12
0012018-01-01MARK AZZOPARDI2019-09-19 MARK AZZOPARDI2019-09-19
0012017-01-01DR. MARK AZZOPARDI
0012017-01-01MARK AZZOPARDI2019-09-19 MARK AZZOPARDI2019-09-19
0012016-01-01DR. MARK AZZOPARDI
0012016-01-01MARK AZZOPARDI2019-09-17 MARK AZZOPARDI2019-09-17
0012015-01-01DR. MARK AZZOPARDI
0012015-01-01MARK AZZOPARDI2019-09-17 MARK AZZOPARDI2019-09-17
0012014-01-01DR. MARK AZZOPARDI
0012014-01-01MARK AZZOPARDI2019-09-17 MARK AZZOPARDI2019-09-17
0012013-01-01DR. MARK AZZOPARDI
0012013-01-01MARK AZZOPARDI2019-09-17 MARK AZZOPARDI2019-09-17
0012012-01-01DR. MARK AZZOPARDI
0012011-01-01DR MARK AZZOPARDI
0012011-01-01MARK AZZOPARDI2019-09-13 MARK AZZOPARDI2019-09-13
0012011-01-01MARK AZZOPARDI2019-09-13 MARK AZZOPARDI2019-09-13
0012010-01-01DR MARK AZZOPARDI
0012010-01-01MARK AZZOPARDI2019-09-13 MARK AZZOPARDI2019-09-13
0012009-01-01DR MARK AZZOPARDI
0012009-01-01MARK AZZOPARDI2019-09-13 MARK AZZOPARDI2019-09-13
0012008-01-01
0012007-01-01

Plan Statistics for OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN

401k plan membership statisitcs for OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN

Measure Date Value
2017: OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-010
Total number of active participants reported on line 7a of the Form 55002017-01-0136
Number of other retired or separated participants entitled to future benefits2017-01-013
Total of all active and inactive participants2017-01-0139
Total participants2017-01-0139
Number of participants with account balances2017-01-0139
2016: OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0130
Total number of active participants reported on line 7a of the Form 55002016-01-0131
Number of other retired or separated participants entitled to future benefits2016-01-013
Total of all active and inactive participants2016-01-0134
Total participants2016-01-0134
Number of participants with account balances2016-01-0134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-012
2015: OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0132
Total number of active participants reported on line 7a of the Form 55002015-01-0127
Number of other retired or separated participants entitled to future benefits2015-01-013
Total of all active and inactive participants2015-01-0130
Total participants2015-01-0130
Number of participants with account balances2015-01-0130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-012
2014: OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0132
Total number of active participants reported on line 7a of the Form 55002014-01-0128
Number of other retired or separated participants entitled to future benefits2014-01-014
Total of all active and inactive participants2014-01-0132
Total participants2014-01-0132
Number of participants with account balances2014-01-0132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-013
2013: OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0132
Total number of active participants reported on line 7a of the Form 55002013-01-0130
Number of other retired or separated participants entitled to future benefits2013-01-011
Total of all active and inactive participants2013-01-0131
Total participants2013-01-0131
Number of participants with account balances2013-01-0132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-011
2012: OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0131
Total number of active participants reported on line 7a of the Form 55002012-01-0130
Number of other retired or separated participants entitled to future benefits2012-01-012
Total of all active and inactive participants2012-01-0132
Total participants2012-01-0132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-011
2011: OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0132
Total number of active participants reported on line 7a of the Form 55002011-01-0129
Number of other retired or separated participants entitled to future benefits2011-01-012
Total of all active and inactive participants2011-01-0131
Total participants2011-01-0131
Number of participants with account balances2011-01-0131
2010: OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0133
Total number of active participants reported on line 7a of the Form 55002010-01-0130
Number of other retired or separated participants entitled to future benefits2010-01-012
Total of all active and inactive participants2010-01-0132
Total participants2010-01-0132
Number of participants with account balances2010-01-0132
2009: OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0133
Total number of active participants reported on line 7a of the Form 55002009-01-0133
Total of all active and inactive participants2009-01-0133
Total participants2009-01-0133
2008: OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN 2008 401k membership
Total participants, beginning-of-year2008-01-0135
Total number of active participants reported on line 7a of the Form 55002008-01-0135
Total of all active and inactive participants2008-01-0135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2008-01-010
Total participants2008-01-0135
Number of participants with account balances2008-01-0135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2008-01-010
2007: OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN 2007 401k membership
Total participants, beginning-of-year2007-01-0133
Total number of active participants reported on line 7a of the Form 55002007-01-0132
Number of other retired or separated participants entitled to future benefits2007-01-011
Total of all active and inactive participants2007-01-0133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2007-01-010
Total participants2007-01-0133
Number of participants with account balances2007-01-0133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2007-01-010

Financial Data on OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN

Measure Date Value
2017 : OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN 2017 401k financial data
Total plan liabilities at end of year2017-12-31$306
Total income from all sources2017-12-31$858,534
Expenses. Total of all expenses incurred2017-12-31$49,948
Benefits paid (including direct rollovers)2017-12-31$7,200
Total plan assets at end of year2017-12-31$5,540,530
Total plan assets at beginning of year2017-12-31$4,731,638
Expenses. Other expenses not covered elsewhere2017-12-31$42,748
Contributions received from other sources (not participants or employers)2017-12-31$78,373
Other income received2017-12-31$617,373
Net income (gross income less expenses)2017-12-31$808,586
Net plan assets at end of year (total assets less liabilities)2017-12-31$5,540,224
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$4,731,638
Total contributions received or receivable from employer(s)2017-12-31$162,788
2016 : OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN 2016 401k financial data
Total plan liabilities at beginning of year2016-12-31$26
Total income from all sources2016-12-31$447,846
Expenses. Total of all expenses incurred2016-12-31$169,660
Benefits paid (including direct rollovers)2016-12-31$129,487
Total plan assets at end of year2016-12-31$4,731,638
Total plan assets at beginning of year2016-12-31$4,453,478
Value of fidelity bond covering the plan2016-12-31$450,000
Expenses. Other expenses not covered elsewhere2016-12-31$40,173
Other income received2016-12-31$315,648
Net income (gross income less expenses)2016-12-31$278,186
Net plan assets at end of year (total assets less liabilities)2016-12-31$4,731,638
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$4,453,452
Total contributions received or receivable from employer(s)2016-12-31$132,198
2015 : OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN 2015 401k financial data
Total plan liabilities at end of year2015-12-31$26
Total plan liabilities at beginning of year2015-12-31$27
Total income from all sources2015-12-31$279,912
Expenses. Total of all expenses incurred2015-12-31$243,652
Benefits paid (including direct rollovers)2015-12-31$194,607
Total plan assets at end of year2015-12-31$4,453,478
Total plan assets at beginning of year2015-12-31$4,417,219
Value of fidelity bond covering the plan2015-12-31$450,000
Expenses. Other expenses not covered elsewhere2015-12-31$49,045
Other income received2015-12-31$149,234
Net income (gross income less expenses)2015-12-31$36,260
Net plan assets at end of year (total assets less liabilities)2015-12-31$4,453,452
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$4,417,192
Total contributions received or receivable from employer(s)2015-12-31$130,678
2014 : OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN 2014 401k financial data
Total plan liabilities at end of year2014-12-31$27
Total income from all sources2014-12-31$177,102
Expenses. Total of all expenses incurred2014-12-31$106,624
Benefits paid (including direct rollovers)2014-12-31$62,913
Total plan assets at end of year2014-12-31$4,417,219
Total plan assets at beginning of year2014-12-31$4,346,714
Value of fidelity bond covering the plan2014-12-31$450,000
Expenses. Other expenses not covered elsewhere2014-12-31$43,711
Other income received2014-12-31$40,602
Net income (gross income less expenses)2014-12-31$70,478
Net plan assets at end of year (total assets less liabilities)2014-12-31$4,417,192
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$4,346,714
Total contributions received or receivable from employer(s)2014-12-31$136,500
2013 : OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources2013-12-31$316,789
Expenses. Total of all expenses incurred2013-12-31$192,776
Benefits paid (including direct rollovers)2013-12-31$152,229
Total plan assets at end of year2013-12-31$4,346,714
Total plan assets at beginning of year2013-12-31$4,222,701
Value of fidelity bond covering the plan2013-12-31$450,000
Expenses. Other expenses not covered elsewhere2013-12-31$40,547
Other income received2013-12-31$175,341
Net income (gross income less expenses)2013-12-31$124,013
Net plan assets at end of year (total assets less liabilities)2013-12-31$4,346,714
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$4,222,701
Total contributions received or receivable from employer(s)2013-12-31$141,448
2012 : OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources2012-12-31$525,419
Expenses. Total of all expenses incurred2012-12-31$263,504
Benefits paid (including direct rollovers)2012-12-31$231,999
Total plan assets at end of year2012-12-31$4,222,701
Total plan assets at beginning of year2012-12-31$3,960,786
Value of fidelity bond covering the plan2012-12-31$300,000
Expenses. Other expenses not covered elsewhere2012-12-31$31,505
Other income received2012-12-31$382,026
Net income (gross income less expenses)2012-12-31$261,915
Net plan assets at end of year (total assets less liabilities)2012-12-31$4,222,701
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$3,960,786
Total contributions received or receivable from employer(s)2012-12-31$143,393
2011 : OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources2011-12-31$142,622
Expenses. Total of all expenses incurred2011-12-31$293,330
Benefits paid (including direct rollovers)2011-12-31$290,835
Total plan assets at end of year2011-12-31$3,960,786
Total plan assets at beginning of year2011-12-31$4,111,494
Value of fidelity bond covering the plan2011-12-31$300,000
Expenses. Other expenses not covered elsewhere2011-12-31$2,495
Other income received2011-12-31$9,135
Net income (gross income less expenses)2011-12-31$-150,708
Net plan assets at end of year (total assets less liabilities)2011-12-31$3,960,786
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$4,111,494
Assets. Value of participant loans2011-12-31$175,831
Total contributions received or receivable from employer(s)2011-12-31$133,487
2010 : OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources2010-12-31$533,581
Expenses. Total of all expenses incurred2010-12-31$104,140
Benefits paid (including direct rollovers)2010-12-31$101,969
Total plan assets at end of year2010-12-31$4,111,494
Total plan assets at beginning of year2010-12-31$3,682,053
Value of fidelity bond covering the plan2010-12-31$300,000
Expenses. Other expenses not covered elsewhere2010-12-31$2,171
Other income received2010-12-31$395,711
Net income (gross income less expenses)2010-12-31$429,441
Net plan assets at end of year (total assets less liabilities)2010-12-31$4,111,494
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$3,682,053
Assets. Value of participant loans2010-12-31$178,871
Total contributions received or receivable from employer(s)2010-12-31$137,870
2008 : OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN 2008 401k financial data
Total plan liabilities at end of year2008-12-31$8,797
Total plan liabilities at beginning of year2008-12-31$82,975
Total income from all sources2008-12-31$-569,445
Expenses. Total of all expenses incurred2008-12-31$28,592
Benefits paid (including direct rollovers)2008-12-31$10,050
Total plan assets at end of year2008-12-31$3,310,490
Total plan assets at beginning of year2008-12-31$3,982,705
Value of fidelity bond covering the plan2008-12-31$300,000
Total contributions received or receivable from participants2008-12-31$102,700
Contributions received from other sources (not participants or employers)2008-12-31$14
Other income received2008-12-31$-915,190
Net income (gross income less expenses)2008-12-31$-598,037
Net plan assets at end of year (total assets less liabilities)2008-12-31$3,301,693
Net plan assets at beginning of year (total assets less liabilities)2008-12-31$3,899,730
Assets. Value of participant loans2008-12-31$133,199
Total contributions received or receivable from employer(s)2008-12-31$243,031
Value of corrective distributions2008-12-31$8,797
Expenses. Administrative service providers (salaries,fees and commissions)2008-12-31$9,745
2007 : OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN 2007 401k financial data
Transfers to/from the plan2007-12-31$-79,163
Total plan liabilities at end of year2007-12-31$82,975
Total plan liabilities at beginning of year2007-12-31$585
Total income from all sources2007-12-31$702,293
Expenses. Total of all expenses incurred2007-12-31$101,606
Benefits paid (including direct rollovers)2007-12-31$76,346
Total plan assets at end of year2007-12-31$3,982,705
Total plan assets at beginning of year2007-12-31$3,368,467
Value of fidelity bond covering the plan2007-12-31$300,000
Total contributions received or receivable from participants2007-12-31$46,280
Expenses. Other expenses not covered elsewhere2007-12-31$25,260
Contributions received from other sources (not participants or employers)2007-12-31$89,955
Other income received2007-12-31$324,713
Net income (gross income less expenses)2007-12-31$600,687
Net plan assets at end of year (total assets less liabilities)2007-12-31$3,899,730
Net plan assets at beginning of year (total assets less liabilities)2007-12-31$3,367,882
Assets. Value of participant loans2007-12-31$82,975
Total contributions received or receivable from employer(s)2007-12-31$241,345

Form 5500 Responses for OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN

2017: OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes
2008: OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN 2008 form 5500 responses
2008-01-01Type of plan entitySingle employer plan
2008-01-01Submission has been amendedYes
2008-01-01This submission is the final filingNo
2008-01-01This return/report is a short plan year return/report (less than 12 months)No
2008-01-01Plan is a collectively bargained planNo
2008-01-01Plan funding arrangement – InsuranceYes
2008-01-01Plan funding arrangement – TrustYes
2008-01-01Plan benefit arrangement – InsuranceYes
2008-01-01Plan benefit arrangement - TrustYes
2007: OAKLAND ORAL SURGERY ASSOCIATES, P.C. EMPLOYEE PROFIT SHARING PLAN 2007 form 5500 responses
2007-01-01Type of plan entitySingle employer plan
2007-01-01Submission has been amendedYes
2007-01-01This submission is the final filingNo
2007-01-01This return/report is a short plan year return/report (less than 12 months)No
2007-01-01Plan is a collectively bargained planNo
2007-01-01Plan funding arrangement – InsuranceYes
2007-01-01Plan funding arrangement – TrustYes
2007-01-01Plan benefit arrangement – InsuranceYes
2007-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number7323798
Policy instance 1
Insurance contract or identification number7323798
Insurance policy start date2008-01-01
Insurance policy end date2008-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number9795077
Policy instance 2
Insurance contract or identification number9795077
Insurance policy start date2008-01-01
Insurance policy end date2008-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number7323798
Policy instance 1
Insurance contract or identification number7323798
Insurance policy start date2007-01-01
Insurance policy end date2007-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number9795077
Policy instance 2
Insurance contract or identification number9795077
Insurance policy start date2007-01-01
Insurance policy end date2007-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No

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