401k Plan data: LIBRARY PARK DENTAL, S.C. 401(K) PROFIT SHARING PLAN AND TRUST plan

LIBRARY PARK DENTAL, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 401k Plan overview

Plan Name	LIBRARY PARK DENTAL, S.C. 401(K) PROFIT SHARING PLAN AND TRUST
Plan identification number	001

LIBRARY PARK DENTAL, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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

LIBRARY PARK DENTAL S.C. has sponsored the creation of one or more 401k plans.

Company Name: LIBRARY PARK DENTAL S.C.

Employer identification number (EIN): 391365896

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LIBRARY PARK DENTAL, S.C. 401(K) PROFIT SHARING PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 WENDY CROWE-HAUGSTAD WENDY CROWE-HAUGSTAD 2015-11-03
001 2014-01-01 FERDINAND CHIAPPETTA, D.D.S.
001 2013-01-01 FERDINAND CHIAPPETTA, D.D.S.
001 2012-01-01 FERDINAND CHIAPPETTA, D.D.S.
001 2011-01-01 WENDY CROWE HAUGSTAD
001 2010-01-01 F.C. CHIAPPETTA 2012-05-18

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2015-01-01	WENDY CROWE-HAUGSTAD		WENDY CROWE-HAUGSTAD	2015-11-03
001	2014-01-01	FERDINAND CHIAPPETTA, D.D.S.
001	2013-01-01	FERDINAND CHIAPPETTA, D.D.S.
001	2012-01-01	FERDINAND CHIAPPETTA, D.D.S.
001	2011-01-01	WENDY CROWE HAUGSTAD
001	2010-01-01	F.C. CHIAPPETTA	2012-05-18

Plan Statistics for LIBRARY PARK DENTAL, S.C. 401(K) PROFIT SHARING PLAN AND TRUST

401k plan membership statisitcs for LIBRARY PARK DENTAL, S.C. 401(K) PROFIT SHARING PLAN AND TRUST

Measure Date Value
2015: LIBRARY PARK DENTAL, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year 2015-01-01 12
Total of all active and inactive participants 2015-01-01 0
Total participants 2015-01-01 0
Number of participants with account balances 2015-01-01 0
2014: LIBRARY PARK DENTAL, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year 2014-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 11
Total of all active and inactive participants 2014-01-01 11
Total participants 2014-01-01 11
Number of participants with account balances 2014-01-01 11
2013: LIBRARY PARK DENTAL, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year 2013-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 12
Total of all active and inactive participants 2013-01-01 12
Total participants 2013-01-01 12
Number of participants with account balances 2013-01-01 12
2012: LIBRARY PARK DENTAL, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 15
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 2
Total of all active and inactive participants 2012-01-01 13
Total participants 2012-01-01 13
Number of participants with account balances 2012-01-01 13
2011: LIBRARY PARK DENTAL, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 11
Number of retired or separated participants receiving benefits 2011-01-01 4
Total of all active and inactive participants 2011-01-01 15
Total participants 2011-01-01 15
Number of participants with account balances 2011-01-01 16

Measure	Date	Value
2015: LIBRARY PARK DENTAL, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year	2015-01-01	12
Total of all active and inactive participants	2015-01-01	0
Total participants	2015-01-01	0
Number of participants with account balances	2015-01-01	0
2014: LIBRARY PARK DENTAL, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year	2014-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	11
Total of all active and inactive participants	2014-01-01	11
Total participants	2014-01-01	11
Number of participants with account balances	2014-01-01	11
2013: LIBRARY PARK DENTAL, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year	2013-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	12
Total of all active and inactive participants	2013-01-01	12
Total participants	2013-01-01	12
Number of participants with account balances	2013-01-01	12
2012: LIBRARY PARK DENTAL, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	15
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	2
Total of all active and inactive participants	2012-01-01	13
Total participants	2012-01-01	13
Number of participants with account balances	2012-01-01	13
2011: LIBRARY PARK DENTAL, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	11
Number of retired or separated participants receiving benefits	2011-01-01	4
Total of all active and inactive participants	2011-01-01	15
Total participants	2011-01-01	15
Number of participants with account balances	2011-01-01	16

Financial Data on LIBRARY PARK DENTAL, S.C. 401(K) PROFIT SHARING PLAN AND TRUST

Measure	Date	Value
2015 : LIBRARY PARK DENTAL, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2015 401k financial data
Transfers to/from the plan	2015-09-30	$-2,067,625
Total income from all sources	2015-09-30	$-13,372
Expenses. Total of all expenses incurred	2015-09-30	$3,008
Total plan assets at end of year	2015-09-30	$0
Total plan assets at beginning of year	2015-09-30	$2,084,005
Expenses. Other expenses not covered elsewhere	2015-09-30	$3,008
Other income received	2015-09-30	$-13,372
Net income (gross income less expenses)	2015-09-30	$-16,380
Net plan assets at end of year (total assets less liabilities)	2015-09-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2015-09-30	$2,084,005
Assets. Value of participant loans	2015-09-30	$0
Funding deficiency by the employer to the plan for this plan year	2015-09-30	$0
Minimum employer required contribution for this plan year	2015-09-30	$0
Amount contributed by the employer to the plan for this plan year	2015-09-30	$0
2014 : LIBRARY PARK DENTAL, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2014 401k financial data
Total income from all sources	2014-12-31	$50,752
Expenses. Total of all expenses incurred	2014-12-31	$101,115
Benefits paid (including direct rollovers)	2014-12-31	$98,191
Total plan assets at end of year	2014-12-31	$2,084,005
Total plan assets at beginning of year	2014-12-31	$2,134,368
Value of fidelity bond covering the plan	2014-12-31	$209,000
Expenses. Other expenses not covered elsewhere	2014-12-31	$2,924
Other income received	2014-12-31	$50,752
Net income (gross income less expenses)	2014-12-31	$-50,363
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$2,084,005
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$2,134,368
Assets. Value of participant loans	2014-12-31	$30,817
Funding deficiency by the employer to the plan for this plan year	2014-12-31	$0
Minimum employer required contribution for this plan year	2014-12-31	$0
Amount contributed by the employer to the plan for this plan year	2014-12-31	$0
2013 : LIBRARY PARK DENTAL, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2013 401k financial data
Total income from all sources	2013-12-31	$316,132
Expenses. Total of all expenses incurred	2013-12-31	$96,324
Benefits paid (including direct rollovers)	2013-12-31	$93,749
Total plan assets at end of year	2013-12-31	$2,134,368
Total plan assets at beginning of year	2013-12-31	$1,914,560
Value of fidelity bond covering the plan	2013-12-31	$120,000
Total contributions received or receivable from participants	2013-12-31	$32,503
Expenses. Other expenses not covered elsewhere	2013-12-31	$2,575
Other income received	2013-12-31	$258,180
Net income (gross income less expenses)	2013-12-31	$219,808
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$2,134,368
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,914,560
Assets. Value of participant loans	2013-12-31	$39,523
Total contributions received or receivable from employer(s)	2013-12-31	$25,449
Funding deficiency by the employer to the plan for this plan year	2013-12-31	$0
Minimum employer required contribution for this plan year	2013-12-31	$0
Amount contributed by the employer to the plan for this plan year	2013-12-31	$0
2012 : LIBRARY PARK DENTAL, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2012 401k financial data
Total income from all sources	2012-12-31	$307,874
Expenses. Total of all expenses incurred	2012-12-31	$86,331
Benefits paid (including direct rollovers)	2012-12-31	$86,195
Total plan assets at end of year	2012-12-31	$1,914,560
Total plan assets at beginning of year	2012-12-31	$1,693,017
Value of fidelity bond covering the plan	2012-12-31	$170,000
Total contributions received or receivable from participants	2012-12-31	$66,035
Expenses. Other expenses not covered elsewhere	2012-12-31	$136
Other income received	2012-12-31	$183,156
Net income (gross income less expenses)	2012-12-31	$221,543
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,914,560
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,693,017
Assets. Value of participant loans	2012-12-31	$51,903
Total contributions received or receivable from employer(s)	2012-12-31	$58,683
Funding deficiency by the employer to the plan for this plan year	2012-12-31	$0
Minimum employer required contribution for this plan year	2012-12-31	$0
Amount contributed by the employer to the plan for this plan year	2012-12-31	$0
2011 : LIBRARY PARK DENTAL, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2011 401k financial data
Total income from all sources	2011-12-31	$101,579
Expenses. Total of all expenses incurred	2011-12-31	$2,426
Benefits paid (including direct rollovers)	2011-12-31	$2,370
Total plan assets at end of year	2011-12-31	$1,693,017
Total plan assets at beginning of year	2011-12-31	$1,593,864
Value of fidelity bond covering the plan	2011-12-31	$170,000
Total contributions received or receivable from participants	2011-12-31	$67,566
Expenses. Other expenses not covered elsewhere	2011-12-31	$56
Other income received	2011-12-31	$-22,252
Net income (gross income less expenses)	2011-12-31	$99,153
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,693,017
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,593,864
Assets. Value of participant loans	2011-12-31	$49,248
Total contributions received or receivable from employer(s)	2011-12-31	$56,265
Funding deficiency by the employer to the plan for this plan year	2011-12-31	$0
Minimum employer required contribution for this plan year	2011-12-31	$0
Amount contributed by the employer to the plan for this plan year	2011-12-31	$0

Form 5500 Responses for LIBRARY PARK DENTAL, S.C. 401(K) PROFIT SHARING PLAN AND TRUST

2015: LIBRARY PARK DENTAL, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 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	Yes
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
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: LIBRARY PARK DENTAL, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: LIBRARY PARK DENTAL, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: LIBRARY PARK DENTAL, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: LIBRARY PARK DENTAL, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62944 )

Policy contract number

312023057

Policy instance

Insurance contract or identification number	312023057
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	KEVIN J COSENTINO

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62944 )

Policy contract number

312023057

Policy instance

Insurance contract or identification number	312023057
Number of Individuals Covered	5
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $81
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $73
Insurance broker organization code?	3
Insurance broker name	KEVIN J COSENTINO

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Company Name:	LIBRARY PARK DENTAL S.C.
Employer identification number (EIN):	391365896
NAIC Classification:	621210
NAIC Description:	Offices of Dentists