401k Plan data: GRIFFIN DENTAL LLC SAFE HARBOR 401-K PLAN plan

GRIFFIN DENTAL LLC SAFE HARBOR 401-K PLAN 401k Plan overview

Plan Name	GRIFFIN DENTAL LLC SAFE HARBOR 401-K PLAN
Plan identification number	001

GRIFFIN DENTAL LLC SAFE HARBOR 401-K PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
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

GRIFFIN DENTAL LLC has sponsored the creation of one or more 401k plans.

Company Name: GRIFFIN DENTAL LLC

Employer identification number (EIN): 453624806

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Additional information about GRIFFIN DENTAL LLC

Jurisdiction of Incorporation: Georgia Department of States Corporations Division

Incorporation Date:

Company Identification Number: 1663276

More information about GRIFFIN DENTAL LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GRIFFIN DENTAL LLC SAFE HARBOR 401-K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01 PHILLIP ADCOCK 2017-07-14
001 2015-01-01 PHILLIP ADCOCK 2016-10-11
001 2014-01-01 PHILLIP ADCOCK 2015-09-15
001 2013-01-01 PHILLIP ADCOCK
001 2012-01-01 JAMIE BURFORD
001 2011-01-01 JAMIE BURFORD

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2016-01-01	PHILLIP ADCOCK	2017-07-14
001	2015-01-01	PHILLIP ADCOCK	2016-10-11
001	2014-01-01	PHILLIP ADCOCK	2015-09-15
001	2013-01-01	PHILLIP ADCOCK
001	2012-01-01	JAMIE BURFORD
001	2011-01-01	JAMIE BURFORD

Plan Statistics for GRIFFIN DENTAL LLC SAFE HARBOR 401-K PLAN

401k plan membership statisitcs for GRIFFIN DENTAL LLC SAFE HARBOR 401-K PLAN

Measure Date Value
2013: GRIFFIN DENTAL LLC SAFE HARBOR 401-K PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 7
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 0
Total of all active and inactive participants 2013-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 7
Number of participants with account balances 2013-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: GRIFFIN DENTAL LLC SAFE HARBOR 401-K PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 7
Number of retired or separated participants receiving benefits 2012-01-01 5
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 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 12
Number of participants with account balances 2012-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: GRIFFIN DENTAL LLC SAFE HARBOR 401-K PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 12
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 2
Total of all active and inactive participants 2011-01-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 12
Number of participants with account balances 2011-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2013: GRIFFIN DENTAL LLC SAFE HARBOR 401-K PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	7
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	0
Total of all active and inactive participants	2013-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	7
Number of participants with account balances	2013-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: GRIFFIN DENTAL LLC SAFE HARBOR 401-K PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	7
Number of retired or separated participants receiving benefits	2012-01-01	5
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	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	12
Number of participants with account balances	2012-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: GRIFFIN DENTAL LLC SAFE HARBOR 401-K PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	12
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	2
Total of all active and inactive participants	2011-01-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	12
Number of participants with account balances	2011-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on GRIFFIN DENTAL LLC SAFE HARBOR 401-K PLAN

Measure	Date	Value
2013 : GRIFFIN DENTAL LLC SAFE HARBOR 401-K PLAN 2013 401k financial data
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$113,719
Expenses. Total of all expenses incurred	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$433,404
Total plan assets at beginning of year	2013-12-31	$319,685
Value of fidelity bond covering the plan	2013-12-31	$30,000
Total contributions received or receivable from participants	2013-12-31	$27,619
Other income received	2013-12-31	$80,083
Net income (gross income less expenses)	2013-12-31	$113,719
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$433,404
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$319,685
Total contributions received or receivable from employer(s)	2013-12-31	$6,017
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : GRIFFIN DENTAL LLC SAFE HARBOR 401-K PLAN 2012 401k financial data
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$51,907
Expenses. Total of all expenses incurred	2012-12-31	$5,241
Benefits paid (including direct rollovers)	2012-12-31	$5,241
Total plan assets at end of year	2012-12-31	$319,685
Total plan assets at beginning of year	2012-12-31	$273,019
Value of fidelity bond covering the plan	2012-12-31	$30,000
Total contributions received or receivable from participants	2012-12-31	$29,731
Other income received	2012-12-31	$12,011
Net income (gross income less expenses)	2012-12-31	$46,666
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$319,685
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$273,019
Total contributions received or receivable from employer(s)	2012-12-31	$10,165
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : GRIFFIN DENTAL LLC SAFE HARBOR 401-K PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$58,042
Expenses. Total of all expenses incurred	2011-12-31	$2,120
Benefits paid (including direct rollovers)	2011-12-31	$2,120
Total plan assets at end of year	2011-12-31	$273,019
Total plan assets at beginning of year	2011-12-31	$217,097
Value of fidelity bond covering the plan	2011-12-31	$30,000
Total contributions received or receivable from participants	2011-12-31	$38,120
Other income received	2011-12-31	$6,900
Net income (gross income less expenses)	2011-12-31	$55,922
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$273,019
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$217,097
Total contributions received or receivable from employer(s)	2011-12-31	$13,022
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0

Form 5500 Responses for GRIFFIN DENTAL LLC SAFE HARBOR 401-K PLAN

2013: GRIFFIN DENTAL LLC SAFE HARBOR 401-K 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: GRIFFIN DENTAL LLC SAFE HARBOR 401-K 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: GRIFFIN DENTAL LLC SAFE HARBOR 401-K PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	First time form 5500 has been submitted	Yes
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:	GRIFFIN DENTAL LLC
Employer identification number (EIN):	453624806
NAIC Classification:	621210
NAIC Description:	Offices of Dentists

Jurisdiction of Incorporation:	Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number:	1663276