401k Plan data: SAMUEL L. KOTH, DDS, PC PROFIT SHARING PLAN plan

SAMUEL L. KOTH, DDS, PC PROFIT SHARING PLAN 401k Plan overview

Plan Name	SAMUEL L. KOTH, DDS, PC PROFIT SHARING PLAN
Plan identification number	001

SAMUEL L. KOTH, DDS, PC PROFIT SHARING 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.
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

SAMUEL L. KOTH, DDS, PC has sponsored the creation of one or more 401k plans.

Company Name: SAMUEL L. KOTH, DDS, PC

Employer identification number (EIN): 455117087

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SAMUEL L. KOTH, DDS, PC PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 SAMUEL KOTH 2014-07-03 SAMUEL KOTH 2014-07-03
001 2013-01-01 SAMUEL KOTH 2014-05-02 SAMUEL KOTH 2014-05-02
001 2012-01-01 DR. KOTH 2014-04-29 DR. KOTH 2014-04-29
001 2011-01-01 JAMES A. JESPERSEN 2012-07-30 JAMES A. JESPERSEN 2012-07-30

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2014-01-01	SAMUEL KOTH	2014-07-03	SAMUEL KOTH	2014-07-03
001	2013-01-01	SAMUEL KOTH	2014-05-02	SAMUEL KOTH	2014-05-02
001	2012-01-01	DR. KOTH	2014-04-29	DR. KOTH	2014-04-29
001	2011-01-01	JAMES A. JESPERSEN	2012-07-30	JAMES A. JESPERSEN	2012-07-30

Potentially related plans

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Company Name:	SAMUEL L. KOTH, DDS, PC
Employer identification number (EIN):	455117087
NAIC Classification:	621210
NAIC Description:	Offices of Dentists