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| Plan Name | CHERAG DINSHAW SARKARRI DDS, A DENTAL CORPORATION WELFARE PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | CHERAG DINSHAW SARKARI, DDS, A DENTAL CORPORATION |
| Employer identification number (EIN): | 471423387 |
| NAIC Classification: | 621210 |
| NAIC Description: | Offices of Dentists |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2017-12-01 | ||||
| 501 | 2016-12-01 |
| Measure | Date | Value |
|---|---|---|
| 2017: CHERAG DINSHAW SARKARRI DDS, A DENTAL CORPORATION WELFARE PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-12-01 | 254 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-12-01 | 0 |
| Number of retired or separated participants receiving benefits | 2017-12-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-12-01 | 0 |
| Total of all active and inactive participants | 2017-12-01 | 0 |
| 2016: CHERAG DINSHAW SARKARRI DDS, A DENTAL CORPORATION WELFARE PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-12-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-12-01 | 254 |
| Number of retired or separated participants receiving benefits | 2016-12-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-12-01 | 0 |
| Total of all active and inactive participants | 2016-12-01 | 254 |
| 2017: CHERAG DINSHAW SARKARRI DDS, A DENTAL CORPORATION WELFARE PLAN 2017 form 5500 responses | ||
|---|---|---|
| 2017-12-01 | Type of plan entity | Single employer plan |
| 2017-12-01 | This submission is the final filing | Yes |
| 2017-12-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2017-12-01 | Plan funding arrangement – Insurance | Yes |
| 2017-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: CHERAG DINSHAW SARKARRI DDS, A DENTAL CORPORATION WELFARE PLAN 2016 form 5500 responses | ||
| 2016-12-01 | Type of plan entity | Single employer plan |
| 2016-12-01 | First time form 5500 has been submitted | Yes |
| 2016-12-01 | Plan funding arrangement – Insurance | Yes |
| 2016-12-01 | Plan benefit arrangement – Insurance | Yes |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |
| Policy contract number | 522612 |
| Policy instance | 1 |
| GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 ) | |
| Policy contract number | 390-006 |
| Policy instance | 2 |
| PREMIER ACCESS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60237 ) | |
| Policy contract number | 16001 |
| Policy instance | 3 |
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