401k Plan data: KONIKOFF DENTAL ASSOCIATES, INC. HEALTH REIMBURSEMENT ARRANGEMENT plan

KONIKOFF DENTAL ASSOCIATES, INC. HEALTH REIMBURSEMENT ARRANGEMENT 401k Plan overview

Plan Name	KONIKOFF DENTAL ASSOCIATES, INC. HEALTH REIMBURSEMENT ARRANGEMENT
Plan identification number	501

KONIKOFF DENTAL ASSOCIATES, INC. HEALTH REIMBURSEMENT ARRANGEMENT Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Vision

401k Sponsoring company profile

KONIKOFF DENTAL ASSOCIATES, INC. has sponsored the creation of one or more 401k plans.

Company Name: KONIKOFF DENTAL ASSOCIATES, INC.

Employer identification number (EIN): 541123092

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KONIKOFF DENTAL ASSOCIATES, INC. HEALTH REIMBURSEMENT ARRANGEMENT

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2017-07-01 PAULINE HEATH
501 2016-07-01 PAULINE HEATH
501 2015-07-01 PAULINE HEATH
501 2014-07-01 PAULINE HEATH
501 2013-07-01 PAULINE HEATH
501 2012-07-01 PAULINE HEATH
501 2011-07-01 PAULINE HEATH

Plan id#	Filing Submission Date	Name of Administrator
501	2017-07-01	PAULINE HEATH
501	2016-07-01	PAULINE HEATH
501	2015-07-01	PAULINE HEATH
501	2014-07-01	PAULINE HEATH
501	2013-07-01	PAULINE HEATH
501	2012-07-01	PAULINE HEATH
501	2011-07-01	PAULINE HEATH

Plan Statistics for KONIKOFF DENTAL ASSOCIATES, INC. HEALTH REIMBURSEMENT ARRANGEMENT

401k plan membership statisitcs for KONIKOFF DENTAL ASSOCIATES, INC. HEALTH REIMBURSEMENT ARRANGEMENT

Measure Date Value
2017: KONIKOFF DENTAL ASSOCIATES, INC. HEALTH REIMBURSEMENT ARRANGEMENT 2017 401k membership
Total participants, beginning-of-year 2017-07-01 0
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 0
Number of retired or separated participants receiving benefits 2017-07-01 0
Number of other retired or separated participants entitled to future benefits 2017-07-01 0
Total of all active and inactive participants 2017-07-01 0
2016: KONIKOFF DENTAL ASSOCIATES, INC. HEALTH REIMBURSEMENT ARRANGEMENT 2016 401k membership
Total participants, beginning-of-year 2016-07-01 105
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 0
Number of retired or separated participants receiving benefits 2016-07-01 0
Number of other retired or separated participants entitled to future benefits 2016-07-01 0
Total of all active and inactive participants 2016-07-01 0
2015: KONIKOFF DENTAL ASSOCIATES, INC. HEALTH REIMBURSEMENT ARRANGEMENT 2015 401k membership
Total participants, beginning-of-year 2015-07-01 113
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 110
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 0
Total of all active and inactive participants 2015-07-01 110
2014: KONIKOFF DENTAL ASSOCIATES, INC. HEALTH REIMBURSEMENT ARRANGEMENT 2014 401k membership
Total participants, beginning-of-year 2014-07-01 116
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 109
Number of retired or separated participants receiving benefits 2014-07-01 0
Number of other retired or separated participants entitled to future benefits 2014-07-01 1
Total of all active and inactive participants 2014-07-01 110
2013: KONIKOFF DENTAL ASSOCIATES, INC. HEALTH REIMBURSEMENT ARRANGEMENT 2013 401k membership
Total participants, beginning-of-year 2013-07-01 117
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 114
Number of retired or separated participants receiving benefits 2013-07-01 2
Number of other retired or separated participants entitled to future benefits 2013-07-01 0
Total of all active and inactive participants 2013-07-01 116
2012: KONIKOFF DENTAL ASSOCIATES, INC. HEALTH REIMBURSEMENT ARRANGEMENT 2012 401k membership
Total participants, beginning-of-year 2012-07-01 109
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 111
Number of retired or separated participants receiving benefits 2012-07-01 1
Number of other retired or separated participants entitled to future benefits 2012-07-01 5
Total of all active and inactive participants 2012-07-01 117
2011: KONIKOFF DENTAL ASSOCIATES, INC. HEALTH REIMBURSEMENT ARRANGEMENT 2011 401k membership
Total participants, beginning-of-year 2011-07-01 111
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 108
Number of retired or separated participants receiving benefits 2011-07-01 1
Number of other retired or separated participants entitled to future benefits 2011-07-01 0
Total of all active and inactive participants 2011-07-01 109

Measure	Date	Value
2017: KONIKOFF DENTAL ASSOCIATES, INC. HEALTH REIMBURSEMENT ARRANGEMENT 2017 401k membership
Total participants, beginning-of-year	2017-07-01	0
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	0
Number of retired or separated participants receiving benefits	2017-07-01	0
Number of other retired or separated participants entitled to future benefits	2017-07-01	0
Total of all active and inactive participants	2017-07-01	0
2016: KONIKOFF DENTAL ASSOCIATES, INC. HEALTH REIMBURSEMENT ARRANGEMENT 2016 401k membership
Total participants, beginning-of-year	2016-07-01	105
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	0
Number of retired or separated participants receiving benefits	2016-07-01	0
Number of other retired or separated participants entitled to future benefits	2016-07-01	0
Total of all active and inactive participants	2016-07-01	0
2015: KONIKOFF DENTAL ASSOCIATES, INC. HEALTH REIMBURSEMENT ARRANGEMENT 2015 401k membership
Total participants, beginning-of-year	2015-07-01	113
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	110
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	0
Total of all active and inactive participants	2015-07-01	110
2014: KONIKOFF DENTAL ASSOCIATES, INC. HEALTH REIMBURSEMENT ARRANGEMENT 2014 401k membership
Total participants, beginning-of-year	2014-07-01	116
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	109
Number of retired or separated participants receiving benefits	2014-07-01	0
Number of other retired or separated participants entitled to future benefits	2014-07-01	1
Total of all active and inactive participants	2014-07-01	110
2013: KONIKOFF DENTAL ASSOCIATES, INC. HEALTH REIMBURSEMENT ARRANGEMENT 2013 401k membership
Total participants, beginning-of-year	2013-07-01	117
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	114
Number of retired or separated participants receiving benefits	2013-07-01	2
Number of other retired or separated participants entitled to future benefits	2013-07-01	0
Total of all active and inactive participants	2013-07-01	116
2012: KONIKOFF DENTAL ASSOCIATES, INC. HEALTH REIMBURSEMENT ARRANGEMENT 2012 401k membership
Total participants, beginning-of-year	2012-07-01	109
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	111
Number of retired or separated participants receiving benefits	2012-07-01	1
Number of other retired or separated participants entitled to future benefits	2012-07-01	5
Total of all active and inactive participants	2012-07-01	117
2011: KONIKOFF DENTAL ASSOCIATES, INC. HEALTH REIMBURSEMENT ARRANGEMENT 2011 401k membership
Total participants, beginning-of-year	2011-07-01	111
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	108
Number of retired or separated participants receiving benefits	2011-07-01	1
Number of other retired or separated participants entitled to future benefits	2011-07-01	0
Total of all active and inactive participants	2011-07-01	109

Form 5500 Responses for KONIKOFF DENTAL ASSOCIATES, INC. HEALTH REIMBURSEMENT ARRANGEMENT

2017: KONIKOFF DENTAL ASSOCIATES, INC. HEALTH REIMBURSEMENT ARRANGEMENT 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	Submission has been amended	No
2017-07-01	This submission is the final filing	Yes
2017-07-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2017-07-01	Plan is a collectively bargained plan	No
2017-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: KONIKOFF DENTAL ASSOCIATES, INC. HEALTH REIMBURSEMENT ARRANGEMENT 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Submission has been amended	No
2016-07-01	This submission is the final filing	No
2016-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-07-01	Plan is a collectively bargained plan	No
2016-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: KONIKOFF DENTAL ASSOCIATES, INC. HEALTH REIMBURSEMENT ARRANGEMENT 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: KONIKOFF DENTAL ASSOCIATES, INC. HEALTH REIMBURSEMENT ARRANGEMENT 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: KONIKOFF DENTAL ASSOCIATES, INC. HEALTH REIMBURSEMENT ARRANGEMENT 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: KONIKOFF DENTAL ASSOCIATES, INC. HEALTH REIMBURSEMENT ARRANGEMENT 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: KONIKOFF DENTAL ASSOCIATES, INC. HEALTH REIMBURSEMENT ARRANGEMENT 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-07-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	KONIKOFF DENTAL ASSOCIATES, INC.
Employer identification number (EIN):	541123092
NAIC Classification:	621210
NAIC Description:	Offices of Dentists