401k Plan data: CAROLINA CENTER FOR ADVANCED DENTISTRY plan

CAROLINA CENTER FOR ADVANCED DENTISTRY 401k Plan overview

Plan Name	CAROLINA CENTER FOR ADVANCED DENTISTRY
Plan identification number	001

CAROLINA CENTER FOR ADVANCED DENTISTRY 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.
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.
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

CAROLINA CENTER FOR ADVANCED has sponsored the creation of one or more 401k plans.

Company Name: CAROLINA CENTER FOR ADVANCED

Employer identification number (EIN): 570958765

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAROLINA CENTER FOR ADVANCED DENTISTRY

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2019-01-01 DENISE TULLER 2020-09-24
001 2018-01-01 JEFFREY W HOROWITZ 2019-10-15 JEFFREY W HOROWITZ 2019-10-15
001 2017-01-01 VIRGINIA B. HOROWITZ 2018-07-31
001 2016-01-01 VIRGINIA B. HOROWITZ 2017-06-07 VIRGINIA B. HOROWITZ 2017-06-07
001 2015-01-01 VIRGINIA B HOROWITZ 2016-08-01
001 2014-01-01 VIRGINIA B. HOROWITZ
001 2013-01-01 VIRGINIA HOROWITZ
001 2012-01-01 VIRGINIA HOROWITZ
001 2011-01-01 VIRGINIA HOROWITZ
001 2009-01-01 JEFFREY W HOROWITZ JEFFREY W HOROWITZ 2010-10-14
001 2008-01-01

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2019-01-01	DENISE TULLER	2020-09-24
001	2018-01-01	JEFFREY W HOROWITZ	2019-10-15	JEFFREY W HOROWITZ	2019-10-15
001	2017-01-01	VIRGINIA B. HOROWITZ	2018-07-31
001	2016-01-01	VIRGINIA B. HOROWITZ	2017-06-07	VIRGINIA B. HOROWITZ	2017-06-07
001	2015-01-01	VIRGINIA B HOROWITZ	2016-08-01
001	2014-01-01	VIRGINIA B. HOROWITZ
001	2013-01-01	VIRGINIA HOROWITZ
001	2012-01-01	VIRGINIA HOROWITZ
001	2011-01-01	VIRGINIA HOROWITZ
001	2009-01-01	JEFFREY W HOROWITZ		JEFFREY W HOROWITZ	2010-10-14
001	2008-01-01

Plan Statistics for CAROLINA CENTER FOR ADVANCED DENTISTRY

401k plan membership statisitcs for CAROLINA CENTER FOR ADVANCED DENTISTRY

Measure Date Value
2014: CAROLINA CENTER FOR ADVANCED DENTISTRY 2014 401k membership
Total participants, beginning-of-year 2014-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 12
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 3
Total of all active and inactive participants 2014-01-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 15
Number of participants with account balances 2014-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: CAROLINA CENTER FOR ADVANCED DENTISTRY 2013 401k membership
Total participants, beginning-of-year 2013-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 13
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 2
Total of all active and inactive participants 2013-01-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 15
Number of participants with account balances 2013-01-01 14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: CAROLINA CENTER FOR ADVANCED DENTISTRY 2012 401k membership
Total participants, beginning-of-year 2012-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 13
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 2
Total of all active and inactive participants 2012-01-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 15
Number of participants with account balances 2012-01-01 13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: CAROLINA CENTER FOR ADVANCED DENTISTRY 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 1
Total of all active and inactive participants 2011-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 11
Number of participants with account balances 2011-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: CAROLINA CENTER FOR ADVANCED DENTISTRY 2009 401k membership
Total participants, beginning-of-year 2009-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 12
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 1
Total of all active and inactive participants 2009-01-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 13
Number of participants with account balances 2009-01-01 13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 1

Measure	Date	Value
2014: CAROLINA CENTER FOR ADVANCED DENTISTRY 2014 401k membership
Total participants, beginning-of-year	2014-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	12
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	3
Total of all active and inactive participants	2014-01-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	15
Number of participants with account balances	2014-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: CAROLINA CENTER FOR ADVANCED DENTISTRY 2013 401k membership
Total participants, beginning-of-year	2013-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	13
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	2
Total of all active and inactive participants	2013-01-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	15
Number of participants with account balances	2013-01-01	14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: CAROLINA CENTER FOR ADVANCED DENTISTRY 2012 401k membership
Total participants, beginning-of-year	2012-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	13
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	2
Total of all active and inactive participants	2012-01-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	15
Number of participants with account balances	2012-01-01	13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: CAROLINA CENTER FOR ADVANCED DENTISTRY 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	1
Total of all active and inactive participants	2011-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	11
Number of participants with account balances	2011-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: CAROLINA CENTER FOR ADVANCED DENTISTRY 2009 401k membership
Total participants, beginning-of-year	2009-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	12
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	1
Total of all active and inactive participants	2009-01-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	13
Number of participants with account balances	2009-01-01	13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	1

Financial Data on CAROLINA CENTER FOR ADVANCED DENTISTRY

Measure	Date	Value
2014 : CAROLINA CENTER FOR ADVANCED DENTISTRY 2014 401k financial data
Transfers to/from the plan	2014-12-31	$454
Total income from all sources	2014-12-31	$124,164
Expenses. Total of all expenses incurred	2014-12-31	$478,494
Benefits paid (including direct rollovers)	2014-12-31	$478,494
Total plan assets at end of year	2014-12-31	$1,112,935
Total plan assets at beginning of year	2014-12-31	$1,466,811
Total contributions received or receivable from participants	2014-12-31	$43,531
Expenses. Other expenses not covered elsewhere	2014-12-31	$0
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$62,942
Net income (gross income less expenses)	2014-12-31	$-354,330
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,112,935
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,466,811
Assets. Value of participant loans	2014-12-31	$0
Total contributions received or receivable from employer(s)	2014-12-31	$17,691
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
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 : CAROLINA CENTER FOR ADVANCED DENTISTRY 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
Total income from all sources	2013-12-31	$375,123
Expenses. Total of all expenses incurred	2013-12-31	$1,074
Benefits paid (including direct rollovers)	2013-12-31	$1,074
Total plan assets at end of year	2013-12-31	$1,466,811
Total plan assets at beginning of year	2013-12-31	$1,092,762
Total contributions received or receivable from participants	2013-12-31	$79,189
Expenses. Other expenses not covered elsewhere	2013-12-31	$0
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$261,419
Net income (gross income less expenses)	2013-12-31	$374,049
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,466,811
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,092,762
Assets. Value of participant loans	2013-12-31	$0
Total contributions received or receivable from employer(s)	2013-12-31	$34,515
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
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 : CAROLINA CENTER FOR ADVANCED DENTISTRY 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
Total income from all sources	2012-12-31	$299,717
Expenses. Total of all expenses incurred	2012-12-31	$0
Benefits paid (including direct rollovers)	2012-12-31	$0
Total plan assets at end of year	2012-12-31	$1,092,762
Total plan assets at beginning of year	2012-12-31	$793,045
Total contributions received or receivable from participants	2012-12-31	$67,280
Expenses. Other expenses not covered elsewhere	2012-12-31	$0
Contributions received from other sources (not participants or employers)	2012-12-31	$85,145
Other income received	2012-12-31	$119,794
Net income (gross income less expenses)	2012-12-31	$299,717
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,092,762
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$793,045
Assets. Value of participant loans	2012-12-31	$0
Total contributions received or receivable from employer(s)	2012-12-31	$27,498
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$0
2011 : CAROLINA CENTER FOR ADVANCED DENTISTRY 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total income from all sources	2011-12-31	$39,609
Expenses. Total of all expenses incurred	2011-12-31	$8,869
Benefits paid (including direct rollovers)	2011-12-31	$7,960
Total plan assets at end of year	2011-12-31	$793,045
Total plan assets at beginning of year	2011-12-31	$762,305
Total contributions received or receivable from participants	2011-12-31	$77,168
Expenses. Other expenses not covered elsewhere	2011-12-31	$0
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-68,395
Net income (gross income less expenses)	2011-12-31	$30,740
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$793,045
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$762,305
Assets. Value of participant loans	2011-12-31	$0
Total contributions received or receivable from employer(s)	2011-12-31	$30,836
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$909
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
2010 : CAROLINA CENTER FOR ADVANCED DENTISTRY 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total income from all sources	2010-12-31	$199,831
Expenses. Total of all expenses incurred	2010-12-31	$7,116
Benefits paid (including direct rollovers)	2010-12-31	$7,116
Total plan assets at end of year	2010-12-31	$762,305
Total plan assets at beginning of year	2010-12-31	$569,590
Total contributions received or receivable from participants	2010-12-31	$75,886
Expenses. Other expenses not covered elsewhere	2010-12-31	$0
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$92,657
Net income (gross income less expenses)	2010-12-31	$192,715
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$762,305
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$569,590
Assets. Value of participant loans	2010-12-31	$0
Total contributions received or receivable from employer(s)	2010-12-31	$31,288
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2010-12-31	$0
Minimum employer required contribution for this plan year	2010-12-31	$0
Amount contributed by the employer to the plan for this plan year	2010-12-31	$0

Form 5500 Responses for CAROLINA CENTER FOR ADVANCED DENTISTRY

2014: CAROLINA CENTER FOR ADVANCED DENTISTRY 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: CAROLINA CENTER FOR ADVANCED DENTISTRY 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 – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: CAROLINA CENTER FOR ADVANCED DENTISTRY 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 – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: CAROLINA CENTER FOR ADVANCED DENTISTRY 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
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 – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: CAROLINA CENTER FOR ADVANCED DENTISTRY 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2008: CAROLINA CENTER FOR ADVANCED DENTISTRY 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Submission has been amended	No
2008-01-01	This submission is the final filing	No
2008-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-01-01	Plan is a collectively bargained plan	No

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-804696
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-804696
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-804696
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-804696
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-804696
Policy instance	1

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Company Name:	CAROLINA CENTER FOR ADVANCED
Employer identification number (EIN):	570958765
NAIC Classification:	621210
NAIC Description:	Offices of Dentists