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LUMIS C. BROWN, D.D.S. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameLUMIS C. BROWN, D.D.S. 401(K) PROFIT SHARING PLAN
Plan identification number 001

LUMIS C. BROWN, D.D.S. 401(K) PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • 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.
  • Plan covering Self-Employed individuals.
  • 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

LUMIS C. BROWN, D.D.S. LLC has sponsored the creation of one or more 401k plans.

Company Name:LUMIS C. BROWN, D.D.S. LLC
Employer identification number (EIN):581621825
NAIC Classification:621210
NAIC Description:Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LUMIS C. BROWN, D.D.S. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012019-01-01HELEN G BROWN2019-10-08 HELEN G BROWN2019-10-08
0012018-01-01PATRICK OUZTS2019-11-12 PATRICK OUZTS2019-11-12
0012017-01-01LUJMIS BROWN2018-09-23 LUJMIS BROWN2018-09-23
0012016-01-01HELEN BROWN2017-10-10 HELEN BROWN2017-10-10
0012015-01-01PATRICK OUZTS2016-10-13 PATRICK OUZTS2016-10-13
0012014-01-01PATRICK OUZTS2015-10-13 PATRICK OUZTS2015-10-13
0012013-01-01HELEN BROWN2017-03-29 HELEN BROWN2017-03-29
0012012-01-01LUMIS C. BROWN2013-05-14
0012011-01-01LUMIS C BROWN
0012009-01-01LUMIS C BROWN

Plan Statistics for LUMIS C. BROWN, D.D.S. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for LUMIS C. BROWN, D.D.S. 401(K) PROFIT SHARING PLAN

Measure Date Value
2011: LUMIS C. BROWN, D.D.S. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-019
Total number of active participants reported on line 7a of the Form 55002011-01-017
Number of other retired or separated participants entitled to future benefits2011-01-011
Total of all active and inactive participants2011-01-018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-011
Total participants2011-01-019
Number of participants with account balances2011-01-019
2009: LUMIS C. BROWN, D.D.S. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0110
Total number of active participants reported on line 7a of the Form 55002009-01-018
Number of other retired or separated participants entitled to future benefits2009-01-011
Total of all active and inactive participants2009-01-019
Total participants2009-01-019
Number of participants with account balances2009-01-019

Financial Data on LUMIS C. BROWN, D.D.S. 401(K) PROFIT SHARING PLAN

Measure Date Value
2011 : LUMIS C. BROWN, D.D.S. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources2011-12-31$54,886
Expenses. Total of all expenses incurred2011-12-31$16,697
Benefits paid (including direct rollovers)2011-12-31$16,621
Total plan assets at end of year2011-12-31$1,344,167
Total plan assets at beginning of year2011-12-31$1,305,978
Total contributions received or receivable from participants2011-12-31$46,200
Other income received2011-12-31$-56,440
Net income (gross income less expenses)2011-12-31$38,189
Net plan assets at end of year (total assets less liabilities)2011-12-31$1,344,167
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$1,305,978
Assets. Value of participant loans2011-12-31$14,402
Total contributions received or receivable from employer(s)2011-12-31$65,126
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$76
2010 : LUMIS C. BROWN, D.D.S. 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources2010-12-31$212,399
Expenses. Total of all expenses incurred2010-12-31$161,628
Benefits paid (including direct rollovers)2010-12-31$161,355
Total plan assets at end of year2010-12-31$1,305,978
Total plan assets at beginning of year2010-12-31$1,255,207
Total contributions received or receivable from participants2010-12-31$45,159
Other income received2010-12-31$108,902
Net income (gross income less expenses)2010-12-31$50,771
Net plan assets at end of year (total assets less liabilities)2010-12-31$1,305,978
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$1,255,207
Assets. Value of participant loans2010-12-31$18,230
Total contributions received or receivable from employer(s)2010-12-31$58,338
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$273

Form 5500 Responses for LUMIS C. BROWN, D.D.S. 401(K) PROFIT SHARING PLAN

2011: LUMIS C. BROWN, D.D.S. 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: LUMIS C. BROWN, D.D.S. 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-027395
Policy instance 1
Insurance contract or identification numberGA-027395
Number of Individuals Covered0
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $5,101
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-027395
Policy instance 1
Insurance contract or identification numberGA-027395
Number of Individuals Covered8
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $4,627
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,627
Insurance broker organization code?3
Insurance broker nameWELLS FARGO ADVISORS INS AGENCY LLC

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