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HIXSON DENTAL GROUP RETIREMENT PLAN 401k Plan overview

Plan NameHIXSON DENTAL GROUP RETIREMENT PLAN
Plan identification number 001

HIXSON DENTAL GROUP RETIREMENT PLAN Benefits

401k Plan TypeDefined 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.
  • 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.

401k Sponsoring company profile

HIXSON DENTAL GROUP, PLLC has sponsored the creation of one or more 401k plans.

Company Name:HIXSON DENTAL GROUP, PLLC
Employer identification number (EIN):621874028
NAIC Classification:621210
NAIC Description:Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HIXSON DENTAL GROUP RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012019-01-01LARRY MULLINAX2020-07-01
0012018-01-01DAVID W. CHAMPION, JR.
0012017-01-01DAVID W. CHAMPION, JR.
0012016-01-01DAVID W. CHAMPION, JR.
0012015-01-01DAVID W. CHAMPION, JR.
0012014-01-01DAVID W. CHAMPION, JR.
0012013-01-01DAVID W. CHAMPION, JR.
0012012-01-01DAVID W. CHAMPION, JR.
0012011-01-01DAVID W. CHAMPION, JR.
0012010-01-01DAVID W. CHAMPION, JR.
0012009-01-01DAVID W. CHAMPION, JR.

Plan Statistics for HIXSON DENTAL GROUP RETIREMENT PLAN

401k plan membership statisitcs for HIXSON DENTAL GROUP RETIREMENT PLAN

Measure Date Value
2018: HIXSON DENTAL GROUP RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0113
Total number of active participants reported on line 7a of the Form 55002018-01-0112
Total of all active and inactive participants2018-01-0112
Total participants2018-01-0112
Number of participants with account balances2018-01-0112
2017: HIXSON DENTAL GROUP RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0112
Total number of active participants reported on line 7a of the Form 55002017-01-0112
Number of other retired or separated participants entitled to future benefits2017-01-011
Total of all active and inactive participants2017-01-0113
Total participants2017-01-0113
Number of participants with account balances2017-01-0113
2016: HIXSON DENTAL GROUP RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0112
Total number of active participants reported on line 7a of the Form 55002016-01-0111
Number of other retired or separated participants entitled to future benefits2016-01-011
Total of all active and inactive participants2016-01-0112
Total participants2016-01-0112
Number of participants with account balances2016-01-0112
2015: HIXSON DENTAL GROUP RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0112
Total number of active participants reported on line 7a of the Form 55002015-01-0111
Number of other retired or separated participants entitled to future benefits2015-01-011
Total of all active and inactive participants2015-01-0112
Total participants2015-01-0112
Number of participants with account balances2015-01-0112
2014: HIXSON DENTAL GROUP RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0112
Total number of active participants reported on line 7a of the Form 55002014-01-0111
Number of other retired or separated participants entitled to future benefits2014-01-011
Total of all active and inactive participants2014-01-0112
Total participants2014-01-0112
Number of participants with account balances2014-01-0112
2013: HIXSON DENTAL GROUP RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0111
Total number of active participants reported on line 7a of the Form 55002013-01-0111
Number of retired or separated participants receiving benefits2013-01-011
Total of all active and inactive participants2013-01-0112
Total participants2013-01-0112
Number of participants with account balances2013-01-0112
2012: HIXSON DENTAL GROUP RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0111
Total number of active participants reported on line 7a of the Form 55002012-01-0110
Number of retired or separated participants receiving benefits2012-01-011
Total of all active and inactive participants2012-01-0111
Total participants2012-01-0111
Number of participants with account balances2012-01-0111
2011: HIXSON DENTAL GROUP RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0110
Total number of active participants reported on line 7a of the Form 55002011-01-0111
Total of all active and inactive participants2011-01-0111
Total participants2011-01-0111
Number of participants with account balances2011-01-0111
2010: HIXSON DENTAL GROUP RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0110
Total number of active participants reported on line 7a of the Form 55002010-01-0110
Total of all active and inactive participants2010-01-0110
Total participants2010-01-0110
Number of participants with account balances2010-01-0110
2009: HIXSON DENTAL GROUP RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0111
Total number of active participants reported on line 7a of the Form 55002009-01-0110
Total of all active and inactive participants2009-01-0110
Total participants2009-01-0110
Number of participants with account balances2009-01-0110

Financial Data on HIXSON DENTAL GROUP RETIREMENT PLAN

Measure Date Value
2018 : HIXSON DENTAL GROUP RETIREMENT PLAN 2018 401k financial data
Total income from all sources2018-12-31$14,046
Expenses. Total of all expenses incurred2018-12-31$34,705
Benefits paid (including direct rollovers)2018-12-31$27,147
Total plan assets at end of year2018-12-31$1,630,405
Total plan assets at beginning of year2018-12-31$1,651,064
Value of fidelity bond covering the plan2018-12-31$250,000
Total contributions received or receivable from participants2018-12-31$67,082
Other income received2018-12-31$-84,024
Net income (gross income less expenses)2018-12-31$-20,659
Net plan assets at end of year (total assets less liabilities)2018-12-31$1,630,405
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$1,651,064
Total contributions received or receivable from employer(s)2018-12-31$30,988
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$7,558
2017 : HIXSON DENTAL GROUP RETIREMENT PLAN 2017 401k financial data
Total income from all sources2017-12-31$297,291
Expenses. Total of all expenses incurred2017-12-31$32,474
Benefits paid (including direct rollovers)2017-12-31$23,690
Total plan assets at end of year2017-12-31$1,651,064
Total plan assets at beginning of year2017-12-31$1,386,247
Value of fidelity bond covering the plan2017-12-31$150,000
Total contributions received or receivable from participants2017-12-31$67,020
Other income received2017-12-31$198,887
Net income (gross income less expenses)2017-12-31$264,817
Net plan assets at end of year (total assets less liabilities)2017-12-31$1,651,064
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$1,386,247
Total contributions received or receivable from employer(s)2017-12-31$31,384
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$8,784
2016 : HIXSON DENTAL GROUP RETIREMENT PLAN 2016 401k financial data
Total income from all sources2016-12-31$214,331
Expenses. Total of all expenses incurred2016-12-31$28,362
Benefits paid (including direct rollovers)2016-12-31$20,579
Total plan assets at end of year2016-12-31$1,386,247
Total plan assets at beginning of year2016-12-31$1,200,278
Value of fidelity bond covering the plan2016-12-31$150,000
Total contributions received or receivable from participants2016-12-31$67,994
Other income received2016-12-31$114,730
Net income (gross income less expenses)2016-12-31$185,969
Net plan assets at end of year (total assets less liabilities)2016-12-31$1,386,247
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$1,200,278
Total contributions received or receivable from employer(s)2016-12-31$31,607
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$7,783
2015 : HIXSON DENTAL GROUP RETIREMENT PLAN 2015 401k financial data
Total income from all sources2015-12-31$51,347
Expenses. Total of all expenses incurred2015-12-31$23,977
Benefits paid (including direct rollovers)2015-12-31$20,118
Total plan assets at end of year2015-12-31$1,200,278
Total plan assets at beginning of year2015-12-31$1,172,908
Value of fidelity bond covering the plan2015-12-31$150,000
Total contributions received or receivable from participants2015-12-31$60,932
Other income received2015-12-31$-40,279
Net income (gross income less expenses)2015-12-31$27,370
Net plan assets at end of year (total assets less liabilities)2015-12-31$1,200,278
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$1,172,908
Total contributions received or receivable from employer(s)2015-12-31$30,694
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$3,859
2014 : HIXSON DENTAL GROUP RETIREMENT PLAN 2014 401k financial data
Total income from all sources2014-12-31$123,785
Expenses. Total of all expenses incurred2014-12-31$5,919
Benefits paid (including direct rollovers)2014-12-31$5,890
Total plan assets at end of year2014-12-31$1,172,908
Total plan assets at beginning of year2014-12-31$1,055,042
Value of fidelity bond covering the plan2014-12-31$150,000
Total contributions received or receivable from participants2014-12-31$59,040
Other income received2014-12-31$34,631
Net income (gross income less expenses)2014-12-31$117,866
Net plan assets at end of year (total assets less liabilities)2014-12-31$1,172,908
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$1,055,042
Total contributions received or receivable from employer(s)2014-12-31$30,114
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$29
2013 : HIXSON DENTAL GROUP RETIREMENT PLAN 2013 401k financial data
Total income from all sources2013-12-31$223,883
Expenses. Total of all expenses incurred2013-12-31$5,437
Benefits paid (including direct rollovers)2013-12-31$5,423
Total plan assets at end of year2013-12-31$1,055,042
Total plan assets at beginning of year2013-12-31$836,596
Value of fidelity bond covering the plan2013-12-31$150,000
Total contributions received or receivable from participants2013-12-31$59,253
Other income received2013-12-31$134,688
Net income (gross income less expenses)2013-12-31$218,446
Net plan assets at end of year (total assets less liabilities)2013-12-31$1,055,042
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$836,596
Total contributions received or receivable from employer(s)2013-12-31$29,942
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$14
2012 : HIXSON DENTAL GROUP RETIREMENT PLAN 2012 401k financial data
Total income from all sources2012-12-31$169,499
Expenses. Total of all expenses incurred2012-12-31$19,575
Benefits paid (including direct rollovers)2012-12-31$19,573
Total plan assets at end of year2012-12-31$836,596
Total plan assets at beginning of year2012-12-31$686,672
Value of fidelity bond covering the plan2012-12-31$100,000
Total contributions received or receivable from participants2012-12-31$52,808
Other income received2012-12-31$89,504
Net income (gross income less expenses)2012-12-31$149,924
Net plan assets at end of year (total assets less liabilities)2012-12-31$836,596
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$686,672
Total contributions received or receivable from employer(s)2012-12-31$27,187
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$2
2011 : HIXSON DENTAL GROUP RETIREMENT PLAN 2011 401k financial data
Total income from all sources2011-12-31$49,573
Total plan assets at end of year2011-12-31$686,672
Total plan assets at beginning of year2011-12-31$637,099
Value of fidelity bond covering the plan2011-12-31$75,000
Total contributions received or receivable from participants2011-12-31$78,888
Other income received2011-12-31$-55,682
Net income (gross income less expenses)2011-12-31$49,573
Net plan assets at end of year (total assets less liabilities)2011-12-31$686,672
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$637,099
Total contributions received or receivable from employer(s)2011-12-31$26,367
2010 : HIXSON DENTAL GROUP RETIREMENT PLAN 2010 401k financial data
Total income from all sources2010-12-31$178,980
Expenses. Total of all expenses incurred2010-12-31$41
Total plan assets at end of year2010-12-31$637,099
Total plan assets at beginning of year2010-12-31$458,160
Value of fidelity bond covering the plan2010-12-31$100,000
Total contributions received or receivable from participants2010-12-31$65,135
Other income received2010-12-31$87,184
Net income (gross income less expenses)2010-12-31$178,939
Net plan assets at end of year (total assets less liabilities)2010-12-31$637,099
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$458,160
Total contributions received or receivable from employer(s)2010-12-31$26,661
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$41

Form 5500 Responses for HIXSON DENTAL GROUP RETIREMENT PLAN

2018: HIXSON DENTAL GROUP RETIREMENT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: HIXSON DENTAL GROUP RETIREMENT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: HIXSON DENTAL GROUP RETIREMENT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: HIXSON DENTAL GROUP RETIREMENT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: HIXSON DENTAL GROUP RETIREMENT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: HIXSON DENTAL GROUP RETIREMENT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: HIXSON DENTAL GROUP RETIREMENT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: HIXSON DENTAL GROUP RETIREMENT 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
2011-01-01Plan benefit arrangement - TrustYes
2010: HIXSON DENTAL GROUP RETIREMENT PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: HIXSON DENTAL GROUP RETIREMENT 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
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number943977-01
Policy instance 1
Insurance contract or identification number943977-01
Number of Individuals Covered2
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number943977-01
Policy instance 1
Insurance contract or identification number943977-01
Number of Individuals Covered2
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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

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