401k Plan data: GRAY AND SMITH FAMILY DENTAL, PA PROFIT SHARING PLAN plan

GRAY AND SMITH FAMILY DENTAL, PA PROFIT SHARING PLAN 401k Plan overview

Plan Name	GRAY AND SMITH FAMILY DENTAL, PA PROFIT SHARING PLAN
Plan identification number	001

GRAY AND SMITH FAMILY DENTAL, PA PROFIT SHARING PLAN Benefits

401k Plan Type

Defined 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
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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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

GRAY AND SMITH FAMILY DENTAL, PA has sponsored the creation of one or more 401k plans.

Company Name: GRAY AND SMITH FAMILY DENTAL, PA

Employer identification number (EIN): 820404115

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GRAY AND SMITH FAMILY DENTAL, PA PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2011-07-01 RANDALL SMITH
001 2009-07-01 RANDALL SMITH
001 2007-07-01 RANDALL SMITH RANDALL SMITH 2010-07-30

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2011-07-01	RANDALL SMITH
001	2009-07-01	RANDALL SMITH
001	2007-07-01	RANDALL SMITH	RANDALL SMITH	2010-07-30

Plan Statistics for GRAY AND SMITH FAMILY DENTAL, PA PROFIT SHARING PLAN

401k plan membership statisitcs for GRAY AND SMITH FAMILY DENTAL, PA PROFIT SHARING PLAN

Measure Date Value
2011: GRAY AND SMITH FAMILY DENTAL, PA PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 29
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 0
Number of retired or separated participants receiving benefits 2011-07-01 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 0
Total participants 2011-07-01 0
Number of participants with account balances 2011-07-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-07-01 0
2009: GRAY AND SMITH FAMILY DENTAL, PA PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 29
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 18
Number of retired or separated participants receiving benefits 2009-07-01 0
Number of other retired or separated participants entitled to future benefits 2009-07-01 10
Total of all active and inactive participants 2009-07-01 28
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 0
Total participants 2009-07-01 28
Number of participants with account balances 2009-07-01 28
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-07-01 3
2007: GRAY AND SMITH FAMILY DENTAL, PA PROFIT SHARING PLAN 2007 401k membership
Total participants, beginning-of-year 2007-07-01 25
Total number of active participants reported on line 7a of the Form 5500 2007-07-01 19
Number of retired or separated participants receiving benefits 2007-07-01 0
Number of other retired or separated participants entitled to future benefits 2007-07-01 7
Total of all active and inactive participants 2007-07-01 26
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2007-07-01 0
Total participants 2007-07-01 26
Number of participants with account balances 2007-07-01 26
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2007-07-01 4

Measure	Date	Value
2011: GRAY AND SMITH FAMILY DENTAL, PA PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	29
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	0
Number of retired or separated participants receiving benefits	2011-07-01	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
Total participants	2011-07-01	0
Number of participants with account balances	2011-07-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-07-01	0
2009: GRAY AND SMITH FAMILY DENTAL, PA PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	29
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	18
Number of retired or separated participants receiving benefits	2009-07-01	0
Number of other retired or separated participants entitled to future benefits	2009-07-01	10
Total of all active and inactive participants	2009-07-01	28
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	0
Total participants	2009-07-01	28
Number of participants with account balances	2009-07-01	28
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-07-01	3
2007: GRAY AND SMITH FAMILY DENTAL, PA PROFIT SHARING PLAN 2007 401k membership
Total participants, beginning-of-year	2007-07-01	25
Total number of active participants reported on line 7a of the Form 5500	2007-07-01	19
Number of retired or separated participants receiving benefits	2007-07-01	0
Number of other retired or separated participants entitled to future benefits	2007-07-01	7
Total of all active and inactive participants	2007-07-01	26
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2007-07-01	0
Total participants	2007-07-01	26
Number of participants with account balances	2007-07-01	26
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2007-07-01	4

Financial Data on GRAY AND SMITH FAMILY DENTAL, PA PROFIT SHARING PLAN

Measure	Date	Value
2012 : GRAY AND SMITH FAMILY DENTAL, PA PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-06-30	$-5,347
Expenses. Total of all expenses incurred	2012-06-30	$964,849
Benefits paid (including direct rollovers)	2012-06-30	$961,365
Total plan assets at end of year	2012-06-30	$0
Total plan assets at beginning of year	2012-06-30	$970,196
Value of fidelity bond covering the plan	2012-06-30	$100,000
Other income received	2012-06-30	$-5,347
Net income (gross income less expenses)	2012-06-30	$-970,196
Net plan assets at end of year (total assets less liabilities)	2012-06-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-06-30	$970,196
Expenses. Administrative service providers (salaries,fees and commissions)	2012-06-30	$3,484
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-06-30	$0
2011 : GRAY AND SMITH FAMILY DENTAL, PA PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-06-30	$115,117
Expenses. Total of all expenses incurred	2011-06-30	$5,313
Benefits paid (including direct rollovers)	2011-06-30	$5,313
Total plan assets at end of year	2011-06-30	$970,196
Total plan assets at beginning of year	2011-06-30	$860,392
Value of fidelity bond covering the plan	2011-06-30	$100,000
Total contributions received or receivable from participants	2011-06-30	$6,312
Contributions received from other sources (not participants or employers)	2011-06-30	$584
Other income received	2011-06-30	$58,221
Net income (gross income less expenses)	2011-06-30	$109,804
Net plan assets at end of year (total assets less liabilities)	2011-06-30	$970,196
Net plan assets at beginning of year (total assets less liabilities)	2011-06-30	$860,392
Total contributions received or receivable from employer(s)	2011-06-30	$50,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-06-30	$0
2010 : GRAY AND SMITH FAMILY DENTAL, PA PROFIT SHARING PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-06-30	$0

Form 5500 Responses for GRAY AND SMITH FAMILY DENTAL, PA PROFIT SHARING PLAN

2011: GRAY AND SMITH FAMILY DENTAL, PA PROFIT SHARING PLAN 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	Yes
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 – Trust	Yes
2011-07-01	Plan benefit arrangement - Trust	Yes
2009: GRAY AND SMITH FAMILY DENTAL, PA PROFIT SHARING PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan funding arrangement – Trust	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement - Trust	Yes
2007: GRAY AND SMITH FAMILY DENTAL, PA PROFIT SHARING PLAN 2007 form 5500 responses
2007-07-01	Type of plan entity	Single employer plan
2007-07-01	Submission has been amended	Yes
2007-07-01	This submission is the final filing	No
2007-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-07-01	Plan is a collectively bargained plan	No
2007-07-01	Plan funding arrangement – Trust	Yes
2007-07-01	Plan benefit arrangement - Trust	Yes

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Company Name:	GRAY AND SMITH FAMILY DENTAL, PA
Employer identification number (EIN):	820404115
NAIC Classification:	621210
NAIC Description:	Offices of Dentists