401k Plan data: MARLO G PRUGH DDS PROFIT SHARING KEOGH PLAN plan

MARLO G PRUGH DDS PROFIT SHARING KEOGH PLAN 401k Plan overview

Plan Name	MARLO G PRUGH DDS PROFIT SHARING KEOGH PLAN
Plan identification number	001

MARLO G PRUGH DDS PROFIT SHARING KEOGH PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
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

DR MARLO G PRUGH has sponsored the creation of one or more 401k plans.

Company Name: DR MARLO G PRUGH

Employer identification number (EIN): 830207535

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MARLO G PRUGH DDS PROFIT SHARING KEOGH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2011-01-01 DR MARLO G PRUGH 2011-12-21 DR MARLO G PRUGH 2011-12-21
001 2010-01-01 DR MARLO G PRUGH DR MARLO G PRUGH 2011-07-15
001 2009-01-01 DR MARLO G PRUGH DR MARLO G PRUGH 2010-06-30

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2011-01-01	DR MARLO G PRUGH	2011-12-21	DR MARLO G PRUGH	2011-12-21
001	2010-01-01	DR MARLO G PRUGH		DR MARLO G PRUGH	2011-07-15
001	2009-01-01	DR MARLO G PRUGH		DR MARLO G PRUGH	2010-06-30

Plan Statistics for MARLO G PRUGH DDS PROFIT SHARING KEOGH PLAN

401k plan membership statisitcs for MARLO G PRUGH DDS PROFIT SHARING KEOGH PLAN

Measure Date Value
2010: MARLO G PRUGH DDS PROFIT SHARING KEOGH PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1
Total of all active and inactive participants 2010-01-01 1
Total participants 2010-01-01 1
Number of participants with account balances 2010-01-01 1
2009: MARLO G PRUGH DDS PROFIT SHARING KEOGH PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 3
Total of all active and inactive participants 2009-01-01 3
Total participants 2009-01-01 3
Number of participants with account balances 2009-01-01 3

Measure	Date	Value
2010: MARLO G PRUGH DDS PROFIT SHARING KEOGH PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1
Total of all active and inactive participants	2010-01-01	1
Total participants	2010-01-01	1
Number of participants with account balances	2010-01-01	1
2009: MARLO G PRUGH DDS PROFIT SHARING KEOGH PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	3
Total of all active and inactive participants	2009-01-01	3
Total participants	2009-01-01	3
Number of participants with account balances	2009-01-01	3

Financial Data on MARLO G PRUGH DDS PROFIT SHARING KEOGH PLAN

Measure	Date	Value
2010 : MARLO G PRUGH DDS PROFIT SHARING KEOGH PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$47,264
Expenses. Total of all expenses incurred	2010-12-31	$104,684
Benefits paid (including direct rollovers)	2010-12-31	$104,684
Total plan assets at end of year	2010-12-31	$883,566
Total plan assets at beginning of year	2010-12-31	$940,986
Other income received	2010-12-31	$46,410
Net income (gross income less expenses)	2010-12-31	$-57,420
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$883,566
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$940,986
Total contributions received or receivable from employer(s)	2010-12-31	$854

Form 5500 Responses for MARLO G PRUGH DDS PROFIT SHARING KEOGH PLAN

2010: MARLO G PRUGH DDS PROFIT SHARING KEOGH PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: MARLO G PRUGH DDS PROFIT SHARING KEOGH PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	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
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

35-656-823

Policy instance

Insurance contract or identification number	35-656-823
Number of Individuals Covered	1
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $376
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $376
Insurance broker organization code?	3
Insurance broker name	JAMES M TATE, CLU

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Company Name:	DR MARLO G PRUGH
Employer identification number (EIN):	830207535
NAIC Classification:	621210
NAIC Description:	Offices of Dentists