401k Plan data: PAIGE DDS & KLADE DDS - TACOMA 401(K) PROFIT SHARING PLAN plan

PAIGE DDS & KLADE DDS - TACOMA 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	PAIGE DDS & KLADE DDS - TACOMA 401(K) PROFIT SHARING PLAN
Plan identification number	001

PAIGE DDS & KLADE DDS - TACOMA 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.
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.
Code section 408 accounts and annuities - See Limited Pension Plan Reporting instructions for pension plan utilizing individual Code section 408 retirement accounts or annuities as the funding vehicle for providing benefits.
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.
Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

PAIGE DDS PC & KLADE DDS PC, TACOM has sponsored the creation of one or more 401k plans.

Company Name: PAIGE DDS PC & KLADE DDS PC, TACOM

Employer identification number (EIN): 911876457

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PAIGE DDS & KLADE DDS - TACOMA 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2010-01-01 CAROL PAIGE
001 2009-01-01 CAROL PAIGE
001 2007-01-01 CAROL PAIGE
001 2006-01-01 CAROL PAIGE

Plan id#	Filing Submission Date	Name of Administrator
001	2010-01-01	CAROL PAIGE
001	2009-01-01	CAROL PAIGE
001	2007-01-01	CAROL PAIGE
001	2006-01-01	CAROL PAIGE

Plan Statistics for PAIGE DDS & KLADE DDS - TACOMA 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for PAIGE DDS & KLADE DDS - TACOMA 401(K) PROFIT SHARING PLAN

Measure Date Value
2010: PAIGE DDS & KLADE DDS - TACOMA 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 0
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
2009: PAIGE DDS & KLADE DDS - TACOMA 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1
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 1
Total participants 2009-01-01 1
Number of participants with account balances 2009-01-01 1
2007: PAIGE DDS & KLADE DDS - TACOMA 401(K) PROFIT SHARING PLAN 2007 401k membership
Total participants, beginning-of-year 2007-01-01 4
Number of other retired or separated participants entitled to future benefits 2007-01-01 1
Total of all active and inactive participants 2007-01-01 1
Total participants 2007-01-01 1
Number of participants with account balances 2007-01-01 1
2006: PAIGE DDS & KLADE DDS - TACOMA 401(K) PROFIT SHARING PLAN 2006 401k membership
Total participants, beginning-of-year 2006-01-01 30
Number of other retired or separated participants entitled to future benefits 2006-01-01 4
Total of all active and inactive participants 2006-01-01 4
Total participants 2006-01-01 4
Number of participants with account balances 2006-01-01 4
Number of employers contributing to the scheme 2006-01-01 0

Measure	Date	Value
2010: PAIGE DDS & KLADE DDS - TACOMA 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	0
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
2009: PAIGE DDS & KLADE DDS - TACOMA 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1
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	1
Total participants	2009-01-01	1
Number of participants with account balances	2009-01-01	1
2007: PAIGE DDS & KLADE DDS - TACOMA 401(K) PROFIT SHARING PLAN 2007 401k membership
Total participants, beginning-of-year	2007-01-01	4
Number of other retired or separated participants entitled to future benefits	2007-01-01	1
Total of all active and inactive participants	2007-01-01	1
Total participants	2007-01-01	1
Number of participants with account balances	2007-01-01	1
2006: PAIGE DDS & KLADE DDS - TACOMA 401(K) PROFIT SHARING PLAN 2006 401k membership
Total participants, beginning-of-year	2006-01-01	30
Number of other retired or separated participants entitled to future benefits	2006-01-01	4
Total of all active and inactive participants	2006-01-01	4
Total participants	2006-01-01	4
Number of participants with account balances	2006-01-01	4
Number of employers contributing to the scheme	2006-01-01	0

Financial Data on PAIGE DDS & KLADE DDS - TACOMA 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2010 : PAIGE DDS & KLADE DDS - TACOMA 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$10
Expenses. Total of all expenses incurred	2010-12-31	$454
Benefits paid (including direct rollovers)	2010-12-31	$454
Total plan assets at end of year	2010-12-31	$0
Total plan assets at beginning of year	2010-12-31	$444
Other income received	2010-12-31	$10
Net income (gross income less expenses)	2010-12-31	$-444
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$444

Form 5500 Responses for PAIGE DDS & KLADE DDS - TACOMA 401(K) PROFIT SHARING PLAN

2010: PAIGE DDS & KLADE DDS - TACOMA 401(K) PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
2010-01-01	This submission is the final filing	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: PAIGE DDS & KLADE DDS - TACOMA 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes
2007: PAIGE DDS & KLADE DDS - TACOMA 401(K) PROFIT SHARING PLAN 2007 form 5500 responses
2007-01-01	Type of plan entity	Single employer plan
2007-01-01	Submission has been amended	No
2007-01-01	This submission is the final filing	No
2007-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-01-01	Plan is a collectively bargained plan	No
2007-01-01	Plan funding arrangement – Trust	Yes
2007-01-01	Plan benefit arrangement - Trust	Yes
2006: PAIGE DDS & KLADE DDS - TACOMA 401(K) PROFIT SHARING PLAN 2006 form 5500 responses
2006-01-01	Type of plan entity	Single employer plan
2006-01-01	Submission has been amended	No
2006-01-01	This submission is the final filing	No
2006-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2006-01-01	Plan is a collectively bargained plan	No
2006-01-01	Plan funding arrangement – Trust	Yes
2006-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	PAIGE DDS PC & KLADE DDS PC, TACOM
Employer identification number (EIN):	911876457
NAIC Classification:	621210
NAIC Description:	Offices of Dentists