401k Plan data: PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN plan

PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN 401k Plan overview

Plan Name	PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN
Plan identification number	002

PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) 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
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.
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

PACIFIC ENDODONTICS, P.C. has sponsored the creation of one or more 401k plans.

Company Name: PACIFIC ENDODONTICS, P.C.

Employer identification number (EIN): 931247086

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Additional information about PACIFIC ENDODONTICS, P.C.

Jurisdiction of Incorporation: Oregon Secretary of State Corporations Division

Incorporation Date: 1998-03-13

Company Identification Number: 62287082

Legal Registered Office Address: C/O LYNCH CONGER MCLANE LLP

PORTLAND
United States of America (USA)
97224

More information about PACIFIC ENDODONTICS, P.C.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2017-01-01 PAUL ORTNER
002 2016-01-01 PAUL ORTNER
002 2015-01-01
002 2014-01-01 PAUL ORTNER
002 2013-01-01 PAUL ORTNER
002 2012-01-01 PAUL ORTNER
002 2011-01-01 PAUL ORTNER
002 2010-01-01 PAUL ORTNER

Plan Statistics for PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN

401k plan membership statisitcs for PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN

Measure Date Value
2017: PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 1
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 1
Number of participants with account balances 2017-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 3
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 5
Total of all active and inactive participants 2016-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 8
Number of participants with account balances 2016-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 3
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 5
Total of all active and inactive participants 2015-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 8
Number of participants with account balances 2015-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 2
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 7
Total of all active and inactive participants 2014-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 9
Number of participants with account balances 2014-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 1
2013: PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 3
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 7
Total of all active and inactive participants 2013-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 10
Number of participants with account balances 2013-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 3
2012: PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 2
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 7
Total of all active and inactive participants 2012-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 9
Number of participants with account balances 2012-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 2
2011: PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 3
Number of retired or separated participants receiving benefits 2011-01-01 1
Number of other retired or separated participants entitled to future benefits 2011-01-01 4
Total of all active and inactive participants 2011-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 8
Number of participants with account balances 2011-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 2
2010: PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 5
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 2
Total of all active and inactive participants 2010-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 7
Number of participants with account balances 2010-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0

Measure	Date	Value
2017: PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	1
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	1
Number of participants with account balances	2017-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	3
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	5
Total of all active and inactive participants	2016-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	8
Number of participants with account balances	2016-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	3
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	5
Total of all active and inactive participants	2015-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	8
Number of participants with account balances	2015-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	2
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	7
Total of all active and inactive participants	2014-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	9
Number of participants with account balances	2014-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	1
2013: PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	3
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	7
Total of all active and inactive participants	2013-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	10
Number of participants with account balances	2013-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	3
2012: PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	2
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	7
Total of all active and inactive participants	2012-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	9
Number of participants with account balances	2012-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	2
2011: PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	3
Number of retired or separated participants receiving benefits	2011-01-01	1
Number of other retired or separated participants entitled to future benefits	2011-01-01	4
Total of all active and inactive participants	2011-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	8
Number of participants with account balances	2011-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	2
2010: PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	5
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	2
Total of all active and inactive participants	2010-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	7
Number of participants with account balances	2010-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0

Financial Data on PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN

Measure	Date	Value
2017 : PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN 2017 401k financial data
Transfers to/from the plan	2017-12-31	$0
Total plan liabilities at end of year	2017-12-31	$0
Total plan liabilities at beginning of year	2017-12-31	$0
Total income from all sources	2017-12-31	$49,810
Expenses. Total of all expenses incurred	2017-12-31	$392,838
Benefits paid (including direct rollovers)	2017-12-31	$391,038
Total plan assets at end of year	2017-12-31	$1,921
Total plan assets at beginning of year	2017-12-31	$344,949
Value of fidelity bond covering the plan	2017-12-31	$50,000
Total contributions received or receivable from participants	2017-12-31	$0
Expenses. Other expenses not covered elsewhere	2017-12-31	$113
Contributions received from other sources (not participants or employers)	2017-12-31	$0
Other income received	2017-12-31	$49,810
Noncash contributions received	2017-12-31	$0
Net income (gross income less expenses)	2017-12-31	$-343,028
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$1,921
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$344,949
Assets. Value of assets in partnership/joint-venture interests	2017-12-31	$0
Total contributions received or receivable from employer(s)	2017-12-31	$0
Value of certain deemed distributions of participant loans	2017-12-31	$0
Value of corrective distributions	2017-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$1,687
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
2016 : PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN 2016 401k financial data
Transfers to/from the plan	2016-12-31	$0
Total plan liabilities at end of year	2016-12-31	$0
Total plan liabilities at beginning of year	2016-12-31	$161
Total income from all sources	2016-12-31	$36,456
Expenses. Total of all expenses incurred	2016-12-31	$93
Benefits paid (including direct rollovers)	2016-12-31	$0
Total plan assets at end of year	2016-12-31	$344,949
Total plan assets at beginning of year	2016-12-31	$308,747
Value of fidelity bond covering the plan	2016-12-31	$50,000
Total contributions received or receivable from participants	2016-12-31	$0
Expenses. Other expenses not covered elsewhere	2016-12-31	$77
Contributions received from other sources (not participants or employers)	2016-12-31	$0
Other income received	2016-12-31	$36,456
Noncash contributions received	2016-12-31	$0
Net income (gross income less expenses)	2016-12-31	$36,363
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$344,949
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$308,586
Assets. Value of assets in partnership/joint-venture interests	2016-12-31	$1
Total contributions received or receivable from employer(s)	2016-12-31	$0
Value of certain deemed distributions of participant loans	2016-12-31	$0
Value of corrective distributions	2016-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$16
2015 : PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN 2015 401k financial data
Transfers to/from the plan	2015-12-31	$0
Total plan liabilities at end of year	2015-12-31	$161
Total plan liabilities at beginning of year	2015-12-31	$171
Total income from all sources	2015-12-31	$-43,552
Expenses. Total of all expenses incurred	2015-12-31	$375
Benefits paid (including direct rollovers)	2015-12-31	$161
Total plan assets at end of year	2015-12-31	$308,747
Total plan assets at beginning of year	2015-12-31	$352,684
Value of fidelity bond covering the plan	2015-12-31	$35,300
Total contributions received or receivable from participants	2015-12-31	$271
Expenses. Other expenses not covered elsewhere	2015-12-31	$0
Contributions received from other sources (not participants or employers)	2015-12-31	$0
Other income received	2015-12-31	$-45,275
Noncash contributions received	2015-12-31	$0
Net income (gross income less expenses)	2015-12-31	$-43,927
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$308,586
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$352,513
Assets. Value of assets in partnership/joint-venture interests	2015-12-31	$1
Total contributions received or receivable from employer(s)	2015-12-31	$1,452
Value of certain deemed distributions of participant loans	2015-12-31	$0
Value of corrective distributions	2015-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$214
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
Total plan liabilities at end of year	2014-12-31	$171
Total plan liabilities at beginning of year	2014-12-31	$1,057
Total income from all sources	2014-12-31	$44,164
Expenses. Total of all expenses incurred	2014-12-31	$184
Benefits paid (including direct rollovers)	2014-12-31	$121
Total plan assets at end of year	2014-12-31	$352,684
Total plan assets at beginning of year	2014-12-31	$309,590
Value of fidelity bond covering the plan	2014-12-31	$35,300
Total contributions received or receivable from participants	2014-12-31	$10,826
Expenses. Other expenses not covered elsewhere	2014-12-31	$13
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$22,563
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$43,980
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$352,513
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$308,533
Assets. Value of assets in partnership/joint-venture interests	2014-12-31	$1
Total contributions received or receivable from employer(s)	2014-12-31	$10,775
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$50
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
Total plan liabilities at end of year	2013-12-31	$1,057
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$45,038
Expenses. Total of all expenses incurred	2013-12-31	$1,071
Benefits paid (including direct rollovers)	2013-12-31	$967
Total plan assets at end of year	2013-12-31	$309,590
Total plan assets at beginning of year	2013-12-31	$264,566
Value of fidelity bond covering the plan	2013-12-31	$25,000
Total contributions received or receivable from participants	2013-12-31	$19,522
Expenses. Other expenses not covered elsewhere	2013-12-31	$0
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$7,146
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$43,967
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$308,533
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$264,566
Assets. Value of assets in partnership/joint-venture interests	2013-12-31	$1
Total contributions received or receivable from employer(s)	2013-12-31	$18,370
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$104
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$2,265
Total income from all sources	2012-12-31	$22,050
Expenses. Total of all expenses incurred	2012-12-31	$54
Benefits paid (including direct rollovers)	2012-12-31	$0
Total plan assets at end of year	2012-12-31	$264,566
Total plan assets at beginning of year	2012-12-31	$244,835
Value of fidelity bond covering the plan	2012-12-31	$25,000
Total contributions received or receivable from participants	2012-12-31	$18,852
Expenses. Other expenses not covered elsewhere	2012-12-31	$0
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$-8,396
Noncash contributions received	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$21,996
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$264,566
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$242,570
Assets. Value of assets in partnership/joint-venture interests	2012-12-31	$12,078
Total contributions received or receivable from employer(s)	2012-12-31	$11,594
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$54
2011 : PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total plan liabilities at end of year	2011-12-31	$2,265
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$-47,318
Expenses. Total of all expenses incurred	2011-12-31	$29
Total plan assets at end of year	2011-12-31	$244,835
Total plan assets at beginning of year	2011-12-31	$289,917
Value of fidelity bond covering the plan	2011-12-31	$29,000
Total contributions received or receivable from participants	2011-12-31	$17,934
Expenses. Other expenses not covered elsewhere	2011-12-31	$29
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-75,784
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$-47,347
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$242,570
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$289,917
Assets. Value of assets in partnership/joint-venture interests	2011-12-31	$25,000
Total contributions received or receivable from employer(s)	2011-12-31	$10,532
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$0
2010 : PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$45,724
Expenses. Total of all expenses incurred	2010-12-31	$12,273
Benefits paid (including direct rollovers)	2010-12-31	$11,873
Total plan assets at end of year	2010-12-31	$289,917
Total plan assets at beginning of year	2010-12-31	$256,466
Value of fidelity bond covering the plan	2010-12-31	$50,000
Total contributions received or receivable from participants	2010-12-31	$18,181
Expenses. Other expenses not covered elsewhere	2010-12-31	$0
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$9,442
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$33,451
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$289,917
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$256,466
Assets. Value of assets in partnership/joint-venture interests	2010-12-31	$25,000
Total contributions received or receivable from employer(s)	2010-12-31	$18,101
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$400
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0

Form 5500 Responses for PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN

2017: PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: PACIFIC ENDODONTICS, P.C. PROFIT SHARING 401(K) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	PACIFIC ENDODONTICS, P.C.
Employer identification number (EIN):	931247086
NAIC Classification:	621210
NAIC Description:	Offices of Dentists

Jurisdiction of Incorporation:	Oregon Secretary of State Corporations Division
Incorporation Date:	1998-03-13
Company Identification Number:	62287082
Legal Registered Office Address:	C/O LYNCH CONGER MCLANE LLP PORTLAND United States of America (USA) 97224

Plan id#	Filing Submission Date	Name of Administrator
002	2017-01-01	PAUL ORTNER
002	2016-01-01	PAUL ORTNER
002	2015-01-01
002	2014-01-01	PAUL ORTNER
002	2013-01-01	PAUL ORTNER
002	2012-01-01	PAUL ORTNER
002	2011-01-01	PAUL ORTNER
002	2010-01-01	PAUL ORTNER