ANCHORAGE DENTAL ARTS, LLC PROFIT SHARING PLAN
|
2013
|
364548184
|
2014-10-17
|
ANCHORAGE DENTAL ARTS, LLC
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9072761712
|
Plan sponsor’s mailing address |
SUITE 200, 2600 CORDOVA STREET, ANCHORAGE, AK, 99503
|
Plan sponsor’s
address |
SUITE 200, 2600 CORDOVA STREET, ANCHORAGE, AK, 99503
|
Number of participants as of the end of the plan year
Active participants |
15 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
7 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
22 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
2 |
|
ANCHORAGE DENTAL ARTS, LLC DEFINED BENEFIT PENSION PLAN
|
2013
|
364548184
|
2014-10-13
|
ANCHORAGE DENTAL ARTS, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9072761712
|
Plan sponsor’s mailing address |
SUITE 200, 2600 CORDOVA STREET, ANCHORAGE, AK, 99503
|
Plan sponsor’s
address |
SUITE 200, 2600 CORDOVA STREET, ANCHORAGE, AK, 99503
|
Number of participants as of the end of the plan year
Active participants |
9 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
3 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
|
ANCHORAGE DENTAL ARTS, LLC PROFIT SHARING PLAN
|
2013
|
364548184
|
2014-10-13
|
ANCHORAGE DENTAL ARTS, LLC
|
22
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9072761712
|
Plan sponsor’s mailing address |
SUITE 200, 2600 CORDOVA STREET, ANCHORAGE, AK, 99503
|
Plan sponsor’s
address |
SUITE 200, 2600 CORDOVA STREET, ANCHORAGE, AK, 99503
|
Number of participants as of the end of the plan year
Active participants |
15 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
8 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
23 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
2 |
|
ANCHORAGE DENTAL ARTS, LLC PROFIT SHARING PLAN
|
2012
|
364548184
|
2013-10-10
|
ANCHORAGE DENTAL ARTS, LLC
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9072761712
|
Plan sponsor’s mailing address |
SUITE 200, 2600 CORDOVA STREET, ANCHORAGE, AK, 99503
|
Plan sponsor’s
address |
SUITE 200, 2600 CORDOVA STREET, ANCHORAGE, AK, 99503
|
Number of participants as of the end of the plan year
Active participants |
22 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
3 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
25 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-10-10 |
Name of individual signing |
ROBERT W. MOREHEAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-10 |
Name of individual signing |
ROBERT W. MOREHEAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANCHORAGE DENTAL ARTS, LLC DEFINED BENEFIT PENSION PLAN
|
2012
|
364548184
|
2013-10-10
|
ANCHORAGE DENTAL ARTS, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9072761712
|
Plan sponsor’s mailing address |
SUITE 200, 2600 CORDOVA STREET, ANCHORAGE, AK, 99503
|
Plan sponsor’s
address |
SUITE 200, 2600 CORDOVA STREET, ANCHORAGE, AK, 99503
|
Number of participants as of the end of the plan year
Active participants |
11 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
4 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-10-10 |
Name of individual signing |
ROBERT W. MOREHEAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-10 |
Name of individual signing |
ROBERT W. MOREHEAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANCHORAGE DENTAL ARTS, LLC DEFINED BENEFIT PENSION PLAN
|
2011
|
364548184
|
2012-10-12
|
ANCHORAGE DENTAL ARTS, LLC
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9072761712
|
Plan sponsor’s mailing address |
2600 CORDOVA ST., STE. 200, ANCHORAGE, AK, 99503
|
Plan sponsor’s
address |
SUITE 200, 2600 CORDOVA STREET, ANCHORAGE, AK, 99503
|
Plan administrator’s name and address
Administrator’s EIN |
364548184 |
Plan administrator’s name |
ANCHORAGE DENTAL ARTS, LLC |
Plan administrator’s
address |
2600 CORDOVA ST., STE. 200, ANCHORAGE, AK, 99503 |
Administrator’s telephone number |
9072761712 |
Number of participants as of the end of the plan year
Active participants |
20 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2012-10-12 |
Name of individual signing |
ROBERT W. MOREHEAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-12 |
Name of individual signing |
ROBERT W. MOREHEAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANCHORAGE DENTAL ARTS, LLC PROFIT SHARING PLAN
|
2011
|
364548184
|
2012-10-09
|
ANCHORAGE DENTAL ARTS, LLC
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9072761712
|
Plan sponsor’s mailing address |
2600 CORDOVA ST., STE. 200, ANCHORAGE, AK, 99503
|
Plan sponsor’s
address |
SUITE 200, 2600 CORDOVA STREET, ANCHORAGE, AK, 99503
|
Plan administrator’s name and address
Administrator’s EIN |
364548184 |
Plan administrator’s name |
ANCHORAGE DENTAL ARTS, LLC |
Plan administrator’s
address |
2600 CORDOVA ST., STE. 200, ANCHORAGE, AK, 99503 |
Administrator’s telephone number |
9072761712 |
Number of participants as of the end of the plan year
Active participants |
32 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
1 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
33 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2012-10-09 |
Name of individual signing |
ROBERT W. MOREHEAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-09 |
Name of individual signing |
ROBERT W. MOREHEAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANCHORAGE DENTAL ARTS, LLC PROFIT SHARING PLAN
|
2010
|
364548184
|
2012-01-10
|
ANCHORAGE DENTAL ARTS, LLC
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9072761712
|
Plan sponsor’s mailing address |
2600 CORDOVA ST., STE. 200, ANCHORAGE, AK, 99503
|
Plan sponsor’s
address |
SUITE 200, 2600 CORDOVA STREET, ANCHORAGE, AK, 99503
|
Plan administrator’s name and address
Administrator’s EIN |
364548184 |
Plan administrator’s name |
ANCHORAGE DENTAL ARTS, LLC |
Plan administrator’s
address |
2600 CORDOVA ST., STE. 200, ANCHORAGE, AK, 99503 |
Administrator’s telephone number |
9072761712 |
Number of participants as of the end of the plan year
Active participants |
35 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
35 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2012-01-10 |
Name of individual signing |
ROBERT W. MOREHEAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-01-10 |
Name of individual signing |
ROBERT W. MOREHEAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANCHORAGE DENTAL ARTS, LLC PROFIT SHARING PLAN
|
2010
|
364548184
|
2011-10-17
|
ANCHORAGE DENTAL ARTS, LLC
|
26
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9072761712
|
Plan sponsor’s mailing address |
2600 CORDOVA ST., STE. 200, ANCHORAGE, AK, 99503
|
Plan sponsor’s
address |
SUITE 200, 2600 CORDOVA STREET, ANCHORAGE, AK, 99503
|
Plan administrator’s name and address
Administrator’s EIN |
364548184 |
Plan administrator’s name |
ANCHORAGE DENTAL ARTS, LLC |
Plan administrator’s
address |
2600 CORDOVA ST., STE. 200, ANCHORAGE, AK, 99503 |
Administrator’s telephone number |
9072761712 |
Number of participants as of the end of the plan year
Active participants |
35 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
35 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2011-10-17 |
Name of individual signing |
ROBERT W. MOREHEAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-17 |
Name of individual signing |
ROBERT W. MOREHEAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANCHORAGE DENTAL ARTS, LLC DEFINED BENEFIT PENSION PLAN
|
2010
|
364548184
|
2011-10-17
|
ANCHORAGE DENTAL ARTS, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9072761712
|
Plan sponsor’s mailing address |
2600 CORDOVA ST., STE. 200, ANCHORAGE, AK, 99503
|
Plan sponsor’s
address |
SUITE 200, 2600 CORDOVA STREET, ANCHORAGE, AK, 99503
|
Plan administrator’s name and address
Administrator’s EIN |
364548184 |
Plan administrator’s name |
ANCHORAGE DENTAL ARTS, LLC |
Plan administrator’s
address |
2600 CORDOVA ST., STE. 200, ANCHORAGE, AK, 99503 |
Administrator’s telephone number |
9072761712 |
Number of participants as of the end of the plan year
Active participants |
21 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2011-10-17 |
Name of individual signing |
ROBERT W. MOREHEAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-17 |
Name of individual signing |
ROBERT W. MOREHEAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|