Civic Intelligence
Filing

Forestream Dental Group Profit Sharing Plan and Trust

Forestream Dental Group • EIN 16-1404708 • Plan year 2003

Filing Insights

Participants

Down

6 → 5

-1 • -16.67%

Assets

No comparison

- → -

No earlier value available.

Investment Management Fee

-

Admin expenses - • Total expenses -

Filing Details

Context

No event flags were generated for this filing.

Status Flags

Fidelity bond in place

Not reported

Limited-scope audit performed

Not reported

Contributions transmitted on time

Not reported

Participant loans in default

Not reported

Leases in default

Not reported

Reportable party-in-interest issues

Not reported

Loss discovered during year

Not reported

Assets with undetermined value

Not reported

Non-cash contributions

Not reported

Assets held for investment

Not reported

5% transactions reported

Not reported

All plan assets distributed

Not reported

Benefits paid when due

Not reported

Plan blackout period

Not reported

Plan termination resolution adopted

Not reported

Counterparties

Company Timeline

This filing is highlighted inside the broader sponsor history.

Year / FilingFilingsParticipantsAssetsContributionsContrib./Participant
200515$160,238$20,000$4,000iApproximate average salary by contribution assumption: employee only about $100,000 at 4% or $66,667 at 6%; with 50% employer match about $66,667 at 4% or $44,444 at 6%; with 100% employer match about $50,000 at 4% or $33,333 at 6%.
Forestream Dental Group Profit Sharing Plan and Trust-5$160,238$20,000$4,000iApproximate average salary by contribution assumption: employee only about $100,000 at 4% or $66,667 at 6%; with 50% employer match about $66,667 at 4% or $44,444 at 6%; with 100% employer match about $50,000 at 4% or $33,333 at 6%.
200416$134,891$16,114$2,686iApproximate average salary by contribution assumption: employee only about $67,142 at 4% or $44,761 at 6%; with 50% employer match about $44,761 at 4% or $29,841 at 6%; with 100% employer match about $33,571 at 4% or $22,381 at 6%.
Forestream Dental Group Profit Sharing Plan and Trust-6$134,891$16,114$2,686iApproximate average salary by contribution assumption: employee only about $67,142 at 4% or $44,761 at 6%; with 50% employer match about $44,761 at 4% or $29,841 at 6%; with 100% employer match about $33,571 at 4% or $22,381 at 6%.
200315$0$0-
Forestream Dental Group Profit Sharing Plan and TrustCurrent5---
200216$69,706$12,500$2,083iApproximate average salary by contribution assumption: employee only about $52,083 at 4% or $34,722 at 6%; with 50% employer match about $34,722 at 4% or $23,148 at 6%; with 100% employer match about $26,042 at 4% or $17,361 at 6%.
Forestream Dental Group Profit Sharing Plan and Trust-6$69,706$12,500$2,083iApproximate average salary by contribution assumption: employee only about $52,083 at 4% or $34,722 at 6%; with 50% employer match about $34,722 at 4% or $23,148 at 6%; with 100% employer match about $26,042 at 4% or $17,361 at 6%.
200114$0$0-
Forestream Dental Group Profit Sharing Plan and Trust-4---
200014$0$0-
Forestream Dental Group Profit Sharing Plan and Trust-4---
199913$48,055$11,581$3,860iApproximate average salary by contribution assumption: employee only about $96,508 at 4% or $64,339 at 6%; with 50% employer match about $64,339 at 4% or $42,893 at 6%; with 100% employer match about $48,254 at 4% or $32,169 at 6%.
Forestream Dental Group Profit Sharing Plan and Trust-3$48,055$11,581$3,860iApproximate average salary by contribution assumption: employee only about $96,508 at 4% or $64,339 at 6%; with 50% employer match about $64,339 at 4% or $42,893 at 6%; with 100% employer match about $48,254 at 4% or $32,169 at 6%.
Schedule Details

Schedule A

Row 1
Filing Id
91037091278065
Form Id
57388561
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
3040374306374030002
Ins Broker 01 Name
NO COMMISSIONS TO REPORT
Ins Broker Comm Pd 01 Amount
$0
Ins Broker Fees Pd 01 Amount
$0
Ins Broker Fees Pd 01 Text
N/A
Ins Broker 01 Code
3
Row 2
Filing Id
91037091278065
Form Id
57388561
Page Id
2
Page Seq
0
Page Row Num
2
Row Num
1
Image Form Id
3040374306374030002
Ins Broker Comm Pd 01 Amount
$0
Ins Broker Fees Pd 01 Amount
$0
Ins Broker Fees Pd 01 Text
N/A
Row 3
Filing Id
91037091278065
Form Id
57388561
Page Id
2
Page Seq
0
Page Row Num
3
Row Num
2
Image Form Id
3040374306374030002
Ins Broker Comm Pd 01 Amount
$0
Ins Broker Fees Pd 01 Amount
$0
Ins Broker Fees Pd 01 Text
N/A
Row 4
Ins Carrier Name: NATIONAL LIFE INSURANCE COMPANY
Filing Id
91037091278065
Form Id
57388561
Schedule A EIN
16-1404708
Schedule A Plan Num
1
Schedule A Plan Year Begin Date
2003-01-01
Schedule A Tax Period
20031231
Ins Carrier Name
NATIONAL LIFE INSURANCE COMPANY
Ins Carrier EIN
30144090
Ins Carrier Naic Code
66680
Ins Contract Num
0196410
Ins Prsn Covered End of year Count
1
Ins Broker Comm Total Amount
$0
Ins Broker Fees Total Amount
$0
Pension End of year Gen Account Amount
$0
Pension End of year Sep Account Amount
$0
Pension Basis Rates Text
BASED ON SCHEDULES FILED W/STATE
Pension Prem Paid Total Amount
$0
Pension Unpaid Premium Amount
$0
Pension Contract Cost Amount
$0
Pension Type Alloc Cntrct Indicator
Yes
Pension End Prev Bal Amount
$0
Pension Contribution Dep Amount
$0
Pension Divnd Cr Dep Amount
$0
Pension Interest Cr Dur Yr Amount
$0
Pension Transfer From Amount
$0
Pension Other Amount
$0
Pension Total Additions Amount
$0
Pension Total Bal Addn Amount
$0
Pension Bnfts Dsbrsd Amount
$0
Pension Admin Chrg Amount
$0
Pension Transfer To Amount
$0
Pension Oth Ded Amount
$0
Pension Total Ded Amount
$0
Pension End of year Bal Amount
$0
Wlfr Premium Rcvd Amount
$0
Wlfr Unpaid Due Amount
$0
Wlfr Reserve Amount
$0
Wlfr Total Earned Prem Amount
$0
Wlfr Claims Paid Amount
$0
Wlfr Incr Reserve Amount
$0
Wlfr Incurred Claim Amount
$0
Wlfr Claims Chrgd Amount
$0
Wlfr Ret Commissions Amount
$0
Wlfr Ret Admin Amount
$0
Wlfr Ret Oth Cost Amount
$0
Wlfr Ret Oth Expense Amount
$0
Wlfr Ret Taxes Amount
$0
Wlfr Ret Charges Amount
$0
Wlfr Ret Oth Chrgs Amount
$0
Wlfr Ret Total Amount
$0
Wlfr Refund Amount
$0
Wlfr Held Bnfts Amount
$0
Wlfr Claims Reserve Amount
$0
Wlfr Oth Reserve Amount
$0
Wlfr Divnds Due Amount
$0
Wlfr Total Charges Paid Amount
$0
Wlfr Acquis Cost Amount
$0