Civic Intelligence
Filing

Farmbrook Dental Group 401K Profit Sharing Plan

Farmbrook Dental Group PC. • EIN 38-2614385 • Plan year 2000

Company ProfileSource Archive
Filing Insights

Participants

Down

27 → 19

-8 • -29.63%

Assets

Down

$1,477,537 → $1,245,207

-$232,330 • -15.72%

Investment Management Fee

-

Admin expenses - • Total expenses $84,010

Filing Details

Context
Net investment result
$-232,330
Pension payor EIN
31-4156830

Status Flags

Fidelity bond in place

Yes

Limited-scope audit performed

Not reported

Contributions transmitted on time

Not reported

Participant loans in default

No

Leases in default

No

Reportable party-in-interest issues

Not reported

Loss discovered during year

No

Assets with undetermined value

No

Non-cash contributions

No

Assets held for investment

Not reported

5% transactions reported

Not reported

All plan assets distributed

No

Benefits paid when due

Not reported

Plan blackout period

Not reported

Plan termination resolution adopted

No

Counterparties

Company Timeline

This filing is highlighted inside the broader sponsor history.

Year / FilingFilingsParticipantsAssetsContributionsContrib./Participant
2024125$3,801,512$127,753$5,110iApproximate average salary by contribution assumption: employee only about $127,753 at 4% or $85,169 at 6%; with 50% employer match about $85,169 at 4% or $56,779 at 6%; with 100% employer match about $63,877 at 4% or $42,584 at 6%.
Farmbrook Dental Group 401K Profit Sharing Plan-25$3,801,512$127,753$5,110iApproximate average salary by contribution assumption: employee only about $127,753 at 4% or $85,169 at 6%; with 50% employer match about $85,169 at 4% or $56,779 at 6%; with 100% employer match about $63,877 at 4% or $42,584 at 6%.
2023116$3,242,308$120,297$7,519iApproximate average salary by contribution assumption: employee only about $187,964 at 4% or $125,309 at 6%; with 50% employer match about $125,309 at 4% or $83,540 at 6%; with 100% employer match about $93,982 at 4% or $62,655 at 6%.
Farmbrook Dental Group 401K Profit Sharing Plan-16$3,242,308$120,297$7,519iApproximate average salary by contribution assumption: employee only about $187,964 at 4% or $125,309 at 6%; with 50% employer match about $125,309 at 4% or $83,540 at 6%; with 100% employer match about $93,982 at 4% or $62,655 at 6%.
2022117$2,665,221$122,163$7,186iApproximate average salary by contribution assumption: employee only about $179,651 at 4% or $119,768 at 6%; with 50% employer match about $119,768 at 4% or $79,845 at 6%; with 100% employer match about $89,826 at 4% or $59,884 at 6%.
Farmbrook Dental Group 401K Profit Sharing Plan-17$2,665,221$122,163$7,186iApproximate average salary by contribution assumption: employee only about $179,651 at 4% or $119,768 at 6%; with 50% employer match about $119,768 at 4% or $79,845 at 6%; with 100% employer match about $89,826 at 4% or $59,884 at 6%.
2021124$3,221,461$123,876$5,162iApproximate average salary by contribution assumption: employee only about $129,038 at 4% or $86,025 at 6%; with 50% employer match about $86,025 at 4% or $57,350 at 6%; with 100% employer match about $64,519 at 4% or $43,013 at 6%.
Farmbrook Dental Group 401K Profit Sharing Plan-24$3,221,461$123,876$5,162iApproximate average salary by contribution assumption: employee only about $129,038 at 4% or $86,025 at 6%; with 50% employer match about $86,025 at 4% or $57,350 at 6%; with 100% employer match about $64,519 at 4% or $43,013 at 6%.
2020123$2,917,244$103,732$4,510iApproximate average salary by contribution assumption: employee only about $112,752 at 4% or $75,168 at 6%; with 50% employer match about $75,168 at 4% or $50,112 at 6%; with 100% employer match about $56,376 at 4% or $37,584 at 6%.
Farmbrook Dental Group 401K Profit Sharing Plan-23$2,917,244$103,732$4,510iApproximate average salary by contribution assumption: employee only about $112,752 at 4% or $75,168 at 6%; with 50% employer match about $75,168 at 4% or $50,112 at 6%; with 100% employer match about $56,376 at 4% or $37,584 at 6%.
2019124$2,457,404$126,712$5,280iApproximate average salary by contribution assumption: employee only about $131,992 at 4% or $87,994 at 6%; with 50% employer match about $87,994 at 4% or $58,663 at 6%; with 100% employer match about $65,996 at 4% or $43,997 at 6%.
Farmbrook Dental Group 401K Profit Sharing Plan-24$2,457,404$126,712$5,280iApproximate average salary by contribution assumption: employee only about $131,992 at 4% or $87,994 at 6%; with 50% employer match about $87,994 at 4% or $58,663 at 6%; with 100% employer match about $65,996 at 4% or $43,997 at 6%.
2018121$2,345,138$110,301$5,252iApproximate average salary by contribution assumption: employee only about $131,311 at 4% or $87,540 at 6%; with 50% employer match about $87,540 at 4% or $58,360 at 6%; with 100% employer match about $65,655 at 4% or $43,770 at 6%.
Farmbrook Dental Group 401K Profit Sharing Plan-21$2,345,138$110,301$5,252iApproximate average salary by contribution assumption: employee only about $131,311 at 4% or $87,540 at 6%; with 50% employer match about $87,540 at 4% or $58,360 at 6%; with 100% employer match about $65,655 at 4% or $43,770 at 6%.
2017125$2,492,203$97,482$3,899iApproximate average salary by contribution assumption: employee only about $97,482 at 4% or $64,988 at 6%; with 50% employer match about $64,988 at 4% or $43,325 at 6%; with 100% employer match about $48,741 at 4% or $32,494 at 6%.
Farmbrook Dental Group 401K Profit Sharing Plan-25$2,492,203$97,482$3,899iApproximate average salary by contribution assumption: employee only about $97,482 at 4% or $64,988 at 6%; with 50% employer match about $64,988 at 4% or $43,325 at 6%; with 100% employer match about $48,741 at 4% or $32,494 at 6%.
2016124$2,088,489$114,222$4,759iApproximate average salary by contribution assumption: employee only about $118,981 at 4% or $79,321 at 6%; with 50% employer match about $79,321 at 4% or $52,881 at 6%; with 100% employer match about $59,491 at 4% or $39,660 at 6%.
Farmbrook Dental Group 401K Profit Sharing Plan-24$2,088,489$114,222$4,759iApproximate average salary by contribution assumption: employee only about $118,981 at 4% or $79,321 at 6%; with 50% employer match about $79,321 at 4% or $52,881 at 6%; with 100% employer match about $59,491 at 4% or $39,660 at 6%.
2015126$1,863,316$100,520$3,866iApproximate average salary by contribution assumption: employee only about $96,654 at 4% or $64,436 at 6%; with 50% employer match about $64,436 at 4% or $42,957 at 6%; with 100% employer match about $48,327 at 4% or $32,218 at 6%.
Farmbrook Dental Group 401K Profit Sharing Plan-26$1,863,316$100,520$3,866iApproximate average salary by contribution assumption: employee only about $96,654 at 4% or $64,436 at 6%; with 50% employer match about $64,436 at 4% or $42,957 at 6%; with 100% employer match about $48,327 at 4% or $32,218 at 6%.
2014127$1,810,941$100,020$3,704iApproximate average salary by contribution assumption: employee only about $92,611 at 4% or $61,741 at 6%; with 50% employer match about $61,741 at 4% or $41,160 at 6%; with 100% employer match about $46,306 at 4% or $30,870 at 6%.
Farmbrook Dental Group 401K Profit Sharing Plan-27$1,810,941$100,020$3,704iApproximate average salary by contribution assumption: employee only about $92,611 at 4% or $61,741 at 6%; with 50% employer match about $61,741 at 4% or $41,160 at 6%; with 100% employer match about $46,306 at 4% or $30,870 at 6%.
2013125$1,658,859$128,160$5,126iApproximate average salary by contribution assumption: employee only about $128,160 at 4% or $85,440 at 6%; with 50% employer match about $85,440 at 4% or $56,960 at 6%; with 100% employer match about $64,080 at 4% or $42,720 at 6%.
Farmbrook Dental Group 401K Profit Sharing Plan-25$1,658,859$128,160$5,126iApproximate average salary by contribution assumption: employee only about $128,160 at 4% or $85,440 at 6%; with 50% employer match about $85,440 at 4% or $56,960 at 6%; with 100% employer match about $64,080 at 4% or $42,720 at 6%.
2012119$1,299,631$106,010$5,579iApproximate average salary by contribution assumption: employee only about $139,487 at 4% or $92,991 at 6%; with 50% employer match about $92,991 at 4% or $61,994 at 6%; with 100% employer match about $69,743 at 4% or $46,496 at 6%.
Farmbrook Dental Group 401K Profit Sharing Plan-19$1,299,631$106,010$5,579iApproximate average salary by contribution assumption: employee only about $139,487 at 4% or $92,991 at 6%; with 50% employer match about $92,991 at 4% or $61,994 at 6%; with 100% employer match about $69,743 at 4% or $46,496 at 6%.
2011118$1,317,581$81,449$4,525iApproximate average salary by contribution assumption: employee only about $113,124 at 4% or $75,416 at 6%; with 50% employer match about $75,416 at 4% or $50,277 at 6%; with 100% employer match about $56,562 at 4% or $37,708 at 6%.
Farmbrook Dental Group 401K Profit Sharing Plan-18$1,317,581$81,449$4,525iApproximate average salary by contribution assumption: employee only about $113,124 at 4% or $75,416 at 6%; with 50% employer match about $75,416 at 4% or $50,277 at 6%; with 100% employer match about $56,562 at 4% or $37,708 at 6%.
2010118$1,249,817$46,677$2,593iApproximate average salary by contribution assumption: employee only about $64,829 at 4% or $43,219 at 6%; with 50% employer match about $43,219 at 4% or $28,813 at 6%; with 100% employer match about $32,415 at 4% or $21,610 at 6%.
Farmbrook Dental Group 401K Profit Sharing Plan-18$1,249,817$46,677$2,593iApproximate average salary by contribution assumption: employee only about $64,829 at 4% or $43,219 at 6%; with 50% employer match about $43,219 at 4% or $28,813 at 6%; with 100% employer match about $32,415 at 4% or $21,610 at 6%.
2009119$1,090,300$41,244$2,171iApproximate average salary by contribution assumption: employee only about $54,268 at 4% or $36,179 at 6%; with 50% employer match about $36,179 at 4% or $24,119 at 6%; with 100% employer match about $27,134 at 4% or $18,089 at 6%.
Farmbrook Dental Group 401K Profit Sharing Plan-19$1,090,300$41,244$2,171iApproximate average salary by contribution assumption: employee only about $54,268 at 4% or $36,179 at 6%; with 50% employer match about $36,179 at 4% or $24,119 at 6%; with 100% employer match about $27,134 at 4% or $18,089 at 6%.
2008119$1,504,505$131,704$6,932iApproximate average salary by contribution assumption: employee only about $173,295 at 4% or $115,530 at 6%; with 50% employer match about $115,530 at 4% or $77,020 at 6%; with 100% employer match about $86,647 at 4% or $57,765 at 6%.
Farmbrook Dental Group 401K Profit Sharing Plan-19$1,504,505$131,704$6,932iApproximate average salary by contribution assumption: employee only about $173,295 at 4% or $115,530 at 6%; with 50% employer match about $115,530 at 4% or $77,020 at 6%; with 100% employer match about $86,647 at 4% or $57,765 at 6%.
2007119$0$0-
Farmbrook Dental Group 401K Profit Sharing Plan-19---
2006121$2,082,854$135,383$6,447iApproximate average salary by contribution assumption: employee only about $161,170 at 4% or $107,447 at 6%; with 50% employer match about $107,447 at 4% or $71,631 at 6%; with 100% employer match about $80,585 at 4% or $53,723 at 6%.
Farmbrook Dental Group 401K Profit Sharing Plan-21$2,082,854$135,383$6,447iApproximate average salary by contribution assumption: employee only about $161,170 at 4% or $107,447 at 6%; with 50% employer match about $107,447 at 4% or $71,631 at 6%; with 100% employer match about $80,585 at 4% or $53,723 at 6%.
2005122$1,775,219$135,987$6,181iApproximate average salary by contribution assumption: employee only about $154,531 at 4% or $103,020 at 6%; with 50% employer match about $103,020 at 4% or $68,680 at 6%; with 100% employer match about $77,265 at 4% or $51,510 at 6%.
Farmbrook Dental Group 401K Profit Sharing Plan-22$1,775,219$135,987$6,181iApproximate average salary by contribution assumption: employee only about $154,531 at 4% or $103,020 at 6%; with 50% employer match about $103,020 at 4% or $68,680 at 6%; with 100% employer match about $77,265 at 4% or $51,510 at 6%.
2004116$1,562,630$131,600$8,225iApproximate average salary by contribution assumption: employee only about $205,625 at 4% or $137,083 at 6%; with 50% employer match about $137,083 at 4% or $91,389 at 6%; with 100% employer match about $102,813 at 4% or $68,542 at 6%.
Farmbrook Dental Group 401K Profit Sharing Plan-16$1,562,630$131,600$8,225iApproximate average salary by contribution assumption: employee only about $205,625 at 4% or $137,083 at 6%; with 50% employer match about $137,083 at 4% or $91,389 at 6%; with 100% employer match about $102,813 at 4% or $68,542 at 6%.
2003117$1,354,545$132,451$7,791iApproximate average salary by contribution assumption: employee only about $194,781 at 4% or $129,854 at 6%; with 50% employer match about $129,854 at 4% or $86,569 at 6%; with 100% employer match about $97,390 at 4% or $64,927 at 6%.
Farmbrook Dental Group 401K Profit Sharing Plan-17$1,354,545$132,451$7,791iApproximate average salary by contribution assumption: employee only about $194,781 at 4% or $129,854 at 6%; with 50% employer match about $129,854 at 4% or $86,569 at 6%; with 100% employer match about $97,390 at 4% or $64,927 at 6%.
2002119$995,084$133,163$7,009iApproximate average salary by contribution assumption: employee only about $175,214 at 4% or $116,810 at 6%; with 50% employer match about $116,810 at 4% or $77,873 at 6%; with 100% employer match about $87,607 at 4% or $58,405 at 6%.
Farmbrook Dental Group 401K Profit Sharing Plan-19$995,084$133,163$7,009iApproximate average salary by contribution assumption: employee only about $175,214 at 4% or $116,810 at 6%; with 50% employer match about $116,810 at 4% or $77,873 at 6%; with 100% employer match about $87,607 at 4% or $58,405 at 6%.
2001119$0$0-
Farmbrook Dental Group 401K Profit Sharing Plan-19---
2000119$1,245,207$133,265$7,014iApproximate average salary by contribution assumption: employee only about $175,349 at 4% or $116,899 at 6%; with 50% employer match about $116,899 at 4% or $77,933 at 6%; with 100% employer match about $87,674 at 4% or $58,450 at 6%.
Farmbrook Dental Group 401K Profit Sharing PlanCurrent19$1,245,207$133,265$7,014iApproximate average salary by contribution assumption: employee only about $175,349 at 4% or $116,899 at 6%; with 50% employer match about $116,899 at 4% or $77,933 at 6%; with 100% employer match about $87,674 at 4% or $58,450 at 6%.
1999120$1,477,537$94,743$4,737iApproximate average salary by contribution assumption: employee only about $118,429 at 4% or $78,953 at 6%; with 50% employer match about $78,953 at 4% or $52,635 at 6%; with 100% employer match about $59,214 at 4% or $39,476 at 6%.
Farmbrook Dental Group 401K Profit Sharing Plan-20$1,477,537$94,743$4,737iApproximate average salary by contribution assumption: employee only about $118,429 at 4% or $78,953 at 6%; with 50% employer match about $78,953 at 4% or $52,635 at 6%; with 100% employer match about $59,214 at 4% or $39,476 at 6%.
Schedule Details

Schedule A

Row 1
Filing Id
84037056464292
Form Id
12950603
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
20372056464040002
Ins Broker 01 Name
VESTAX SECURITIES CORP.
Ins Broker 01 Street Addr
1931 GEORGETOWN ROAD
Ins Broker 01 City
HUDSON
Ins Broker 01 State
OH
Ins Broker 01 ZIP Code
442360641
Ins Broker Comm Pd 01 Amount
$8,378
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
4
Row 2
Ins Carrier Name: NATIONWIDE LIFE INSURANCE COMPANY
Filing Id
84037056464292
Form Id
12950603
Schedule A EIN
38-2614385
Schedule A Plan Num
001
Schedule A Plan Year Begin Date
2000-01-01
Schedule A Tax Period
20001231
Ins Carrier Name
NATIONWIDE LIFE INSURANCE COMPANY
Ins Carrier EIN
31-4156830
Ins Carrier Naic Code
66869
Ins Contract Num
469-00105
Ins Prsn Covered End of year Count
24
Ins Policy From Date
2000-01-01
Ins Policy To Date
2000-12-31
Ins Broker Comm Total Amount
$8,378
Ins Broker Fees Total Amount
$0
Pension End of year Gen Account Amount
$0
Pension End of year Sep Account Amount
$1,178,155
Pension Prem Paid Total Amount
$0
Pension Unpaid Premium Amount
$0
Pension Contract Cost Amount
$0
Pnsn Type Unalloc Cntrct I
4
Pension Oth Unalloc Type Text
GROUP ANNUITY
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

Schedule D

Row 1
Filing Id
84037056464292
Page Id
1
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
20372056464040003
Row 2
Filing Id
84037056464292
Page Id
1
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
20372056464040003
DFE P1 Entity 01 Name
QUALIFIED PLANS VARIABLE ACCT-FEID
DFE P1 Spons 01 Name
NATIONWIDE LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
314156830009
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$20,764
Row 3
Filing Id
84037056464292
Page Id
1
Page Seq
0
Page Row Num
2
Row Num
1
Image Form Id
20372056464040003
DFE P1 Entity 01 Name
QUALIFIED PLANS VARIABLE ACCT-NSPD
DFE P1 Spons 01 Name
NATIONWIDE LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
314156830009
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$43,063
Row 4
Filing Id
84037056464292
Page Id
2
Page Seq
1
Page Row Num
1
Row Num
10
Image Form Id
20372056464040003
DFE P1 Entity 01 Name
QUALIFIED PLANS VARIABLE ACCT-PSTL
DFE P1 Spons 01 Name
NATIONWIDE LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
314156830009
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$859
Row 5
Filing Id
84037056464292
Page Id
2
Page Seq
1
Page Row Num
2
Row Num
11
Image Form Id
20372056464040003
DFE P1 Entity 01 Name
QUALIFIED PLANS VARIABLE ACCT-PITL
DFE P1 Spons 01 Name
NATIONWIDE LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
314156830009
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$859
Row 6
Filing Id
84037056464292
Page Id
2
Page Seq
1
Page Row Num
3
Row Num
12
Image Form Id
20372056464040003
DFE P1 Entity 01 Name
QUALIFIED PLANS VARIABLE ACCT-PALL
DFE P1 Spons 01 Name
NATIONWIDE LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
314156830009
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$830
Row 7
Filing Id
84037056464292
Page Id
2
Page Seq
1
Page Row Num
4
Row Num
13
Image Form Id
20372056464040003
DFE P1 Entity 01 Name
QUALIFIED PLANS VARIABLE ACCT-TMSD
DFE P1 Spons 01 Name
NATIONWIDE LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
314156830009
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$15,976
Row 8
Filing Id
84037056464292
Page Id
2
Page Seq
1
Page Row Num
5
Row Num
14
Image Form Id
20372056464040003
DFE P1 Entity 01 Name
QUALIFIED PLANS VARIABLE ACCT-NMZD
DFE P1 Spons 01 Name
NATIONWIDE LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
314156830009
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$68,447
Row 9
Filing Id
84037056464292
Page Id
1
Page Seq
0
Page Row Num
3
Row Num
2
Image Form Id
20372056464040003
DFE P1 Entity 01 Name
QUALIFIED PLANS VARIABLE ACCT-NGID
DFE P1 Spons 01 Name
NATIONWIDE LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
314156830009
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$1,533
Row 10
Filing Id
84037056464292
Page Id
1
Page Seq
0
Page Row Num
4
Row Num
3
Image Form Id
20372056464040003
DFE P1 Entity 01 Name
QUALIFIED PLANS VARIABLE ACCT-FGOD
DFE P1 Spons 01 Name
NATIONWIDE LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
314156830009
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$40,823
Row 11
Filing Id
84037056464292
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
4
Image Form Id
20372056464040003
DFE P1 Entity 01 Name
QUALIFIED PLANS VARIABLE ACCT-VTRD
DFE P1 Spons 01 Name
NATIONWIDE LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
314156830009
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$15,575
Row 12
Filing Id
84037056464292
Page Id
2
Page Seq
0
Page Row Num
2
Row Num
5
Image Form Id
20372056464040003
DFE P1 Entity 01 Name
QUALIFIED PLANS VARIABLE ACCT-JTFD
DFE P1 Spons 01 Name
NATIONWIDE LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
314156830009
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$242,042
Row 13
Filing Id
84037056464292
Page Id
2
Page Seq
0
Page Row Num
3
Row Num
6
Image Form Id
20372056464040003
DFE P1 Entity 01 Name
QUALIFIED PLANS VARIABLE ACCT-TCLD
DFE P1 Spons 01 Name
NATIONWIDE LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
314156830009
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$120,290
Row 14
Filing Id
84037056464292
Page Id
2
Page Seq
0
Page Row Num
4
Row Num
7
Image Form Id
20372056464040003
DFE P1 Entity 01 Name
QUALIFIED PLANS VARIABLE ACCT-JWFD
DFE P1 Spons 01 Name
NATIONWIDE LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
314156830009
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$199,112
Row 15
Filing Id
84037056464292
Page Id
2
Page Seq
0
Page Row Num
5
Row Num
8
Image Form Id
20372056464040003
DFE P1 Entity 01 Name
QUALIFIED PLANS VARIABLE ACCT-JAFD
DFE P1 Spons 01 Name
NATIONWIDE LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
314156830009
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$403,292
Row 16
Filing Id
84037056464292
Page Id
2
Page Seq
0
Page Row Num
6
Row Num
9
Image Form Id
20372056464040003
DFE P1 Entity 01 Name
QUALIFIED PLANS VARIABLE ACCT-PCSL
DFE P1 Spons 01 Name
NATIONWIDE LIFE INSURANCE COMPANY
DFE P1 Plan 01 EIN Plan number
314156830009
DFE P1 Entity 01 Code
P
DFE P1 Plan Interest End of year 01 Amount
$4,690

Schedule I

Schedule I Financial Statement

Small plan result

Balance sheet and activity values reported by the filer for this small-plan annual return.

End-of-year assets$1,245,207-$232,330 change

Balance Sheet

Beginning and end of plan year.

Total assets$1,477,537$1,245,207Decrease -$232,330 (-15.72%)
Total liabilities$0$0No change $0
Net assets$1,477,537$1,245,207Decrease -$232,330 (-15.72%)

Contributions

Employer contributions$105,000
Participant contributions$28,265
Other contributions$0

Income & Expenses

Total income$-148,320
Total expenses$84,010
Net income$-232,330
Source fields
Schedule I source fields
Filing Id
84037056464292
Schedule I EIN
38-2614385
Schedule I Plan Num
001
Schedule I Plan Year Begin Date
2000-01-01
Schedule I Tax Period
20001231
Small plan total assets at beginning of year
$1,477,537
Small plan total liabilities at beginning of year
$0
Small plan net assets at beginning of year
$1,477,537
Small plan total assets at end of year
$1,245,207
Small plan total liabilities at end of year
$0
Small plan net assets at end of year
$1,245,207
Small plan employer contributions
$105,000
Small plan participant contributions
$28,265
Small Oth Contribution Rcvd Amount
$0
Small Non Cash Contribution Bs Amount
$0
Small Other Income Amount
$-281,585
Small plan total income
$-148,320
Small plan total benefit distributions
$84,010
Small Corrective Distribution Amount
$0
Small Dm Dstrb Ptcp Ln A
0
Small Oth Expenses Amount
$0
Small plan total expenses
$84,010
Small plan net income or loss
$-232,330
Small Total Plan Transfers Amount
$0
Small Joint Venture End of year Indicator
No
Small Joint Venture End of year Amount
$0
Small Employer Prop End of year Indicator
No
Small Employer Prop End of year Amount
$0
Small Investment Real Est End of year I
2
Small Investment Real Est End of year A
0
Small Employer Sec End of year Indicator
No
Small Employer Sec End of year Amount
$0
Small Mortg Participants End of year Indicator
Yes
Small Mortg Participants End of year Amount
$5,458
Small Oth Lns Participants End of year Indicator
No
Small Oth Lns Participants End of year Amount
$0
Small Personal Prop End of year Indicator
No
Small Personal Prop End of year Amount
$0
Small Fail Xmt Ctb I
2
Small Fail Xmt Ctb A
0
Small plan participant loans in default
No
Small Loans In Default Amount
$0
Small plan leases in default
No
Small Leases In Default Amount
$0
Small Pt In Interest Not Reported I
2
Small Pt In Interest Not Reported A
0
Small plan fidelity bond in place
Yes
Small plan fidelity bond amount
$10,000
Small plan loss discovered during year
No
Small Loss Discovered Dur Year Amount
$0
Small plan assets with undetermined value
No
Small Asset Undeterm Valuation Amount
$0
Small plan non-cash contributions reported
No
Small Non Cash Contribution Amount
$0
Small 20 Percent Sngl Investment Indicator
No
Small 20 Percent Sngl Investment Amount
$0
Small plan all plan assets distributed
No
Small plan resolution to terminate plan adopted
No
Small Res Terminate Plan Adpt Amount
$0

Schedule R

Schedule R Pension Information

Retirement plan characteristics

Testing, payor, opinion-letter, and transfer information reported with the filing.

Pension & Payor

Payor EIN31-4156830

Transfers

Distributed property value$0
Schedule R source fields
Payor 31-4156830
Filing Id
84037056464292
Schedule R EIN
38-2614385
Schedule R Plan number
001
Schedule R Plan Year Begin Date
2000-01-01
Schedule R Tax Period
20001231
Pension Value Dstrb Pd Property Amount
$0
Pension payor EIN
31-4156830
Pension Elec Satisfy Code 412 Indicator
3
Pension Employer Contribution Rqr Amount
$0
Pension Employer Contribution Paid Amount
$0
Pension Funding Deficiency Amount
$0