2023 Form 5500 filing — Fox Grape Family Dentistry 401k Profit Sharing Plan
Plain-English filing summary
According to public Form 5500 filings published through the U.S. Department of Labor (DOL) Employee Benefits Security Administration (EBSA) via the EFAST2 system, this is the 2023 Form 5500 filing (EFAST2 acknowledgement 20241008132031NAL0009707235001) for Fox Grape Family Dentistry 401k Profit Sharing Plan, reported by Howard E. Shayne, Dds And Mary Lynn Shayne, Dds, Pc under EIN 43-1732130 and plan number 001. It reports 13 participants. Attached schedules in the loaded dataset include Schedule I (small plan financials), Schedule C (service provider compensation).
Form 5500 2 · 2023
Filing snapshot
Net assets (EOY)$778.3KReported net assets$778,317
Participants13
Provider compensation$3941 Schedule C row(s)
Schedules filedSchedule I, Schedule CLoaded schedules
- EFAST2 acknowledgement
- 20241008132031NAL0009707235001
- Plan sponsor
- Howard E. Shayne, Dds And Mary Lynn Shayne, Dds, Pc
- EIN
- 43-1732130
- Plan number
- 001
- Location
- Springfield, MO
- Received date
- not reported in the loaded dataset
How to read this filing
- This is a single annual Form 5500 filing, identified by its EFAST2 acknowledgement id.
- Schedule chips (Sch H / I / C) show which schedules this filing includes.
- Net assets = total assets minus total liabilities (Schedule H/I).
- Fields a filing did not report are labeled not reported in the loaded dataset — never estimated.
- For the plan's full history, open the plan profile.
Schedule I · 2023
Reported financial snapshot
Reported figures as filed, in whole dollars. Only fields the filing reports are shown.
Reported balance (end of year)$778.3K total assets
Net assets$778.3KLiabilities—
Full reported line items
- Total assets (EOY)
- $778,317
- Net assets (EOY)
- $778,317
- Employer contributions
- $5,940
- Participant contributions
- $14,354
- Total income / additions
- $378,397
- Benefits paid
- $1,784,098
- Administrative expenses
- $16,897
- Total expenses
- $1,800,995
- Net increase / (decrease)
- -$1,422,598
Schedule C
Reported service provider compensation
Compensation reported on the 2023 filing, ranked by reported total.
- 1
Frequently asked questions
- What does EFAST2 acknowledgement 20241008132031NAL0009707235001 cover?
- It is the 2023 Form 5500 filing for Fox Grape Family Dentistry 401k Profit Sharing Plan, reported by Howard E. Shayne, Dds And Mary Lynn Shayne, Dds, Pc (EIN 43-1732130).
- Which Form 5500 schedules are attached to this 2023 filing?
- Attached schedules in the loaded dataset include Schedule I (small plan financials), Schedule C (service provider compensation).