Original filing (PDF)20251002115443NAL0001129682001

SUSAN KIM, D.D.S., P.S. DBA EVERGREEN PEDIATRIC DENTISTRY

Name: SUSAN KIM, D.D.S., P.S. DBA EVERGREEN PEDIATRIC DENTISTRY — EVERGREEN PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN, Form 5500 (2024)
Creator: SUSAN KIM, D.D.S., P.S. DBA EVERGREEN PEDIATRIC DENTISTRY

Form 5500-SF

FILING_RECEIVED

EVERGREEN PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN

401(k) retirement plan

Active participants

Accounts w/ balance

Plan assets (EOY)

$1.5M

Net assets (EOY)

$1.5M

Plan health score (directional)

/ 100

Grade A

Top-tier plan health

Directional indicator computed from public Form 5500 data — compliance, concentration, cost, vendor stack and participation. Not a fiduciary tool.

Compliance & disclosures

100

Concentration risk

Total plan cost

Vendor stack

100

Participation health

Decision-maker contacts

CFO / Head of HR / Benefits Manager — verified email + LinkedIn for SUSAN KIM, D.D.S., P.S. DBA EVERGREEN PEDIATRIC DENTISTRY.

Plan sponsor

Name

SUSAN KIM, D.D.S., P.S. DBA EVERGREEN PEDIATRIC DENTISTRY

EIN

68-0606462

Address

12910 TOTEM LAKE BLVD. NE, STE. 103 · KIRKLAND, WA · 98034

Phone

(425) 814-3196

Industry

Offices of Dentists· Health Care & Social Assistancesee all

Plan administrator

Same as plan sponsor.

Plan characteristics

Plan number

001

Plan year

2024

Plan year begin

2024-01-01

Tax period

2024-12-31

Filed

2025-10-02

Pension benefit codes

2A · Age/service weighted or new comparability

2E · Profit-sharing

2F · ERISA section 404(c)

2G · Total participant-directed accounts

2J · 401(k) feature

2K · 401(m) arrangement

2T · Default investment account (QDIA)

3D · Pre-approved plan (master / prototype / VS)

Service providers (Schedule C)

Small plans don't disclose service providers

Related plans

Similar-size Offices of Dentists plans

SCOTT A. FISHMAN, D.D.S INC.

SCOTT A. FISHMAN, D.D.S INC. 401(K) PROFIT SHARING PLAN

$1.5M · 12 participants

JENSEN ELLEDGE DENTAL

JENSEN ELLEDGE DENTAL 401(K) PLAN

$1.5M · 17 participants

CUNNINGTON FAMILY DENTISTRY

CUNNINGTON FAMILY DENTISTRY 401(K) PLAN

$1.5M · 9 participants

WALKER DENTAL CARE

WALKER DENTAL CARE 401(K) PLAN

$1.5M · 6 participants

PAULA A. HENAO, DDS, PA

PAULA A. HENAO, DDS, PA 401(K) PLAN

$1.5M · 9 participants