401k Plan data: DAVID WEISSBERG, MD PC PENSION PLAN plan

DAVID WEISSBERG, MD PC PENSION PLAN 401k Plan overview

Plan Name	DAVID WEISSBERG, MD PC PENSION PLAN
Plan identification number	002

DAVID WEISSBERG, MD PC PENSION PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily pay related
Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Life insurance

401k Sponsoring company profile

DAVID WEISSBERG, MD PC has sponsored the creation of one or more 401k plans.

Company Name: DAVID WEISSBERG, MD PC

Employer identification number (EIN): 113452011

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DAVID WEISSBERG, MD PC PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2013-01-01 DAVID WEISSBERG MD 2014-03-12
002 2012-01-01 DAVID WEISSBERG MD 2013-06-06
002 2011-01-01 DAVID WEISSBERG MD 2012-10-15
002 2010-01-01 DAVID J. WEISSBERG DAVID J. WEISSBERG 2011-09-27
002 2009-01-01 DAVID J. WEISSBERG DAVID J. WEISSBERG 2010-10-08

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2013-01-01	DAVID WEISSBERG MD	2014-03-12
002	2012-01-01	DAVID WEISSBERG MD	2013-06-06
002	2011-01-01	DAVID WEISSBERG MD	2012-10-15
002	2010-01-01	DAVID J. WEISSBERG		DAVID J. WEISSBERG	2011-09-27
002	2009-01-01	DAVID J. WEISSBERG		DAVID J. WEISSBERG	2010-10-08

Plan Statistics for DAVID WEISSBERG, MD PC PENSION PLAN

401k plan membership statisitcs for DAVID WEISSBERG, MD PC PENSION PLAN

Measure Date Value
2010: DAVID WEISSBERG, MD PC PENSION PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 4
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: DAVID WEISSBERG, MD PC PENSION PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 4
Total of all active and inactive participants 2009-01-01 4
Total participants 2009-01-01 4

Measure	Date	Value
2010: DAVID WEISSBERG, MD PC PENSION PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	4
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: DAVID WEISSBERG, MD PC PENSION PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	4
Total of all active and inactive participants	2009-01-01	4
Total participants	2009-01-01	4

Form 5500 Responses for DAVID WEISSBERG, MD PC PENSION PLAN

2010: DAVID WEISSBERG, MD PC PENSION PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Section 412(e)(3) insurance Contracts	Yes
2010-01-01	Plan benefit arrangement – Section 412(e)(3) insurance Contracts	Yes
2009: DAVID WEISSBERG, MD PC PENSION PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Section 412(e)(3) insurance Contracts	Yes
2009-01-01	Plan benefit arrangement – Section 412(e)(3) insurance Contracts	Yes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

21056026, ETC

Policy instance

Insurance contract or identification number	21056026, ETC
Number of Individuals Covered	2
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Insurance broker name	MICHAEL F. GRECO

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

Policy instance

Number of Individuals Covered	3
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Insurance broker organization code?	3
Insurance broker name	MICHAEL GRECO

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Company Name:	DAVID WEISSBERG, MD PC
Employer identification number (EIN):	113452011
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)