401k Plan data: JOHN WISNIEWICZ DDS SSB KEOUGH PS CUSTODIAN plan

JOHN WISNIEWICZ DDS SSB KEOUGH PS CUSTODIAN 401k Plan overview

Plan Name	JOHN WISNIEWICZ DDS SSB KEOUGH PS CUSTODIAN
Plan identification number	001

JOHN WISNIEWICZ DDS SSB KEOUGH PS CUSTODIAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.

401k Sponsoring company profile

JOHN WISNIEWICZ DDS has sponsored the creation of one or more 401k plans.

Company Name: JOHN WISNIEWICZ DDS

Employer identification number (EIN): 161175354

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JOHN WISNIEWICZ DDS SSB KEOUGH PS CUSTODIAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 VINCENT GILROY 2016-06-21 VINCENT GILROY 2016-06-21
001 2014-01-01 VINCENT GILROY 2015-07-20
001 2013-01-01 VINCENT GILROY 2014-07-29
001 2012-01-01 VINCENT GILROY
001 2011-01-01 VINCENT GILROY
001 2010-01-01 VINCENT GILROY
001 2009-01-01 VINCENT GILROY

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2015-01-01	VINCENT GILROY	2016-06-21	VINCENT GILROY	2016-06-21
001	2014-01-01	VINCENT GILROY	2015-07-20
001	2013-01-01	VINCENT GILROY	2014-07-29
001	2012-01-01	VINCENT GILROY
001	2011-01-01	VINCENT GILROY
001	2010-01-01	VINCENT GILROY
001	2009-01-01	VINCENT GILROY

Plan Statistics for JOHN WISNIEWICZ DDS SSB KEOUGH PS CUSTODIAN

401k plan membership statisitcs for JOHN WISNIEWICZ DDS SSB KEOUGH PS CUSTODIAN

Measure Date Value
2012: JOHN WISNIEWICZ DDS SSB KEOUGH PS CUSTODIAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 2
Total of all active and inactive participants 2012-01-01 2
Total participants 2012-01-01 2
Number of participants with account balances 2012-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: JOHN WISNIEWICZ DDS SSB KEOUGH PS CUSTODIAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 2
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 2
Total participants 2011-01-01 2
Number of participants with account balances 2011-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: JOHN WISNIEWICZ DDS SSB KEOUGH PS CUSTODIAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 2
Total of all active and inactive participants 2010-01-01 2
Total participants 2010-01-01 2
Number of participants with account balances 2010-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: JOHN WISNIEWICZ DDS SSB KEOUGH PS CUSTODIAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 2
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 2
Number of participants with account balances 2009-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2012: JOHN WISNIEWICZ DDS SSB KEOUGH PS CUSTODIAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	2
Total of all active and inactive participants	2012-01-01	2
Total participants	2012-01-01	2
Number of participants with account balances	2012-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: JOHN WISNIEWICZ DDS SSB KEOUGH PS CUSTODIAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	2
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	2
Total participants	2011-01-01	2
Number of participants with account balances	2011-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: JOHN WISNIEWICZ DDS SSB KEOUGH PS CUSTODIAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	2
Total of all active and inactive participants	2010-01-01	2
Total participants	2010-01-01	2
Number of participants with account balances	2010-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: JOHN WISNIEWICZ DDS SSB KEOUGH PS CUSTODIAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	2
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	2
Number of participants with account balances	2009-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on JOHN WISNIEWICZ DDS SSB KEOUGH PS CUSTODIAN

Measure	Date	Value
2012 : JOHN WISNIEWICZ DDS SSB KEOUGH PS CUSTODIAN 2012 401k financial data
Total income from all sources	2012-12-31	$34,687
Expenses. Total of all expenses incurred	2012-12-31	$1,569
Total plan assets at end of year	2012-12-31	$463,406
Total plan assets at beginning of year	2012-12-31	$430,288
Other income received	2012-12-31	$24,071
Net income (gross income less expenses)	2012-12-31	$33,118
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$463,406
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$430,288
Total contributions received or receivable from employer(s)	2012-12-31	$10,616
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$1,569
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : JOHN WISNIEWICZ DDS SSB KEOUGH PS CUSTODIAN 2011 401k financial data
Total income from all sources	2011-12-31	$18,149
Expenses. Total of all expenses incurred	2011-12-31	$2,498
Total plan assets at end of year	2011-12-31	$430,288
Total plan assets at beginning of year	2011-12-31	$414,637
Other income received	2011-12-31	$7,073
Net income (gross income less expenses)	2011-12-31	$15,651
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$430,288
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$414,637
Total contributions received or receivable from employer(s)	2011-12-31	$11,076
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$2,498
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : JOHN WISNIEWICZ DDS SSB KEOUGH PS CUSTODIAN 2010 401k financial data
Total income from all sources	2010-12-31	$34,322
Expenses. Total of all expenses incurred	2010-12-31	$3,870
Total plan assets at end of year	2010-12-31	$414,637
Total plan assets at beginning of year	2010-12-31	$384,185
Other income received	2010-12-31	$20,920
Net income (gross income less expenses)	2010-12-31	$30,452
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$414,637
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$384,185
Total contributions received or receivable from employer(s)	2010-12-31	$13,402
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$3,870

Form 5500 Responses for JOHN WISNIEWICZ DDS SSB KEOUGH PS CUSTODIAN

2012: JOHN WISNIEWICZ DDS SSB KEOUGH PS CUSTODIAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: JOHN WISNIEWICZ DDS SSB KEOUGH PS CUSTODIAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: JOHN WISNIEWICZ DDS SSB KEOUGH PS CUSTODIAN 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 – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: JOHN WISNIEWICZ DDS SSB KEOUGH PS CUSTODIAN 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 – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	JOHN WISNIEWICZ DDS
Employer identification number (EIN):	161175354
NAIC Classification:	621210
NAIC Description:	Offices of Dentists