401k Plan data: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN plan

RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 401k Plan overview

Plan Name	RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN
Plan identification number	001

RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Money purchase (other than target benefit)
Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Plan covering Self-Employed individuals.
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.
Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.

401k Sponsoring company profile

RICHARD L MOUSSALLI, DDS, PLLC has sponsored the creation of one or more 401k plans.

Company Name: RICHARD L MOUSSALLI, DDS, PLLC

Employer identification number (EIN): 204253965

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2023-01-01
001 2022-01-01
001 2021-01-01
001 2021-01-01 RICHARD L MOUSSALLI 2023-10-04
001 2020-01-01
001 2019-01-01
001 2018-01-01 RICHARD L MOUSSALLI RICHARD L MOUSSALLI 2019-07-10
001 2017-01-01 RICHARD L MOUSSALLI RICHARD L MOUSSALLI 2018-07-31
001 2016-01-01 RICHARD L MOUSSALLI RICHARD L MOUSSALLI 2017-04-01
001 2015-01-01 RICHARD L MOUSSALLI RICHARD L MOUSSALLI 2016-09-08
001 2014-01-01 RICHARD L MOUSSALLI RICHARD L MOUSSALLI 2015-09-02
001 2013-01-01 RICHARD L. MOUSSALLI RICHARD L. MOUSSALLI 2014-04-08
001 2012-01-01 RICHARD L. MOUSSALLI RICHARD L. MOUSSALLI 2013-04-13
001 2011-01-01 RICHARD L. MOUSSALLI RICHARD L. MOUSSALLI 2012-07-23
001 2009-01-01 RICHARD L. MOUSSALLI RICHARD L. MOUSSALLI 2010-10-15

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2023-01-01
001	2022-01-01
001	2021-01-01
001	2021-01-01	RICHARD L MOUSSALLI	2023-10-04
001	2020-01-01
001	2019-01-01
001	2018-01-01	RICHARD L MOUSSALLI		RICHARD L MOUSSALLI	2019-07-10
001	2017-01-01	RICHARD L MOUSSALLI		RICHARD L MOUSSALLI	2018-07-31
001	2016-01-01	RICHARD L MOUSSALLI		RICHARD L MOUSSALLI	2017-04-01
001	2015-01-01	RICHARD L MOUSSALLI		RICHARD L MOUSSALLI	2016-09-08
001	2014-01-01	RICHARD L MOUSSALLI		RICHARD L MOUSSALLI	2015-09-02
001	2013-01-01	RICHARD L. MOUSSALLI		RICHARD L. MOUSSALLI	2014-04-08
001	2012-01-01	RICHARD L. MOUSSALLI		RICHARD L. MOUSSALLI	2013-04-13
001	2011-01-01	RICHARD L. MOUSSALLI		RICHARD L. MOUSSALLI	2012-07-23
001	2009-01-01	RICHARD L. MOUSSALLI		RICHARD L. MOUSSALLI	2010-10-15

Plan Statistics for RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN

401k plan membership statisitcs for RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN

Measure Date Value
2021: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 6
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 1
Total of all active and inactive participants 2021-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 7
Number of participants with account balances 2021-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 6
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 1
Total of all active and inactive participants 2020-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 7
Number of participants with account balances 2020-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 1
2019: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 7
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 1
Total of all active and inactive participants 2019-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 8
Number of participants with account balances 2019-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 1
2018: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 7
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 1
Total of all active and inactive participants 2018-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 8
Number of participants with account balances 2018-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 8
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 8
Number of participants with account balances 2017-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 6
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 2
Total of all active and inactive participants 2016-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 8
Number of participants with account balances 2016-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 1
2015: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 5
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 5
Number of participants with account balances 2015-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 7
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 7
Number of participants with account balances 2014-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 4
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 4
Number of participants with account balances 2013-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 1
2012: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 5
Number of retired or separated participants receiving benefits 2012-01-01 3
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 8
Number of participants with account balances 2012-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 7
Number of retired or separated participants receiving benefits 2011-01-01 2
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 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 9
Number of participants with account balances 2011-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 9
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 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 9
Number of participants with account balances 2009-01-01 9

Measure	Date	Value
2021: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	6
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	1
Total of all active and inactive participants	2021-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	7
Number of participants with account balances	2021-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	6
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	1
Total of all active and inactive participants	2020-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	7
Number of participants with account balances	2020-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	1
2019: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	7
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	1
Total of all active and inactive participants	2019-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	8
Number of participants with account balances	2019-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	1
2018: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	7
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	1
Total of all active and inactive participants	2018-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	8
Number of participants with account balances	2018-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	8
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	8
Number of participants with account balances	2017-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	6
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	2
Total of all active and inactive participants	2016-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	8
Number of participants with account balances	2016-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	1
2015: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	5
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	5
Number of participants with account balances	2015-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	7
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	7
Number of participants with account balances	2014-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	4
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	4
Number of participants with account balances	2013-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	1
2012: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	5
Number of retired or separated participants receiving benefits	2012-01-01	3
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	8
Number of participants with account balances	2012-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	7
Number of retired or separated participants receiving benefits	2011-01-01	2
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	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	9
Number of participants with account balances	2011-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	9
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	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	9
Number of participants with account balances	2009-01-01	9

Financial Data on RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN

Measure	Date	Value
2021 : RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2021 401k financial data
Total income from all sources	2021-12-31	$131,191
Expenses. Total of all expenses incurred	2021-12-31	$2,745
Benefits paid (including direct rollovers)	2021-12-31	$837,000
Total plan assets at end of year	2021-12-31	$1,369,327
Total plan assets at beginning of year	2021-12-31	$1,240,881
Value of fidelity bond covering the plan	2021-12-31	$100,000
Total contributions received or receivable from participants	2021-12-31	$52,000
Other income received	2021-12-31	$49,080
Net income (gross income less expenses)	2021-12-31	$128,446
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$1,369,327
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$1,240,881
Total contributions received or receivable from employer(s)	2021-12-31	$30,111
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$2,745
2020 : RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2020 401k financial data
Total income from all sources	2020-12-31	$128,384
Expenses. Total of all expenses incurred	2020-12-31	$41,466
Benefits paid (including direct rollovers)	2020-12-31	$31,352
Total plan assets at end of year	2020-12-31	$1,240,881
Total plan assets at beginning of year	2020-12-31	$1,153,963
Value of fidelity bond covering the plan	2020-12-31	$100,000
Total contributions received or receivable from participants	2020-12-31	$26,000
Expenses. Other expenses not covered elsewhere	2020-12-31	$900
Other income received	2020-12-31	$57,343
Net income (gross income less expenses)	2020-12-31	$86,918
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$1,240,881
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$1,153,963
Total contributions received or receivable from employer(s)	2020-12-31	$45,041
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$9,214
2019 : RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2019 401k financial data
Transfers to/from the plan	2019-12-31	$-7,840
Total income from all sources	2019-12-31	$198,296
Expenses. Total of all expenses incurred	2019-12-31	$13,619
Benefits paid (including direct rollovers)	2019-12-31	$5,227
Total plan assets at end of year	2019-12-31	$1,153,963
Total plan assets at beginning of year	2019-12-31	$977,126
Value of fidelity bond covering the plan	2019-12-31	$100,000
Total contributions received or receivable from participants	2019-12-31	$53,000
Expenses. Other expenses not covered elsewhere	2019-12-31	$155
Other income received	2019-12-31	$131,726
Net income (gross income less expenses)	2019-12-31	$184,677
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$1,153,963
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$977,126
Total contributions received or receivable from employer(s)	2019-12-31	$13,570
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$8,237
2018 : RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$7,261
Expenses. Total of all expenses incurred	2018-12-31	$7,871
Total plan assets at end of year	2018-12-31	$977,126
Total plan assets at beginning of year	2018-12-31	$977,736
Value of fidelity bond covering the plan	2018-12-31	$100,000
Total contributions received or receivable from participants	2018-12-31	$52,000
Expenses. Other expenses not covered elsewhere	2018-12-31	$10
Other income received	2018-12-31	$-63,158
Net income (gross income less expenses)	2018-12-31	$-610
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$977,126
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$977,736
Total contributions received or receivable from employer(s)	2018-12-31	$18,419
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$7,861
2017 : RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$193,294
Expenses. Total of all expenses incurred	2017-12-31	$64,324
Benefits paid (including direct rollovers)	2017-12-31	$61,097
Total plan assets at end of year	2017-12-31	$977,736
Total plan assets at beginning of year	2017-12-31	$848,766
Value of fidelity bond covering the plan	2017-12-31	$100,000
Total contributions received or receivable from participants	2017-12-31	$51,000
Expenses. Other expenses not covered elsewhere	2017-12-31	$1,010
Other income received	2017-12-31	$123,680
Net income (gross income less expenses)	2017-12-31	$128,970
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$977,736
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$848,766
Total contributions received or receivable from employer(s)	2017-12-31	$18,614
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$2,217
2016 : RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$126,284
Expenses. Total of all expenses incurred	2016-12-31	$6,261
Total plan assets at end of year	2016-12-31	$848,766
Total plan assets at beginning of year	2016-12-31	$728,743
Value of fidelity bond covering the plan	2016-12-31	$100,000
Total contributions received or receivable from participants	2016-12-31	$50,500
Expenses. Other expenses not covered elsewhere	2016-12-31	$15
Other income received	2016-12-31	$59,732
Net income (gross income less expenses)	2016-12-31	$120,023
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$848,766
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$728,743
Total contributions received or receivable from employer(s)	2016-12-31	$16,052
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$6,246
2015 : RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$-707
Expenses. Total of all expenses incurred	2015-12-31	$7,008
Total plan assets at end of year	2015-12-31	$728,743
Total plan assets at beginning of year	2015-12-31	$736,458
Value of fidelity bond covering the plan	2015-12-31	$100,000
Total contributions received or receivable from participants	2015-12-31	$50,500
Expenses. Other expenses not covered elsewhere	2015-12-31	$20
Other income received	2015-12-31	$-59,475
Net income (gross income less expenses)	2015-12-31	$-7,715
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$728,743
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$736,458
Total contributions received or receivable from employer(s)	2015-12-31	$8,268
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$6,988
2014 : RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$75,302
Expenses. Total of all expenses incurred	2014-12-31	$5,759
Total plan assets at end of year	2014-12-31	$736,458
Total plan assets at beginning of year	2014-12-31	$666,915
Value of fidelity bond covering the plan	2014-12-31	$100,000
Total contributions received or receivable from participants	2014-12-31	$49,000
Expenses. Other expenses not covered elsewhere	2014-12-31	$15
Other income received	2014-12-31	$13,350
Net income (gross income less expenses)	2014-12-31	$69,543
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$736,458
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$666,915
Total contributions received or receivable from employer(s)	2014-12-31	$12,952
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$5,744
2013 : RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$152,402
Expenses. Total of all expenses incurred	2013-12-31	$9,781
Benefits paid (including direct rollovers)	2013-12-31	$5,000
Total plan assets at end of year	2013-12-31	$666,915
Total plan assets at beginning of year	2013-12-31	$524,294
Value of fidelity bond covering the plan	2013-12-31	$100,000
Total contributions received or receivable from participants	2013-12-31	$48,500
Other income received	2013-12-31	$98,071
Net income (gross income less expenses)	2013-12-31	$142,621
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$666,915
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$524,294
Total contributions received or receivable from employer(s)	2013-12-31	$5,831
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$4,781
2012 : RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$39,567
Expenses. Total of all expenses incurred	2012-12-31	$55,568
Benefits paid (including direct rollovers)	2012-12-31	$51,243
Total plan assets at end of year	2012-12-31	$524,294
Total plan assets at beginning of year	2012-12-31	$540,295
Value of fidelity bond covering the plan	2012-12-31	$100,000
Total contributions received or receivable from participants	2012-12-31	$47,500
Other income received	2012-12-31	$-16,742
Net income (gross income less expenses)	2012-12-31	$-16,001
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$524,294
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$540,295
Total contributions received or receivable from employer(s)	2012-12-31	$8,809
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$4,325
2011 : RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$-4,572
Expenses. Total of all expenses incurred	2011-12-31	$37,635
Benefits paid (including direct rollovers)	2011-12-31	$34,133
Total plan assets at end of year	2011-12-31	$540,295
Total plan assets at beginning of year	2011-12-31	$582,502
Value of fidelity bond covering the plan	2011-12-31	$100,000
Total contributions received or receivable from participants	2011-12-31	$46,500
Other income received	2011-12-31	$-61,945
Net income (gross income less expenses)	2011-12-31	$-42,207
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$540,295
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$582,502
Total contributions received or receivable from employer(s)	2011-12-31	$10,873
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$3,502
2010 : RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$42,889
Expenses. Total of all expenses incurred	2010-12-31	$30
Total plan assets at end of year	2010-12-31	$582,502
Total plan assets at beginning of year	2010-12-31	$539,643
Value of fidelity bond covering the plan	2010-12-31	$100,000
Total contributions received or receivable from participants	2010-12-31	$46,500
Expenses. Other expenses not covered elsewhere	2010-12-31	$30
Other income received	2010-12-31	$-16,256
Net income (gross income less expenses)	2010-12-31	$42,859
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$582,502
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$539,643
Assets. Value of assets in partnership/joint-venture interests	2010-12-31	$55,431
Total contributions received or receivable from employer(s)	2010-12-31	$12,645
2009 : RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2009 401k financial data
Minimum employer required contribution for this plan year	2009-12-31	$15,583
Amount contributed by the employer to the plan for this plan year	2009-12-31	$15,583

Form 5500 Responses for RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN

2021: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	Yes
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: RICHARD L. MOUSSALLI, DDS, PLLC 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	RICHARD L MOUSSALLI, DDS, PLLC
Employer identification number (EIN):	204253965
NAIC Classification:	621210
NAIC Description:	Offices of Dentists