401k Plan data: DAVID J. NITTI, M.D., P.A. PROFIT SHARING PLAN plan

DAVID J. NITTI, M.D., P.A. PROFIT SHARING PLAN 401k Plan overview

Plan Name	DAVID J. NITTI, M.D., P.A. PROFIT SHARING PLAN
Plan identification number	002

DAVID J. NITTI, M.D., P.A. PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
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.

401k Sponsoring company profile

DAVID J. NITTI, M.D., P.A. has sponsored the creation of one or more 401k plans.

Company Name: DAVID J. NITTI, M.D., P.A.

Employer identification number (EIN): 222278847

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 J. NITTI, M.D., P.A. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2015-10-01 DAVID J. NITTI, M.D. DAVID J. NITTI, M.D. 2017-07-18
002 2015-10-01 DAVID J. NITTI, M.D. 2017-07-18
002 2014-10-01 DAVID J. NITTI, M.D. DAVID J. NITTI, M.D. 2016-07-13
002 2013-10-01 DAVID J. NITTI, M.D. DAVID J. NITTI, M.D. 2015-07-15
002 2011-10-01 DAVID J. NITTI, M.D. DAVID J. NITTI, M.D. 2013-04-29
002 2010-10-01 DAVID J. NITTI, M.D. DAVID J. NITTI, M.D. 2012-07-03
002 2009-10-01 DAVID J. NITTI, M.D. DAVID J. NITTI, M.D. 2011-07-14

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2015-10-01	DAVID J. NITTI, M.D.	DAVID J. NITTI, M.D.	2017-07-18
002	2015-10-01		DAVID J. NITTI, M.D.	2017-07-18
002	2014-10-01	DAVID J. NITTI, M.D.	DAVID J. NITTI, M.D.	2016-07-13
002	2013-10-01	DAVID J. NITTI, M.D.	DAVID J. NITTI, M.D.	2015-07-15
002	2011-10-01	DAVID J. NITTI, M.D.	DAVID J. NITTI, M.D.	2013-04-29
002	2010-10-01	DAVID J. NITTI, M.D.	DAVID J. NITTI, M.D.	2012-07-03
002	2009-10-01	DAVID J. NITTI, M.D.	DAVID J. NITTI, M.D.	2011-07-14

Plan Statistics for DAVID J. NITTI, M.D., P.A. PROFIT SHARING PLAN

401k plan membership statisitcs for DAVID J. NITTI, M.D., P.A. PROFIT SHARING PLAN

Measure Date Value
2015: DAVID J. NITTI, M.D., P.A. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-10-01 3
Total number of active participants reported on line 7a of the Form 5500 2015-10-01 0
Number of retired or separated participants receiving benefits 2015-10-01 0
Number of other retired or separated participants entitled to future benefits 2015-10-01 0
Total of all active and inactive participants 2015-10-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-10-01 0
Total participants 2015-10-01 0
Number of participants with account balances 2015-10-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-10-01 0
2014: DAVID J. NITTI, M.D., P.A. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-10-01 5
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 0
Number of retired or separated participants receiving benefits 2014-10-01 0
Number of other retired or separated participants entitled to future benefits 2014-10-01 5
Total of all active and inactive participants 2014-10-01 5
Total participants 2014-10-01 5
Number of participants with account balances 2014-10-01 3
2013: DAVID J. NITTI, M.D., P.A. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 6
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 6
Number of retired or separated participants receiving benefits 2013-10-01 0
Number of other retired or separated participants entitled to future benefits 2013-10-01 0
Total of all active and inactive participants 2013-10-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-10-01 0
Total participants 2013-10-01 6
Number of participants with account balances 2013-10-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-10-01 0
2011: DAVID J. NITTI, M.D., P.A. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-10-01 6
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 6
Number of retired or separated participants receiving benefits 2011-10-01 0
Number of other retired or separated participants entitled to future benefits 2011-10-01 0
Total of all active and inactive participants 2011-10-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-10-01 0
Total participants 2011-10-01 6
Number of participants with account balances 2011-10-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-10-01 0
2010: DAVID J. NITTI, M.D., P.A. PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-10-01 6
Total number of active participants reported on line 7a of the Form 5500 2010-10-01 4
Number of retired or separated participants receiving benefits 2010-10-01 0
Number of other retired or separated participants entitled to future benefits 2010-10-01 2
Total of all active and inactive participants 2010-10-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-10-01 0
Total participants 2010-10-01 6
Number of participants with account balances 2010-10-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-10-01 0
2009: DAVID J. NITTI, M.D., P.A. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-10-01 7
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 6
Number of retired or separated participants receiving benefits 2009-10-01 0
Number of other retired or separated participants entitled to future benefits 2009-10-01 0
Total of all active and inactive participants 2009-10-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-10-01 0
Total participants 2009-10-01 6
Number of participants with account balances 2009-10-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-10-01 0

Measure	Date	Value
2015: DAVID J. NITTI, M.D., P.A. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-10-01	3
Total number of active participants reported on line 7a of the Form 5500	2015-10-01	0
Number of retired or separated participants receiving benefits	2015-10-01	0
Number of other retired or separated participants entitled to future benefits	2015-10-01	0
Total of all active and inactive participants	2015-10-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-10-01	0
Total participants	2015-10-01	0
Number of participants with account balances	2015-10-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-10-01	0
2014: DAVID J. NITTI, M.D., P.A. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-10-01	5
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	0
Number of retired or separated participants receiving benefits	2014-10-01	0
Number of other retired or separated participants entitled to future benefits	2014-10-01	5
Total of all active and inactive participants	2014-10-01	5
Total participants	2014-10-01	5
Number of participants with account balances	2014-10-01	3
2013: DAVID J. NITTI, M.D., P.A. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	6
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	6
Number of retired or separated participants receiving benefits	2013-10-01	0
Number of other retired or separated participants entitled to future benefits	2013-10-01	0
Total of all active and inactive participants	2013-10-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-10-01	0
Total participants	2013-10-01	6
Number of participants with account balances	2013-10-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-10-01	0
2011: DAVID J. NITTI, M.D., P.A. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	6
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	6
Number of retired or separated participants receiving benefits	2011-10-01	0
Number of other retired or separated participants entitled to future benefits	2011-10-01	0
Total of all active and inactive participants	2011-10-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-10-01	0
Total participants	2011-10-01	6
Number of participants with account balances	2011-10-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-10-01	0
2010: DAVID J. NITTI, M.D., P.A. PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-10-01	6
Total number of active participants reported on line 7a of the Form 5500	2010-10-01	4
Number of retired or separated participants receiving benefits	2010-10-01	0
Number of other retired or separated participants entitled to future benefits	2010-10-01	2
Total of all active and inactive participants	2010-10-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-10-01	0
Total participants	2010-10-01	6
Number of participants with account balances	2010-10-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-10-01	0
2009: DAVID J. NITTI, M.D., P.A. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-10-01	7
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	6
Number of retired or separated participants receiving benefits	2009-10-01	0
Number of other retired or separated participants entitled to future benefits	2009-10-01	0
Total of all active and inactive participants	2009-10-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-10-01	0
Total participants	2009-10-01	6
Number of participants with account balances	2009-10-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-10-01	0

Financial Data on DAVID J. NITTI, M.D., P.A. PROFIT SHARING PLAN

Measure	Date	Value
2016 : DAVID J. NITTI, M.D., P.A. PROFIT SHARING PLAN 2016 401k financial data
Total plan liabilities at end of year	2016-09-30	$0
Total income from all sources	2016-09-30	$64,288
Expenses. Total of all expenses incurred	2016-09-30	$492,670
Benefits paid (including direct rollovers)	2016-09-30	$492,670
Total plan assets at end of year	2016-09-30	$0
Total plan assets at beginning of year	2016-09-30	$428,382
Total contributions received or receivable from participants	2016-09-30	$0
Expenses. Other expenses not covered elsewhere	2016-09-30	$0
Contributions received from other sources (not participants or employers)	2016-09-30	$0
Other income received	2016-09-30	$64,288
Noncash contributions received	2016-09-30	$0
Net income (gross income less expenses)	2016-09-30	$-428,382
Net plan assets at end of year (total assets less liabilities)	2016-09-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2016-09-30	$428,382
Total contributions received or receivable from employer(s)	2016-09-30	$0
Value of certain deemed distributions of participant loans	2016-09-30	$0
Value of corrective distributions	2016-09-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2016-09-30	$0
2015 : DAVID J. NITTI, M.D., P.A. PROFIT SHARING PLAN 2015 401k financial data
Total plan liabilities at beginning of year	2015-09-30	$0
Total income from all sources	2015-09-30	$49,665
Expenses. Total of all expenses incurred	2015-09-30	$108,924
Benefits paid (including direct rollovers)	2015-09-30	$53,300
Total plan assets at end of year	2015-09-30	$428,383
Total plan assets at beginning of year	2015-09-30	$487,642
Total contributions received or receivable from participants	2015-09-30	$0
Expenses. Other expenses not covered elsewhere	2015-09-30	$55,624
Contributions received from other sources (not participants or employers)	2015-09-30	$10,000
Other income received	2015-09-30	$39,665
Noncash contributions received	2015-09-30	$0
Net income (gross income less expenses)	2015-09-30	$-59,259
Net plan assets at end of year (total assets less liabilities)	2015-09-30	$428,383
Net plan assets at beginning of year (total assets less liabilities)	2015-09-30	$487,642
Assets. Value of participant loans	2015-09-30	$25,752
Total contributions received or receivable from employer(s)	2015-09-30	$0
2014 : DAVID J. NITTI, M.D., P.A. PROFIT SHARING PLAN 2014 401k financial data
Total plan liabilities at end of year	2014-09-30	$0
Total plan liabilities at beginning of year	2014-09-30	$0
Total income from all sources	2014-09-30	$48,703
Expenses. Total of all expenses incurred	2014-09-30	$38,872
Benefits paid (including direct rollovers)	2014-09-30	$38,872
Total plan assets at end of year	2014-09-30	$487,642
Total plan assets at beginning of year	2014-09-30	$477,811
Total contributions received or receivable from participants	2014-09-30	$0
Expenses. Other expenses not covered elsewhere	2014-09-30	$0
Contributions received from other sources (not participants or employers)	2014-09-30	$0
Other income received	2014-09-30	$48,703
Noncash contributions received	2014-09-30	$0
Net income (gross income less expenses)	2014-09-30	$9,831
Net plan assets at end of year (total assets less liabilities)	2014-09-30	$487,642
Net plan assets at beginning of year (total assets less liabilities)	2014-09-30	$477,811
Assets. Value of participant loans	2014-09-30	$35,752
Total contributions received or receivable from employer(s)	2014-09-30	$0
Value of certain deemed distributions of participant loans	2014-09-30	$0
Value of corrective distributions	2014-09-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-09-30	$0
2012 : DAVID J. NITTI, M.D., P.A. PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at end of year	2012-09-30	$0
Total plan liabilities at beginning of year	2012-09-30	$0
Total income from all sources	2012-09-30	$71,574
Expenses. Total of all expenses incurred	2012-09-30	$0
Total plan assets at end of year	2012-09-30	$410,426
Total plan assets at beginning of year	2012-09-30	$338,852
Other income received	2012-09-30	$71,574
Net income (gross income less expenses)	2012-09-30	$71,574
Net plan assets at end of year (total assets less liabilities)	2012-09-30	$410,426
Net plan assets at beginning of year (total assets less liabilities)	2012-09-30	$338,852
Assets. Value of participant loans	2012-09-30	$45,752
2011 : DAVID J. NITTI, M.D., P.A. PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-09-30	$2,332
Expenses. Total of all expenses incurred	2011-09-30	$16,937
Benefits paid (including direct rollovers)	2011-09-30	$4,151
Total plan assets at end of year	2011-09-30	$338,852
Total plan assets at beginning of year	2011-09-30	$353,457
Total contributions received or receivable from participants	2011-09-30	$0
Expenses. Other expenses not covered elsewhere	2011-09-30	$12,786
Contributions received from other sources (not participants or employers)	2011-09-30	$0
Other income received	2011-09-30	$2,332
Net income (gross income less expenses)	2011-09-30	$-14,605
Net plan assets at end of year (total assets less liabilities)	2011-09-30	$338,852
Net plan assets at beginning of year (total assets less liabilities)	2011-09-30	$353,457
Assets. Value of participant loans	2011-09-30	$43,696
Total contributions received or receivable from employer(s)	2011-09-30	$0

Form 5500 Responses for DAVID J. NITTI, M.D., P.A. PROFIT SHARING PLAN

2015: DAVID J. NITTI, M.D., P.A. PROFIT SHARING PLAN 2015 form 5500 responses
2015-10-01	Type of plan entity	Single employer plan
2015-10-01	Submission has been amended	No
2015-10-01	This submission is the final filing	Yes
2015-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-10-01	Plan is a collectively bargained plan	No
2015-10-01	Plan funding arrangement – Trust	Yes
2015-10-01	Plan benefit arrangement - Trust	Yes
2014: DAVID J. NITTI, M.D., P.A. PROFIT SHARING PLAN 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	Submission has been amended	No
2014-10-01	This submission is the final filing	No
2014-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-10-01	Plan is a collectively bargained plan	No
2014-10-01	Plan funding arrangement – Trust	Yes
2014-10-01	Plan benefit arrangement - Trust	Yes
2013: DAVID J. NITTI, M.D., P.A. PROFIT SHARING PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Submission has been amended	No
2013-10-01	This submission is the final filing	No
2013-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-10-01	Plan is a collectively bargained plan	No
2013-10-01	Plan funding arrangement – Trust	Yes
2013-10-01	Plan benefit arrangement - Trust	Yes
2011: DAVID J. NITTI, M.D., P.A. PROFIT SHARING PLAN 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Submission has been amended	No
2011-10-01	This submission is the final filing	No
2011-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-10-01	Plan is a collectively bargained plan	No
2011-10-01	Plan funding arrangement – Trust	Yes
2011-10-01	Plan benefit arrangement - Trust	Yes
2010: DAVID J. NITTI, M.D., P.A. PROFIT SHARING PLAN 2010 form 5500 responses
2010-10-01	Type of plan entity	Single employer plan
2010-10-01	Submission has been amended	Yes
2010-10-01	This submission is the final filing	No
2010-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-10-01	Plan is a collectively bargained plan	No
2010-10-01	Plan funding arrangement – Trust	Yes
2010-10-01	Plan benefit arrangement - Trust	Yes
2009: DAVID J. NITTI, M.D., P.A. PROFIT SHARING PLAN 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	Submission has been amended	No
2009-10-01	This submission is the final filing	No
2009-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-10-01	Plan is a collectively bargained plan	No
2009-10-01	Plan funding arrangement – Trust	Yes
2009-10-01	Plan benefit arrangement - Trust	Yes

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Company Name:	DAVID J. NITTI, M.D., P.A.
Employer identification number (EIN):	222278847
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)