401k Plan data: JOHN CANZANO DMD SELF-EMPLOYED PROFIT SHARING FBO PLAN FBO plan

JOHN CANZANO DMD SELF-EMPLOYED PROFIT SHARING FBO PLAN FBO 401k Plan overview

Plan Name	JOHN CANZANO DMD SELF-EMPLOYED PROFIT SHARING FBO PLAN FBO
Plan identification number	001

JOHN CANZANO DMD SELF-EMPLOYED PROFIT SHARING FBO PLAN FBO Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing Plan covering Self-Employed individuals. 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

JOHN W CANZANO DMD has sponsored the creation of one or more 401k plans.

Company Name: JOHN W CANZANO DMD

Employer identification number (EIN): 231698515

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JOHN CANZANO DMD SELF-EMPLOYED PROFIT SHARING FBO PLAN FBO

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2012-01-01 GARY YANKAWITZ
001 2011-01-01 GARY YANKAWITZ
001 2010-01-01 GARY YANKAWITZ
001 2009-01-01 GARY YANKAWITZ
001 2008-01-01 GARY YANKAWITZ

Plan id#	Filing Submission Date	Name of Administrator
001	2012-01-01	GARY YANKAWITZ
001	2011-01-01	GARY YANKAWITZ
001	2010-01-01	GARY YANKAWITZ
001	2009-01-01	GARY YANKAWITZ
001	2008-01-01	GARY YANKAWITZ

Plan Statistics for JOHN CANZANO DMD SELF-EMPLOYED PROFIT SHARING FBO PLAN FBO

401k plan membership statisitcs for JOHN CANZANO DMD SELF-EMPLOYED PROFIT SHARING FBO PLAN FBO

Measure Date Value
2012: JOHN CANZANO DMD SELF-EMPLOYED PROFIT SHARING FBO PLAN FBO 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 0
Number of retired or separated participants receiving benefits 2012-01-01 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 0
Number of participants with account balances 2012-01-01 0
2011: JOHN CANZANO DMD SELF-EMPLOYED PROFIT SHARING FBO PLAN FBO 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
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
2010: JOHN CANZANO DMD SELF-EMPLOYED PROFIT SHARING FBO PLAN FBO 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
2009: JOHN CANZANO DMD SELF-EMPLOYED PROFIT SHARING FBO PLAN FBO 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
2008: JOHN CANZANO DMD SELF-EMPLOYED PROFIT SHARING FBO PLAN FBO 2008 401k membership
Total participants, beginning-of-year 2008-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2008-01-01 2
Number of retired or separated participants receiving benefits 2008-01-01 0
Number of other retired or separated participants entitled to future benefits 2008-01-01 0
Total of all active and inactive participants 2008-01-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2008-01-01 0
Total participants 2008-01-01 2
Number of participants with account balances 2008-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2008-01-01 0

Measure	Date	Value
2012: JOHN CANZANO DMD SELF-EMPLOYED PROFIT SHARING FBO PLAN FBO 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	0
Number of retired or separated participants receiving benefits	2012-01-01	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	0
Number of participants with account balances	2012-01-01	0
2011: JOHN CANZANO DMD SELF-EMPLOYED PROFIT SHARING FBO PLAN FBO 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
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
2010: JOHN CANZANO DMD SELF-EMPLOYED PROFIT SHARING FBO PLAN FBO 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
2009: JOHN CANZANO DMD SELF-EMPLOYED PROFIT SHARING FBO PLAN FBO 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
2008: JOHN CANZANO DMD SELF-EMPLOYED PROFIT SHARING FBO PLAN FBO 2008 401k membership
Total participants, beginning-of-year	2008-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2008-01-01	2
Number of retired or separated participants receiving benefits	2008-01-01	0
Number of other retired or separated participants entitled to future benefits	2008-01-01	0
Total of all active and inactive participants	2008-01-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2008-01-01	0
Total participants	2008-01-01	2
Number of participants with account balances	2008-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2008-01-01	0

Financial Data on JOHN CANZANO DMD SELF-EMPLOYED PROFIT SHARING FBO PLAN FBO

Measure	Date	Value
2012 : JOHN CANZANO DMD SELF-EMPLOYED PROFIT SHARING FBO PLAN FBO 2012 401k financial data
Expenses. Total of all expenses incurred	2012-12-31	$277,263
Benefits paid (including direct rollovers)	2012-12-31	$277,263
Total plan assets at end of year	2012-12-31	$0
Total plan assets at beginning of year	2012-12-31	$277,263
Value of fidelity bond covering the plan	2012-12-31	$100,000
Net income (gross income less expenses)	2012-12-31	$-277,263
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$277,263
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2012-12-31	$0
Minimum employer required contribution for this plan year	2012-12-31	$0
Amount contributed by the employer to the plan for this plan year	2012-12-31	$0
2011 : JOHN CANZANO DMD SELF-EMPLOYED PROFIT SHARING FBO PLAN FBO 2011 401k financial data
Total income from all sources	2011-12-31	$-86,276
Expenses. Total of all expenses incurred	2011-12-31	$8,900
Benefits paid (including direct rollovers)	2011-12-31	$8,900
Total plan assets at end of year	2011-12-31	$277,263
Total plan assets at beginning of year	2011-12-31	$372,439
Value of fidelity bond covering the plan	2011-12-31	$100,000
Other income received	2011-12-31	$-113,387
Net income (gross income less expenses)	2011-12-31	$-95,176
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$277,263
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$372,439
Total contributions received or receivable from employer(s)	2011-12-31	$27,111
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2011-12-31	$0
Minimum employer required contribution for this plan year	2011-12-31	$0
Amount contributed by the employer to the plan for this plan year	2011-12-31	$0
2010 : JOHN CANZANO DMD SELF-EMPLOYED PROFIT SHARING FBO PLAN FBO 2010 401k financial data
Total income from all sources	2010-12-31	$-153,396
Expenses. Total of all expenses incurred	2010-12-31	$8,000
Benefits paid (including direct rollovers)	2010-12-31	$8,000
Total plan assets at end of year	2010-12-31	$372,439
Total plan assets at beginning of year	2010-12-31	$533,835
Value of fidelity bond covering the plan	2010-12-31	$100,000
Other income received	2010-12-31	$-170,681
Net income (gross income less expenses)	2010-12-31	$-161,396
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$372,439
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$533,835
Total contributions received or receivable from employer(s)	2010-12-31	$17,285
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2010-12-31	$0
Minimum employer required contribution for this plan year	2010-12-31	$0
Amount contributed by the employer to the plan for this plan year	2010-12-31	$0
2009 : JOHN CANZANO DMD SELF-EMPLOYED PROFIT SHARING FBO PLAN FBO 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2009-12-31	$0
Minimum employer required contribution for this plan year	2009-12-31	$0
Amount contributed by the employer to the plan for this plan year	2009-12-31	$0
2008 : JOHN CANZANO DMD SELF-EMPLOYED PROFIT SHARING FBO PLAN FBO 2008 401k financial data
Total income from all sources	2008-12-31	$-95,862
Expenses. Total of all expenses incurred	2008-12-31	$13,000
Benefits paid (including direct rollovers)	2008-12-31	$13,000
Total plan assets at end of year	2008-12-31	$636,304
Total plan assets at beginning of year	2008-12-31	$745,165
Value of fidelity bond covering the plan	2008-12-31	$100,000
Total contributions received or receivable from participants	2008-12-31	$28,396
Other income received	2008-12-31	$-124,258
Net income (gross income less expenses)	2008-12-31	$-108,862
Net plan assets at end of year (total assets less liabilities)	2008-12-31	$636,304
Net plan assets at beginning of year (total assets less liabilities)	2008-12-31	$745,165
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2008-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2008-12-31	$0
Minimum employer required contribution for this plan year	2008-12-31	$0
Amount contributed by the employer to the plan for this plan year	2008-12-31	$0

Form 5500 Responses for JOHN CANZANO DMD SELF-EMPLOYED PROFIT SHARING FBO PLAN FBO

2012: JOHN CANZANO DMD SELF-EMPLOYED PROFIT SHARING FBO PLAN FBO 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	Yes
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 CANZANO DMD SELF-EMPLOYED PROFIT SHARING FBO PLAN FBO 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 CANZANO DMD SELF-EMPLOYED PROFIT SHARING FBO PLAN FBO 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 CANZANO DMD SELF-EMPLOYED PROFIT SHARING FBO PLAN FBO 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
2008: JOHN CANZANO DMD SELF-EMPLOYED PROFIT SHARING FBO PLAN FBO 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Submission has been amended	No
2008-01-01	This submission is the final filing	No
2008-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-01-01	Plan is a collectively bargained plan	No
2008-01-01	Plan funding arrangement – Trust	Yes
2008-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	JOHN W CANZANO DMD
Employer identification number (EIN):	231698515
NAIC Classification:	621210
NAIC Description:	Offices of Dentists