401k Plan data: KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN plan

KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN 401k Plan overview

Plan Name	KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN
Plan identification number	002

KENNETH B. SKOLNICK M D , P C PROFIT SHARING 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).
Profit-sharing

401k Sponsoring company profile

KENNETH B. SKOLNICK has sponsored the creation of one or more 401k plans.

Company Name: KENNETH B. SKOLNICK

Employer identification number (EIN): 251403143

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2017-10-01 KENNETH B. SKOLNICK M.D. 2019-06-10
002 2016-10-01
002 2015-10-01
002 2014-10-01
002 2013-10-01
002 2012-10-01 KENNETH B. SKOLNICK
002 2011-10-01 KENNETH B. SKOLNICK M.D.
002 2010-10-01 KENNETH B. SKOLNICK M.D.
002 2009-10-01 KENNETH B. SKOLNICK M.D.

Plan Statistics for KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN

401k plan membership statisitcs for KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN

Measure Date Value
2017: KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-10-01 4
Total number of active participants reported on line 7a of the Form 5500 2017-10-01 0
Total of all active and inactive participants 2017-10-01 0
Total participants 2017-10-01 0
Number of participants with account balances 2017-10-01 0
2016: KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-10-01 4
Total number of active participants reported on line 7a of the Form 5500 2016-10-01 4
Total of all active and inactive participants 2016-10-01 4
Total participants 2016-10-01 4
Number of participants with account balances 2016-10-01 4
2015: KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-10-01 4
Total number of active participants reported on line 7a of the Form 5500 2015-10-01 4
Total of all active and inactive participants 2015-10-01 4
Total participants 2015-10-01 4
Number of participants with account balances 2015-10-01 4
2014: KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-10-01 4
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 4
Total of all active and inactive participants 2014-10-01 4
Total participants 2014-10-01 4
Number of participants with account balances 2014-10-01 4
2013: KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 4
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 4
Total of all active and inactive participants 2013-10-01 4
Total participants 2013-10-01 4
Number of participants with account balances 2013-10-01 4
2012: KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-10-01 4
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 4
Number of retired or separated participants receiving benefits 2012-10-01 0
Number of other retired or separated participants entitled to future benefits 2012-10-01 0
Total of all active and inactive participants 2012-10-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-10-01 0
Total participants 2012-10-01 4
Number of participants with account balances 2012-10-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-10-01 0
2011: KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-10-01 4
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 4
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 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-10-01 0
Total participants 2011-10-01 4
Number of participants with account balances 2011-10-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-10-01 0
2010: KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-10-01 5
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 0
Total of all active and inactive participants 2010-10-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-10-01 0
Total participants 2010-10-01 4
Number of participants with account balances 2010-10-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-10-01 0
2009: KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-10-01 5
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 5
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 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-10-01 0
Total participants 2009-10-01 5
Number of participants with account balances 2009-10-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-10-01 0

Measure	Date	Value
2017: KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-10-01	4
Total number of active participants reported on line 7a of the Form 5500	2017-10-01	0
Total of all active and inactive participants	2017-10-01	0
Total participants	2017-10-01	0
Number of participants with account balances	2017-10-01	0
2016: KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-10-01	4
Total number of active participants reported on line 7a of the Form 5500	2016-10-01	4
Total of all active and inactive participants	2016-10-01	4
Total participants	2016-10-01	4
Number of participants with account balances	2016-10-01	4
2015: KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-10-01	4
Total number of active participants reported on line 7a of the Form 5500	2015-10-01	4
Total of all active and inactive participants	2015-10-01	4
Total participants	2015-10-01	4
Number of participants with account balances	2015-10-01	4
2014: KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-10-01	4
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	4
Total of all active and inactive participants	2014-10-01	4
Total participants	2014-10-01	4
Number of participants with account balances	2014-10-01	4
2013: KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	4
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	4
Total of all active and inactive participants	2013-10-01	4
Total participants	2013-10-01	4
Number of participants with account balances	2013-10-01	4
2012: KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-10-01	4
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	4
Number of retired or separated participants receiving benefits	2012-10-01	0
Number of other retired or separated participants entitled to future benefits	2012-10-01	0
Total of all active and inactive participants	2012-10-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-10-01	0
Total participants	2012-10-01	4
Number of participants with account balances	2012-10-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-10-01	0
2011: KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	4
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	4
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	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-10-01	0
Total participants	2011-10-01	4
Number of participants with account balances	2011-10-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-10-01	0
2010: KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-10-01	5
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	0
Total of all active and inactive participants	2010-10-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-10-01	0
Total participants	2010-10-01	4
Number of participants with account balances	2010-10-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-10-01	0
2009: KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-10-01	5
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	5
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	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-10-01	0
Total participants	2009-10-01	5
Number of participants with account balances	2009-10-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-10-01	0

Financial Data on KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN

Measure	Date	Value
2017 : KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN 2017 401k financial data
Total plan liabilities at beginning of year	2017-09-30	$0
Total income from all sources	2017-09-30	$1,895
Total plan assets at end of year	2017-09-30	$313,048
Total plan assets at beginning of year	2017-09-30	$311,153
Value of fidelity bond covering the plan	2017-09-30	$200,000
Other income received	2017-09-30	$1,895
Net income (gross income less expenses)	2017-09-30	$1,895
Net plan assets at end of year (total assets less liabilities)	2017-09-30	$313,048
Net plan assets at beginning of year (total assets less liabilities)	2017-09-30	$311,153
2016 : KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN 2016 401k financial data
Total plan liabilities at beginning of year	2016-09-30	$0
Total income from all sources	2016-09-30	$14,601
Total plan assets at end of year	2016-09-30	$311,153
Total plan assets at beginning of year	2016-09-30	$296,552
Value of fidelity bond covering the plan	2016-09-30	$200,000
Other income received	2016-09-30	$14,601
Net income (gross income less expenses)	2016-09-30	$14,601
Net plan assets at end of year (total assets less liabilities)	2016-09-30	$311,153
Net plan assets at beginning of year (total assets less liabilities)	2016-09-30	$296,552
2015 : KENNETH B. SKOLNICK M D , P C 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	$48,121
Total plan assets at end of year	2015-09-30	$296,552
Total plan assets at beginning of year	2015-09-30	$248,431
Value of fidelity bond covering the plan	2015-09-30	$200,000
Other income received	2015-09-30	$48,121
Net income (gross income less expenses)	2015-09-30	$48,121
Net plan assets at end of year (total assets less liabilities)	2015-09-30	$296,552
Net plan assets at beginning of year (total assets less liabilities)	2015-09-30	$248,431
2014 : KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN 2014 401k financial data
Total plan liabilities at beginning of year	2014-09-30	$0
Total income from all sources	2014-09-30	$54,477
Total plan assets at end of year	2014-09-30	$248,431
Total plan assets at beginning of year	2014-09-30	$193,954
Value of fidelity bond covering the plan	2014-09-30	$200,000
Other income received	2014-09-30	$54,477
Net income (gross income less expenses)	2014-09-30	$54,477
Net plan assets at end of year (total assets less liabilities)	2014-09-30	$248,431
Net plan assets at beginning of year (total assets less liabilities)	2014-09-30	$193,954
2013 : KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN 2013 401k financial data
Total plan liabilities at beginning of year	2013-09-30	$0
Total income from all sources	2013-09-30	$26,675
Total plan assets at end of year	2013-09-30	$193,954
Total plan assets at beginning of year	2013-09-30	$167,279
Value of fidelity bond covering the plan	2013-09-30	$200,000
Other income received	2013-09-30	$26,675
Net income (gross income less expenses)	2013-09-30	$26,675
Net plan assets at end of year (total assets less liabilities)	2013-09-30	$193,954
Net plan assets at beginning of year (total assets less liabilities)	2013-09-30	$167,279
2012 : KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at beginning of year	2012-09-30	$0
Total income from all sources	2012-09-30	$-13,899
Total plan assets at end of year	2012-09-30	$167,279
Total plan assets at beginning of year	2012-09-30	$181,178
Value of fidelity bond covering the plan	2012-09-30	$200,000
Other income received	2012-09-30	$-13,899
Net income (gross income less expenses)	2012-09-30	$-13,899
Net plan assets at end of year (total assets less liabilities)	2012-09-30	$167,279
Net plan assets at beginning of year (total assets less liabilities)	2012-09-30	$181,178
2011 : KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN 2011 401k financial data
Total plan liabilities at beginning of year	2011-09-30	$0
Total income from all sources	2011-09-30	$-25,206
Expenses. Total of all expenses incurred	2011-09-30	$19,597
Benefits paid (including direct rollovers)	2011-09-30	$19,597
Total plan assets at end of year	2011-09-30	$181,178
Total plan assets at beginning of year	2011-09-30	$225,981
Value of fidelity bond covering the plan	2011-09-30	$200,000
Other income received	2011-09-30	$-25,206
Net income (gross income less expenses)	2011-09-30	$-44,803
Net plan assets at end of year (total assets less liabilities)	2011-09-30	$181,178
Net plan assets at beginning of year (total assets less liabilities)	2011-09-30	$225,981
2010 : KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-09-30	$0

Form 5500 Responses for KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN

2017: KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN 2017 form 5500 responses
2017-10-01	Type of plan entity	Single employer plan
2017-10-01	This submission is the final filing	Yes
2017-10-01	Plan funding arrangement – Trust	Yes
2017-10-01	Plan benefit arrangement - Trust	Yes
2016: KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN 2016 form 5500 responses
2016-10-01	Type of plan entity	Single employer plan
2016-10-01	Plan funding arrangement – Trust	Yes
2016-10-01	Plan benefit arrangement - Trust	Yes
2015: KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN 2015 form 5500 responses
2015-10-01	Type of plan entity	Single employer plan
2015-10-01	Plan funding arrangement – Trust	Yes
2015-10-01	Plan benefit arrangement - Trust	Yes
2014: KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	Plan funding arrangement – Trust	Yes
2014-10-01	Plan benefit arrangement - Trust	Yes
2013: KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Plan funding arrangement – Trust	Yes
2013-10-01	Plan benefit arrangement - Trust	Yes
2012: KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	Plan funding arrangement – Trust	Yes
2012-10-01	Plan benefit arrangement - Trust	Yes
2011: KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Plan funding arrangement – Trust	Yes
2011-10-01	Plan benefit arrangement - Trust	Yes
2010: KENNETH B. SKOLNICK M D , P C PROFIT SHARING PLAN 2010 form 5500 responses
2010-10-01	Type of plan entity	Single employer plan
2010-10-01	Plan funding arrangement – Trust	Yes
2010-10-01	Plan benefit arrangement - Trust	Yes
2009: KENNETH B. SKOLNICK M D , P C 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:	KENNETH B. SKOLNICK
Employer identification number (EIN):	251403143
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2017-10-01	KENNETH B. SKOLNICK M.D.	2019-06-10
002	2016-10-01
002	2015-10-01
002	2014-10-01
002	2013-10-01
002	2012-10-01	KENNETH B. SKOLNICK
002	2011-10-01	KENNETH B. SKOLNICK M.D.
002	2010-10-01	KENNETH B. SKOLNICK M.D.
002	2009-10-01	KENNETH B. SKOLNICK M.D.