401k Plan data: DONALD S. KITAIN, D.O., P.C. PROFIT SHARING TRUST plan

DONALD S. KITAIN, D.O., P.C. PROFIT SHARING TRUST 401k Plan overview

Plan Name	DONALD S. KITAIN, D.O., P.C. PROFIT SHARING TRUST
Plan identification number	001

DONALD S. KITAIN, D.O., P.C. PROFIT SHARING TRUST Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing

401k Sponsoring company profile

DONALD S. KITAIN, D.O., P.C. has sponsored the creation of one or more 401k plans.

Company Name: DONALD S. KITAIN, D.O., P.C.

Employer identification number (EIN): 310907020

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DONALD S. KITAIN, D.O., P.C. PROFIT SHARING TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-07-01 DONALD KITAIN, D.O.
001 2015-07-01 DONALD KITAIN, D.O.
001 2014-07-01 DONALD KITAIN, D.O.
001 2013-07-01 DONALD KITAIN, D.O.
001 2012-07-01 DONALD KITAIN, D.O.
001 2011-07-01 DONALD KITAIN, D.O.
001 2009-07-01 DONALD KITAIN, D.O.

Plan id#	Filing Submission Date	Name of Administrator
001	2016-07-01	DONALD KITAIN, D.O.
001	2015-07-01	DONALD KITAIN, D.O.
001	2014-07-01	DONALD KITAIN, D.O.
001	2013-07-01	DONALD KITAIN, D.O.
001	2012-07-01	DONALD KITAIN, D.O.
001	2011-07-01	DONALD KITAIN, D.O.
001	2009-07-01	DONALD KITAIN, D.O.

Plan Statistics for DONALD S. KITAIN, D.O., P.C. PROFIT SHARING TRUST

401k plan membership statisitcs for DONALD S. KITAIN, D.O., P.C. PROFIT SHARING TRUST

Measure Date Value
2016: DONALD S. KITAIN, D.O., P.C. PROFIT SHARING TRUST 2016 401k membership
Total participants, beginning-of-year 2016-07-01 3
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 0
Number of retired or separated participants receiving benefits 2016-07-01 0
Number of other retired or separated participants entitled to future benefits 2016-07-01 0
Total of all active and inactive participants 2016-07-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-07-01 0
Total participants 2016-07-01 0
Number of participants with account balances 2016-07-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-07-01 0
2015: DONALD S. KITAIN, D.O., P.C. PROFIT SHARING TRUST 2015 401k membership
Total participants, beginning-of-year 2015-07-01 3
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 3
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 0
Total of all active and inactive participants 2015-07-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 0
Total participants 2015-07-01 3
Number of participants with account balances 2015-07-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-07-01 0
2014: DONALD S. KITAIN, D.O., P.C. PROFIT SHARING TRUST 2014 401k membership
Total participants, beginning-of-year 2014-07-01 3
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 3
Number of retired or separated participants receiving benefits 2014-07-01 0
Number of other retired or separated participants entitled to future benefits 2014-07-01 0
Total of all active and inactive participants 2014-07-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-07-01 0
Total participants 2014-07-01 3
Number of participants with account balances 2014-07-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-07-01 0
2013: DONALD S. KITAIN, D.O., P.C. PROFIT SHARING TRUST 2013 401k membership
Total participants, beginning-of-year 2013-07-01 3
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 3
Number of retired or separated participants receiving benefits 2013-07-01 0
Number of other retired or separated participants entitled to future benefits 2013-07-01 0
Total of all active and inactive participants 2013-07-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-07-01 0
Total participants 2013-07-01 3
Number of participants with account balances 2013-07-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-07-01 0
2012: DONALD S. KITAIN, D.O., P.C. PROFIT SHARING TRUST 2012 401k membership
Total participants, beginning-of-year 2012-07-01 4
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 3
Number of retired or separated participants receiving benefits 2012-07-01 0
Number of other retired or separated participants entitled to future benefits 2012-07-01 0
Total of all active and inactive participants 2012-07-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-07-01 0
Total participants 2012-07-01 3
Number of participants with account balances 2012-07-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-07-01 0
2011: DONALD S. KITAIN, D.O., P.C. PROFIT SHARING TRUST 2011 401k membership
Total participants, beginning-of-year 2011-07-01 4
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 4
Number of retired or separated participants receiving benefits 2011-07-01 0
Number of other retired or separated participants entitled to future benefits 2011-07-01 0
Total of all active and inactive participants 2011-07-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 0
Total participants 2011-07-01 4
Number of participants with account balances 2011-07-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-07-01 0
2009: DONALD S. KITAIN, D.O., P.C. PROFIT SHARING TRUST 2009 401k membership
Total participants, beginning-of-year 2009-07-01 4
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 4
Number of retired or separated participants receiving benefits 2009-07-01 0
Number of other retired or separated participants entitled to future benefits 2009-07-01 0
Total of all active and inactive participants 2009-07-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 0
Total participants 2009-07-01 4
Number of participants with account balances 2009-07-01 4

Measure	Date	Value
2016: DONALD S. KITAIN, D.O., P.C. PROFIT SHARING TRUST 2016 401k membership
Total participants, beginning-of-year	2016-07-01	3
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	0
Number of retired or separated participants receiving benefits	2016-07-01	0
Number of other retired or separated participants entitled to future benefits	2016-07-01	0
Total of all active and inactive participants	2016-07-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-07-01	0
Total participants	2016-07-01	0
Number of participants with account balances	2016-07-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-07-01	0
2015: DONALD S. KITAIN, D.O., P.C. PROFIT SHARING TRUST 2015 401k membership
Total participants, beginning-of-year	2015-07-01	3
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	3
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	0
Total of all active and inactive participants	2015-07-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	0
Total participants	2015-07-01	3
Number of participants with account balances	2015-07-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-07-01	0
2014: DONALD S. KITAIN, D.O., P.C. PROFIT SHARING TRUST 2014 401k membership
Total participants, beginning-of-year	2014-07-01	3
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	3
Number of retired or separated participants receiving benefits	2014-07-01	0
Number of other retired or separated participants entitled to future benefits	2014-07-01	0
Total of all active and inactive participants	2014-07-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-07-01	0
Total participants	2014-07-01	3
Number of participants with account balances	2014-07-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-07-01	0
2013: DONALD S. KITAIN, D.O., P.C. PROFIT SHARING TRUST 2013 401k membership
Total participants, beginning-of-year	2013-07-01	3
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	3
Number of retired or separated participants receiving benefits	2013-07-01	0
Number of other retired or separated participants entitled to future benefits	2013-07-01	0
Total of all active and inactive participants	2013-07-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-07-01	0
Total participants	2013-07-01	3
Number of participants with account balances	2013-07-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-07-01	0
2012: DONALD S. KITAIN, D.O., P.C. PROFIT SHARING TRUST 2012 401k membership
Total participants, beginning-of-year	2012-07-01	4
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	3
Number of retired or separated participants receiving benefits	2012-07-01	0
Number of other retired or separated participants entitled to future benefits	2012-07-01	0
Total of all active and inactive participants	2012-07-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-01	0
Total participants	2012-07-01	3
Number of participants with account balances	2012-07-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-01	0
2011: DONALD S. KITAIN, D.O., P.C. PROFIT SHARING TRUST 2011 401k membership
Total participants, beginning-of-year	2011-07-01	4
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	4
Number of retired or separated participants receiving benefits	2011-07-01	0
Number of other retired or separated participants entitled to future benefits	2011-07-01	0
Total of all active and inactive participants	2011-07-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
Total participants	2011-07-01	4
Number of participants with account balances	2011-07-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-07-01	0
2009: DONALD S. KITAIN, D.O., P.C. PROFIT SHARING TRUST 2009 401k membership
Total participants, beginning-of-year	2009-07-01	4
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	4
Number of retired or separated participants receiving benefits	2009-07-01	0
Number of other retired or separated participants entitled to future benefits	2009-07-01	0
Total of all active and inactive participants	2009-07-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	0
Total participants	2009-07-01	4
Number of participants with account balances	2009-07-01	4

Financial Data on DONALD S. KITAIN, D.O., P.C. PROFIT SHARING TRUST

Measure	Date	Value
2017 : DONALD S. KITAIN, D.O., P.C. PROFIT SHARING TRUST 2017 401k financial data
Total income from all sources	2017-06-30	$46,221
Expenses. Total of all expenses incurred	2017-06-30	$721,827
Benefits paid (including direct rollovers)	2017-06-30	$721,352
Total plan assets at end of year	2017-06-30	$0
Total plan assets at beginning of year	2017-06-30	$675,606
Value of fidelity bond covering the plan	2017-06-30	$50,000
Expenses. Other expenses not covered elsewhere	2017-06-30	$475
Other income received	2017-06-30	$46,221
Net income (gross income less expenses)	2017-06-30	$-675,606
Net plan assets at end of year (total assets less liabilities)	2017-06-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2017-06-30	$675,606
2016 : DONALD S. KITAIN, D.O., P.C. PROFIT SHARING TRUST 2016 401k financial data
Total income from all sources	2016-06-30	$16,815
Expenses. Total of all expenses incurred	2016-06-30	$842
Total plan assets at end of year	2016-06-30	$675,606
Total plan assets at beginning of year	2016-06-30	$659,633
Value of fidelity bond covering the plan	2016-06-30	$50,000
Expenses. Other expenses not covered elsewhere	2016-06-30	$842
Other income received	2016-06-30	$16,815
Net income (gross income less expenses)	2016-06-30	$15,973
Net plan assets at end of year (total assets less liabilities)	2016-06-30	$675,606
Net plan assets at beginning of year (total assets less liabilities)	2016-06-30	$659,633
2015 : DONALD S. KITAIN, D.O., P.C. PROFIT SHARING TRUST 2015 401k financial data
Total income from all sources	2015-06-30	$-69,213
Expenses. Total of all expenses incurred	2015-06-30	$777
Total plan assets at end of year	2015-06-30	$659,633
Total plan assets at beginning of year	2015-06-30	$729,623
Value of fidelity bond covering the plan	2015-06-30	$50,000
Expenses. Other expenses not covered elsewhere	2015-06-30	$777
Other income received	2015-06-30	$-69,213
Net income (gross income less expenses)	2015-06-30	$-69,990
Net plan assets at end of year (total assets less liabilities)	2015-06-30	$659,633
Net plan assets at beginning of year (total assets less liabilities)	2015-06-30	$729,623
2014 : DONALD S. KITAIN, D.O., P.C. PROFIT SHARING TRUST 2014 401k financial data
Total income from all sources	2014-06-30	$81,691
Expenses. Total of all expenses incurred	2014-06-30	$369
Total plan assets at end of year	2014-06-30	$729,623
Total plan assets at beginning of year	2014-06-30	$648,301
Value of fidelity bond covering the plan	2014-06-30	$50,000
Expenses. Other expenses not covered elsewhere	2014-06-30	$369
Other income received	2014-06-30	$81,691
Net income (gross income less expenses)	2014-06-30	$81,322
Net plan assets at end of year (total assets less liabilities)	2014-06-30	$729,623
Net plan assets at beginning of year (total assets less liabilities)	2014-06-30	$648,301
2013 : DONALD S. KITAIN, D.O., P.C. PROFIT SHARING TRUST 2013 401k financial data
Total income from all sources	2013-06-30	$51,881
Expenses. Total of all expenses incurred	2013-06-30	$29,066
Benefits paid (including direct rollovers)	2013-06-30	$25,371
Total plan assets at end of year	2013-06-30	$648,301
Total plan assets at beginning of year	2013-06-30	$625,486
Value of fidelity bond covering the plan	2013-06-30	$50,000
Expenses. Other expenses not covered elsewhere	2013-06-30	$3,695
Other income received	2013-06-30	$51,881
Net income (gross income less expenses)	2013-06-30	$22,815
Net plan assets at end of year (total assets less liabilities)	2013-06-30	$648,301
Net plan assets at beginning of year (total assets less liabilities)	2013-06-30	$625,486
2012 : DONALD S. KITAIN, D.O., P.C. PROFIT SHARING TRUST 2012 401k financial data
Total income from all sources	2012-06-30	$-59,594
Expenses. Total of all expenses incurred	2012-06-30	$3,877
Total plan assets at end of year	2012-06-30	$625,486
Total plan assets at beginning of year	2012-06-30	$688,957
Value of fidelity bond covering the plan	2012-06-30	$50,000
Expenses. Other expenses not covered elsewhere	2012-06-30	$3,877
Other income received	2012-06-30	$-59,594
Net income (gross income less expenses)	2012-06-30	$-63,471
Net plan assets at end of year (total assets less liabilities)	2012-06-30	$625,486
Net plan assets at beginning of year (total assets less liabilities)	2012-06-30	$688,957

Form 5500 Responses for DONALD S. KITAIN, D.O., P.C. PROFIT SHARING TRUST

2016: DONALD S. KITAIN, D.O., P.C. PROFIT SHARING TRUST 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	This submission is the final filing	Yes
2016-07-01	Plan funding arrangement – Trust	Yes
2016-07-01	Plan benefit arrangement - Trust	Yes
2015: DONALD S. KITAIN, D.O., P.C. PROFIT SHARING TRUST 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Plan funding arrangement – Trust	Yes
2015-07-01	Plan benefit arrangement - Trust	Yes
2014: DONALD S. KITAIN, D.O., P.C. PROFIT SHARING TRUST 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Plan funding arrangement – Trust	Yes
2014-07-01	Plan benefit arrangement - Trust	Yes
2013: DONALD S. KITAIN, D.O., P.C. PROFIT SHARING TRUST 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Plan funding arrangement – Trust	Yes
2013-07-01	Plan benefit arrangement - Trust	Yes
2012: DONALD S. KITAIN, D.O., P.C. PROFIT SHARING TRUST 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Plan funding arrangement – Trust	Yes
2012-07-01	Plan benefit arrangement - Trust	Yes
2011: DONALD S. KITAIN, D.O., P.C. PROFIT SHARING TRUST 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Plan funding arrangement – Trust	Yes
2011-07-01	Plan benefit arrangement - Trust	Yes
2009: DONALD S. KITAIN, D.O., P.C. PROFIT SHARING TRUST 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Plan funding arrangement – Trust	Yes
2009-07-01	Plan benefit arrangement - Trust	Yes

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Company Name:	DONALD S. KITAIN, D.O., P.C.
Employer identification number (EIN):	310907020
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)