401k Plan data: JOHN M. OLIS, DDS, PROFIT SHARING PLAN (NON DEDUCTIBLE) plan

JOHN M. OLIS, DDS, PROFIT SHARING PLAN (NON DEDUCTIBLE) 401k Plan overview

Plan Name	JOHN M. OLIS, DDS, PROFIT SHARING PLAN (NON DEDUCTIBLE)
Plan identification number	003

JOHN M. OLIS, DDS, PROFIT SHARING PLAN (NON DEDUCTIBLE) Benefits

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

401k Sponsoring company profile

JOHN M. OLIS has sponsored the creation of one or more 401k plans.

Company Name: JOHN M. OLIS

Employer identification number (EIN): 311062584

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JOHN M. OLIS, DDS, PROFIT SHARING PLAN (NON DEDUCTIBLE)

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2015-01-01 JOHN M OLIS JOHN M. OLIS 2017-08-28
003 2014-01-01 JOHN M OLIS
003 2013-01-01 JOHN M OLIS
003 2012-01-01 JOHN M OLIS
003 2011-01-01 JOHN M OLIS JOHN M. OLIS 2012-07-17
003 2009-01-01 JOHN M. OLIS, DDS
003 2009-01-01 JOHN M. OLIS, DDS JOHN M. OLIS 2010-07-13
003 2009-01-01 JOHN M. OLIS 2010-07-12

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
003	2015-01-01	JOHN M OLIS	JOHN M. OLIS	2017-08-28
003	2014-01-01	JOHN M OLIS
003	2013-01-01	JOHN M OLIS
003	2012-01-01	JOHN M OLIS
003	2011-01-01	JOHN M OLIS	JOHN M. OLIS	2012-07-17
003	2009-01-01	JOHN M. OLIS, DDS
003	2009-01-01	JOHN M. OLIS, DDS	JOHN M. OLIS	2010-07-13
003	2009-01-01		JOHN M. OLIS	2010-07-12

Plan Statistics for JOHN M. OLIS, DDS, PROFIT SHARING PLAN (NON DEDUCTIBLE)

401k plan membership statisitcs for JOHN M. OLIS, DDS, PROFIT SHARING PLAN (NON DEDUCTIBLE)

Measure Date Value
2015: JOHN M. OLIS, DDS, PROFIT SHARING PLAN (NON DEDUCTIBLE) 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Number of retired or separated participants receiving benefits 2015-01-01 1
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 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 1
Number of participants with account balances 2015-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: JOHN M. OLIS, DDS, PROFIT SHARING PLAN (NON DEDUCTIBLE) 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1
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 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 1
Number of participants with account balances 2014-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: JOHN M. OLIS, DDS, PROFIT SHARING PLAN (NON DEDUCTIBLE) 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1
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 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 1
Number of participants with account balances 2013-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: JOHN M. OLIS, DDS, PROFIT SHARING PLAN (NON DEDUCTIBLE) 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1
Total of all active and inactive participants 2012-01-01 1
Total participants 2012-01-01 1
Number of participants with account balances 2012-01-01 1
2011: JOHN M. OLIS, DDS, PROFIT SHARING PLAN (NON DEDUCTIBLE) 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1
Total of all active and inactive participants 2011-01-01 1
Total participants 2011-01-01 1
Number of participants with account balances 2011-01-01 1
2009: JOHN M. OLIS, DDS, PROFIT SHARING PLAN (NON DEDUCTIBLE) 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1
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 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 1
Number of participants with account balances 2009-01-01 1

Measure	Date	Value
2015: JOHN M. OLIS, DDS, PROFIT SHARING PLAN (NON DEDUCTIBLE) 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Number of retired or separated participants receiving benefits	2015-01-01	1
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	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	1
Number of participants with account balances	2015-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: JOHN M. OLIS, DDS, PROFIT SHARING PLAN (NON DEDUCTIBLE) 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1
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	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	1
Number of participants with account balances	2014-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: JOHN M. OLIS, DDS, PROFIT SHARING PLAN (NON DEDUCTIBLE) 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1
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	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	1
Number of participants with account balances	2013-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: JOHN M. OLIS, DDS, PROFIT SHARING PLAN (NON DEDUCTIBLE) 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1
Total of all active and inactive participants	2012-01-01	1
Total participants	2012-01-01	1
Number of participants with account balances	2012-01-01	1
2011: JOHN M. OLIS, DDS, PROFIT SHARING PLAN (NON DEDUCTIBLE) 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1
Total of all active and inactive participants	2011-01-01	1
Total participants	2011-01-01	1
Number of participants with account balances	2011-01-01	1
2009: JOHN M. OLIS, DDS, PROFIT SHARING PLAN (NON DEDUCTIBLE) 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1
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	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	1
Number of participants with account balances	2009-01-01	1

Financial Data on JOHN M. OLIS, DDS, PROFIT SHARING PLAN (NON DEDUCTIBLE)

Measure	Date	Value
2015 : JOHN M. OLIS, DDS, PROFIT SHARING PLAN (NON DEDUCTIBLE) 2015 401k financial data
Total income from all sources	2015-12-31	$14
Expenses. Total of all expenses incurred	2015-12-31	$691
Benefits paid (including direct rollovers)	2015-12-31	$691
Total plan assets at end of year	2015-12-31	$0
Total plan assets at beginning of year	2015-12-31	$677
Other income received	2015-12-31	$14
Net income (gross income less expenses)	2015-12-31	$-677
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$677
2014 : JOHN M. OLIS, DDS, PROFIT SHARING PLAN (NON DEDUCTIBLE) 2014 401k financial data
Total income from all sources	2014-12-31	$63
Total plan assets at end of year	2014-12-31	$677
Total plan assets at beginning of year	2014-12-31	$614
Other income received	2014-12-31	$63
Net income (gross income less expenses)	2014-12-31	$63
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$677
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$614
2013 : JOHN M. OLIS, DDS, PROFIT SHARING PLAN (NON DEDUCTIBLE) 2013 401k financial data
Total income from all sources	2013-12-31	$-20
Total plan assets at end of year	2013-12-31	$614
Total plan assets at beginning of year	2013-12-31	$634
Other income received	2013-12-31	$-20
Net income (gross income less expenses)	2013-12-31	$-20
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$614
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$634
2012 : JOHN M. OLIS, DDS, PROFIT SHARING PLAN (NON DEDUCTIBLE) 2012 401k financial data
Total income from all sources	2012-12-31	$43
Total plan assets at end of year	2012-12-31	$634
Total plan assets at beginning of year	2012-12-31	$591
Other income received	2012-12-31	$43
Net income (gross income less expenses)	2012-12-31	$43
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$634
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$591
2011 : JOHN M. OLIS, DDS, PROFIT SHARING PLAN (NON DEDUCTIBLE) 2011 401k financial data
Total income from all sources	2011-12-31	$51
Total plan assets at end of year	2011-12-31	$591
Total plan assets at beginning of year	2011-12-31	$540
Other income received	2011-12-31	$51
Net income (gross income less expenses)	2011-12-31	$51
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$591
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$540
2010 : JOHN M. OLIS, DDS, PROFIT SHARING PLAN (NON DEDUCTIBLE) 2010 401k financial data
Expenses. Total of all expenses incurred	2010-12-31	$7
Total plan assets at end of year	2010-12-31	$540
Total plan assets at beginning of year	2010-12-31	$547
Net income (gross income less expenses)	2010-12-31	$-7
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$540
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$547
Value of certain deemed distributions of participant loans	2010-12-31	$7

Form 5500 Responses for JOHN M. OLIS, DDS, PROFIT SHARING PLAN (NON DEDUCTIBLE)

2015: JOHN M. OLIS, DDS, PROFIT SHARING PLAN (NON DEDUCTIBLE) 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	This submission is the final filing	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: JOHN M. OLIS, DDS, PROFIT SHARING PLAN (NON DEDUCTIBLE) 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: JOHN M. OLIS, DDS, PROFIT SHARING PLAN (NON DEDUCTIBLE) 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: JOHN M. OLIS, DDS, PROFIT SHARING PLAN (NON DEDUCTIBLE) 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: JOHN M. OLIS, DDS, PROFIT SHARING PLAN (NON DEDUCTIBLE) 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: JOHN M. OLIS, DDS, PROFIT SHARING PLAN (NON DEDUCTIBLE) 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:	JOHN M. OLIS
Employer identification number (EIN):	311062584
NAIC Classification:	621210
NAIC Description:	Offices of Dentists