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DAVID G. PROVAZNIK, D.O., INC. DAVID G. PROVAZNIK, D.O., INC. PROFIT SHARING PLAN AND TRUST 401k Plan overview

Plan NameDAVID G. PROVAZNIK, D.O., INC. DAVID G. PROVAZNIK, D.O., INC. PROFIT SHARING PLAN AND TRUST
Plan identification number 001

DAVID G. PROVAZNIK, D.O., INC. DAVID G. PROVAZNIK, D.O., INC. PROFIT SHARING PLAN AND TRUST Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • 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.
  • 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

DAVID G. PROVAZNIK, D.O., INC. has sponsored the creation of one or more 401k plans.

Company Name:DAVID G. PROVAZNIK, D.O., INC.
Employer identification number (EIN):311384964
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 G. PROVAZNIK, D.O., INC. DAVID G. PROVAZNIK, D.O., INC. PROFIT SHARING PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012015-01-01DAVID PROVAZNIK2016-10-17
0012014-01-01DAVID PROVAZNIK2015-10-08
0012013-01-01DAVID PROVAZNIK2014-08-14
0012012-01-01DAVID PROVAZNIK2013-08-14
0012011-01-01DAVID PROVAZNIK2013-01-25
0012010-01-01DAVID PROVAZNIK2013-03-25
0012008-01-01DAVID PROVAZNIK
0012007-01-01DAVID PROVAZNIK

Plan Statistics for DAVID G. PROVAZNIK, D.O., INC. DAVID G. PROVAZNIK, D.O., INC. PROFIT SHARING PLAN AND TRUST

401k plan membership statisitcs for DAVID G. PROVAZNIK, D.O., INC. DAVID G. PROVAZNIK, D.O., INC. PROFIT SHARING PLAN AND TRUST

Measure Date Value
2008: DAVID G. PROVAZNIK, D.O., INC. DAVID G. PROVAZNIK, D.O., INC. PROFIT SHARING PLAN AND TRUST 2008 401k membership
Total participants, beginning-of-year2008-01-0113
Total number of active participants reported on line 7a of the Form 55002008-01-015
Number of retired or separated participants receiving benefits2008-01-010
Number of other retired or separated participants entitled to future benefits2008-01-017
Total of all active and inactive participants2008-01-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2008-01-010
Total participants2008-01-0112
Number of participants with account balances2008-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2008-01-010
2007: DAVID G. PROVAZNIK, D.O., INC. DAVID G. PROVAZNIK, D.O., INC. PROFIT SHARING PLAN AND TRUST 2007 401k membership
Total participants, beginning-of-year2007-01-0112
Total number of active participants reported on line 7a of the Form 55002007-01-016
Number of retired or separated participants receiving benefits2007-01-010
Number of other retired or separated participants entitled to future benefits2007-01-016
Total of all active and inactive participants2007-01-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2007-01-010
Total participants2007-01-0112
Number of participants with account balances2007-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2007-01-010

Financial Data on DAVID G. PROVAZNIK, D.O., INC. DAVID G. PROVAZNIK, D.O., INC. PROFIT SHARING PLAN AND TRUST

Measure Date Value
2008 : DAVID G. PROVAZNIK, D.O., INC. DAVID G. PROVAZNIK, D.O., INC. PROFIT SHARING PLAN AND TRUST 2008 401k financial data
Transfers to/from the plan2008-12-31$0
Total plan liabilities at end of year2008-12-31$0
Total plan liabilities at beginning of year2008-12-31$0
Total income from all sources2008-12-31$-62,005
Expenses. Total of all expenses incurred2008-12-31$0
Benefits paid (including direct rollovers)2008-12-31$0
Total plan assets at end of year2008-12-31$152,105
Total plan assets at beginning of year2008-12-31$214,110
Value of fidelity bond covering the plan2008-12-31$25,000
Total contributions received or receivable from participants2008-12-31$0
Expenses. Other expenses not covered elsewhere2008-12-31$0
Contributions received from other sources (not participants or employers)2008-12-31$0
Other income received2008-12-31$-62,005
Noncash contributions received2008-12-31$0
Net income (gross income less expenses)2008-12-31$-62,005
Net plan assets at end of year (total assets less liabilities)2008-12-31$152,105
Net plan assets at beginning of year (total assets less liabilities)2008-12-31$214,110
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022008-12-31$1,438
Total contributions received or receivable from employer(s)2008-12-31$0
Value of certain deemed distributions of participant loans2008-12-31$0
Value of corrective distributions2008-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2008-12-31$0
2007 : DAVID G. PROVAZNIK, D.O., INC. DAVID G. PROVAZNIK, D.O., INC. PROFIT SHARING PLAN AND TRUST 2007 401k financial data
Transfers to/from the plan2007-12-31$0
Total plan liabilities at end of year2007-12-31$0
Total plan liabilities at beginning of year2007-12-31$0
Total income from all sources2007-12-31$11,090
Expenses. Total of all expenses incurred2007-12-31$0
Benefits paid (including direct rollovers)2007-12-31$0
Total plan assets at end of year2007-12-31$214,110
Total plan assets at beginning of year2007-12-31$203,020
Value of fidelity bond covering the plan2007-12-31$25,000
Total contributions received or receivable from participants2007-12-31$0
Expenses. Other expenses not covered elsewhere2007-12-31$0
Contributions received from other sources (not participants or employers)2007-12-31$0
Other income received2007-12-31$10,556
Noncash contributions received2007-12-31$0
Net income (gross income less expenses)2007-12-31$11,090
Net plan assets at end of year (total assets less liabilities)2007-12-31$214,110
Net plan assets at beginning of year (total assets less liabilities)2007-12-31$203,020
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022007-12-31$1,438
Total contributions received or receivable from employer(s)2007-12-31$534
Value of certain deemed distributions of participant loans2007-12-31$0
Value of corrective distributions2007-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2007-12-31$0

Form 5500 Responses for DAVID G. PROVAZNIK, D.O., INC. DAVID G. PROVAZNIK, D.O., INC. PROFIT SHARING PLAN AND TRUST

2008: DAVID G. PROVAZNIK, D.O., INC. DAVID G. PROVAZNIK, D.O., INC. PROFIT SHARING PLAN AND TRUST 2008 form 5500 responses
2008-01-01Type of plan entitySingle employer plan
2008-01-01Submission has been amendedNo
2008-01-01This submission is the final filingNo
2008-01-01This return/report is a short plan year return/report (less than 12 months)No
2008-01-01Plan is a collectively bargained planNo
2008-01-01Plan funding arrangement – TrustYes
2008-01-01Plan benefit arrangement - TrustYes
2007: DAVID G. PROVAZNIK, D.O., INC. DAVID G. PROVAZNIK, D.O., INC. PROFIT SHARING PLAN AND TRUST 2007 form 5500 responses
2007-01-01Type of plan entitySingle employer plan
2007-01-01Submission has been amendedNo
2007-01-01This submission is the final filingNo
2007-01-01This return/report is a short plan year return/report (less than 12 months)No
2007-01-01Plan is a collectively bargained planNo
2007-01-01Plan funding arrangement – TrustYes
2007-01-01Plan benefit arrangement - TrustYes

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