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MICHAEL L ICZKOVITZ, DDS, PC WELFARE BENEFIT PLAN PRIME WELFARE BENEFIT TRUST 401k Plan overview

Plan NameMICHAEL L ICZKOVITZ, DDS, PC WELFARE BENEFIT PLAN PRIME WELFARE BENEFIT TRUST
Plan identification number 501

MICHAEL L ICZKOVITZ, DDS, PC WELFARE BENEFIT PLAN PRIME WELFARE BENEFIT TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Severance pay

401k Sponsoring company profile

MIDWEST ORAL AND MAXILLOFACIAL SURGERY, P.C. has sponsored the creation of one or more 401k plans.

Company Name:MIDWEST ORAL AND MAXILLOFACIAL SURGERY, P.C.
Employer identification number (EIN):351690712
NAIC Classification:621210
NAIC Description:Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MICHAEL L ICZKOVITZ, DDS, PC WELFARE BENEFIT PLAN PRIME WELFARE BENEFIT TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-01-01MICHAEL ICZKOVITZ2017-12-11
5012016-01-01MICHAEL ICZKOVITZ2017-09-05
5012015-01-01MICHAEL ICZKOVITZ2016-10-12
5012014-01-01MICHAEL ICZKOVITZ2015-09-24
5012013-01-01MICHAEL ICZKOVITZ2014-10-21
5012012-01-01MICHAEL ICZKOVITZ2013-09-12
5012011-01-01MICHAEL ICZKOVITZ2012-07-16
5012010-01-01MICHAEL ICZKOVITZ2011-09-13
5012009-01-01SUSAN HAVENOR
5012009-01-01MICHAEL ICZKOVITZ MICHAEL ICZKOVITZ2010-10-12

Plan Statistics for MICHAEL L ICZKOVITZ, DDS, PC WELFARE BENEFIT PLAN PRIME WELFARE BENEFIT TRUST

401k plan membership statisitcs for MICHAEL L ICZKOVITZ, DDS, PC WELFARE BENEFIT PLAN PRIME WELFARE BENEFIT TRUST

Measure Date Value
2009: MICHAEL L ICZKOVITZ, DDS, PC WELFARE BENEFIT PLAN PRIME WELFARE BENEFIT TRUST 2009 401k membership
Total participants, beginning-of-year2009-01-011
Total number of active participants reported on line 7a of the Form 55002009-01-011
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-011

Form 5500 Responses for MICHAEL L ICZKOVITZ, DDS, PC WELFARE BENEFIT PLAN PRIME WELFARE BENEFIT TRUST

2009: MICHAEL L ICZKOVITZ, DDS, PC WELFARE BENEFIT PLAN PRIME WELFARE BENEFIT TRUST 2009 form 5500 responses
2009-01-01Type of plan entityMulitple employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

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