401k Plan data: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN plan

ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 401k Plan overview

Plan Name	ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN
Plan identification number	002

ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN Benefits

401k Plan Type

Defined 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.

401k Sponsoring company profile

ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. has sponsored the creation of one or more 401k plans.

Company Name: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD.

Employer identification number (EIN): 363082545

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01
002 2021-01-01
002 2020-01-01
002 2019-01-01
002 2018-01-01
002 2017-01-01 ANDREW SAMPALIS
002 2016-01-01 ANDREW SAMPALIS
002 2015-01-01 ANDREW SAMPALIS
002 2014-01-01 ANDREW SAMPALIS
002 2013-01-01 ANDREW SAMPALIS
002 2012-01-01 ANDREW SAMPALIS
002 2011-01-01 ANDREW SAMPALIS
002 2009-01-01 ANDREW SAMPALIS

Plan Statistics for ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN

401k plan membership statisitcs for ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN

Measure Date Value
2022: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 11
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 0
Total of all active and inactive participants 2022-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 11
Number of participants with account balances 2022-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 10
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 10
Number of participants with account balances 2021-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 9
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 9
Number of participants with account balances 2020-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 9
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 9
Number of participants with account balances 2019-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 8
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 8
Number of participants with account balances 2018-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 7
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 7
Number of participants with account balances 2017-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 9
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 9
Number of participants with account balances 2016-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 9
Number of retired or separated participants receiving benefits 2015-01-01 0
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 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 9
Number of participants with account balances 2015-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 9
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 2
Total of all active and inactive participants 2014-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 11
Number of participants with account balances 2014-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 10
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 1
Total of all active and inactive participants 2013-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 11
Number of participants with account balances 2013-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 11
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 1
Total of all active and inactive participants 2012-01-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 12
Number of participants with account balances 2012-01-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 11
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 1
Total of all active and inactive participants 2011-01-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 12
Number of participants with account balances 2011-01-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 10
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 3
Total of all active and inactive participants 2009-01-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 13
Number of participants with account balances 2009-01-01 13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2022: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	11
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	11
Number of participants with account balances	2022-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	10
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	10
Number of participants with account balances	2021-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	9
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	9
Number of participants with account balances	2020-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	9
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	9
Number of participants with account balances	2019-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	8
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	8
Number of participants with account balances	2018-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	7
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	7
Number of participants with account balances	2017-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	9
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	9
Number of participants with account balances	2016-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	9
Number of retired or separated participants receiving benefits	2015-01-01	0
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	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	9
Number of participants with account balances	2015-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	9
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	2
Total of all active and inactive participants	2014-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	11
Number of participants with account balances	2014-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	10
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	1
Total of all active and inactive participants	2013-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	11
Number of participants with account balances	2013-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	11
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	1
Total of all active and inactive participants	2012-01-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	12
Number of participants with account balances	2012-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	11
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	1
Total of all active and inactive participants	2011-01-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	12
Number of participants with account balances	2011-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	10
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	3
Total of all active and inactive participants	2009-01-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	13
Number of participants with account balances	2009-01-01	13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN

Measure	Date	Value
2022 : ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2022 401k financial data
Total income from all sources	2022-12-31	$-116,971
Expenses. Total of all expenses incurred	2022-12-31	$28,551
Benefits paid (including direct rollovers)	2022-12-31	$28,551
Total plan assets at end of year	2022-12-31	$620,305
Total plan assets at beginning of year	2022-12-31	$765,827
Value of fidelity bond covering the plan	2022-12-31	$150,000
Other income received	2022-12-31	$-133,099
Net income (gross income less expenses)	2022-12-31	$-145,522
Net plan assets at end of year (total assets less liabilities)	2022-12-31	$620,305
Net plan assets at beginning of year (total assets less liabilities)	2022-12-31	$765,827
Total contributions received or receivable from employer(s)	2022-12-31	$16,128
2021 : ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2021 401k financial data
Total income from all sources	2021-12-31	$31,694
Expenses. Total of all expenses incurred	2021-12-31	$52,531
Benefits paid (including direct rollovers)	2021-12-31	$52,372
Total plan assets at end of year	2021-12-31	$765,827
Total plan assets at beginning of year	2021-12-31	$786,664
Value of fidelity bond covering the plan	2021-12-31	$150,000
Expenses. Other expenses not covered elsewhere	2021-12-31	$159
Other income received	2021-12-31	$18,016
Net income (gross income less expenses)	2021-12-31	$-20,837
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$765,827
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$786,664
Total contributions received or receivable from employer(s)	2021-12-31	$13,678
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
2020 : ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources	2020-12-31	$-48,528
Expenses. Total of all expenses incurred	2020-12-31	$15,151
Benefits paid (including direct rollovers)	2020-12-31	$15,000
Total plan assets at end of year	2020-12-31	$786,664
Total plan assets at beginning of year	2020-12-31	$850,343
Value of fidelity bond covering the plan	2020-12-31	$150,000
Expenses. Other expenses not covered elsewhere	2020-12-31	$151
Other income received	2020-12-31	$-64,214
Net income (gross income less expenses)	2020-12-31	$-63,679
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$786,664
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$850,343
Assets. Value of participant loans	2020-12-31	$1,200
Total contributions received or receivable from employer(s)	2020-12-31	$15,686
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
2019 : ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources	2019-12-31	$-42,116
Expenses. Total of all expenses incurred	2019-12-31	$20,459
Benefits paid (including direct rollovers)	2019-12-31	$20,304
Total plan assets at end of year	2019-12-31	$850,343
Total plan assets at beginning of year	2019-12-31	$912,918
Value of fidelity bond covering the plan	2019-12-31	$150,000
Expenses. Other expenses not covered elsewhere	2019-12-31	$155
Other income received	2019-12-31	$-56,187
Net income (gross income less expenses)	2019-12-31	$-62,575
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$850,343
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$912,918
Assets. Value of participant loans	2019-12-31	$1,400
Total contributions received or receivable from employer(s)	2019-12-31	$14,071
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
2018 : ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$-114,505
Expenses. Total of all expenses incurred	2018-12-31	$33,373
Benefits paid (including direct rollovers)	2018-12-31	$32,949
Total plan assets at end of year	2018-12-31	$912,918
Total plan assets at beginning of year	2018-12-31	$1,060,796
Value of fidelity bond covering the plan	2018-12-31	$150,000
Expenses. Other expenses not covered elsewhere	2018-12-31	$424
Other income received	2018-12-31	$-129,260
Net income (gross income less expenses)	2018-12-31	$-147,878
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$912,918
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$1,060,796
Assets. Value of participant loans	2018-12-31	$1,800
Total contributions received or receivable from employer(s)	2018-12-31	$14,755
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
2017 : ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$-3,825
Expenses. Total of all expenses incurred	2017-12-31	$17,370
Benefits paid (including direct rollovers)	2017-12-31	$17,040
Total plan assets at end of year	2017-12-31	$1,060,796
Total plan assets at beginning of year	2017-12-31	$1,081,991
Value of fidelity bond covering the plan	2017-12-31	$150,000
Expenses. Other expenses not covered elsewhere	2017-12-31	$330
Other income received	2017-12-31	$-16,923
Net income (gross income less expenses)	2017-12-31	$-21,195
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$1,060,796
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$1,081,991
Assets. Value of participant loans	2017-12-31	$2,400
Total contributions received or receivable from employer(s)	2017-12-31	$13,098
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
2016 : ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2016 401k financial data
Total plan liabilities at beginning of year	2016-12-31	$0
Total income from all sources	2016-12-31	$-13,471
Expenses. Total of all expenses incurred	2016-12-31	$9,076
Benefits paid (including direct rollovers)	2016-12-31	$6,109
Total plan assets at end of year	2016-12-31	$1,081,991
Total plan assets at beginning of year	2016-12-31	$1,104,538
Value of fidelity bond covering the plan	2016-12-31	$150,000
Expenses. Other expenses not covered elsewhere	2016-12-31	$2,967
Other income received	2016-12-31	$-26,705
Net income (gross income less expenses)	2016-12-31	$-22,547
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$1,081,991
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$1,104,538
Assets. Value of participant loans	2016-12-31	$3,000
Total contributions received or receivable from employer(s)	2016-12-31	$13,234
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
2015 : ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2015 401k financial data
Total plan liabilities at end of year	2015-12-31	$0
Total plan liabilities at beginning of year	2015-12-31	$0
Total income from all sources	2015-12-31	$-59,668
Expenses. Total of all expenses incurred	2015-12-31	$12,497
Benefits paid (including direct rollovers)	2015-12-31	$6,200
Total plan assets at end of year	2015-12-31	$1,104,538
Total plan assets at beginning of year	2015-12-31	$1,176,703
Value of fidelity bond covering the plan	2015-12-31	$150,000
Expenses. Other expenses not covered elsewhere	2015-12-31	$6,297
Other income received	2015-12-31	$-73,892
Net income (gross income less expenses)	2015-12-31	$-72,165
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,104,538
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,176,703
Total contributions received or receivable from employer(s)	2015-12-31	$14,224
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2014 401k financial data
Total plan liabilities at end of year	2014-12-31	$0
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$-102,066
Expenses. Total of all expenses incurred	2014-12-31	$5,959
Total plan assets at end of year	2014-12-31	$1,176,703
Total plan assets at beginning of year	2014-12-31	$1,284,728
Value of fidelity bond covering the plan	2014-12-31	$150,000
Expenses. Other expenses not covered elsewhere	2014-12-31	$5,959
Other income received	2014-12-31	$-115,159
Net income (gross income less expenses)	2014-12-31	$-108,025
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,176,703
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,284,728
Total contributions received or receivable from employer(s)	2014-12-31	$13,093
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2013 401k financial data
Total plan liabilities at end of year	2013-12-31	$0
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$54,603
Expenses. Total of all expenses incurred	2013-12-31	$7,813
Benefits paid (including direct rollovers)	2013-12-31	$1,497
Total plan assets at end of year	2013-12-31	$1,284,728
Total plan assets at beginning of year	2013-12-31	$1,237,938
Value of fidelity bond covering the plan	2013-12-31	$150,000
Expenses. Other expenses not covered elsewhere	2013-12-31	$6,316
Other income received	2013-12-31	$41,606
Net income (gross income less expenses)	2013-12-31	$46,790
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,284,728
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,237,938
Total contributions received or receivable from employer(s)	2013-12-31	$12,997
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$70,253
Expenses. Total of all expenses incurred	2012-12-31	$32,716
Benefits paid (including direct rollovers)	2012-12-31	$27,743
Total plan assets at end of year	2012-12-31	$1,237,938
Total plan assets at beginning of year	2012-12-31	$1,200,401
Value of fidelity bond covering the plan	2012-12-31	$100,000
Expenses. Other expenses not covered elsewhere	2012-12-31	$4,973
Other income received	2012-12-31	$56,659
Net income (gross income less expenses)	2012-12-31	$37,537
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,237,938
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,200,401
Total contributions received or receivable from employer(s)	2012-12-31	$13,594
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2011 401k financial data
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$-75,622
Expenses. Total of all expenses incurred	2011-12-31	$9,191
Benefits paid (including direct rollovers)	2011-12-31	$1,000
Total plan assets at end of year	2011-12-31	$1,200,401
Total plan assets at beginning of year	2011-12-31	$1,285,214
Value of fidelity bond covering the plan	2011-12-31	$100,000
Expenses. Other expenses not covered elsewhere	2011-12-31	$8,191
Other income received	2011-12-31	$-89,198
Net income (gross income less expenses)	2011-12-31	$-84,813
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,200,401
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,285,214
Total contributions received or receivable from employer(s)	2011-12-31	$13,576
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2010 401k financial data
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$83,165
Expenses. Total of all expenses incurred	2010-12-31	$71,348
Benefits paid (including direct rollovers)	2010-12-31	$62,004
Total plan assets at end of year	2010-12-31	$1,285,214
Total plan assets at beginning of year	2010-12-31	$1,273,397
Value of fidelity bond covering the plan	2010-12-31	$100,000
Expenses. Other expenses not covered elsewhere	2010-12-31	$9,344
Other income received	2010-12-31	$70,105
Net income (gross income less expenses)	2010-12-31	$11,817
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,285,214
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,273,397
Total contributions received or receivable from employer(s)	2010-12-31	$13,060
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN

2022: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: ANDREW J SAMPALIS, DDS & ASSOCIATES LTD. PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	ANDREW J SAMPALIS, DDS & ASSOCIATES LTD.
Employer identification number (EIN):	363082545
NAIC Classification:	621210
NAIC Description:	Offices of Dentists