401k Plan data: MICHAEL SHERBIN, D.O., P.C. EMPLOYEES' PROFIT SHARING TRUST plan

MICHAEL SHERBIN, D.O., P.C. EMPLOYEES' PROFIT SHARING TRUST 401k Plan overview

Plan Name	MICHAEL SHERBIN, D.O., P.C. EMPLOYEES' PROFIT SHARING TRUST
Plan identification number	001

MICHAEL SHERBIN, D.O., P.C. EMPLOYEES' PROFIT SHARING TRUST Benefits

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

401k Sponsoring company profile

MICHAEL SHERBIN, D.O., P.C. has sponsored the creation of one or more 401k plans.

Company Name: MICHAEL SHERBIN, D.O., P.C.

Employer identification number (EIN): 382026109

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MICHAEL SHERBIN, D.O., P.C. EMPLOYEES' PROFIT SHARING TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 MICHAEL SHERBIN DO
001 2014-01-01 MICHAEL SHERBIN DO
001 2013-01-01 MICHAEL SHERBIN DO
001 2012-01-01 MICHAEL SHERBIN DO
001 2011-01-01 MICHAEL SHERBIN DO
001 2009-01-01 MICHAEL SHERBIN DO

Plan id#	Filing Submission Date	Name of Administrator
001	2015-01-01	MICHAEL SHERBIN DO
001	2014-01-01	MICHAEL SHERBIN DO
001	2013-01-01	MICHAEL SHERBIN DO
001	2012-01-01	MICHAEL SHERBIN DO
001	2011-01-01	MICHAEL SHERBIN DO
001	2009-01-01	MICHAEL SHERBIN DO

Plan Statistics for MICHAEL SHERBIN, D.O., P.C. EMPLOYEES' PROFIT SHARING TRUST

401k plan membership statisitcs for MICHAEL SHERBIN, D.O., P.C. EMPLOYEES' PROFIT SHARING TRUST

Measure Date Value
2015: MICHAEL SHERBIN, D.O., P.C. EMPLOYEES' PROFIT SHARING TRUST 2015 401k membership
Total participants, beginning-of-year 2015-01-01 7
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 7
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 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 7
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: MICHAEL SHERBIN, D.O., P.C. EMPLOYEES' PROFIT SHARING TRUST 2014 401k membership
Total participants, beginning-of-year 2014-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 6
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 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 6
Number of participants with account balances 2014-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: MICHAEL SHERBIN, D.O., P.C. EMPLOYEES' PROFIT SHARING TRUST 2013 401k membership
Total participants, beginning-of-year 2013-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 6
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 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 7
Number of participants with account balances 2013-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: MICHAEL SHERBIN, D.O., P.C. EMPLOYEES' PROFIT SHARING TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1
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 5
Total of all active and inactive participants 2012-01-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 6
Number of participants with account balances 2012-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: MICHAEL SHERBIN, D.O., P.C. EMPLOYEES' PROFIT SHARING TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 7
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 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 8
Number of participants with account balances 2011-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: MICHAEL SHERBIN, D.O., P.C. EMPLOYEES' PROFIT SHARING TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 6
Number of other retired or separated participants entitled to future benefits 2009-01-01 2
Total of all active and inactive participants 2009-01-01 8
Total participants 2009-01-01 8
Number of participants with account balances 2009-01-01 8

Measure	Date	Value
2015: MICHAEL SHERBIN, D.O., P.C. EMPLOYEES' PROFIT SHARING TRUST 2015 401k membership
Total participants, beginning-of-year	2015-01-01	7
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	7
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	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	7
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: MICHAEL SHERBIN, D.O., P.C. EMPLOYEES' PROFIT SHARING TRUST 2014 401k membership
Total participants, beginning-of-year	2014-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	6
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	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	6
Number of participants with account balances	2014-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: MICHAEL SHERBIN, D.O., P.C. EMPLOYEES' PROFIT SHARING TRUST 2013 401k membership
Total participants, beginning-of-year	2013-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	6
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	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	7
Number of participants with account balances	2013-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: MICHAEL SHERBIN, D.O., P.C. EMPLOYEES' PROFIT SHARING TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1
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	5
Total of all active and inactive participants	2012-01-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	6
Number of participants with account balances	2012-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: MICHAEL SHERBIN, D.O., P.C. EMPLOYEES' PROFIT SHARING TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	7
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	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	8
Number of participants with account balances	2011-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: MICHAEL SHERBIN, D.O., P.C. EMPLOYEES' PROFIT SHARING TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	6
Number of other retired or separated participants entitled to future benefits	2009-01-01	2
Total of all active and inactive participants	2009-01-01	8
Total participants	2009-01-01	8
Number of participants with account balances	2009-01-01	8

Financial Data on MICHAEL SHERBIN, D.O., P.C. EMPLOYEES' PROFIT SHARING TRUST

Measure	Date	Value
2015 : MICHAEL SHERBIN, D.O., P.C. EMPLOYEES' PROFIT SHARING TRUST 2015 401k financial data
Total income from all sources	2015-12-31	$-387,929
Expenses. Total of all expenses incurred	2015-12-31	$3,043,996
Benefits paid (including direct rollovers)	2015-12-31	$3,043,846
Total plan assets at end of year	2015-12-31	$0
Total plan assets at beginning of year	2015-12-31	$3,431,925
Value of fidelity bond covering the plan	2015-12-31	$250,000
Expenses. Other expenses not covered elsewhere	2015-12-31	$150
Other income received	2015-12-31	$-387,929
Net income (gross income less expenses)	2015-12-31	$-3,431,925
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	$3,431,925
2014 : MICHAEL SHERBIN, D.O., P.C. EMPLOYEES' PROFIT SHARING TRUST 2014 401k financial data
Total income from all sources	2014-12-31	$280,316
Expenses. Total of all expenses incurred	2014-12-31	$150,150
Benefits paid (including direct rollovers)	2014-12-31	$150,000
Total plan assets at end of year	2014-12-31	$3,431,925
Total plan assets at beginning of year	2014-12-31	$3,301,759
Value of fidelity bond covering the plan	2014-12-31	$250,000
Expenses. Other expenses not covered elsewhere	2014-12-31	$150
Other income received	2014-12-31	$280,316
Net income (gross income less expenses)	2014-12-31	$130,166
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$3,431,925
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$3,301,759
2013 : MICHAEL SHERBIN, D.O., P.C. EMPLOYEES' PROFIT SHARING TRUST 2013 401k financial data
Total income from all sources	2013-12-31	$601,371
Expenses. Total of all expenses incurred	2013-12-31	$159,690
Benefits paid (including direct rollovers)	2013-12-31	$159,540
Total plan assets at end of year	2013-12-31	$3,301,759
Total plan assets at beginning of year	2013-12-31	$2,860,078
Value of fidelity bond covering the plan	2013-12-31	$250,000
Expenses. Other expenses not covered elsewhere	2013-12-31	$150
Other income received	2013-12-31	$601,371
Net income (gross income less expenses)	2013-12-31	$441,681
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$3,301,759
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$2,860,078
2012 : MICHAEL SHERBIN, D.O., P.C. EMPLOYEES' PROFIT SHARING TRUST 2012 401k financial data
Total income from all sources	2012-12-31	$370,803
Expenses. Total of all expenses incurred	2012-12-31	$138,343
Total plan assets at end of year	2012-12-31	$2,860,078
Total plan assets at beginning of year	2012-12-31	$2,627,618
Value of fidelity bond covering the plan	2012-12-31	$250,000
Expenses. Other expenses not covered elsewhere	2012-12-31	$180
Other income received	2012-12-31	$370,803
Net income (gross income less expenses)	2012-12-31	$232,460
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$2,860,078
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$2,627,618
Value of certain deemed distributions of participant loans	2012-12-31	$138,163
2011 : MICHAEL SHERBIN, D.O., P.C. EMPLOYEES' PROFIT SHARING TRUST 2011 401k financial data
Total income from all sources	2011-12-31	$-143,310
Expenses. Total of all expenses incurred	2011-12-31	$130,180
Benefits paid (including direct rollovers)	2011-12-31	$130,000
Total plan assets at end of year	2011-12-31	$2,627,618
Total plan assets at beginning of year	2011-12-31	$2,901,108
Value of fidelity bond covering the plan	2011-12-31	$250,000
Expenses. Other expenses not covered elsewhere	2011-12-31	$180
Other income received	2011-12-31	$-143,310
Net income (gross income less expenses)	2011-12-31	$-273,490
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$2,627,618
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$2,901,108
2010 : MICHAEL SHERBIN, D.O., P.C. EMPLOYEES' PROFIT SHARING TRUST 2010 401k financial data
Total income from all sources	2010-12-31	$419,984
Expenses. Total of all expenses incurred	2010-12-31	$136,489
Total plan assets at end of year	2010-12-31	$2,901,108
Total plan assets at beginning of year	2010-12-31	$2,617,613
Value of fidelity bond covering the plan	2010-12-31	$250,000
Expenses. Other expenses not covered elsewhere	2010-12-31	$136,489
Other income received	2010-12-31	$419,984
Net income (gross income less expenses)	2010-12-31	$283,495
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$2,901,108
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$2,617,613

Form 5500 Responses for MICHAEL SHERBIN, D.O., P.C. EMPLOYEES' PROFIT SHARING TRUST

2015: MICHAEL SHERBIN, D.O., P.C. EMPLOYEES' PROFIT SHARING TRUST 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: MICHAEL SHERBIN, D.O., P.C. EMPLOYEES' PROFIT SHARING TRUST 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: MICHAEL SHERBIN, D.O., P.C. EMPLOYEES' PROFIT SHARING TRUST 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: MICHAEL SHERBIN, D.O., P.C. EMPLOYEES' PROFIT SHARING TRUST 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: MICHAEL SHERBIN, D.O., P.C. EMPLOYEES' PROFIT SHARING TRUST 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: MICHAEL SHERBIN, D.O., P.C. EMPLOYEES' PROFIT SHARING TRUST 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:	MICHAEL SHERBIN, D.O., P.C.
Employer identification number (EIN):	382026109
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)