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ROBERT W. KOUBSKY, DDS PROFIT SHARING PLAN 401k Plan overview

Plan NameROBERT W. KOUBSKY, DDS PROFIT SHARING PLAN
Plan identification number 003

ROBERT W. KOUBSKY, DDS PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • 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.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan covering Self-Employed individuals.
  • 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

ROBERT W. KOUBSKY, DDS has sponsored the creation of one or more 401k plans.

Company Name:ROBERT W. KOUBSKY, DDS
Employer identification number (EIN):411418430
NAIC Classification:621399
NAIC Description:Offices of All Other Miscellaneous Health Practitioners

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ROBERT W. KOUBSKY, DDS PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0032016-01-01ROBERT KOUBSKY2017-06-12
0032016-01-01 ROBERT KOUBSKY2020-10-05
0032015-01-01ROBERT KOUBSKY2016-06-11
0032014-01-01ROBERT KOUBSKY2015-07-16
0032013-01-01ROBERT KOUBSKY2014-07-16
0032012-01-01ROBERT KOUBSKY2013-07-17
0032011-01-01ROBERT KOUBSKY2012-06-05
0032009-01-01ROBERT KOUBSKY

Plan Statistics for ROBERT W. KOUBSKY, DDS PROFIT SHARING PLAN

401k plan membership statisitcs for ROBERT W. KOUBSKY, DDS PROFIT SHARING PLAN

Measure Date Value
2016: ROBERT W. KOUBSKY, DDS PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-019
Total number of active participants reported on line 7a of the Form 55002016-01-010
Total of all active and inactive participants2016-01-010
Total participants2016-01-010
2009: ROBERT W. KOUBSKY, DDS PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-017
Total number of active participants reported on line 7a of the Form 55002009-01-017
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 participants2009-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-017
Number of participants with account balances2009-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on ROBERT W. KOUBSKY, DDS PROFIT SHARING PLAN

Measure Date Value
2010 : ROBERT W. KOUBSKY, DDS PROFIT SHARING PLAN 2010 401k financial data
Transfers to/from the plan2010-12-31$0
Total plan liabilities at end of year2010-12-31$0
Total plan liabilities at beginning of year2010-12-31$0
Total income from all sources2010-12-31$340,211
Expenses. Total of all expenses incurred2010-12-31$0
Benefits paid (including direct rollovers)2010-12-31$0
Total plan assets at end of year2010-12-31$2,557,863
Total plan assets at beginning of year2010-12-31$2,217,652
Value of fidelity bond covering the plan2010-12-31$160,000
Total contributions received or receivable from participants2010-12-31$49,062
Expenses. Other expenses not covered elsewhere2010-12-31$0
Contributions received from other sources (not participants or employers)2010-12-31$1,322
Other income received2010-12-31$256,910
Noncash contributions received2010-12-31$0
Net income (gross income less expenses)2010-12-31$340,211
Net plan assets at end of year (total assets less liabilities)2010-12-31$2,557,863
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$2,217,652
Total contributions received or receivable from employer(s)2010-12-31$32,917
Value of certain deemed distributions of participant loans2010-12-31$0
Value of corrective distributions2010-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$0

Form 5500 Responses for ROBERT W. KOUBSKY, DDS PROFIT SHARING PLAN

2016: ROBERT W. KOUBSKY, DDS PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedYes
2016-01-01This submission is the final filingYes
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2009: ROBERT W. KOUBSKY, DDS PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle 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 – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

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