401k Plan data: STEPHEN A. GODLEWSKI, M.D., P.C. PROFIT SHARING PLAN plan

STEPHEN A. GODLEWSKI, M.D., P.C. PROFIT SHARING PLAN 401k Plan overview

Plan Name	STEPHEN A. GODLEWSKI, M.D., P.C. PROFIT SHARING PLAN
Plan identification number	002

STEPHEN A. GODLEWSKI, M.D., P.C. PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
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

STEPHEN A. GODLEWSKI, M.D., P.C. has sponsored the creation of one or more 401k plans.

Company Name: STEPHEN A. GODLEWSKI, M.D., P.C.

Employer identification number (EIN): 581521820

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan STEPHEN A. GODLEWSKI, M.D., P.C. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2020-01-01
002 2019-01-01 STEPHEN GODLEWSKI MD 2020-09-25 STEPHEN GODLEWSKI MD 2020-09-25
002 2018-01-01 STEPHEN GODLEWSKI MD 2019-10-11 STEPHEN GODLEWSKI MD 2019-10-11
002 2017-01-01
002 2015-01-01
002 2014-01-01
002 2013-01-01
002 2012-01-01 STEPHEN A. GODLEWSKI, MD STEPHEN A. GODLEWSKI, MD 2013-07-03
002 2011-01-01 STEPHEN A. GODLEWSKI, MD STEPHEN A. GODLEWSKI, MD 2012-05-24
002 2010-01-01 STEPHEN GODLEWSKI, MD STEPHEN GODLEWSKI, MD 2011-04-26
002 2009-01-01 STEPHEN GODLEWSKI STEPHEN GODLEWSKI 2010-08-10

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2020-01-01
002	2019-01-01	STEPHEN GODLEWSKI MD	2020-09-25	STEPHEN GODLEWSKI MD	2020-09-25
002	2018-01-01	STEPHEN GODLEWSKI MD	2019-10-11	STEPHEN GODLEWSKI MD	2019-10-11
002	2017-01-01
002	2015-01-01
002	2014-01-01
002	2013-01-01
002	2012-01-01	STEPHEN A. GODLEWSKI, MD		STEPHEN A. GODLEWSKI, MD	2013-07-03
002	2011-01-01	STEPHEN A. GODLEWSKI, MD		STEPHEN A. GODLEWSKI, MD	2012-05-24
002	2010-01-01	STEPHEN GODLEWSKI, MD		STEPHEN GODLEWSKI, MD	2011-04-26
002	2009-01-01	STEPHEN GODLEWSKI		STEPHEN GODLEWSKI	2010-08-10

Plan Statistics for STEPHEN A. GODLEWSKI, M.D., P.C. PROFIT SHARING PLAN

401k plan membership statisitcs for STEPHEN A. GODLEWSKI, M.D., P.C. PROFIT SHARING PLAN

Measure Date Value
2019: STEPHEN A. GODLEWSKI, M.D., P.C. PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 1
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 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 1
Number of participants with account balances 2019-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: STEPHEN A. GODLEWSKI, M.D., P.C. PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 3
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 4
Total of all active and inactive participants 2018-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 7
Number of participants with account balances 2018-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 1
2017: STEPHEN A. GODLEWSKI, M.D., P.C. PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 4
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 6
Total of all active and inactive participants 2017-01-01 10
Total participants 2017-01-01 10
Number of participants with account balances 2017-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 3
2015: STEPHEN A. GODLEWSKI, M.D., P.C. 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 7
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 2
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 1
2014: STEPHEN A. GODLEWSKI, M.D., P.C. 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 5
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 3
Total of all active and inactive participants 2014-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 8
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 3
2013: STEPHEN A. GODLEWSKI, M.D., P.C. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 5
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 5
Total of all active and inactive participants 2013-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 10
Number of participants with account balances 2013-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 2
2012: STEPHEN A. GODLEWSKI, M.D., P.C. 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 5
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 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 10
Number of participants with account balances 2012-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 3
2011: STEPHEN A. GODLEWSKI, M.D., P.C. 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 10
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 2
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
2010: STEPHEN A. GODLEWSKI, M.D., P.C. PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 10
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 1
Total of all active and inactive participants 2010-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 11
Number of participants with account balances 2010-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: STEPHEN A. GODLEWSKI, M.D., P.C. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 8
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 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 11
Number of participants with account balances 2009-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2019: STEPHEN A. GODLEWSKI, M.D., P.C. PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	1
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	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	1
Number of participants with account balances	2019-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: STEPHEN A. GODLEWSKI, M.D., P.C. PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	3
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	4
Total of all active and inactive participants	2018-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	7
Number of participants with account balances	2018-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	1
2017: STEPHEN A. GODLEWSKI, M.D., P.C. PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	4
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	6
Total of all active and inactive participants	2017-01-01	10
Total participants	2017-01-01	10
Number of participants with account balances	2017-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	3
2015: STEPHEN A. GODLEWSKI, M.D., P.C. 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	7
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	2
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	1
2014: STEPHEN A. GODLEWSKI, M.D., P.C. 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	5
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	3
Total of all active and inactive participants	2014-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	8
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	3
2013: STEPHEN A. GODLEWSKI, M.D., P.C. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	5
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	5
Total of all active and inactive participants	2013-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	10
Number of participants with account balances	2013-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	2
2012: STEPHEN A. GODLEWSKI, M.D., P.C. 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	5
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	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	10
Number of participants with account balances	2012-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	3
2011: STEPHEN A. GODLEWSKI, M.D., P.C. 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	10
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	2
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
2010: STEPHEN A. GODLEWSKI, M.D., P.C. PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	10
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	1
Total of all active and inactive participants	2010-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	11
Number of participants with account balances	2010-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: STEPHEN A. GODLEWSKI, M.D., P.C. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	8
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	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	11
Number of participants with account balances	2009-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on STEPHEN A. GODLEWSKI, M.D., P.C. PROFIT SHARING PLAN

Measure	Date	Value
2019 : STEPHEN A. GODLEWSKI, M.D., P.C. PROFIT SHARING PLAN 2019 401k financial data
Total plan liabilities at end of year	2019-12-31	$0
Total plan liabilities at beginning of year	2019-12-31	$2,074
Total income from all sources	2019-12-31	$102,049
Expenses. Total of all expenses incurred	2019-12-31	$1,425,920
Benefits paid (including direct rollovers)	2019-12-31	$1,411,878
Total plan assets at end of year	2019-12-31	$151,177
Total plan assets at beginning of year	2019-12-31	$1,477,122
Value of fidelity bond covering the plan	2019-12-31	$400,000
Other income received	2019-12-31	$102,049
Net income (gross income less expenses)	2019-12-31	$-1,323,871
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$151,177
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$1,475,048
Assets. Value of assets in partnership/joint-venture interests	2019-12-31	$58,558
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$14,042
2018 : STEPHEN A. GODLEWSKI, M.D., P.C. PROFIT SHARING PLAN 2018 401k financial data
Total plan liabilities at end of year	2018-12-31	$0
Total plan liabilities at beginning of year	2018-12-31	$0
Total income from all sources	2018-12-31	$113,945
Expenses. Total of all expenses incurred	2018-12-31	$87,297
Benefits paid (including direct rollovers)	2018-12-31	$61,612
Total plan assets at end of year	2018-12-31	$1,477,122
Total plan assets at beginning of year	2018-12-31	$1,450,474
Value of fidelity bond covering the plan	2018-12-31	$400,000
Other income received	2018-12-31	$113,945
Net income (gross income less expenses)	2018-12-31	$26,648
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$1,477,122
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$1,450,474
Assets. Value of assets in partnership/joint-venture interests	2018-12-31	$145,944
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$25,685
2017 : STEPHEN A. GODLEWSKI, M.D., P.C. PROFIT SHARING PLAN 2017 401k financial data
Total plan liabilities at end of year	2017-12-31	$0
Total plan liabilities at beginning of year	2017-12-31	$0
Total income from all sources	2017-12-31	$-25,882
Expenses. Total of all expenses incurred	2017-12-31	$0
Total plan assets at end of year	2017-12-31	$1,450,474
Total plan assets at beginning of year	2017-12-31	$1,476,356
Value of fidelity bond covering the plan	2017-12-31	$400,000
Other income received	2017-12-31	$-53,788
Net income (gross income less expenses)	2017-12-31	$-25,882
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$1,450,474
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$1,476,356
Assets. Value of assets in partnership/joint-venture interests	2017-12-31	$156,658
Total contributions received or receivable from employer(s)	2017-12-31	$27,906
2015 : STEPHEN A. GODLEWSKI, M.D., P.C. 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	$13,181
Total income from all sources	2015-12-31	$9,464
Expenses. Total of all expenses incurred	2015-12-31	$72,057
Benefits paid (including direct rollovers)	2015-12-31	$68,585
Total plan assets at end of year	2015-12-31	$1,469,619
Total plan assets at beginning of year	2015-12-31	$1,545,393
Value of fidelity bond covering the plan	2015-12-31	$400,000
Total contributions received or receivable from participants	2015-12-31	$0
Expenses. Other expenses not covered elsewhere	2015-12-31	$0
Contributions received from other sources (not participants or employers)	2015-12-31	$0
Other income received	2015-12-31	$-46,247
Net income (gross income less expenses)	2015-12-31	$-62,593
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,469,619
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,532,212
Assets. Value of assets in partnership/joint-venture interests	2015-12-31	$325,198
Total contributions received or receivable from employer(s)	2015-12-31	$55,711
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$3,472
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : STEPHEN A. GODLEWSKI, M.D., P.C. PROFIT SHARING PLAN 2014 401k financial data
Total plan liabilities at end of year	2014-12-31	$13,181
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$29,460
Expenses. Total of all expenses incurred	2014-12-31	$17,775
Benefits paid (including direct rollovers)	2014-12-31	$17,775
Total plan assets at end of year	2014-12-31	$1,545,393
Total plan assets at beginning of year	2014-12-31	$1,520,527
Value of fidelity bond covering the plan	2014-12-31	$400,000
Other income received	2014-12-31	$-26,039
Net income (gross income less expenses)	2014-12-31	$11,685
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,532,212
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,520,527
Assets. Value of assets in partnership/joint-venture interests	2014-12-31	$360,101
Total contributions received or receivable from employer(s)	2014-12-31	$55,499
2013 : STEPHEN A. GODLEWSKI, M.D., P.C. 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	$112,424
Expenses. Total of all expenses incurred	2013-12-31	$27,862
Benefits paid (including direct rollovers)	2013-12-31	$25,638
Total plan assets at end of year	2013-12-31	$1,520,527
Total plan assets at beginning of year	2013-12-31	$1,435,965
Value of fidelity bond covering the plan	2013-12-31	$400,000
Total contributions received or receivable from participants	2013-12-31	$0
Expenses. Other expenses not covered elsewhere	2013-12-31	$0
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$60,384
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$84,562
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,520,527
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,435,965
Assets. Value of assets in partnership/joint-venture interests	2013-12-31	$472,527
Total contributions received or receivable from employer(s)	2013-12-31	$52,040
Value of corrective distributions	2013-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$2,224
2012 : STEPHEN A. GODLEWSKI, M.D., P.C. 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	$86,005
Expenses. Total of all expenses incurred	2012-12-31	$18,483
Benefits paid (including direct rollovers)	2012-12-31	$9,785
Total plan assets at end of year	2012-12-31	$1,435,965
Total plan assets at beginning of year	2012-12-31	$1,368,443
Value of fidelity bond covering the plan	2012-12-31	$400,000
Total contributions received or receivable from participants	2012-12-31	$0
Expenses. Other expenses not covered elsewhere	2012-12-31	$0
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$65,965
Noncash contributions received	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$67,522
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,435,965
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,368,443
Assets. Value of assets in partnership/joint-venture interests	2012-12-31	$473,358
Total contributions received or receivable from employer(s)	2012-12-31	$20,040
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$8,698
2011 : STEPHEN A. GODLEWSKI, M.D., P.C. 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	$9,502
Expenses. Total of all expenses incurred	2011-12-31	$8,489
Benefits paid (including direct rollovers)	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$1,368,443
Total plan assets at beginning of year	2011-12-31	$1,367,430
Value of fidelity bond covering the plan	2011-12-31	$1,000,000
Total contributions received or receivable from participants	2011-12-31	$0
Expenses. Other expenses not covered elsewhere	2011-12-31	$0
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-50,326
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$1,013
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,368,443
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,367,430
Assets. Value of assets in partnership/joint-venture interests	2011-12-31	$505,952
Total contributions received or receivable from employer(s)	2011-12-31	$59,828
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$8,489
2010 : STEPHEN A. GODLEWSKI, M.D., P.C. 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	$181,361
Expenses. Total of all expenses incurred	2010-12-31	$2,174
Benefits paid (including direct rollovers)	2010-12-31	$743
Total plan assets at end of year	2010-12-31	$1,367,430
Total plan assets at beginning of year	2010-12-31	$1,188,243
Value of fidelity bond covering the plan	2010-12-31	$1,000,000
Total contributions received or receivable from participants	2010-12-31	$0
Expenses. Other expenses not covered elsewhere	2010-12-31	$0
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$124,611
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$179,187
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,367,430
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,188,243
Assets. Value of assets in partnership/joint-venture interests	2010-12-31	$431,084
Total contributions received or receivable from employer(s)	2010-12-31	$56,750
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$1,431
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0

Form 5500 Responses for STEPHEN A. GODLEWSKI, M.D., P.C. PROFIT SHARING PLAN

2019: STEPHEN A. GODLEWSKI, M.D., P.C. 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: STEPHEN A. GODLEWSKI, M.D., P.C. 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: STEPHEN A. GODLEWSKI, M.D., P.C. 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
2015: STEPHEN A. GODLEWSKI, M.D., P.C. 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: STEPHEN A. GODLEWSKI, M.D., P.C. 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: STEPHEN A. GODLEWSKI, M.D., P.C. 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: STEPHEN A. GODLEWSKI, M.D., P.C. 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 – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: STEPHEN A. GODLEWSKI, M.D., P.C. 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 – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: STEPHEN A. GODLEWSKI, M.D., P.C. PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: STEPHEN A. GODLEWSKI, M.D., P.C. 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 – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )

Policy contract number

70151024

Policy instance

Insurance contract or identification number	70151024
Number of Individuals Covered	10
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )

Policy contract number

70151024

Policy instance

Insurance contract or identification number	70151024
Number of Individuals Covered	1
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

F&G LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63274 )

Policy contract number

L9174387

Policy instance

Insurance contract or identification number	L9174387
Number of Individuals Covered	1
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )

Policy contract number

70151024

Policy instance

Insurance contract or identification number	70151024
Number of Individuals Covered	1
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	STEPHEN A. GODLEWSKI, M.D., P.C.
Employer identification number (EIN):	581521820
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)