401k Plan data: JEFFRY POTASH, MD, P.C. RETIREMENT PLAN plan

JEFFRY POTASH, MD, P.C. RETIREMENT PLAN 401k Plan overview

Plan Name	JEFFRY POTASH, MD, P.C. RETIREMENT PLAN
Plan identification number	003

JEFFRY POTASH, MD, P.C. RETIREMENT PLAN Benefits

401k Plan Type	Defined Benefit Pension
Plan Features/Benefits	Benefits are primarily pay related 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

JEFFRY POTASH, M.D., P.C. has sponsored the creation of one or more 401k plans.

Company Name: JEFFRY POTASH, M.D., P.C.

Employer identification number (EIN): 030351820

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JEFFRY POTASH, MD, P.C. RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2021-01-01
003 2020-01-01
003 2019-01-01
003 2018-01-01
003 2017-01-01
003 2016-01-01
003 2015-01-01
003 2014-01-01 JEFFRY POTASH 2015-09-22
003 2013-01-01 JEFFRY POTASH 2014-09-26
003 2012-01-01 JEFFRY POTASH 2013-09-18
003 2011-01-01 JEFFRY POTASH 2012-06-19
003 2010-01-01 JEFFRY POTASH 2011-09-19

Plan Statistics for JEFFRY POTASH, MD, P.C. RETIREMENT PLAN

401k plan membership statisitcs for JEFFRY POTASH, MD, P.C. RETIREMENT PLAN

Measure Date Value
2019: JEFFRY POTASH, MD, P.C. RETIREMENT PLAN 2019 401k membership
Market value of plan assets 2019-12-31 2,045,477
Acturial value of plan assets 2019-12-31 2,045,477
Funding target for retired participants and beneficiaries receiving payment 2019-12-31 0
Number of terminated vested participants 2019-12-31 2
Fundng target for terminated vested participants 2019-12-31 17,541
Active participant vested funding target 2019-12-31 1,973,608
Number of active participants 2019-12-31 3
Total funding liabilities for active participants 2019-12-31 1,984,811
Total participant count 2019-12-31 5
Total funding target for all participants 2019-12-31 2,002,352
Balance at beginning of prior year after applicable adjustments 2019-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2019-12-31 220,613
Carryover balanced portion elected for use to offset prior years funding requirement 2019-12-31 0
Prefunding balanced used to offset prior years funding requirement 2019-12-31 0
Amount remaining of carryover balance 2019-12-31 0
Amount remaining of prefunding balance 2019-12-31 220,613
Present value of excess contributions 2019-12-31 7,002
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2019-12-31 7,346
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2019-12-31 7,346
Reductions in caryover balances due to elections or deemed elections 2019-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2019-12-31 0
Balance of carryovers at beginning of current year 2019-12-31 0
Balance of prefunding at beginning of current year 2019-12-31 233,210
Total employer contributions 2019-12-31 68,098
Total employee contributions 2019-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2019-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2019-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2019-12-31 61,747
Unpaid minimum required contributions for all prior years 2019-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2019-12-31 0
Remaining amount of unpaid minimum required contributions 2019-12-31 0
Minimum required contributions for current year target normal cost 2019-12-31 199,350
Net shortfall amortization installment of oustanding balance 2019-12-31 190,085
Waiver amortization installment 2019-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2019-12-31 230,236
Carryover balance elected to use to offset funding requirement 2019-12-31 0
Prefunding balance elected to use to offset funding requirement 2019-12-31 168,489
Additional cash requirement 2019-12-31 61,747
Contributions allocatedtoward minimum required contributions for current year 2019-12-31 61,747
Unpaid minimum required contributions for current year 2019-12-31 0
Unpaid minimum required contributions for all years 2019-12-31 0
2018: JEFFRY POTASH, MD, P.C. RETIREMENT PLAN 2018 401k membership
Market value of plan assets 2018-12-31 2,040,609
Acturial value of plan assets 2018-12-31 2,040,609
Funding target for retired participants and beneficiaries receiving payment 2018-12-31 0
Number of terminated vested participants 2018-12-31 2
Fundng target for terminated vested participants 2018-12-31 16,245
Active participant vested funding target 2018-12-31 1,719,159
Number of active participants 2018-12-31 3
Total funding liabilities for active participants 2018-12-31 1,723,696
Total participant count 2018-12-31 5
Total funding target for all participants 2018-12-31 1,739,941
Balance at beginning of prior year after applicable adjustments 2018-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2018-12-31 184,386
Carryover balanced portion elected for use to offset prior years funding requirement 2018-12-31 0
Prefunding balanced used to offset prior years funding requirement 2018-12-31 0
Amount remaining of carryover balance 2018-12-31 0
Amount remaining of prefunding balance 2018-12-31 184,386
Present value of excess contributions 2018-12-31 8,768
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2018-12-31 9,196
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2018-12-31 9,196
Reductions in caryover balances due to elections or deemed elections 2018-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2018-12-31 0
Balance of carryovers at beginning of current year 2018-12-31 0
Balance of prefunding at beginning of current year 2018-12-31 220,613
Total employer contributions 2018-12-31 124,944
Total employee contributions 2018-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2018-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2018-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2018-12-31 115,208
Liquidity shortfalls end of Q1 2018-12-31 0
Liquidity shortfalls end of Q2 2018-12-31 0
Liquidity shortfalls end of Q3 2018-12-31 0
Liquidity shortfalls end of Q4 2018-12-31 0
Unpaid minimum required contributions for all prior years 2018-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2018-12-31 0
Remaining amount of unpaid minimum required contributions 2018-12-31 0
Minimum required contributions for current year target normal cost 2018-12-31 190,816
Net shortfall amortization installment of oustanding balance 2018-12-31 0
Waiver amortization installment 2018-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2018-12-31 110,761
Carryover balance elected to use to offset funding requirement 2018-12-31 0
Prefunding balance elected to use to offset funding requirement 2018-12-31 0
Additional cash requirement 2018-12-31 110,761
Contributions allocatedtoward minimum required contributions for current year 2018-12-31 115,208
Unpaid minimum required contributions for current year 2018-12-31 0
Unpaid minimum required contributions for all years 2018-12-31 0
2017: JEFFRY POTASH, MD, P.C. RETIREMENT PLAN 2017 401k membership
Market value of plan assets 2017-12-31 1,623,900
Acturial value of plan assets 2017-12-31 1,623,900
Funding target for retired participants and beneficiaries receiving payment 2017-12-31 0
Number of terminated vested participants 2017-12-31 2
Fundng target for terminated vested participants 2017-12-31 14,436
Active participant vested funding target 2017-12-31 1,426,792
Number of active participants 2017-12-31 2
Total funding liabilities for active participants 2017-12-31 1,426,792
Total participant count 2017-12-31 4
Total funding target for all participants 2017-12-31 1,441,228
Balance at beginning of prior year after applicable adjustments 2017-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2017-12-31 178,108
Carryover balanced portion elected for use to offset prior years funding requirement 2017-12-31 0
Prefunding balanced used to offset prior years funding requirement 2017-12-31 0
Amount remaining of carryover balance 2017-12-31 0
Amount remaining of prefunding balance 2017-12-31 178,108
Present value of excess contributions 2017-12-31 7,258
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2017-12-31 7,614
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2017-12-31 7,614
Reductions in caryover balances due to elections or deemed elections 2017-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2017-12-31 0
Balance of carryovers at beginning of current year 2017-12-31 0
Balance of prefunding at beginning of current year 2017-12-31 184,386
Total employer contributions 2017-12-31 226,201
Total employee contributions 2017-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2017-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2017-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2017-12-31 209,446
Liquidity shortfalls end of Q1 2017-12-31 0
Liquidity shortfalls end of Q2 2017-12-31 0
Liquidity shortfalls end of Q3 2017-12-31 0
Liquidity shortfalls end of Q4 2017-12-31 0
Unpaid minimum required contributions for all prior years 2017-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2017-12-31 0
Remaining amount of unpaid minimum required contributions 2017-12-31 0
Minimum required contributions for current year target normal cost 2017-12-31 173,701
Net shortfall amortization installment of oustanding balance 2017-12-31 46,748
Waiver amortization installment 2017-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2017-12-31 200,678
Carryover balance elected to use to offset funding requirement 2017-12-31 0
Prefunding balance elected to use to offset funding requirement 2017-12-31 0
Additional cash requirement 2017-12-31 200,678
Contributions allocatedtoward minimum required contributions for current year 2017-12-31 209,446
Unpaid minimum required contributions for current year 2017-12-31 0
Unpaid minimum required contributions for all years 2017-12-31 0
2016: JEFFRY POTASH, MD, P.C. RETIREMENT PLAN 2016 401k membership
Market value of plan assets 2016-12-31 1,346,911
Acturial value of plan assets 2016-12-31 1,346,911
Funding target for retired participants and beneficiaries receiving payment 2016-12-31 0
Number of terminated vested participants 2016-12-31 1
Fundng target for terminated vested participants 2016-12-31 11,278
Active participant vested funding target 2016-12-31 1,198,071
Number of active participants 2016-12-31 2
Total funding liabilities for active participants 2016-12-31 1,199,345
Total participant count 2016-12-31 3
Total funding target for all participants 2016-12-31 1,210,623
Balance at beginning of prior year after applicable adjustments 2016-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2016-12-31 178,547
Carryover balanced portion elected for use to offset prior years funding requirement 2016-12-31 0
Prefunding balanced used to offset prior years funding requirement 2016-12-31 0
Amount remaining of carryover balance 2016-12-31 0
Amount remaining of prefunding balance 2016-12-31 178,547
Present value of excess contributions 2016-12-31 858
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2016-12-31 900
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2016-12-31 900
Reductions in caryover balances due to elections or deemed elections 2016-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2016-12-31 0
Balance of carryovers at beginning of current year 2016-12-31 0
Balance of prefunding at beginning of current year 2016-12-31 178,108
Total employer contributions 2016-12-31 213,699
Total employee contributions 2016-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2016-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2016-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2016-12-31 195,776
Liquidity shortfalls end of Q1 2016-12-31 0
Liquidity shortfalls end of Q2 2016-12-31 0
Liquidity shortfalls end of Q3 2016-12-31 0
Liquidity shortfalls end of Q4 2016-12-31 0
Unpaid minimum required contributions for all prior years 2016-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2016-12-31 0
Remaining amount of unpaid minimum required contributions 2016-12-31 0
Minimum required contributions for current year target normal cost 2016-12-31 161,541
Net shortfall amortization installment of oustanding balance 2016-12-31 71,692
Waiver amortization installment 2016-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2016-12-31 188,518
Carryover balance elected to use to offset funding requirement 2016-12-31 0
Additional cash requirement 2016-12-31 188,518
Contributions allocatedtoward minimum required contributions for current year 2016-12-31 195,776
Unpaid minimum required contributions for current year 2016-12-31 0
Unpaid minimum required contributions for all years 2016-12-31 0

Measure	Date	Value
2019: JEFFRY POTASH, MD, P.C. RETIREMENT PLAN 2019 401k membership
Market value of plan assets	2019-12-31	2,045,477
Acturial value of plan assets	2019-12-31	2,045,477
Funding target for retired participants and beneficiaries receiving payment	2019-12-31	0
Number of terminated vested participants	2019-12-31	2
Fundng target for terminated vested participants	2019-12-31	17,541
Active participant vested funding target	2019-12-31	1,973,608
Number of active participants	2019-12-31	3
Total funding liabilities for active participants	2019-12-31	1,984,811
Total participant count	2019-12-31	5
Total funding target for all participants	2019-12-31	2,002,352
Balance at beginning of prior year after applicable adjustments	2019-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2019-12-31	220,613
Carryover balanced portion elected for use to offset prior years funding requirement	2019-12-31	0
Prefunding balanced used to offset prior years funding requirement	2019-12-31	0
Amount remaining of carryover balance	2019-12-31	0
Amount remaining of prefunding balance	2019-12-31	220,613
Present value of excess contributions	2019-12-31	7,002
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2019-12-31	7,346
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2019-12-31	7,346
Reductions in caryover balances due to elections or deemed elections	2019-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2019-12-31	0
Balance of carryovers at beginning of current year	2019-12-31	0
Balance of prefunding at beginning of current year	2019-12-31	233,210
Total employer contributions	2019-12-31	68,098
Total employee contributions	2019-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2019-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2019-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2019-12-31	61,747
Unpaid minimum required contributions for all prior years	2019-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2019-12-31	0
Remaining amount of unpaid minimum required contributions	2019-12-31	0
Minimum required contributions for current year target normal cost	2019-12-31	199,350
Net shortfall amortization installment of oustanding balance	2019-12-31	190,085
Waiver amortization installment	2019-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2019-12-31	230,236
Carryover balance elected to use to offset funding requirement	2019-12-31	0
Prefunding balance elected to use to offset funding requirement	2019-12-31	168,489
Additional cash requirement	2019-12-31	61,747
Contributions allocatedtoward minimum required contributions for current year	2019-12-31	61,747
Unpaid minimum required contributions for current year	2019-12-31	0
Unpaid minimum required contributions for all years	2019-12-31	0
2018: JEFFRY POTASH, MD, P.C. RETIREMENT PLAN 2018 401k membership
Market value of plan assets	2018-12-31	2,040,609
Acturial value of plan assets	2018-12-31	2,040,609
Funding target for retired participants and beneficiaries receiving payment	2018-12-31	0
Number of terminated vested participants	2018-12-31	2
Fundng target for terminated vested participants	2018-12-31	16,245
Active participant vested funding target	2018-12-31	1,719,159
Number of active participants	2018-12-31	3
Total funding liabilities for active participants	2018-12-31	1,723,696
Total participant count	2018-12-31	5
Total funding target for all participants	2018-12-31	1,739,941
Balance at beginning of prior year after applicable adjustments	2018-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2018-12-31	184,386
Carryover balanced portion elected for use to offset prior years funding requirement	2018-12-31	0
Prefunding balanced used to offset prior years funding requirement	2018-12-31	0
Amount remaining of carryover balance	2018-12-31	0
Amount remaining of prefunding balance	2018-12-31	184,386
Present value of excess contributions	2018-12-31	8,768
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2018-12-31	9,196
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2018-12-31	9,196
Reductions in caryover balances due to elections or deemed elections	2018-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2018-12-31	0
Balance of carryovers at beginning of current year	2018-12-31	0
Balance of prefunding at beginning of current year	2018-12-31	220,613
Total employer contributions	2018-12-31	124,944
Total employee contributions	2018-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2018-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2018-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2018-12-31	115,208
Liquidity shortfalls end of Q1	2018-12-31	0
Liquidity shortfalls end of Q2	2018-12-31	0
Liquidity shortfalls end of Q3	2018-12-31	0
Liquidity shortfalls end of Q4	2018-12-31	0
Unpaid minimum required contributions for all prior years	2018-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2018-12-31	0
Remaining amount of unpaid minimum required contributions	2018-12-31	0
Minimum required contributions for current year target normal cost	2018-12-31	190,816
Net shortfall amortization installment of oustanding balance	2018-12-31	0
Waiver amortization installment	2018-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2018-12-31	110,761
Carryover balance elected to use to offset funding requirement	2018-12-31	0
Prefunding balance elected to use to offset funding requirement	2018-12-31	0
Additional cash requirement	2018-12-31	110,761
Contributions allocatedtoward minimum required contributions for current year	2018-12-31	115,208
Unpaid minimum required contributions for current year	2018-12-31	0
Unpaid minimum required contributions for all years	2018-12-31	0
2017: JEFFRY POTASH, MD, P.C. RETIREMENT PLAN 2017 401k membership
Market value of plan assets	2017-12-31	1,623,900
Acturial value of plan assets	2017-12-31	1,623,900
Funding target for retired participants and beneficiaries receiving payment	2017-12-31	0
Number of terminated vested participants	2017-12-31	2
Fundng target for terminated vested participants	2017-12-31	14,436
Active participant vested funding target	2017-12-31	1,426,792
Number of active participants	2017-12-31	2
Total funding liabilities for active participants	2017-12-31	1,426,792
Total participant count	2017-12-31	4
Total funding target for all participants	2017-12-31	1,441,228
Balance at beginning of prior year after applicable adjustments	2017-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2017-12-31	178,108
Carryover balanced portion elected for use to offset prior years funding requirement	2017-12-31	0
Prefunding balanced used to offset prior years funding requirement	2017-12-31	0
Amount remaining of carryover balance	2017-12-31	0
Amount remaining of prefunding balance	2017-12-31	178,108
Present value of excess contributions	2017-12-31	7,258
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2017-12-31	7,614
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2017-12-31	7,614
Reductions in caryover balances due to elections or deemed elections	2017-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2017-12-31	0
Balance of carryovers at beginning of current year	2017-12-31	0
Balance of prefunding at beginning of current year	2017-12-31	184,386
Total employer contributions	2017-12-31	226,201
Total employee contributions	2017-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2017-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2017-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2017-12-31	209,446
Liquidity shortfalls end of Q1	2017-12-31	0
Liquidity shortfalls end of Q2	2017-12-31	0
Liquidity shortfalls end of Q3	2017-12-31	0
Liquidity shortfalls end of Q4	2017-12-31	0
Unpaid minimum required contributions for all prior years	2017-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2017-12-31	0
Remaining amount of unpaid minimum required contributions	2017-12-31	0
Minimum required contributions for current year target normal cost	2017-12-31	173,701
Net shortfall amortization installment of oustanding balance	2017-12-31	46,748
Waiver amortization installment	2017-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2017-12-31	200,678
Carryover balance elected to use to offset funding requirement	2017-12-31	0
Prefunding balance elected to use to offset funding requirement	2017-12-31	0
Additional cash requirement	2017-12-31	200,678
Contributions allocatedtoward minimum required contributions for current year	2017-12-31	209,446
Unpaid minimum required contributions for current year	2017-12-31	0
Unpaid minimum required contributions for all years	2017-12-31	0
2016: JEFFRY POTASH, MD, P.C. RETIREMENT PLAN 2016 401k membership
Market value of plan assets	2016-12-31	1,346,911
Acturial value of plan assets	2016-12-31	1,346,911
Funding target for retired participants and beneficiaries receiving payment	2016-12-31	0
Number of terminated vested participants	2016-12-31	1
Fundng target for terminated vested participants	2016-12-31	11,278
Active participant vested funding target	2016-12-31	1,198,071
Number of active participants	2016-12-31	2
Total funding liabilities for active participants	2016-12-31	1,199,345
Total participant count	2016-12-31	3
Total funding target for all participants	2016-12-31	1,210,623
Balance at beginning of prior year after applicable adjustments	2016-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2016-12-31	178,547
Carryover balanced portion elected for use to offset prior years funding requirement	2016-12-31	0
Prefunding balanced used to offset prior years funding requirement	2016-12-31	0
Amount remaining of carryover balance	2016-12-31	0
Amount remaining of prefunding balance	2016-12-31	178,547
Present value of excess contributions	2016-12-31	858
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2016-12-31	900
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2016-12-31	900
Reductions in caryover balances due to elections or deemed elections	2016-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2016-12-31	0
Balance of carryovers at beginning of current year	2016-12-31	0
Balance of prefunding at beginning of current year	2016-12-31	178,108
Total employer contributions	2016-12-31	213,699
Total employee contributions	2016-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2016-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2016-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2016-12-31	195,776
Liquidity shortfalls end of Q1	2016-12-31	0
Liquidity shortfalls end of Q2	2016-12-31	0
Liquidity shortfalls end of Q3	2016-12-31	0
Liquidity shortfalls end of Q4	2016-12-31	0
Unpaid minimum required contributions for all prior years	2016-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2016-12-31	0
Remaining amount of unpaid minimum required contributions	2016-12-31	0
Minimum required contributions for current year target normal cost	2016-12-31	161,541
Net shortfall amortization installment of oustanding balance	2016-12-31	71,692
Waiver amortization installment	2016-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2016-12-31	188,518
Carryover balance elected to use to offset funding requirement	2016-12-31	0
Additional cash requirement	2016-12-31	188,518
Contributions allocatedtoward minimum required contributions for current year	2016-12-31	195,776
Unpaid minimum required contributions for current year	2016-12-31	0
Unpaid minimum required contributions for all years	2016-12-31	0

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Company Name:	JEFFRY POTASH, M.D., P.C.
Employer identification number (EIN):	030351820
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
003	2021-01-01
003	2020-01-01
003	2019-01-01
003	2018-01-01
003	2017-01-01
003	2016-01-01
003	2015-01-01
003	2014-01-01	JEFFRY POTASH	2015-09-22
003	2013-01-01	JEFFRY POTASH	2014-09-26
003	2012-01-01	JEFFRY POTASH	2013-09-18
003	2011-01-01	JEFFRY POTASH	2012-06-19
003	2010-01-01	JEFFRY POTASH	2011-09-19