401k Plan data: SADASHIV S. SHENOY, M. D. , PLLC DEFINED BENEFIT PENSION PLAN plan

SADASHIV S. SHENOY, M. D. , PLLC DEFINED BENEFIT PENSION PLAN 401k Plan overview

Plan Name	SADASHIV S. SHENOY, M. D. , PLLC DEFINED BENEFIT PENSION PLAN
Plan identification number	001

SADASHIV S. SHENOY, M. D. , PLLC DEFINED BENEFIT PENSION PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily pay related
Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).
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.
Life insurance

401k Sponsoring company profile

SADASHIV S. SHENOY, M.D., PLLC has sponsored the creation of one or more 401k plans.

Company Name: SADASHIV S. SHENOY, M.D., PLLC

Employer identification number (EIN): 264711666

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SADASHIV S. SHENOY, M. D. , PLLC DEFINED BENEFIT PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01
001 2016-01-01
001 2015-01-01 SADASHIV S. SHENOY 2016-10-05
001 2014-01-01 SADASHIV S. SHENOY 2015-11-02
001 2013-01-01 SADASHIV S. SHENOY 2014-10-15
001 2012-01-01 SADASHIV S. SHENOY 2013-09-25
001 2011-01-01 SADASHIV S. SHENOY
001 2010-01-01 SADASHIV S. SHENOY 2011-07-20

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2017-01-01
001	2016-01-01
001	2015-01-01	SADASHIV S. SHENOY	2016-10-05
001	2014-01-01	SADASHIV S. SHENOY	2015-11-02
001	2013-01-01	SADASHIV S. SHENOY	2014-10-15
001	2012-01-01	SADASHIV S. SHENOY	2013-09-25
001	2011-01-01	SADASHIV S. SHENOY
001	2010-01-01	SADASHIV S. SHENOY	2011-07-20

Plan Statistics for SADASHIV S. SHENOY, M. D. , PLLC DEFINED BENEFIT PENSION PLAN

401k plan membership statisitcs for SADASHIV S. SHENOY, M. D. , PLLC DEFINED BENEFIT PENSION PLAN

Measure Date Value
2016: SADASHIV S. SHENOY, M. D. , PLLC DEFINED BENEFIT PENSION PLAN 2016 401k membership
Market value of plan assets 2016-12-31 1,376,177
Acturial value of plan assets 2016-12-31 1,376,177
Funding target for retired participants and beneficiaries receiving payment 2016-12-31 0
Number of terminated vested participants 2016-12-31 0
Fundng target for terminated vested participants 2016-12-31 0
Active participant vested funding target 2016-12-31 1,418,873
Number of active participants 2016-12-31 5
Total funding liabilities for active participants 2016-12-31 1,421,296
Total participant count 2016-12-31 5
Total funding target for all participants 2016-12-31 1,421,296
Prefunding balance at beginning of prior year after applicable adjustments 2016-12-31 121,672
Prefunding balanced used to offset prior years funding requirement 2016-12-31 61,513
Amount remaining of carryover balance 2016-12-31 0
Amount remaining of prefunding balance 2016-12-31 60,159
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 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 59,100
Total employer contributions 2016-12-31 85,000
Total employee contributions 2016-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2016-12-31 82,183
Remaining amount of unpaid minimum required contributions 2016-12-31 0
Minimum required contributions for current year target normal cost 2016-12-31 103,913
Net shortfall amortization installment of oustanding balance 2016-12-31 107,588
Total funding amount beforereflecting carryover/prefunding balances 2016-12-31 129,535
Prefunding balance elected to use to offset funding requirement 2016-12-31 47,352
Additional cash requirement 2016-12-31 82,183
Contributions allocatedtoward minimum required contributions for current year 2016-12-31 82,183
Unpaid minimum required contributions for current year 2016-12-31 0
Unpaid minimum required contributions for all years 2016-12-31 0
2011: SADASHIV S. SHENOY, M. D. , PLLC DEFINED BENEFIT PENSION PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 5
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 0
Total of all active and inactive participants 2011-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 5

Measure	Date	Value
2016: SADASHIV S. SHENOY, M. D. , PLLC DEFINED BENEFIT PENSION PLAN 2016 401k membership
Market value of plan assets	2016-12-31	1,376,177
Acturial value of plan assets	2016-12-31	1,376,177
Funding target for retired participants and beneficiaries receiving payment	2016-12-31	0
Number of terminated vested participants	2016-12-31	0
Fundng target for terminated vested participants	2016-12-31	0
Active participant vested funding target	2016-12-31	1,418,873
Number of active participants	2016-12-31	5
Total funding liabilities for active participants	2016-12-31	1,421,296
Total participant count	2016-12-31	5
Total funding target for all participants	2016-12-31	1,421,296
Prefunding balance at beginning of prior year after applicable adjustments	2016-12-31	121,672
Prefunding balanced used to offset prior years funding requirement	2016-12-31	61,513
Amount remaining of carryover balance	2016-12-31	0
Amount remaining of prefunding balance	2016-12-31	60,159
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	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	59,100
Total employer contributions	2016-12-31	85,000
Total employee contributions	2016-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2016-12-31	82,183
Remaining amount of unpaid minimum required contributions	2016-12-31	0
Minimum required contributions for current year target normal cost	2016-12-31	103,913
Net shortfall amortization installment of oustanding balance	2016-12-31	107,588
Total funding amount beforereflecting carryover/prefunding balances	2016-12-31	129,535
Prefunding balance elected to use to offset funding requirement	2016-12-31	47,352
Additional cash requirement	2016-12-31	82,183
Contributions allocatedtoward minimum required contributions for current year	2016-12-31	82,183
Unpaid minimum required contributions for current year	2016-12-31	0
Unpaid minimum required contributions for all years	2016-12-31	0
2011: SADASHIV S. SHENOY, M. D. , PLLC DEFINED BENEFIT PENSION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	5
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	0
Total of all active and inactive participants	2011-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	5

Financial Data on SADASHIV S. SHENOY, M. D. , PLLC DEFINED BENEFIT PENSION PLAN

Measure	Date	Value
2011 : SADASHIV S. SHENOY, M. D. , PLLC DEFINED BENEFIT PENSION PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
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	$218,186
Expenses. Total of all expenses incurred	2011-12-31	$0
Benefits paid (including direct rollovers)	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$830,002
Total plan assets at beginning of year	2011-12-31	$611,816
Value of fidelity bond covering the plan	2011-12-31	$50,000
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	$3,831
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$218,186
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$830,002
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$611,816
Total contributions received or receivable from employer(s)	2011-12-31	$214,355
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	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0

Form 5500 Responses for SADASHIV S. SHENOY, M. D. , PLLC DEFINED BENEFIT PENSION PLAN

2011: SADASHIV S. SHENOY, M. D. , PLLC DEFINED BENEFIT PENSION PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

VARIOUS

Policy instance

Insurance contract or identification number	VARIOUS
Number of Individuals Covered	4
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $8,474
Total amount of fees paid to insurance company	USD $3,718
Are there contracts with allocated funds for individual policies?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	SADASHIV S. SHENOY, M.D., PLLC
Employer identification number (EIN):	264711666
NAIC Classification:	621210
NAIC Description:	Offices of Dentists