401k Plan data: JEFFREY V. WINSTON M.D. 401K PLAN plan

JEFFREY V. WINSTON M.D. 401K PLAN 401k Plan overview

Plan Name	JEFFREY V. WINSTON M.D. 401K PLAN
Plan identification number	001

JEFFREY V. WINSTON M.D. 401K 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
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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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

JEFFREY V. WINSTON M.D. has sponsored the creation of one or more 401k plans.

Company Name: JEFFREY V. WINSTON M.D.

Employer identification number (EIN): 330967167

NAIC Classification: 621320
NAIC Description: Offices of Optometrists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JEFFREY V. WINSTON M.D. 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2020-01-01 JEFFREY WINSTON 2021-06-22
001 2019-01-01 JEFFREY WINSTON 2020-08-14
001 2018-01-01 JEFFREY WINSTON 2019-03-15
001 2017-01-01 JEFFREY WINSTON 2018-06-01
001 2016-01-01 JEFFREY WINSTON
001 2015-01-01 FIORELLA CHUQUIPUL 2016-06-20
001 2014-01-01 JEFFREY V WINSTON 2015-06-08
001 2013-01-01 JEFFREY V WINSTON MD
001 2012-01-01 JEFFREY V WINSTON 2013-06-25
001 2011-01-01 TAYLOR ALFONSO 2012-03-21 TAYLOR ALFONSO 2012-03-21
001 2010-01-01 JEFFREY V. WINSTON 2011-11-29 JEFFREY V. WINSTON 2011-11-29

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2020-01-01	JEFFREY WINSTON	2021-06-22
001	2019-01-01	JEFFREY WINSTON	2020-08-14
001	2018-01-01	JEFFREY WINSTON	2019-03-15
001	2017-01-01	JEFFREY WINSTON	2018-06-01
001	2016-01-01	JEFFREY WINSTON
001	2015-01-01	FIORELLA CHUQUIPUL	2016-06-20
001	2014-01-01	JEFFREY V WINSTON	2015-06-08
001	2013-01-01	JEFFREY V WINSTON MD
001	2012-01-01	JEFFREY V WINSTON	2013-06-25
001	2011-01-01	TAYLOR ALFONSO	2012-03-21	TAYLOR ALFONSO	2012-03-21
001	2010-01-01	JEFFREY V. WINSTON	2011-11-29	JEFFREY V. WINSTON	2011-11-29

Plan Statistics for JEFFREY V. WINSTON M.D. 401K PLAN

401k plan membership statisitcs for JEFFREY V. WINSTON M.D. 401K PLAN

Measure Date Value
2016: JEFFREY V. WINSTON M.D. 401K PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 26
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 5
Total of all active and inactive participants 2016-01-01 31
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 31
Number of participants with account balances 2016-01-01 27
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2013: JEFFREY V. WINSTON M.D. 401K PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 29
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 21
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 26
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 26
Number of participants with account balances 2013-01-01 20
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0

Measure	Date	Value
2016: JEFFREY V. WINSTON M.D. 401K PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	26
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	5
Total of all active and inactive participants	2016-01-01	31
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	31
Number of participants with account balances	2016-01-01	27
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2013: JEFFREY V. WINSTON M.D. 401K PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	29
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	21
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	26
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	26
Number of participants with account balances	2013-01-01	20
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0

Financial Data on JEFFREY V. WINSTON M.D. 401K PLAN

Measure	Date	Value
2016 : JEFFREY V. WINSTON M.D. 401K PLAN 2016 401k financial data
Transfers to/from the plan	2016-12-31	$0
Total plan liabilities at end of year	2016-12-31	$0
Total plan liabilities at beginning of year	2016-12-31	$0
Total income from all sources	2016-12-31	$735,406
Expenses. Total of all expenses incurred	2016-12-31	$5,536
Benefits paid (including direct rollovers)	2016-12-31	$0
Total plan assets at end of year	2016-12-31	$729,870
Total plan assets at beginning of year	2016-12-31	$0
Value of fidelity bond covering the plan	2016-12-31	$20,000
Total contributions received or receivable from participants	2016-12-31	$63,555
Expenses. Other expenses not covered elsewhere	2016-12-31	$0
Contributions received from other sources (not participants or employers)	2016-12-31	$6,102
Other income received	2016-12-31	$641,540
Net income (gross income less expenses)	2016-12-31	$729,870
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$729,870
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$0
Assets. Value of participant loans	2016-12-31	$10,741
Total contributions received or receivable from employer(s)	2016-12-31	$24,209
Value of certain deemed distributions of participant loans	2016-12-31	$0
Value of corrective distributions	2016-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$5,536
2013 : JEFFREY V. WINSTON M.D. 401K PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
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	$123,200
Expenses. Total of all expenses incurred	2013-12-31	$9,399
Benefits paid (including direct rollovers)	2013-12-31	$9,334
Total plan assets at end of year	2013-12-31	$318,655
Total plan assets at beginning of year	2013-12-31	$204,854
Value of fidelity bond covering the plan	2013-12-31	$0
Total contributions received or receivable from participants	2013-12-31	$51,555
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	$46,241
Net income (gross income less expenses)	2013-12-31	$113,801
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$318,655
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$204,854
Total contributions received or receivable from employer(s)	2013-12-31	$25,404
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$65
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2013-12-31	$0
Minimum employer required contribution for this plan year	2013-12-31	$0
Amount contributed by the employer to the plan for this plan year	2013-12-31	$0

Form 5500 Responses for JEFFREY V. WINSTON M.D. 401K PLAN

2016: JEFFREY V. WINSTON M.D. 401K PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2013: JEFFREY V. WINSTON M.D. 401K 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

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Company Name:	JEFFREY V. WINSTON M.D.
Employer identification number (EIN):	330967167
NAIC Classification:	621320
NAIC Description:	Offices of Optometrists