401k Plan data: JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST plan

JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST 401k Plan overview

Plan Name	JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST
Plan identification number	001

JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST 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.
Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of 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

JAMES M. MCCLINCHEY, D.D.S., P.C. has sponsored the creation of one or more 401k plans.

Company Name: JAMES M. MCCLINCHEY, D.D.S., P.C.

Employer identification number (EIN): 382207645

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01 SUSAN POTTHAST
001 2016-01-01 SUSAN POTTHAST
001 2015-01-01 SUSAN POTTHAST
001 2014-01-01 MELVIN M. RAZNICK
001 2013-01-01 JAMES M. MCCLINCHEY D.D.S.
001 2012-01-01 JAMES M. MCCLINCHEY D.D.S.
001 2011-01-01 JAMES M. MCCLINCHEY D.D.S.
001 2009-01-01 JAMES M. MCCLINCHEY D.D.S.

Plan id#	Filing Submission Date	Name of Administrator
001	2017-01-01	SUSAN POTTHAST
001	2016-01-01	SUSAN POTTHAST
001	2015-01-01	SUSAN POTTHAST
001	2014-01-01	MELVIN M. RAZNICK
001	2013-01-01	JAMES M. MCCLINCHEY D.D.S.
001	2012-01-01	JAMES M. MCCLINCHEY D.D.S.
001	2011-01-01	JAMES M. MCCLINCHEY D.D.S.
001	2009-01-01	JAMES M. MCCLINCHEY D.D.S.

Plan Statistics for JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST

401k plan membership statisitcs for JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST

Measure Date Value
2017: JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year 2017-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
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 0
Total of all active and inactive participants 2017-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 0
Number of participants with account balances 2017-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year 2016-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 1
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 0
Total of all active and inactive participants 2016-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 1
Number of participants with account balances 2016-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 1
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 1
Total of all active and inactive participants 2015-01-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 2
Number of participants with account balances 2015-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year 2014-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1
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 0
Total of all active and inactive participants 2014-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 1
Number of participants with account balances 2014-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year 2013-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1
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 2
Total of all active and inactive participants 2013-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 3
Number of participants with account balances 2013-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 8
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 2
Total of all active and inactive participants 2012-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 7
Number of participants with account balances 2012-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 8
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 3
Total of all active and inactive participants 2011-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 8
Number of participants with account balances 2011-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 6
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 2
Total of all active and inactive participants 2009-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 8
Number of participants with account balances 2009-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2017: JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year	2017-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
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	0
Total of all active and inactive participants	2017-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	0
Number of participants with account balances	2017-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year	2016-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	1
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	0
Total of all active and inactive participants	2016-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	1
Number of participants with account balances	2016-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	1
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	1
Total of all active and inactive participants	2015-01-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	2
Number of participants with account balances	2015-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year	2014-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1
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	0
Total of all active and inactive participants	2014-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	1
Number of participants with account balances	2014-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year	2013-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1
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	2
Total of all active and inactive participants	2013-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	3
Number of participants with account balances	2013-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	8
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	2
Total of all active and inactive participants	2012-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	7
Number of participants with account balances	2012-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	8
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	3
Total of all active and inactive participants	2011-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	8
Number of participants with account balances	2011-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	6
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	2
Total of all active and inactive participants	2009-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	8
Number of participants with account balances	2009-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST

Measure	Date	Value
2017 : JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST 2017 401k financial data
Total income from all sources	2017-03-31	$-8,916
Expenses. Total of all expenses incurred	2017-03-31	$31,510
Benefits paid (including direct rollovers)	2017-03-31	$31,510
Total plan assets at end of year	2017-03-31	$0
Total plan assets at beginning of year	2017-03-31	$40,426
Value of fidelity bond covering the plan	2017-03-31	$85,000
Other income received	2017-03-31	$-8,916
Net income (gross income less expenses)	2017-03-31	$-40,426
Net plan assets at end of year (total assets less liabilities)	2017-03-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2017-03-31	$40,426
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-03-31	$0
2016 : JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST 2016 401k financial data
Total income from all sources	2016-12-31	$12,470
Expenses. Total of all expenses incurred	2016-12-31	$182,838
Benefits paid (including direct rollovers)	2016-12-31	$182,753
Total plan assets at end of year	2016-12-31	$40,426
Total plan assets at beginning of year	2016-12-31	$210,794
Value of fidelity bond covering the plan	2016-12-31	$85,000
Other income received	2016-12-31	$12,470
Net income (gross income less expenses)	2016-12-31	$-170,368
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$40,426
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$210,794
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$85
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
2015 : JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST 2015 401k financial data
Total income from all sources	2015-12-31	$12,931
Expenses. Total of all expenses incurred	2015-12-31	$534,447
Benefits paid (including direct rollovers)	2015-12-31	$534,284
Total plan assets at end of year	2015-12-31	$210,794
Total plan assets at beginning of year	2015-12-31	$732,310
Value of fidelity bond covering the plan	2015-12-31	$85,000
Other income received	2015-12-31	$12,931
Net income (gross income less expenses)	2015-12-31	$-521,516
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$210,794
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$732,310
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$163
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST 2014 401k financial data
Total income from all sources	2014-12-31	$72,906
Expenses. Total of all expenses incurred	2014-12-31	$2,425
Total plan assets at end of year	2014-12-31	$732,310
Total plan assets at beginning of year	2014-12-31	$661,829
Value of fidelity bond covering the plan	2014-12-31	$85,000
Total contributions received or receivable from participants	2014-12-31	$20,000
Other income received	2014-12-31	$42,153
Net income (gross income less expenses)	2014-12-31	$70,481
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$732,310
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$661,829
Total contributions received or receivable from employer(s)	2014-12-31	$10,753
Value of certain deemed distributions of participant loans	2014-12-31	$2,425
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST 2013 401k financial data
Total income from all sources	2013-12-31	$152,487
Expenses. Total of all expenses incurred	2013-12-31	$180,160
Benefits paid (including direct rollovers)	2013-12-31	$171,031
Total plan assets at end of year	2013-12-31	$661,829
Total plan assets at beginning of year	2013-12-31	$689,502
Value of fidelity bond covering the plan	2013-12-31	$85,000
Total contributions received or receivable from participants	2013-12-31	$24,575
Expenses. Other expenses not covered elsewhere	2013-12-31	$506
Other income received	2013-12-31	$105,083
Net income (gross income less expenses)	2013-12-31	$-27,673
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$661,829
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$689,502
Assets. Value of participant loans	2013-12-31	$0
Total contributions received or receivable from employer(s)	2013-12-31	$22,829
Value of certain deemed distributions of participant loans	2013-12-31	$8,623
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST 2012 401k financial data
Total income from all sources	2012-12-31	$106,028
Expenses. Total of all expenses incurred	2012-12-31	$1,335
Benefits paid (including direct rollovers)	2012-12-31	$623
Total plan assets at end of year	2012-12-31	$689,502
Total plan assets at beginning of year	2012-12-31	$584,809
Value of fidelity bond covering the plan	2012-12-31	$85,000
Total contributions received or receivable from participants	2012-12-31	$17,550
Other income received	2012-12-31	$56,518
Net income (gross income less expenses)	2012-12-31	$104,693
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$689,502
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$584,809
Assets. Value of participant loans	2012-12-31	$9,754
Total contributions received or receivable from employer(s)	2012-12-31	$31,960
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$712
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST 2011 401k financial data
Total income from all sources	2011-12-31	$-6,539
Expenses. Total of all expenses incurred	2011-12-31	$21,669
Benefits paid (including direct rollovers)	2011-12-31	$3,600
Total plan assets at end of year	2011-12-31	$584,809
Total plan assets at beginning of year	2011-12-31	$613,017
Value of fidelity bond covering the plan	2011-12-31	$85,000
Total contributions received or receivable from participants	2011-12-31	$17,350
Other income received	2011-12-31	$-36,129
Net income (gross income less expenses)	2011-12-31	$-28,208
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$584,809
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$613,017
Assets. Value of participant loans	2011-12-31	$190
Total contributions received or receivable from employer(s)	2011-12-31	$12,240
Value of certain deemed distributions of participant loans	2011-12-31	$2,339
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$15,730
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST 2010 401k financial data
Total income from all sources	2010-12-31	$80,481
Expenses. Total of all expenses incurred	2010-12-31	$8,661
Benefits paid (including direct rollovers)	2010-12-31	$8,619
Total plan assets at end of year	2010-12-31	$613,017
Total plan assets at beginning of year	2010-12-31	$541,197
Value of fidelity bond covering the plan	2010-12-31	$50,500
Total contributions received or receivable from participants	2010-12-31	$13,850
Other income received	2010-12-31	$54,936
Net income (gross income less expenses)	2010-12-31	$71,820
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$613,017
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$541,197
Assets. Value of participant loans	2010-12-31	$3,052
Total contributions received or receivable from employer(s)	2010-12-31	$11,695
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$42
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST

2017: JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST 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	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST 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 – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST 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 – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST 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 – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST 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 – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST 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 – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST 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 – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: JAMES M. MCCLINCHEY, D.D.S., P.C. 401(K) PLAN AND TRUST 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 – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-812952

Policy instance

Insurance contract or identification number	GA-812952
Number of Individuals Covered	1
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $1,214
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,214
Insurance broker organization code?	4
Insurance broker name	CROWN CAPITAL SECURITIES

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-812952

Policy instance

Insurance contract or identification number	GA-812952
Number of Individuals Covered	1
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $950
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $950
Insurance broker organization code?	4
Insurance broker name	CROWN CAPITAL SECURITIES

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-812952

Policy instance

Insurance contract or identification number	GA-812952
Number of Individuals Covered	5
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $768
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $768
Insurance broker organization code?	4
Insurance broker name	CROWN CAPITAL SECURITIES

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-812952

Policy instance

Insurance contract or identification number	GA-812952
Number of Individuals Covered	5
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $710
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

GP37766

Policy instance

Insurance contract or identification number	GP37766
Number of Individuals Covered	5
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $462
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $462
Insurance broker organization code?	4
Insurance broker name	CROWN CAPITAL SECURITIES

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Company Name:	JAMES M. MCCLINCHEY, D.D.S., P.C.
Employer identification number (EIN):	382207645
NAIC Classification:	621210
NAIC Description:	Offices of Dentists