401k Plan data: SAMUEL F. JIRIK, DDS, PA 401K PLAN plan

SAMUEL F. JIRIK, DDS, PA 401K PLAN 401k Plan overview

Plan Name	SAMUEL F. JIRIK, DDS, PA 401K PLAN
Plan identification number	003

SAMUEL F. JIRIK, DDS, PA 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
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.
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

SAMUEL F. JIRIK, DDS, PA has sponsored the creation of one or more 401k plans.

Company Name: SAMUEL F. JIRIK, DDS, PA

Employer identification number (EIN): 710800537

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SAMUEL F. JIRIK, DDS, PA 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2023-01-01 ADAM STOMP 2024-08-15
003 2022-01-01 SAMUEL JIRIK 2023-06-21
003 2021-01-01 SAMUEL JIRIK 2022-05-23
003 2020-01-01 SAMUEL JIRIK 2021-02-26
003 2019-01-01 SAMUEL JIRIK 2020-04-20
003 2018-01-01 SAMUEL JIRIK 2019-03-21
003 2017-01-01 SAMUEL JIRIK 2018-04-23
003 2016-01-01 SAMUEL JIRIK 2017-05-22
003 2015-01-01 SAMUEL JIRIK 2016-06-13
003 2014-01-01 SAMUEL JIRIK 2015-03-31
003 2013-01-01 SAMUEL JIRIK
003 2012-01-01 SAMUEL JIRIK
003 2011-01-01 SAMUEL JIRIK
003 2009-01-01 SAMUEL JIRIK

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
003	2023-01-01	ADAM STOMP	2024-08-15
003	2022-01-01	SAMUEL JIRIK	2023-06-21
003	2021-01-01	SAMUEL JIRIK	2022-05-23
003	2020-01-01	SAMUEL JIRIK	2021-02-26
003	2019-01-01	SAMUEL JIRIK	2020-04-20
003	2018-01-01	SAMUEL JIRIK	2019-03-21
003	2017-01-01	SAMUEL JIRIK	2018-04-23
003	2016-01-01	SAMUEL JIRIK	2017-05-22
003	2015-01-01	SAMUEL JIRIK	2016-06-13
003	2014-01-01	SAMUEL JIRIK	2015-03-31
003	2013-01-01	SAMUEL JIRIK
003	2012-01-01	SAMUEL JIRIK
003	2011-01-01	SAMUEL JIRIK
003	2009-01-01	SAMUEL JIRIK

Plan Statistics for SAMUEL F. JIRIK, DDS, PA 401K PLAN

401k plan membership statisitcs for SAMUEL F. JIRIK, DDS, PA 401K PLAN

Measure Date Value
2013: SAMUEL F. JIRIK, DDS, PA 401K PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 8
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 0
Total of all active and inactive participants 2013-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 8
Number of participants with account balances 2013-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: SAMUEL F. JIRIK, DDS, PA 401K PLAN 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 8
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 0
Total of all active and inactive participants 2012-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 8
Number of participants with account balances 2012-01-01 8
2011: SAMUEL F. JIRIK, DDS, PA 401K PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 8
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 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: SAMUEL F. JIRIK, DDS, PA 401K PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 9
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 0
Total of all active and inactive participants 2009-01-01 9
Total participants 2009-01-01 9
Number of participants with account balances 2009-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2013: SAMUEL F. JIRIK, DDS, PA 401K PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	8
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	0
Total of all active and inactive participants	2013-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	8
Number of participants with account balances	2013-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: SAMUEL F. JIRIK, DDS, PA 401K PLAN 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	8
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	0
Total of all active and inactive participants	2012-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	8
Number of participants with account balances	2012-01-01	8
2011: SAMUEL F. JIRIK, DDS, PA 401K PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	8
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	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: SAMUEL F. JIRIK, DDS, PA 401K PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	9
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	0
Total of all active and inactive participants	2009-01-01	9
Total participants	2009-01-01	9
Number of participants with account balances	2009-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on SAMUEL F. JIRIK, DDS, PA 401K PLAN

Measure	Date	Value
2013 : SAMUEL F. JIRIK, DDS, PA 401K PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$123,745
Total plan assets at end of year	2013-12-31	$2,567,836
Total plan assets at beginning of year	2013-12-31	$2,444,091
Value of fidelity bond covering the plan	2013-12-31	$300,000
Total contributions received or receivable from participants	2013-12-31	$40,500
Other income received	2013-12-31	$51,243
Net income (gross income less expenses)	2013-12-31	$123,745
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$2,567,836
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$2,444,091
Total contributions received or receivable from employer(s)	2013-12-31	$32,002
2012 : SAMUEL F. JIRIK, DDS, PA 401K PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$249,866
Total plan assets at end of year	2012-12-31	$2,444,091
Total plan assets at beginning of year	2012-12-31	$2,194,225
Value of fidelity bond covering the plan	2012-12-31	$100,000
Total contributions received or receivable from participants	2012-12-31	$40,000
Other income received	2012-12-31	$179,539
Net income (gross income less expenses)	2012-12-31	$249,866
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$2,444,091
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$2,194,225
Total contributions received or receivable from employer(s)	2012-12-31	$30,327
2011 : SAMUEL F. JIRIK, DDS, PA 401K PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$144,890
Expenses. Total of all expenses incurred	2011-12-31	$1,942
Benefits paid (including direct rollovers)	2011-12-31	$1,942
Total plan assets at end of year	2011-12-31	$2,194,225
Total plan assets at beginning of year	2011-12-31	$2,051,277
Total contributions received or receivable from participants	2011-12-31	$23,000
Other income received	2011-12-31	$98,248
Net income (gross income less expenses)	2011-12-31	$142,948
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$2,194,225
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$2,051,277
Total contributions received or receivable from employer(s)	2011-12-31	$23,642
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : SAMUEL F. JIRIK, DDS, PA 401K PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$207,947
Expenses. Total of all expenses incurred	2010-12-31	$0
Total plan assets at end of year	2010-12-31	$2,051,277
Total plan assets at beginning of year	2010-12-31	$1,843,330
Total contributions received or receivable from participants	2010-12-31	$39,500
Contributions received from other sources (not participants or employers)	2010-12-31	$1,339
Other income received	2010-12-31	$139,144
Net income (gross income less expenses)	2010-12-31	$207,947
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$2,051,277
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,843,330
Total contributions received or receivable from employer(s)	2010-12-31	$27,964

Form 5500 Responses for SAMUEL F. JIRIK, DDS, PA 401K PLAN

2013: SAMUEL F. JIRIK, DDS, PA 401K PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: SAMUEL F. JIRIK, DDS, PA 401K PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: SAMUEL F. JIRIK, DDS, PA 401K 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 – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: SAMUEL F. JIRIK, DDS, PA 401K 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 – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	SAMUEL F. JIRIK, DDS, PA
Employer identification number (EIN):	710800537
NAIC Classification:	621210
NAIC Description:	Offices of Dentists