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SAMIR KASSICIEH, DO, PC PROFIT SHARING PLAN 401k Plan overview

Plan NameSAMIR KASSICIEH, DO, PC PROFIT SHARING PLAN
Plan identification number 001

SAMIR KASSICIEH, DO, PC PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • 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.
  • 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.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • 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

KASMIR KASSICHIEH, DO, PC has sponsored the creation of one or more 401k plans.

Company Name:KASMIR KASSICHIEH, DO, PC
Employer identification number (EIN):742836796
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SAMIR KASSICIEH, DO, PC PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012014-01-01SAMIR KASSICIEH SAMIR KASSICIEH2015-10-15
0012013-01-01SAMIR KASSICIEH SAMIR KASSICIEH2014-09-09
0012012-01-01SAMIR KASSICIEH SAMIR KASSICIEH2013-06-30
0012011-01-01SAMIR KASSICIEH SAMIR KASSICIEH2012-10-11
0012010-01-01SAMIR KASSICIEH2011-08-09 SAMIR KASSICIEH2011-08-09

Plan Statistics for SAMIR KASSICIEH, DO, PC PROFIT SHARING PLAN

401k plan membership statisitcs for SAMIR KASSICIEH, DO, PC PROFIT SHARING PLAN

Measure Date Value
2014: SAMIR KASSICIEH, DO, PC PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-015
Total number of active participants reported on line 7a of the Form 55002014-01-014
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-011
Total of all active and inactive participants2014-01-015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-015
Number of participants with account balances2014-01-015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: SAMIR KASSICIEH, DO, PC PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-018
Total number of active participants reported on line 7a of the Form 55002013-01-015
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-013
Total of all active and inactive participants2013-01-018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-018
Number of participants with account balances2013-01-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: SAMIR KASSICIEH, DO, PC PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-017
Total number of active participants reported on line 7a of the Form 55002012-01-015
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-012
Total of all active and inactive participants2012-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-017
Number of participants with account balances2012-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: SAMIR KASSICIEH, DO, PC PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-015
Total number of active participants reported on line 7a of the Form 55002011-01-014
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-011
Total of all active and inactive participants2011-01-015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-015
Number of participants with account balances2011-01-015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010

Financial Data on SAMIR KASSICIEH, DO, PC PROFIT SHARING PLAN

Measure Date Value
2014 : SAMIR KASSICIEH, DO, PC PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources2014-12-31$70,699
Expenses. Total of all expenses incurred2014-12-31$46,214
Benefits paid (including direct rollovers)2014-12-31$42,961
Total plan assets at end of year2014-12-31$436,148
Total plan assets at beginning of year2014-12-31$411,663
Value of fidelity bond covering the plan2014-12-31$500,000
Assets. Value of tangible personal property2014-12-31$107,000
Total contributions received or receivable from participants2014-12-31$0
Expenses. Other expenses not covered elsewhere2014-12-31$0
Contributions received from other sources (not participants or employers)2014-12-31$0
Other income received2014-12-31$10,033
Noncash contributions received2014-12-31$0
Net income (gross income less expenses)2014-12-31$24,485
Net plan assets at end of year (total assets less liabilities)2014-12-31$436,148
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$411,663
Total contributions received or receivable from employer(s)2014-12-31$60,666
Value of certain deemed distributions of participant loans2014-12-31$0
Value of corrective distributions2014-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$3,253
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : SAMIR KASSICIEH, DO, PC PROFIT SHARING PLAN 2013 401k financial data
Transfers to/from the plan2013-12-31$0
Total plan liabilities at end of year2013-12-31$0
Total plan liabilities at beginning of year2013-12-31$0
Total income from all sources2013-12-31$72,664
Expenses. Total of all expenses incurred2013-12-31$45,085
Benefits paid (including direct rollovers)2013-12-31$45,085
Total plan assets at end of year2013-12-31$411,663
Total plan assets at beginning of year2013-12-31$384,084
Value of fidelity bond covering the plan2013-12-31$500,000
Total contributions received or receivable from participants2013-12-31$0
Expenses. Other expenses not covered elsewhere2013-12-31$0
Contributions received from other sources (not participants or employers)2013-12-31$0
Other income received2013-12-31$36,437
Noncash contributions received2013-12-31$0
Net income (gross income less expenses)2013-12-31$27,579
Net plan assets at end of year (total assets less liabilities)2013-12-31$411,663
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$384,084
Assets. Value of real-estate (other than employer real property)2013-12-31$107,000
Total contributions received or receivable from employer(s)2013-12-31$36,227
Value of certain deemed distributions of participant loans2013-12-31$0
Value of corrective distributions2013-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : SAMIR KASSICIEH, DO, PC PROFIT SHARING PLAN 2012 401k financial data
Transfers to/from the plan2012-12-31$0
Total plan liabilities at end of year2012-12-31$0
Total plan liabilities at beginning of year2012-12-31$0
Total income from all sources2012-12-31$71,092
Expenses. Total of all expenses incurred2012-12-31$11,333
Benefits paid (including direct rollovers)2012-12-31$11,333
Total plan assets at end of year2012-12-31$384,084
Total plan assets at beginning of year2012-12-31$324,325
Value of fidelity bond covering the plan2012-12-31$500,000
Total contributions received or receivable from participants2012-12-31$0
Expenses. Other expenses not covered elsewhere2012-12-31$0
Contributions received from other sources (not participants or employers)2012-12-31$0
Other income received2012-12-31$29,744
Noncash contributions received2012-12-31$0
Net income (gross income less expenses)2012-12-31$59,759
Net plan assets at end of year (total assets less liabilities)2012-12-31$384,084
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$324,325
Assets. Value of real-estate (other than employer real property)2012-12-31$107,000
Total contributions received or receivable from employer(s)2012-12-31$41,348
Value of certain deemed distributions of participant loans2012-12-31$0
Value of corrective distributions2012-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : SAMIR KASSICIEH, DO, PC PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan2011-12-31$0
Total plan liabilities at end of year2011-12-31$0
Total plan liabilities at beginning of year2011-12-31$0
Total income from all sources2011-12-31$37,918
Expenses. Total of all expenses incurred2011-12-31$9,798
Benefits paid (including direct rollovers)2011-12-31$9,798
Total plan assets at end of year2011-12-31$324,325
Total plan assets at beginning of year2011-12-31$296,205
Value of fidelity bond covering the plan2011-12-31$50,000
Total contributions received or receivable from participants2011-12-31$0
Expenses. Other expenses not covered elsewhere2011-12-31$0
Contributions received from other sources (not participants or employers)2011-12-31$0
Other income received2011-12-31$-5,218
Noncash contributions received2011-12-31$0
Net income (gross income less expenses)2011-12-31$28,120
Net plan assets at end of year (total assets less liabilities)2011-12-31$324,325
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$296,205
Assets. Value of real-estate (other than employer real property)2011-12-31$107,000
Total contributions received or receivable from employer(s)2011-12-31$43,136
Value of certain deemed distributions of participant loans2011-12-31$0
Value of corrective distributions2011-12-31$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 securities2011-12-31$0
2010 : SAMIR KASSICIEH, DO, PC PROFIT SHARING PLAN 2010 401k financial data
Transfers to/from the plan2010-12-31$0
Total plan liabilities at end of year2010-12-31$0
Total plan liabilities at beginning of year2010-12-31$0
Total income from all sources2010-12-31$-97,798
Expenses. Total of all expenses incurred2010-12-31$0
Benefits paid (including direct rollovers)2010-12-31$0
Total plan assets at end of year2010-12-31$296,205
Total plan assets at beginning of year2010-12-31$394,003
Value of fidelity bond covering the plan2010-12-31$50,000
Total contributions received or receivable from participants2010-12-31$0
Expenses. Other expenses not covered elsewhere2010-12-31$0
Contributions received from other sources (not participants or employers)2010-12-31$0
Other income received2010-12-31$-151,198
Noncash contributions received2010-12-31$0
Net income (gross income less expenses)2010-12-31$-97,798
Net plan assets at end of year (total assets less liabilities)2010-12-31$296,205
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$394,003
Assets. Value of real-estate (other than employer real property)2010-12-31$107,000
Total contributions received or receivable from employer(s)2010-12-31$53,400
Value of certain deemed distributions of participant loans2010-12-31$0
Value of corrective distributions2010-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$0

Form 5500 Responses for SAMIR KASSICIEH, DO, PC PROFIT SHARING PLAN

2014: SAMIR KASSICIEH, DO, PC PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: SAMIR KASSICIEH, DO, PC PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: SAMIR KASSICIEH, DO, PC PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: SAMIR KASSICIEH, DO, PC PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number70372816
Policy instance 1
Insurance contract or identification number70372816
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes

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