401k Plan data: THE RALPH MEMBRINO PROFIT SHARING PLAN plan

THE RALPH MEMBRINO PROFIT SHARING PLAN 401k Plan overview

Plan Name	THE RALPH MEMBRINO PROFIT SHARING PLAN
Plan identification number	001

THE RALPH MEMBRINO PROFIT SHARING PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing

401k Sponsoring company profile

RALPH G MEMBRINO DMD has sponsored the creation of one or more 401k plans.

Company Name: RALPH G MEMBRINO DMD

Employer identification number (EIN): 061099649

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE RALPH MEMBRINO PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2013-01-01 RALPH G. MEMBRINO RALPH G. MEMBRINO 2016-01-06
001 2012-01-01 RALPH G. MEMBRINO RALPH G. MEMBRINO 2013-06-18
001 2011-01-01 RALPH G. MEMBRINO RALPH G. MEMBRINO 2012-06-19
001 2010-01-01 RALPH G. MEMBRINO RALPH G. MEMBRINO 2011-06-14
001 2009-01-01 RALPH G. MEMBRINO RALPH G. MEMBRINO 2010-06-21

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2013-01-01	RALPH G. MEMBRINO	RALPH G. MEMBRINO	2016-01-06
001	2012-01-01	RALPH G. MEMBRINO	RALPH G. MEMBRINO	2013-06-18
001	2011-01-01	RALPH G. MEMBRINO	RALPH G. MEMBRINO	2012-06-19
001	2010-01-01	RALPH G. MEMBRINO	RALPH G. MEMBRINO	2011-06-14
001	2009-01-01	RALPH G. MEMBRINO	RALPH G. MEMBRINO	2010-06-21

Plan Statistics for THE RALPH MEMBRINO PROFIT SHARING PLAN

401k plan membership statisitcs for THE RALPH MEMBRINO PROFIT SHARING PLAN

Measure Date Value
2013: THE RALPH MEMBRINO PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 0
Number of participants with account balances 2013-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: THE RALPH MEMBRINO PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 3
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 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 3
Number of participants with account balances 2012-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: THE RALPH MEMBRINO PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 3
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 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 3
Number of participants with account balances 2011-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: THE RALPH MEMBRINO PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 4
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 4
Number of participants with account balances 2010-01-01 4
2009: THE RALPH MEMBRINO PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 4
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 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 4
Number of participants with account balances 2009-01-01 4

Measure	Date	Value
2013: THE RALPH MEMBRINO PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	0
Number of participants with account balances	2013-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: THE RALPH MEMBRINO PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	3
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	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	3
Number of participants with account balances	2012-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: THE RALPH MEMBRINO PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	3
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	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	3
Number of participants with account balances	2011-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: THE RALPH MEMBRINO PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	4
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	4
Number of participants with account balances	2010-01-01	4
2009: THE RALPH MEMBRINO PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	4
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	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	4
Number of participants with account balances	2009-01-01	4

Financial Data on THE RALPH MEMBRINO PROFIT SHARING PLAN

Measure	Date	Value
2013 : THE RALPH MEMBRINO PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$0
Expenses. Total of all expenses incurred	2013-12-31	$97,813
Benefits paid (including direct rollovers)	2013-12-31	$97,813
Total plan assets at end of year	2013-12-31	$0
Total plan assets at beginning of year	2013-12-31	$97,813
Net income (gross income less expenses)	2013-12-31	$-97,813
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$97,813
2012 : THE RALPH MEMBRINO PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$25,598
Expenses. Total of all expenses incurred	2012-12-31	$283,002
Benefits paid (including direct rollovers)	2012-12-31	$283,002
Total plan assets at end of year	2012-12-31	$97,813
Total plan assets at beginning of year	2012-12-31	$355,217
Other income received	2012-12-31	$25,598
Net income (gross income less expenses)	2012-12-31	$-257,404
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$97,813
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$355,217
2011 : THE RALPH MEMBRINO PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$-16,879
Expenses. Total of all expenses incurred	2011-12-31	$18,324
Benefits paid (including direct rollovers)	2011-12-31	$18,324
Total plan assets at end of year	2011-12-31	$355,217
Total plan assets at beginning of year	2011-12-31	$390,420
Other income received	2011-12-31	$-16,879
Net income (gross income less expenses)	2011-12-31	$-35,203
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$355,217
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$390,420
2010 : THE RALPH MEMBRINO PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$52,448
Expenses. Total of all expenses incurred	2010-12-31	$8
Total plan assets at end of year	2010-12-31	$390,420
Total plan assets at beginning of year	2010-12-31	$337,980
Expenses. Other expenses not covered elsewhere	2010-12-31	$8
Other income received	2010-12-31	$52,448
Net income (gross income less expenses)	2010-12-31	$52,440
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$390,420
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$337,980

Form 5500 Responses for THE RALPH MEMBRINO PROFIT SHARING PLAN

2013: THE RALPH MEMBRINO PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	This submission is the final filing	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: THE RALPH MEMBRINO PROFIT SHARING 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: THE RALPH MEMBRINO PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: THE RALPH MEMBRINO PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: THE RALPH MEMBRINO PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	RALPH G MEMBRINO DMD
Employer identification number (EIN):	061099649
NAIC Classification:	621210
NAIC Description:	Offices of Dentists