401k Plan data: MICHAEL S. BUCHHOLTZ, M.D., P.C. 401(K) PROFIT SHARING PLAN plan

MICHAEL S. BUCHHOLTZ, M.D., P.C. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	MICHAEL S. BUCHHOLTZ, M.D., P.C. 401(K) PROFIT SHARING PLAN
Plan identification number	001

MICHAEL S. BUCHHOLTZ, M.D., P.C. 401(K) PROFIT SHARING 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

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

Company Name: MICHAEL S. BUCHHOLTZ, M.D., P.C.

Employer identification number (EIN): 113625064

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Additional information about MICHAEL S. BUCHHOLTZ, M.D., P.C.

Jurisdiction of Incorporation: New York Department of State

Incorporation Date: 2001-08-23

Company Identification Number: 2674214

Legal Registered Office Address: 270 PULASKI RD
STE D
GREENLAWN
United States of America (USA)
11740

More information about MICHAEL S. BUCHHOLTZ, M.D., P.C.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MICHAEL S. BUCHHOLTZ, M.D., P.C. 401(K) 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 MICHAEL BUCHHOLTZ 2015-05-01 MICHAEL BUCHHOLTZ 2015-05-01
001 2012-01-01 MICHAEL BUCHHOLTZ 2013-07-30 MICHAEL BUCHHOLTZ 2013-07-30
001 2011-01-01 MICHAEL BUCHHOLTZ 2012-09-10 MICHAEL BUCHHOLTZ 2012-09-10
001 2009-01-01 MICHAEL BUCHHOLTZ

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2013-01-01	MICHAEL BUCHHOLTZ	2015-05-01	MICHAEL BUCHHOLTZ	2015-05-01
001	2012-01-01	MICHAEL BUCHHOLTZ	2013-07-30	MICHAEL BUCHHOLTZ	2013-07-30
001	2011-01-01	MICHAEL BUCHHOLTZ	2012-09-10	MICHAEL BUCHHOLTZ	2012-09-10
001	2009-01-01	MICHAEL BUCHHOLTZ

Financial Data on MICHAEL S. BUCHHOLTZ, M.D., P.C. 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2010 : MICHAEL S. BUCHHOLTZ, M.D., P.C. 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$230,544
Expenses. Total of all expenses incurred	2010-12-31	$40,258
Benefits paid (including direct rollovers)	2010-12-31	$27,999
Total plan assets at end of year	2010-12-31	$1,416,472
Total plan assets at beginning of year	2010-12-31	$1,226,186
Value of fidelity bond covering the plan	2010-12-31	$265,000
Total contributions received or receivable from participants	2010-12-31	$79,320
Other income received	2010-12-31	$151,224
Net income (gross income less expenses)	2010-12-31	$190,286
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,416,472
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,226,186
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$12,259
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : MICHAEL S. BUCHHOLTZ, M.D., P.C. 401(K) PROFIT SHARING PLAN 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 MICHAEL S. BUCHHOLTZ, M.D., P.C. 401(K) PROFIT SHARING PLAN

2009: MICHAEL S. BUCHHOLTZ, M.D., P.C. 401(K) PROFIT SHARING 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 – 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

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Company Name:	MICHAEL S. BUCHHOLTZ, M.D., P.C.
Employer identification number (EIN):	113625064
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Jurisdiction of Incorporation:	New York Department of State
Incorporation Date:	2001-08-23
Company Identification Number:	2674214
Legal Registered Office Address:	270 PULASKI RD STE D GREENLAWN United States of America (USA) 11740