401k Plan data: JOHN J. OLICHNEY MD PC MPP PLAN 350 WEST 58TH STREET NEW YORK, NY 10019 plan

JOHN J. OLICHNEY MD PC MPP PLAN 350 WEST 58TH STREET NEW YORK, NY 10019 401k Plan overview

Plan Name	JOHN J. OLICHNEY MD PC MPP PLAN 350 WEST 58TH STREET NEW YORK, NY 10019
Plan identification number	001

JOHN J. OLICHNEY MD PC MPP PLAN 350 WEST 58TH STREET NEW YORK, NY 10019 Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Money purchase (other than target benefit) 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

JOHN J. OLICHNEY, PRES. JOHN J. OLICHNEY MD PC has sponsored the creation of one or more 401k plans.

Company Name: JOHN J. OLICHNEY, PRES. JOHN J. OLICHNEY MD PC

Employer identification number (EIN): 134136492

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JOHN J. OLICHNEY MD PC MPP PLAN 350 WEST 58TH STREET NEW YORK, NY 10019

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2020-01-01 MICHAEL GARIBALDI 2021-10-15
001 2019-01-01 MICHAEL GARIBALDI 2020-10-13
001 2018-01-01 MICHAEL GARIBALDI 2019-12-12 MICHAEL GARIBALDI 2019-12-12
001 2017-01-01 JOHN OLICHNEY 2018-07-18 JOHN OLICHNEY 2018-07-18
001 2016-01-01 JOHN OLICHNEY 2017-07-13 JOHN OLICHNEY 2017-07-13
001 2015-01-01 JOHN OLICHNEY 2017-07-13 JOHN OLICHNEY 2017-07-13
001 2014-01-01 JOHN OLICHNEY 2015-07-22 JOHN OLICHNEY 2015-07-22
001 2013-01-01 JOHN OLICHNEY JOHN OLICHNEY 2014-10-08
001 2012-01-01 JOHN OLICHNEY JOHN OLICHNEY 2013-08-14
001 2011-01-01 JOHN OLICHNEY JOHN OLICHNEY 2012-10-14

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2020-01-01	MICHAEL GARIBALDI	2021-10-15
001	2019-01-01	MICHAEL GARIBALDI	2020-10-13
001	2018-01-01	MICHAEL GARIBALDI	2019-12-12	MICHAEL GARIBALDI	2019-12-12
001	2017-01-01	JOHN OLICHNEY	2018-07-18	JOHN OLICHNEY	2018-07-18
001	2016-01-01	JOHN OLICHNEY	2017-07-13	JOHN OLICHNEY	2017-07-13
001	2015-01-01	JOHN OLICHNEY	2017-07-13	JOHN OLICHNEY	2017-07-13
001	2014-01-01	JOHN OLICHNEY	2015-07-22	JOHN OLICHNEY	2015-07-22
001	2013-01-01	JOHN OLICHNEY		JOHN OLICHNEY	2014-10-08
001	2012-01-01	JOHN OLICHNEY		JOHN OLICHNEY	2013-08-14
001	2011-01-01	JOHN OLICHNEY		JOHN OLICHNEY	2012-10-14

Plan Statistics for JOHN J. OLICHNEY MD PC MPP PLAN 350 WEST 58TH STREET NEW YORK, NY 10019

401k plan membership statisitcs for JOHN J. OLICHNEY MD PC MPP PLAN 350 WEST 58TH STREET NEW YORK, NY 10019

Measure Date Value
2013: JOHN J. OLICHNEY MD PC MPP PLAN 350 WEST 58TH STREET NEW YORK, NY 10019 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 3
Total of all active and inactive participants 2013-01-01 3
Total participants 2013-01-01 3
Number of participants with account balances 2013-01-01 3
2012: JOHN J. OLICHNEY MD PC MPP PLAN 350 WEST 58TH STREET NEW YORK, NY 10019 2012 401k membership
Total participants, beginning-of-year 2012-01-01 4
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 1
Total of all active and inactive participants 2012-01-01 4
Total participants 2012-01-01 4
Number of participants with account balances 2012-01-01 3
2011: JOHN J. OLICHNEY MD PC MPP PLAN 350 WEST 58TH STREET NEW YORK, NY 10019 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 4
Total of all active and inactive participants 2011-01-01 4
Total participants 2011-01-01 4
Number of participants with account balances 2011-01-01 4

Measure	Date	Value
2013: JOHN J. OLICHNEY MD PC MPP PLAN 350 WEST 58TH STREET NEW YORK, NY 10019 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	3
Total of all active and inactive participants	2013-01-01	3
Total participants	2013-01-01	3
Number of participants with account balances	2013-01-01	3
2012: JOHN J. OLICHNEY MD PC MPP PLAN 350 WEST 58TH STREET NEW YORK, NY 10019 2012 401k membership
Total participants, beginning-of-year	2012-01-01	4
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	1
Total of all active and inactive participants	2012-01-01	4
Total participants	2012-01-01	4
Number of participants with account balances	2012-01-01	3
2011: JOHN J. OLICHNEY MD PC MPP PLAN 350 WEST 58TH STREET NEW YORK, NY 10019 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	4
Total of all active and inactive participants	2011-01-01	4
Total participants	2011-01-01	4
Number of participants with account balances	2011-01-01	4

Financial Data on JOHN J. OLICHNEY MD PC MPP PLAN 350 WEST 58TH STREET NEW YORK, NY 10019

Measure	Date	Value
2013 : JOHN J. OLICHNEY MD PC MPP PLAN 350 WEST 58TH STREET NEW YORK, NY 10019 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2013-12-31	$4,483
Total unrealized appreciation/depreciation of assets	2013-12-31	$4,483
Total income from all sources (including contributions)	2013-12-31	$30,594
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$21,201
Value of total assets at end of year	2013-12-31	$256,383
Value of total assets at beginning of year	2013-12-31	$225,789
Total interest from all sources	2013-12-31	$4,910
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$30,594
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$256,383
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$225,789
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$4,910
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$21,201
Employer contributions (assets) at end of year	2013-12-31	$21,201
Employer contributions (assets) at beginning of year	2013-12-31	$20,465
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2013-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2013-12-31	$235,182
Assets. Corporate common stocks other than exployer securities at beginning of year	2013-12-31	$205,324
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	No
Opinion of an independent qualified public accountant for this plan	2013-12-31	Unqualified
Accountancy firm name	2013-12-31	JONATHAN L ANDERSON
Accountancy firm EIN	2013-12-31	113297162
2012 : JOHN J. OLICHNEY MD PC MPP PLAN 350 WEST 58TH STREET NEW YORK, NY 10019 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2012-12-31	$-32,412
Total unrealized appreciation/depreciation of assets	2012-12-31	$-32,412
Total income from all sources (including contributions)	2012-12-31	$14,789
Total of all expenses incurred	2012-12-31	$1,138,694
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$1,138,694
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$20,465
Value of total assets at end of year	2012-12-31	$225,789
Value of total assets at beginning of year	2012-12-31	$1,349,694
Total interest from all sources	2012-12-31	$26,736
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$-1,123,905
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$225,789
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$1,349,694
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$26,736
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$20,465
Employer contributions (assets) at end of year	2012-12-31	$20,465
Employer contributions (assets) at beginning of year	2012-12-31	$69,485
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$1,138,694
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2012-12-31	$205,324
Assets. Corporate common stocks other than exployer securities at beginning of year	2012-12-31	$1,280,209
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	No
Opinion of an independent qualified public accountant for this plan	2012-12-31	Unqualified
Accountancy firm name	2012-12-31	JONATHAN L ANDERSON CPA
Accountancy firm EIN	2012-12-31	113297162
2011 : JOHN J. OLICHNEY MD PC MPP PLAN 350 WEST 58TH STREET NEW YORK, NY 10019 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2011-12-31	$-147,808
Total unrealized appreciation/depreciation of assets	2011-12-31	$-147,808
Total income from all sources (including contributions)	2011-12-31	$-41,231
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$69,485
Value of total assets at end of year	2011-12-31	$1,349,694
Value of total assets at beginning of year	2011-12-31	$1,390,925
Total interest from all sources	2011-12-31	$37,092
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-41,231
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$1,349,694
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$1,390,925
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$37,092
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$69,485
Employer contributions (assets) at end of year	2011-12-31	$69,485
Employer contributions (assets) at beginning of year	2011-12-31	$69,177
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2011-12-31	$1,280,209
Assets. Corporate common stocks other than exployer securities at beginning of year	2011-12-31	$1,321,748
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	No
Opinion of an independent qualified public accountant for this plan	2011-12-31	Unqualified
Accountancy firm name	2011-12-31	JONATHAN L ANDERSON CPA
Accountancy firm EIN	2011-12-31	113297162
2010 : JOHN J. OLICHNEY MD PC MPP PLAN 350 WEST 58TH STREET NEW YORK, NY 10019 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$85,320
Total unrealized appreciation/depreciation of assets	2010-12-31	$85,320
Total income from all sources (including contributions)	2010-12-31	$174,988
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$69,177
Value of total assets at end of year	2010-12-31	$1,390,925
Value of total assets at beginning of year	2010-12-31	$1,215,937
Total interest from all sources	2010-12-31	$20,491
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$174,988
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$1,390,925
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,215,937
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$20,491
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$69,177
Employer contributions (assets) at end of year	2010-12-31	$69,177
Employer contributions (assets) at beginning of year	2010-12-31	$67,268
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2010-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2010-12-31	$1,321,748
Assets. Corporate common stocks other than exployer securities at beginning of year	2010-12-31	$1,148,669
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	No
Opinion of an independent qualified public accountant for this plan	2010-12-31	Unqualified
Accountancy firm name	2010-12-31	JONATHAN L ANDERSON CPA
Accountancy firm EIN	2010-12-31	113297162

Form 5500 Responses for JOHN J. OLICHNEY MD PC MPP PLAN 350 WEST 58TH STREET NEW YORK, NY 10019

2013: JOHN J. OLICHNEY MD PC MPP PLAN 350 WEST 58TH STREET NEW YORK, NY 10019 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: JOHN J. OLICHNEY MD PC MPP PLAN 350 WEST 58TH STREET NEW YORK, NY 10019 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: JOHN J. OLICHNEY MD PC MPP PLAN 350 WEST 58TH STREET NEW YORK, NY 10019 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

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Company Name:	JOHN J. OLICHNEY, PRES. JOHN J. OLICHNEY MD PC
Employer identification number (EIN):	134136492
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)