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ANDREW J. KAPUST, DDS, P.S. 401(K) RETIREMENT SAVINGS PLAN 401k Plan overview

Plan NameANDREW J. KAPUST, DDS, P.S. 401(K) RETIREMENT SAVINGS PLAN
Plan identification number 001

ANDREW J. KAPUST, DDS, P.S. 401(K) RETIREMENT SAVINGS PLAN Benefits

401k Plan TypeDefined 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

ANDREW J. KAPUST, DDS, P.S. has sponsored the creation of one or more 401k plans.

Company Name:ANDREW J. KAPUST, DDS, P.S.
Employer identification number (EIN):200490740
NAIC Classification:621210
NAIC Description:Offices of Dentists

Additional information about ANDREW J. KAPUST, DDS, P.S.

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division
Incorporation Date: 2004-01-01
Company Identification Number: 602349240
Legal Registered Office Address: 344 CLEVELAND AVE SE STE J

TUMWATER
United States of America (USA)
985013342

More information about ANDREW J. KAPUST, DDS, P.S.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ANDREW J. KAPUST, DDS, P.S. 401(K) RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01ANDREW J. KAPUST2023-10-08
0012021-01-01
0012020-01-01
0012019-01-01ANDREW J. KAPUST2020-10-12
0012018-01-01ANDREW J. KAPUST2019-10-14
0012017-01-01
0012016-01-01ANDREW KAPUST
0012015-01-01ANDREW KAPUST2016-08-26
0012014-01-01ANDREW KAPUST2016-08-26
0012014-01-01ANDREW KAPUST2015-08-12
0012013-01-01ANDREW KAPUST2016-08-26
0012012-01-01ANDREW KAPUST2013-06-27
0012011-01-01ANDREW KAPUST2012-05-27 ANDREW KAPUST2012-05-27
0012010-01-01ANDREW KAPUST2011-09-20 ANDREW KAPUST2011-09-20

Plan Statistics for ANDREW J. KAPUST, DDS, P.S. 401(K) RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for ANDREW J. KAPUST, DDS, P.S. 401(K) RETIREMENT SAVINGS PLAN

Measure Date Value
2021: ANDREW J. KAPUST, DDS, P.S. 401(K) RETIREMENT SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0119
Total number of active participants reported on line 7a of the Form 55002021-01-0112
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-015
Total of all active and inactive participants2021-01-0117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0117
Number of participants with account balances2021-01-0117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: ANDREW J. KAPUST, DDS, P.S. 401(K) RETIREMENT SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0116
Total number of active participants reported on line 7a of the Form 55002020-01-0115
Number of retired or separated participants receiving benefits2020-01-011
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-0116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0116
Number of participants with account balances2020-01-0116
2019: ANDREW J. KAPUST, DDS, P.S. 401(K) RETIREMENT SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0116
Total number of active participants reported on line 7a of the Form 55002019-01-0115
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-011
Total of all active and inactive participants2019-01-0116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0116
Number of participants with account balances2019-01-0116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: ANDREW J. KAPUST, DDS, P.S. 401(K) RETIREMENT SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0119
Total number of active participants reported on line 7a of the Form 55002018-01-0115
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-011
Total of all active and inactive participants2018-01-0116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0116
Number of participants with account balances2018-01-0116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: ANDREW J. KAPUST, DDS, P.S. 401(K) RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0119
Total number of active participants reported on line 7a of the Form 55002017-01-0116
Number of retired or separated participants receiving benefits2017-01-013
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0119
Number of participants with account balances2017-01-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: ANDREW J. KAPUST, DDS, P.S. 401(K) RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0119
Total number of active participants reported on line 7a of the Form 55002016-01-0117
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-012
Total of all active and inactive participants2016-01-0119
Total participants2016-01-0119
Number of participants with account balances2016-01-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010

Financial Data on ANDREW J. KAPUST, DDS, P.S. 401(K) RETIREMENT SAVINGS PLAN

Measure Date Value
2021 : ANDREW J. KAPUST, DDS, P.S. 401(K) RETIREMENT SAVINGS PLAN 2021 401k financial data
Transfers to/from the plan2021-12-31$0
Total plan liabilities at end of year2021-12-31$0
Total plan liabilities at beginning of year2021-12-31$0
Total income from all sources2021-12-31$699,664
Expenses. Total of all expenses incurred2021-12-31$23,392
Benefits paid (including direct rollovers)2021-12-31$0
Total plan assets at end of year2021-12-31$5,030,675
Total plan assets at beginning of year2021-12-31$4,354,403
Value of fidelity bond covering the plan2021-12-31$500,000
Total contributions received or receivable from participants2021-12-31$97,041
Expenses. Other expenses not covered elsewhere2021-12-31$0
Contributions received from other sources (not participants or employers)2021-12-31$88,021
Other income received2021-12-31$514,602
Noncash contributions received2021-12-31$0
Net income (gross income less expenses)2021-12-31$676,272
Net plan assets at end of year (total assets less liabilities)2021-12-31$5,030,675
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$4,354,403
Assets. Value of real-estate (other than employer real property)2021-12-31$401,261
Total contributions received or receivable from employer(s)2021-12-31$0
Value of certain deemed distributions of participant loans2021-12-31$0
Value of corrective distributions2021-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$23,392
2020 : ANDREW J. KAPUST, DDS, P.S. 401(K) RETIREMENT SAVINGS PLAN 2020 401k financial data
Total plan liabilities at beginning of year2020-12-31$0
Total income from all sources2020-12-31$727,722
Expenses. Total of all expenses incurred2020-12-31$19,810
Total plan assets at end of year2020-12-31$4,354,403
Total plan assets at beginning of year2020-12-31$3,646,491
Total contributions received or receivable from participants2020-12-31$84,205
Other income received2020-12-31$595,799
Net income (gross income less expenses)2020-12-31$707,912
Net plan assets at end of year (total assets less liabilities)2020-12-31$4,354,403
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$3,646,491
Assets. Value of real-estate (other than employer real property)2020-12-31$352,403
Total contributions received or receivable from employer(s)2020-12-31$47,718
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$19,810
2019 : ANDREW J. KAPUST, DDS, P.S. 401(K) RETIREMENT SAVINGS PLAN 2019 401k financial data
Total plan liabilities at end of year2019-12-31$0
Total plan liabilities at beginning of year2019-12-31$208
Total income from all sources2019-12-31$729,987
Total plan assets at end of year2019-12-31$3,646,491
Total plan assets at beginning of year2019-12-31$2,916,712
Value of fidelity bond covering the plan2019-12-31$352,403
Total contributions received or receivable from participants2019-12-31$75,030
Other income received2019-12-31$614,148
Net income (gross income less expenses)2019-12-31$729,987
Net plan assets at end of year (total assets less liabilities)2019-12-31$3,646,491
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$2,916,504
Assets. Value of real-estate (other than employer real property)2019-12-31$352,403
Total contributions received or receivable from employer(s)2019-12-31$40,809
2018 : ANDREW J. KAPUST, DDS, P.S. 401(K) RETIREMENT SAVINGS PLAN 2018 401k financial data
Total plan liabilities at end of year2018-12-31$208
Total plan liabilities at beginning of year2018-12-31$0
Total income from all sources2018-12-31$-71,237
Expenses. Total of all expenses incurred2018-12-31$10,358
Benefits paid (including direct rollovers)2018-12-31$10,358
Total plan assets at end of year2018-12-31$2,916,712
Total plan assets at beginning of year2018-12-31$2,998,099
Value of fidelity bond covering the plan2018-12-31$299,810
Total contributions received or receivable from participants2018-12-31$69,325
Noncash contributions received2018-12-31$-179,439
Net income (gross income less expenses)2018-12-31$-81,595
Net plan assets at end of year (total assets less liabilities)2018-12-31$2,916,504
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$2,998,099
Assets. Value of real-estate (other than employer real property)2018-12-31$258,059
Total contributions received or receivable from employer(s)2018-12-31$38,877
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : ANDREW J. KAPUST, DDS, P.S. 401(K) RETIREMENT SAVINGS PLAN 2017 401k financial data
Total income from all sources2017-12-31$604,537
Expenses. Total of all expenses incurred2017-12-31$692,300
Benefits paid (including direct rollovers)2017-12-31$690,127
Total plan assets at end of year2017-12-31$2,998,099
Total plan assets at beginning of year2017-12-31$3,085,862
Value of fidelity bond covering the plan2017-12-31$150,000
Total contributions received or receivable from participants2017-12-31$64,315
Other income received2017-12-31$469,455
Net income (gross income less expenses)2017-12-31$-87,763
Net plan assets at end of year (total assets less liabilities)2017-12-31$2,998,099
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$3,085,862
Assets. Value of real-estate (other than employer real property)2017-12-31$258,059
Total contributions received or receivable from employer(s)2017-12-31$70,767
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$2,173
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : ANDREW J. KAPUST, DDS, P.S. 401(K) RETIREMENT SAVINGS PLAN 2016 401k financial data
Total income from all sources2016-12-31$369,220
Expenses. Total of all expenses incurred2016-12-31$39
Total plan assets at end of year2016-12-31$3,085,862
Total plan assets at beginning of year2016-12-31$2,716,681
Value of fidelity bond covering the plan2016-12-31$150,000
Total contributions received or receivable from participants2016-12-31$85,908
Contributions received from other sources (not participants or employers)2016-12-31$12,039
Other income received2016-12-31$172,974
Net income (gross income less expenses)2016-12-31$369,181
Net plan assets at end of year (total assets less liabilities)2016-12-31$3,085,862
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$2,716,681
Assets. Value of real-estate (other than employer real property)2016-12-31$170,979
Total contributions received or receivable from employer(s)2016-12-31$98,299
Value of certain deemed distributions of participant loans2016-12-31$39
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0

Form 5500 Responses for ANDREW J. KAPUST, DDS, P.S. 401(K) RETIREMENT SAVINGS PLAN

2021: ANDREW J. KAPUST, DDS, P.S. 401(K) RETIREMENT SAVINGS PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: ANDREW J. KAPUST, DDS, P.S. 401(K) RETIREMENT SAVINGS PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: ANDREW J. KAPUST, DDS, P.S. 401(K) RETIREMENT SAVINGS PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: ANDREW J. KAPUST, DDS, P.S. 401(K) RETIREMENT SAVINGS PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: ANDREW J. KAPUST, DDS, P.S. 401(K) RETIREMENT SAVINGS PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: ANDREW J. KAPUST, DDS, P.S. 401(K) RETIREMENT SAVINGS PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number108483
Policy instance 1
Insurance contract or identification number108483
Number of Individuals Covered19
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $2,139
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,139
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker organization code?5
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number108483
Policy instance 1
Insurance contract or identification number108483
Number of Individuals Covered17
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of fees paid to insurance companyUSD $1,649
Amount paid for insurance broker fees1346
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker organization code?5
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number108483
Policy instance 1
Insurance contract or identification number108483
Number of Individuals Covered17
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $8,805
Total amount of fees paid to insurance companyUSD $1,737
Commission paid to Insurance BrokerUSD $8,805
Amount paid for insurance broker fees269
Additional information about fees paid to insurance brokerOTHER ALLOWANCES
Insurance broker organization code?4
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number108483
Policy instance 1
Insurance contract or identification number108483
Number of Individuals Covered17
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $8,177
Total amount of fees paid to insurance companyUSD $2,450
Commission paid to Insurance BrokerUSD $8,177
Amount paid for insurance broker fees1087
Additional information about fees paid to insurance brokerOTHER ALLOWANCES
Insurance broker organization code?4
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number108483
Policy instance 1
Insurance contract or identification number108483
Number of Individuals Covered15
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $8,641
Total amount of fees paid to insurance companyUSD $2,982
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,641
Amount paid for insurance broker fees1159
Additional information about fees paid to insurance brokerOTHER ALLOWANCES
Insurance broker organization code?4
Insurance broker nameCOMPENSATION CONSULTANTS, INC.

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