401k Plan data: JOHN R. KUKUCKA, DMD PROFIT SHARING PLAN plan

JOHN R. KUKUCKA, DMD PROFIT SHARING PLAN 401k Plan overview

Plan Name	JOHN R. KUKUCKA, DMD PROFIT SHARING PLAN
Plan identification number	001

JOHN R. KUKUCKA, DMD PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Cash balance or similar plan - Plan has a "cash balance" formula. For this purpose, a "cash balance" formula is a benefit formula in a defined benefit plan by whatever name (for example, personal account plan, pension equity plan, life cycle plan, cash account plan, etc.) that rather than, or in addition to, expressing the accrued benefit as a life annuity commencing at normal retirement age, defines benefits for each employee in terms more common to a defined contribution plan such as a single sum distribution amount (for example, 10 percent of final average pay times years of service, or the amount of the employee's hypothetical account balance).
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.
Plan covering Self-Employed individuals.
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 R. KUKUCKA, DMD has sponsored the creation of one or more 401k plans.

Company Name: JOHN R. KUKUCKA, DMD

Employer identification number (EIN): 222610566

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JOHN R. KUKUCKA, DMD PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01
001 2016-01-01
001 2015-01-01
001 2014-01-01
001 2014-01-01 JOHN R. KUKUCKA, DMD
001 2014-01-01 JOHN R. KUKUCKA, DMD
001 2014-01-01 JOHN R. KUKUCKA, DMD
001 2014-01-01 JOHN R. KUKUCKA, DMD
001 2013-01-01 JOHN R. KUKUCKA, DMD
001 2012-01-01 JOHN R. KUKUCKA, DMD
001 2011-01-01 JOHN R KUKUCKA DMD
001 2009-01-01 JOHN R KUKUCKA DMD

Plan Statistics for JOHN R. KUKUCKA, DMD PROFIT SHARING PLAN

401k plan membership statisitcs for JOHN R. KUKUCKA, DMD PROFIT SHARING PLAN

Measure Date Value
2014: JOHN R. KUKUCKA, DMD PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 7
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 7
Number of participants with account balances 2014-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: JOHN R. KUKUCKA, DMD PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 7
Total of all active and inactive participants 2013-01-01 7
Total participants 2013-01-01 7
Number of participants with account balances 2013-01-01 7
2012: JOHN R. KUKUCKA, DMD PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 6
Total of all active and inactive participants 2012-01-01 6
Total participants 2012-01-01 6
Number of participants with account balances 2012-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 1
2011: JOHN R. KUKUCKA, DMD PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 7
Total of all active and inactive participants 2011-01-01 7
Total participants 2011-01-01 7
Number of participants with account balances 2011-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 1
2009: JOHN R. KUKUCKA, DMD PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 8
Total of all active and inactive participants 2009-01-01 8
Total participants 2009-01-01 8
Number of participants with account balances 2009-01-01 8

Measure	Date	Value
2014: JOHN R. KUKUCKA, DMD PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	7
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	7
Number of participants with account balances	2014-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: JOHN R. KUKUCKA, DMD PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	7
Total of all active and inactive participants	2013-01-01	7
Total participants	2013-01-01	7
Number of participants with account balances	2013-01-01	7
2012: JOHN R. KUKUCKA, DMD PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	6
Total of all active and inactive participants	2012-01-01	6
Total participants	2012-01-01	6
Number of participants with account balances	2012-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	1
2011: JOHN R. KUKUCKA, DMD PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	7
Total of all active and inactive participants	2011-01-01	7
Total participants	2011-01-01	7
Number of participants with account balances	2011-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	1
2009: JOHN R. KUKUCKA, DMD PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	8
Total of all active and inactive participants	2009-01-01	8
Total participants	2009-01-01	8
Number of participants with account balances	2009-01-01	8

Financial Data on JOHN R. KUKUCKA, DMD PROFIT SHARING PLAN

Measure	Date	Value
2014 : JOHN R. KUKUCKA, DMD PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$318,694
Expenses. Total of all expenses incurred	2014-12-31	$84
Total plan assets at end of year	2014-12-31	$2,735,822
Total plan assets at beginning of year	2014-12-31	$2,417,212
Value of fidelity bond covering the plan	2014-12-31	$50,000
Total contributions received or receivable from participants	2014-12-31	$72,289
Other income received	2014-12-31	$74,799
Net income (gross income less expenses)	2014-12-31	$318,610
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$2,735,822
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$2,417,212
Assets. Value of participant loans	2014-12-31	$9,161
Total contributions received or receivable from employer(s)	2014-12-31	$171,606
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$84
2013 : JOHN R. KUKUCKA, DMD PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$553,565
Total plan assets at end of year	2013-12-31	$2,417,212
Total plan assets at beginning of year	2013-12-31	$1,863,647
Total contributions received or receivable from participants	2013-12-31	$71,807
Other income received	2013-12-31	$422,744
Net income (gross income less expenses)	2013-12-31	$553,565
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$2,417,212
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,863,647
Total contributions received or receivable from employer(s)	2013-12-31	$59,014
2012 : JOHN R. KUKUCKA, DMD PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$315,225
Expenses. Total of all expenses incurred	2012-12-31	$14,662
Benefits paid (including direct rollovers)	2012-12-31	$14,662
Total plan assets at end of year	2012-12-31	$1,863,647
Total plan assets at beginning of year	2012-12-31	$1,563,084
Total contributions received or receivable from participants	2012-12-31	$68,160
Other income received	2012-12-31	$190,581
Net income (gross income less expenses)	2012-12-31	$300,563
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,863,647
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,563,084
Total contributions received or receivable from employer(s)	2012-12-31	$56,484
2011 : JOHN R. KUKUCKA, DMD PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$37,753
Expenses. Total of all expenses incurred	2011-12-31	$59,265
Benefits paid (including direct rollovers)	2011-12-31	$59,265
Total plan assets at end of year	2011-12-31	$1,563,084
Total plan assets at beginning of year	2011-12-31	$1,584,596
Total contributions received or receivable from participants	2011-12-31	$66,643
Other income received	2011-12-31	$-85,738
Net income (gross income less expenses)	2011-12-31	$-21,512
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,563,084
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,584,596
Total contributions received or receivable from employer(s)	2011-12-31	$56,848
2010 : JOHN R. KUKUCKA, DMD PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$377,465
Total plan assets at end of year	2010-12-31	$1,584,596
Total plan assets at beginning of year	2010-12-31	$1,207,131
Total contributions received or receivable from participants	2010-12-31	$66,356
Other income received	2010-12-31	$253,090
Net income (gross income less expenses)	2010-12-31	$377,465
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,584,596
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,207,131
Total contributions received or receivable from employer(s)	2010-12-31	$58,019

Form 5500 Responses for JOHN R. KUKUCKA, DMD PROFIT SHARING PLAN

2014: JOHN R. KUKUCKA, DMD PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	Yes
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: JOHN R. KUKUCKA, DMD PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: JOHN R. KUKUCKA, DMD PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: JOHN R. KUKUCKA, DMD PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: JOHN R. KUKUCKA, DMD PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

222610566D1

Policy instance

Insurance contract or identification number	222610566D1
Number of Individuals Covered	7
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

222610566D1

Policy instance

Insurance contract or identification number	222610566D1
Number of Individuals Covered	7
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

222610566D1

Policy instance

Insurance contract or identification number	222610566D1
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

222610566D1

Policy instance

Insurance contract or identification number	222610566D1
Number of Individuals Covered	6
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

222610566D1

Policy instance

Insurance contract or identification number	222610566D1
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

222610566D1

Policy instance

Insurance contract or identification number	222610566D1
Number of Individuals Covered	7
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

222610566D1

Policy instance

Insurance contract or identification number	222610566D1
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

222610566D1

Policy instance

Insurance contract or identification number	222610566D1
Number of Individuals Covered	8
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

222610566D1

Policy instance

Insurance contract or identification number	222610566D1
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

JOHN HANCOCK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65099 )

Policy contract number

222610566D1

Policy instance

Insurance contract or identification number	222610566D1
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

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Company Name:	JOHN R. KUKUCKA, DMD
Employer identification number (EIN):	222610566
NAIC Classification:	621210
NAIC Description:	Offices of Dentists

Plan id#	Filing Submission Date	Name of Administrator
001	2022-01-01
001	2021-01-01
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01
001	2016-01-01
001	2015-01-01
001	2014-01-01
001	2014-01-01	JOHN R. KUKUCKA, DMD
001	2014-01-01	JOHN R. KUKUCKA, DMD
001	2014-01-01	JOHN R. KUKUCKA, DMD
001	2014-01-01	JOHN R. KUKUCKA, DMD
001	2013-01-01	JOHN R. KUKUCKA, DMD
001	2012-01-01	JOHN R. KUKUCKA, DMD
001	2011-01-01	JOHN R KUKUCKA DMD
001	2009-01-01	JOHN R KUKUCKA DMD