401k Plan data: JEFFREY S. SCHIFFMAN, M.D., INC. 401(K) PROFIT SHARING PLAN plan

JEFFREY S. SCHIFFMAN, M.D., INC. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	JEFFREY S. SCHIFFMAN, M.D., INC. 401(K) PROFIT SHARING PLAN
Plan identification number	003

JEFFREY S. SCHIFFMAN, M.D., INC. 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
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.

401k Sponsoring company profile

JEFFREY S. SCHIFFMAN, M.D., INC. has sponsored the creation of one or more 401k plans.

Company Name: JEFFREY S. SCHIFFMAN, M.D., INC.

Employer identification number (EIN): 330625152

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JEFFREY S. SCHIFFMAN, M.D., INC. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2022-01-01 JEFFREY SCHIFFMAN 2023-05-12 JEFFREY SCHIFFMAN 2023-05-12
003 2021-01-01 JEFFREY SCHIFFMAN 2022-07-12 JEFFREY SCHIFFMAN 2022-07-12
003 2020-01-01 JEFFREY SCHIFFMAN 2021-02-24 JEFFREY SCHIFFMAN 2021-02-24
003 2018-01-01 JEFFREY SCHIFFMAN 2019-02-27 JEFFREY SCHIFFMAN 2019-02-27
003 2017-01-01 JEFFREY SCHIFFMAN 2018-08-22 JEFFREY SCHIFFMAN 2018-08-22
003 2016-01-01 JEFFREY SCHIFFMAN 2017-09-26 JEFFREY SCHIFFMAN 2017-09-26
003 2015-01-01 JEFFREY SCHIFFMAN 2016-06-21 JEFFREY SCHIFFMAN 2016-06-21
003 2014-01-01 JEFFREY SCHIFFMAN 2015-08-06 JEFFREY SCHIFFMAN 2015-08-06
003 2013-01-01 JEFFREY SCHIFFMAN 2014-02-19 JEFFREY SCHIFFMAN 2014-02-19
003 2012-01-01 JEFFREY SCHIFFMAN 2013-08-23 JEFFREY SCHIFFMAN 2013-08-23
003 2011-01-01 JEFFREY SCHIFFMAN JEFFREY SCHIFFMAN 2012-09-10
003 2009-01-01 JEFFREY SCHIFFMAN JEFFREY SCHIFFMAN 2010-08-06

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
003	2022-01-01	JEFFREY SCHIFFMAN	2023-05-12	JEFFREY SCHIFFMAN	2023-05-12
003	2021-01-01	JEFFREY SCHIFFMAN	2022-07-12	JEFFREY SCHIFFMAN	2022-07-12
003	2020-01-01	JEFFREY SCHIFFMAN	2021-02-24	JEFFREY SCHIFFMAN	2021-02-24
003	2018-01-01	JEFFREY SCHIFFMAN	2019-02-27	JEFFREY SCHIFFMAN	2019-02-27
003	2017-01-01	JEFFREY SCHIFFMAN	2018-08-22	JEFFREY SCHIFFMAN	2018-08-22
003	2016-01-01	JEFFREY SCHIFFMAN	2017-09-26	JEFFREY SCHIFFMAN	2017-09-26
003	2015-01-01	JEFFREY SCHIFFMAN	2016-06-21	JEFFREY SCHIFFMAN	2016-06-21
003	2014-01-01	JEFFREY SCHIFFMAN	2015-08-06	JEFFREY SCHIFFMAN	2015-08-06
003	2013-01-01	JEFFREY SCHIFFMAN	2014-02-19	JEFFREY SCHIFFMAN	2014-02-19
003	2012-01-01	JEFFREY SCHIFFMAN	2013-08-23	JEFFREY SCHIFFMAN	2013-08-23
003	2011-01-01	JEFFREY SCHIFFMAN		JEFFREY SCHIFFMAN	2012-09-10
003	2009-01-01	JEFFREY SCHIFFMAN		JEFFREY SCHIFFMAN	2010-08-06

Plan Statistics for JEFFREY S. SCHIFFMAN, M.D., INC. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for JEFFREY S. SCHIFFMAN, M.D., INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2011: JEFFREY S. SCHIFFMAN, M.D., INC. 401(K) 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
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 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 7
Number of participants with account balances 2011-01-01 7
2009: JEFFREY S. SCHIFFMAN, M.D., INC. 401(K) 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 7
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 1
Total of all active and inactive participants 2009-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 8
Number of participants with account balances 2009-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2011: JEFFREY S. SCHIFFMAN, M.D., INC. 401(K) 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
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	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	7
Number of participants with account balances	2011-01-01	7
2009: JEFFREY S. SCHIFFMAN, M.D., INC. 401(K) 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	7
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	1
Total of all active and inactive participants	2009-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	8
Number of participants with account balances	2009-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on JEFFREY S. SCHIFFMAN, M.D., INC. 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2011 : JEFFREY S. SCHIFFMAN, M.D., INC. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$40,096
Expenses. Total of all expenses incurred	2011-12-31	$28,696
Benefits paid (including direct rollovers)	2011-12-31	$28,621
Total plan assets at end of year	2011-12-31	$938,722
Total plan assets at beginning of year	2011-12-31	$927,322
Value of fidelity bond covering the plan	2011-12-31	$80,000
Total contributions received or receivable from participants	2011-12-31	$25,750
Other income received	2011-12-31	$-39,935
Net income (gross income less expenses)	2011-12-31	$11,400
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$938,722
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$927,322
Assets. Value of participant loans	2011-12-31	$7,860
Total contributions received or receivable from employer(s)	2011-12-31	$54,281
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$75
2010 : JEFFREY S. SCHIFFMAN, M.D., INC. 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$154,368
Expenses. Total of all expenses incurred	2010-12-31	$60
Total plan assets at end of year	2010-12-31	$927,322
Total plan assets at beginning of year	2010-12-31	$773,014
Value of fidelity bond covering the plan	2010-12-31	$80,000
Total contributions received or receivable from participants	2010-12-31	$26,200
Other income received	2010-12-31	$87,555
Net income (gross income less expenses)	2010-12-31	$154,308
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$927,322
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$773,014
Assets. Value of participant loans	2010-12-31	$17,166
Total contributions received or receivable from employer(s)	2010-12-31	$40,613
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$60

Form 5500 Responses for JEFFREY S. SCHIFFMAN, M.D., INC. 401(K) PROFIT SHARING PLAN

2011: JEFFREY S. SCHIFFMAN, M.D., INC. 401(K) 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
2009: JEFFREY S. SCHIFFMAN, M.D., INC. 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	JEFFREY S. SCHIFFMAN, M.D., INC.
Employer identification number (EIN):	330625152
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)