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| Plan Name | EMPLOYEE PENSION PLAN OF DANIEL J. PESAVENTO, M.D., P.C. |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | DANIEL J. PESAVENTO, M.D., PC. |
| Employer identification number (EIN): | 364042543 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2016-01-01 | DANIEL J. PESAVENTO | 2017-05-19 | ||
| 001 | 2015-01-01 | DANIEL J. PESAVENTO | 2016-05-16 | ||
| 001 | 2014-01-01 | DANIEL J. PESAVENTO | 2015-06-23 | ||
| 001 | 2013-01-01 | DANIEL J. PESAVENTO | 2014-04-24 | ||
| 001 | 2012-01-01 | DANIEL J. PESAVENTO | 2013-06-26 | ||
| 001 | 2011-01-01 | DANIEL J PESAVENTO | 2012-07-05 | ||
| 001 | 2010-01-01 | DANIEL J PESAVENTO | 2011-06-09 | ||
| 001 | 2009-01-01 | DANIEL J PESAVENTO | |||
| 001 | 2005-01-01 | DANIEL J PESAVENTO | DANIEL J PESAVENTO | 2018-04-27 |
| Measure | Date | Value |
|---|---|---|
| 2009: EMPLOYEE PENSION PLAN OF DANIEL J. PESAVENTO, M.D., P.C. 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-01-01 | 9 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 6 |
| Number of other retired or separated participants entitled to future benefits | 2009-01-01 | 2 |
| 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 |
| 2005: EMPLOYEE PENSION PLAN OF DANIEL J. PESAVENTO, M.D., P.C. 2005 401k membership | ||
| Total participants, beginning-of-year | 2005-01-01 | 10 |
| Total number of active participants reported on line 7a of the Form 5500 | 2005-01-01 | 7 |
| Number of retired or separated participants receiving benefits | 2005-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2005-01-01 | 3 |
| Total of all active and inactive participants | 2005-01-01 | 10 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2005-01-01 | 0 |
| Total participants | 2005-01-01 | 10 |
| Number of participants with account balances | 2005-01-01 | 10 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2005-01-01 | 0 |
| Measure | Date | Value |
|---|---|---|
| 2009 : EMPLOYEE PENSION PLAN OF DANIEL J. PESAVENTO, M.D., P.C. 2009 401k financial data | ||
| Funding deficiency by the employer to the plan for this plan year | 2009-12-31 | $0 |
| Minimum employer required contribution for this plan year | 2009-12-31 | $26,788 |
| Amount contributed by the employer to the plan for this plan year | 2009-12-31 | $26,788 |
| 2005 : EMPLOYEE PENSION PLAN OF DANIEL J. PESAVENTO, M.D., P.C. 2005 401k financial data | ||
| Total income from all sources | 2005-12-31 | $63,791 |
| Expenses. Total of all expenses incurred | 2005-12-31 | $3,784 |
| Total plan assets at end of year | 2005-12-31 | $564,696 |
| Total plan assets at beginning of year | 2005-12-31 | $504,689 |
| Value of fidelity bond covering the plan | 2005-12-31 | $99,000 |
| Expenses. Other expenses not covered elsewhere | 2005-12-31 | $3,784 |
| Other income received | 2005-12-31 | $41,406 |
| Net income (gross income less expenses) | 2005-12-31 | $60,007 |
| Net plan assets at end of year (total assets less liabilities) | 2005-12-31 | $564,696 |
| Net plan assets at beginning of year (total assets less liabilities) | 2005-12-31 | $504,689 |
| Total contributions received or receivable from employer(s) | 2005-12-31 | $22,385 |
| 2009: EMPLOYEE PENSION PLAN OF DANIEL J. PESAVENTO, M.D., P.C. 2009 form 5500 responses | ||
|---|---|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Plan funding arrangement – Trust | Yes |
| 2009-01-01 | Plan benefit arrangement - Trust | Yes |
| 2005: EMPLOYEE PENSION PLAN OF DANIEL J. PESAVENTO, M.D., P.C. 2005 form 5500 responses | ||
| 2005-01-01 | Type of plan entity | Single employer plan |
| 2005-01-01 | Submission has been amended | Yes |
| 2005-01-01 | This submission is the final filing | No |
| 2005-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2005-01-01 | Plan is a collectively bargained plan | No |
| 2005-01-01 | Plan funding arrangement – Trust | Yes |
| 2005-01-01 | Plan benefit arrangement - Trust | Yes |
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