401k Plan data: MICHAEL J. BUSUITO, M.D., P.C. PROFIT SHARING PLAN plan

MICHAEL J. BUSUITO, M.D., P.C. PROFIT SHARING PLAN 401k Plan overview

Plan Name	MICHAEL J. BUSUITO, M.D., P.C. PROFIT SHARING PLAN
Plan identification number	001

MICHAEL J. BUSUITO, M.D., P.C. 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.
Participant-directed brokerage accounts provided as an investment option under the plan.

401k Sponsoring company profile

MICHAEL J. BUSUITO, M.D., P.C. has sponsored the creation of one or more 401k plans.

Company Name: MICHAEL J. BUSUITO, M.D., P.C.

Employer identification number (EIN): 382819025

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MICHAEL J. BUSUITO, M.D., P.C. 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 MICHAEL J BUSUITO 2023-09-22 MICHAEL J BUSUITO 2023-09-22
001 2021-01-01 JOANNE DENNISON 2022-10-11 JOANNE DENNISON 2022-10-11
001 2020-01-01 JOANNE DENNISON 2021-09-27 JOANNE DENNISON 2021-09-27
001 2019-01-01 JOANNE DENNISON 2020-10-07 JOANNE DENNISON 2020-10-07
001 2018-01-01 MICHAEL J. BUSUITO, MD 2019-06-19 MICHAEL J. BUSUITO, MD 2019-06-16
001 2017-01-01 MICHAEL J. BUSUITO MD 2018-05-30 MICHAEL J. BUSUITO MD 2018-05-30
001 2016-01-01 MICHAEL J. BUSUITO MD 2017-05-17 MICHAEL J. BUSUITO MD 2017-05-17
001 2015-01-01 MICHAEL J. BUSUITO MD 2016-05-27 MICHAEL J. BUSUITO MD 2016-05-27
001 2014-01-01 MICHAEL J. BUSUITO MD 2015-06-02 MICHAEL J. BUSUITO MD 2015-06-02
001 2013-01-01 MICHAEL J. BUSUITO MD 2014-07-24 MICHAEL J. BUSUITO MD 2014-07-24
001 2012-01-01 MICHAEL J BUSUITO M.D. 2013-05-20 MICHAEL J BUSUITO, M.D. 2013-05-20
001 2011-01-01 MICHAEL J BUSUITO M.D. 2012-06-12 MICHAEL J BUSUITO, M.D. 2012-06-12
001 2009-01-01 MICHAEL J BUSUITO M.D. 2010-09-30 MICHAEL J BUSUITO, M.D. 2010-09-30

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	MICHAEL J BUSUITO	2023-09-22	MICHAEL J BUSUITO	2023-09-22
001	2021-01-01	JOANNE DENNISON	2022-10-11	JOANNE DENNISON	2022-10-11
001	2020-01-01	JOANNE DENNISON	2021-09-27	JOANNE DENNISON	2021-09-27
001	2019-01-01	JOANNE DENNISON	2020-10-07	JOANNE DENNISON	2020-10-07
001	2018-01-01	MICHAEL J. BUSUITO, MD	2019-06-19	MICHAEL J. BUSUITO, MD	2019-06-16
001	2017-01-01	MICHAEL J. BUSUITO MD	2018-05-30	MICHAEL J. BUSUITO MD	2018-05-30
001	2016-01-01	MICHAEL J. BUSUITO MD	2017-05-17	MICHAEL J. BUSUITO MD	2017-05-17
001	2015-01-01	MICHAEL J. BUSUITO MD	2016-05-27	MICHAEL J. BUSUITO MD	2016-05-27
001	2014-01-01	MICHAEL J. BUSUITO MD	2015-06-02	MICHAEL J. BUSUITO MD	2015-06-02
001	2013-01-01	MICHAEL J. BUSUITO MD	2014-07-24	MICHAEL J. BUSUITO MD	2014-07-24
001	2012-01-01	MICHAEL J BUSUITO M.D.	2013-05-20	MICHAEL J BUSUITO, M.D.	2013-05-20
001	2011-01-01	MICHAEL J BUSUITO M.D.	2012-06-12	MICHAEL J BUSUITO, M.D.	2012-06-12
001	2009-01-01	MICHAEL J BUSUITO M.D.	2010-09-30	MICHAEL J BUSUITO, M.D.	2010-09-30

Plan Statistics for MICHAEL J. BUSUITO, M.D., P.C. PROFIT SHARING PLAN

401k plan membership statisitcs for MICHAEL J. BUSUITO, M.D., P.C. PROFIT SHARING PLAN

Measure Date Value
2014: MICHAEL J. BUSUITO, M.D., P.C. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 8
Total of all active and inactive participants 2014-01-01 8
Total participants 2014-01-01 8
Number of participants with account balances 2014-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 1
2013: MICHAEL J. BUSUITO, M.D., P.C. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 9
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 9
Number of participants with account balances 2013-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: MICHAEL J. BUSUITO, M.D., P.C. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 8
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 8
Number of participants with account balances 2012-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: MICHAEL J. BUSUITO, M.D., P.C. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 11
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 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 11
Number of participants with account balances 2011-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: MICHAEL J. BUSUITO, M.D., P.C. PROFIT SHARING PLAN 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 9
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 0
Total of all active and inactive participants 2009-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 9
Number of participants with account balances 2009-01-01 9

Measure	Date	Value
2014: MICHAEL J. BUSUITO, M.D., P.C. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	8
Total of all active and inactive participants	2014-01-01	8
Total participants	2014-01-01	8
Number of participants with account balances	2014-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	1
2013: MICHAEL J. BUSUITO, M.D., P.C. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	9
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	9
Number of participants with account balances	2013-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: MICHAEL J. BUSUITO, M.D., P.C. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	8
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	8
Number of participants with account balances	2012-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: MICHAEL J. BUSUITO, M.D., P.C. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	11
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	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	11
Number of participants with account balances	2011-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: MICHAEL J. BUSUITO, M.D., P.C. PROFIT SHARING PLAN 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	9
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	0
Total of all active and inactive participants	2009-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	9
Number of participants with account balances	2009-01-01	9

Financial Data on MICHAEL J. BUSUITO, M.D., P.C. PROFIT SHARING PLAN

Measure	Date	Value
2014 : MICHAEL J. BUSUITO, M.D., P.C. PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$254,900
Total plan assets at end of year	2014-12-31	$2,051,567
Total plan assets at beginning of year	2014-12-31	$1,796,667
Value of fidelity bond covering the plan	2014-12-31	$250,000
Total contributions received or receivable from participants	2014-12-31	$60,684
Other income received	2014-12-31	$135,585
Net income (gross income less expenses)	2014-12-31	$254,900
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$2,051,567
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,796,667
Total contributions received or receivable from employer(s)	2014-12-31	$58,631
2013 : MICHAEL J. BUSUITO, M.D., P.C. PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$383,270
Total plan assets at end of year	2013-12-31	$1,796,667
Total plan assets at beginning of year	2013-12-31	$1,413,397
Value of fidelity bond covering the plan	2013-12-31	$200,000
Total contributions received or receivable from participants	2013-12-31	$54,615
Other income received	2013-12-31	$271,881
Net income (gross income less expenses)	2013-12-31	$383,270
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,796,667
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,413,397
Total contributions received or receivable from employer(s)	2013-12-31	$56,774
2012 : MICHAEL J. BUSUITO, M.D., P.C. PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$265,498
Expenses. Total of all expenses incurred	2012-12-31	$96,822
Benefits paid (including direct rollovers)	2012-12-31	$96,822
Total plan assets at end of year	2012-12-31	$1,413,397
Total plan assets at beginning of year	2012-12-31	$1,244,721
Value of fidelity bond covering the plan	2012-12-31	$200,000
Total contributions received or receivable from participants	2012-12-31	$54,077
Other income received	2012-12-31	$154,417
Net income (gross income less expenses)	2012-12-31	$168,676
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,413,397
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,244,721
Total contributions received or receivable from employer(s)	2012-12-31	$57,004
2011 : MICHAEL J. BUSUITO, M.D., P.C. PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$89,965
Expenses. Total of all expenses incurred	2011-12-31	$13,269
Benefits paid (including direct rollovers)	2011-12-31	$13,269
Total plan assets at end of year	2011-12-31	$1,244,721
Total plan assets at beginning of year	2011-12-31	$1,168,025
Value of fidelity bond covering the plan	2011-12-31	$1,250,000
Total contributions received or receivable from participants	2011-12-31	$50,797
Other income received	2011-12-31	$4,717
Net income (gross income less expenses)	2011-12-31	$76,696
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,244,721
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,168,025
Total contributions received or receivable from employer(s)	2011-12-31	$34,451
2010 : MICHAEL J. BUSUITO, M.D., P.C. PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$197,172
Total plan assets at end of year	2010-12-31	$1,168,025
Total plan assets at beginning of year	2010-12-31	$970,853
Value of fidelity bond covering the plan	2010-12-31	$125,000
Total contributions received or receivable from participants	2010-12-31	$50,849
Other income received	2010-12-31	$115,032
Net income (gross income less expenses)	2010-12-31	$197,172
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,168,025
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$970,853
Total contributions received or receivable from employer(s)	2010-12-31	$31,291

Form 5500 Responses for MICHAEL J. BUSUITO, M.D., P.C. PROFIT SHARING PLAN

2014: MICHAEL J. BUSUITO, M.D., P.C. PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: MICHAEL J. BUSUITO, M.D., P.C. PROFIT SHARING PLAN 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: MICHAEL J. BUSUITO, M.D., P.C. PROFIT SHARING PLAN 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: MICHAEL J. BUSUITO, M.D., P.C. 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: MICHAEL J. BUSUITO, M.D., P.C. PROFIT SHARING PLAN 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

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Company Name:	MICHAEL J. BUSUITO, M.D., P.C.
Employer identification number (EIN):	382819025
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)