401k Plan data: PROFIT SHARING PLAN & TRUST OF T. F. CIUREJ, M.D. plan

PROFIT SHARING PLAN & TRUST OF T. F. CIUREJ, M.D. 401k Plan overview

Plan Name	PROFIT SHARING PLAN & TRUST OF T. F. CIUREJ, M.D.
Plan identification number	001

PROFIT SHARING PLAN & TRUST OF T. F. CIUREJ, M.D. Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing 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

TERRENCE F. CIUREJ, M.D. P.C. has sponsored the creation of one or more 401k plans.

Company Name: TERRENCE F. CIUREJ, M.D. P.C.

Employer identification number (EIN): 470623212

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PROFIT SHARING PLAN & TRUST OF T. F. CIUREJ, M.D.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01 TERRENCE CIUREJ
001 2015-01-01 TERRENCE CIUREJ
001 2014-01-01 TERRENCE CIUREJ
001 2014-01-01 TERRENCE CIUREJ TERRENCE CIUREJ
001 2013-01-01
001 2012-01-01 TERRENCE F. CIUREJ
001 2011-01-01 TERRENCE F. CIUREJ
001 2010-01-01 TERRENCE F. CIUREJ 2011-07-19
001 2009-01-01 TERRENCE F. CIUREJ

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor
001	2016-01-01	TERRENCE CIUREJ
001	2015-01-01	TERRENCE CIUREJ
001	2014-01-01	TERRENCE CIUREJ
001	2014-01-01	TERRENCE CIUREJ		TERRENCE CIUREJ
001	2013-01-01
001	2012-01-01	TERRENCE F. CIUREJ
001	2011-01-01	TERRENCE F. CIUREJ
001	2010-01-01	TERRENCE F. CIUREJ	2011-07-19
001	2009-01-01	TERRENCE F. CIUREJ

Plan Statistics for PROFIT SHARING PLAN & TRUST OF T. F. CIUREJ, M.D.

401k plan membership statisitcs for PROFIT SHARING PLAN & TRUST OF T. F. CIUREJ, M.D.

Measure Date Value
2016: PROFIT SHARING PLAN & TRUST OF T. F. CIUREJ, M.D. 2016 401k membership
Total participants, beginning-of-year 2016-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 0
Number of participants with account balances 2016-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: PROFIT SHARING PLAN & TRUST OF T. F. CIUREJ, M.D. 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 1
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: PROFIT SHARING PLAN & TRUST OF T. F. CIUREJ, M.D. 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1
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 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: PROFIT SHARING PLAN & TRUST OF T. F. CIUREJ, M.D. 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1
Total of all active and inactive participants 2013-01-01 1
Total participants 2013-01-01 1
Number of participants with account balances 2013-01-01 1
2012: PROFIT SHARING PLAN & TRUST OF T. F. CIUREJ, M.D. 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1
Total of all active and inactive participants 2012-01-01 1
Total participants 2012-01-01 1
Number of participants with account balances 2012-01-01 1
2011: PROFIT SHARING PLAN & TRUST OF T. F. CIUREJ, M.D. 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1
Total of all active and inactive participants 2011-01-01 1
Total participants 2011-01-01 1
Number of participants with account balances 2011-01-01 1
2009: PROFIT SHARING PLAN & TRUST OF T. F. CIUREJ, M.D. 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1
Total of all active and inactive participants 2009-01-01 1
Total participants 2009-01-01 1
Number of participants with account balances 2009-01-01 1

Measure	Date	Value
2016: PROFIT SHARING PLAN & TRUST OF T. F. CIUREJ, M.D. 2016 401k membership
Total participants, beginning-of-year	2016-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	0
Number of participants with account balances	2016-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: PROFIT SHARING PLAN & TRUST OF T. F. CIUREJ, M.D. 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	1
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: PROFIT SHARING PLAN & TRUST OF T. F. CIUREJ, M.D. 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1
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	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: PROFIT SHARING PLAN & TRUST OF T. F. CIUREJ, M.D. 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1
Total of all active and inactive participants	2013-01-01	1
Total participants	2013-01-01	1
Number of participants with account balances	2013-01-01	1
2012: PROFIT SHARING PLAN & TRUST OF T. F. CIUREJ, M.D. 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1
Total of all active and inactive participants	2012-01-01	1
Total participants	2012-01-01	1
Number of participants with account balances	2012-01-01	1
2011: PROFIT SHARING PLAN & TRUST OF T. F. CIUREJ, M.D. 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1
Total of all active and inactive participants	2011-01-01	1
Total participants	2011-01-01	1
Number of participants with account balances	2011-01-01	1
2009: PROFIT SHARING PLAN & TRUST OF T. F. CIUREJ, M.D. 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1
Total of all active and inactive participants	2009-01-01	1
Total participants	2009-01-01	1
Number of participants with account balances	2009-01-01	1

Financial Data on PROFIT SHARING PLAN & TRUST OF T. F. CIUREJ, M.D.

Measure	Date	Value
2016 : PROFIT SHARING PLAN & TRUST OF T. F. CIUREJ, M.D. 2016 401k financial data
Total income from all sources	2016-12-31	$0
Expenses. Total of all expenses incurred	2016-12-31	$435,235
Benefits paid (including direct rollovers)	2016-12-31	$435,235
Total plan assets at end of year	2016-12-31	$0
Total plan assets at beginning of year	2016-12-31	$435,235
Net income (gross income less expenses)	2016-12-31	$-435,235
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$435,235
2015 : PROFIT SHARING PLAN & TRUST OF T. F. CIUREJ, M.D. 2015 401k financial data
Total income from all sources	2015-12-31	$-289,421
Expenses. Total of all expenses incurred	2015-12-31	$17,104
Benefits paid (including direct rollovers)	2015-12-31	$17,104
Total plan assets at end of year	2015-12-31	$435,235
Total plan assets at beginning of year	2015-12-31	$741,760
Other income received	2015-12-31	$-289,421
Net income (gross income less expenses)	2015-12-31	$-306,525
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$435,235
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$741,760
Assets. Value of participant loans	2015-12-31	$2,169
Assets. Value of real-estate (other than employer real property)	2015-12-31	$266,400
2014 : PROFIT SHARING PLAN & TRUST OF T. F. CIUREJ, M.D. 2014 401k financial data
Total income from all sources	2014-12-31	$12,180
Total plan assets at end of year	2014-12-31	$741,760
Total plan assets at beginning of year	2014-12-31	$729,580
Value of fidelity bond covering the plan	2014-12-31	$30,000
Other income received	2014-12-31	$12,180
Net income (gross income less expenses)	2014-12-31	$12,180
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$741,760
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$729,580
Assets. Value of participant loans	2014-12-31	$12,872
Assets. Value of real-estate (other than employer real property)	2014-12-31	$554,917
2013 : PROFIT SHARING PLAN & TRUST OF T. F. CIUREJ, M.D. 2013 401k financial data
Total income from all sources	2013-12-31	$196,604
Expenses. Total of all expenses incurred	2013-12-31	$6,084
Benefits paid (including direct rollovers)	2013-12-31	$6,084
Total plan assets at end of year	2013-12-31	$729,581
Total plan assets at beginning of year	2013-12-31	$539,061
Value of fidelity bond covering the plan	2013-12-31	$30,000
Other income received	2013-12-31	$196,604
Net income (gross income less expenses)	2013-12-31	$190,520
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$729,581
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$539,061
Assets. Value of participant loans	2013-12-31	$26,253
Assets. Value of real-estate (other than employer real property)	2013-12-31	$554,917
2012 : PROFIT SHARING PLAN & TRUST OF T. F. CIUREJ, M.D. 2012 401k financial data
Total income from all sources	2012-12-31	$71,748
Total plan assets at end of year	2012-12-31	$539,061
Total plan assets at beginning of year	2012-12-31	$467,313
Value of fidelity bond covering the plan	2012-12-31	$30,000
Other income received	2012-12-31	$71,748
Net income (gross income less expenses)	2012-12-31	$71,748
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$539,061
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$467,313
2011 : PROFIT SHARING PLAN & TRUST OF T. F. CIUREJ, M.D. 2011 401k financial data
Total income from all sources	2011-12-31	$94,795
Total plan assets at end of year	2011-12-31	$467,313
Total plan assets at beginning of year	2011-12-31	$372,518
Value of fidelity bond covering the plan	2011-12-31	$30,000
Other income received	2011-12-31	$94,795
Net income (gross income less expenses)	2011-12-31	$94,795
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$467,313
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$372,518

Form 5500 Responses for PROFIT SHARING PLAN & TRUST OF T. F. CIUREJ, M.D.

2016: PROFIT SHARING PLAN & TRUST OF T. F. CIUREJ, M.D. 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	This submission is the final filing	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: PROFIT SHARING PLAN & TRUST OF T. F. CIUREJ, M.D. 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: PROFIT SHARING PLAN & TRUST OF T. F. CIUREJ, M.D. 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	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: PROFIT SHARING PLAN & TRUST OF T. F. CIUREJ, M.D. 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: PROFIT SHARING PLAN & TRUST OF T. F. CIUREJ, M.D. 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: PROFIT SHARING PLAN & TRUST OF T. F. CIUREJ, M.D. 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: PROFIT SHARING PLAN & TRUST OF T. F. CIUREJ, M.D. 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:	TERRENCE F. CIUREJ, M.D. P.C.
Employer identification number (EIN):	470623212
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)