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THOMAS D. KOZICKI DDS SERP 401k Plan overview

Plan NameTHOMAS D. KOZICKI DDS SERP
Plan identification number 001

THOMAS D. KOZICKI DDS SERP Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • Plan covering Self-Employed individuals.
  • Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.

401k Sponsoring company profile

THOMAS D. KOZICKI DDS has sponsored the creation of one or more 401k plans.

Company Name:THOMAS D. KOZICKI DDS
Employer identification number (EIN):550632622
NAIC Classification:621210
NAIC Description:Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THOMAS D. KOZICKI DDS SERP

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012023-01-01
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01DENNIS HORD
0012017-01-01DENNIS HORD
0012016-01-01DENNIS HORD
0012015-01-01DENNIS HORD
0012014-01-01DENNIS HORD
0012013-01-01DENNIS HORD
0012012-01-01DENNIS HORD
0012011-01-01DENNIS HORD
0012010-01-01DENNIS HORD
0012009-01-01DENNIS HORD

Plan Statistics for THOMAS D. KOZICKI DDS SERP

401k plan membership statisitcs for THOMAS D. KOZICKI DDS SERP

Measure Date Value
2023: THOMAS D. KOZICKI DDS SERP 2023 401k membership
Total participants, beginning-of-year2023-01-011
Total number of active participants reported on line 7a of the Form 55002023-01-010
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-010
Total of all active and inactive participants2023-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2023-01-010
Total participants2023-01-010
Number of participants with account balances2023-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2023-01-010
2022: THOMAS D. KOZICKI DDS SERP 2022 401k membership
Total participants, beginning-of-year2022-01-015
Total number of active participants reported on line 7a of the Form 55002022-01-010
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-011
Total of all active and inactive participants2022-01-011
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-011
Number of participants with account balances2022-01-011
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: THOMAS D. KOZICKI DDS SERP 2021 401k membership
Total participants, beginning-of-year2021-01-015
Total number of active participants reported on line 7a of the Form 55002021-01-013
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-012
Total of all active and inactive participants2021-01-015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-015
Number of participants with account balances2021-01-015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: THOMAS D. KOZICKI DDS SERP 2020 401k membership
Total participants, beginning-of-year2020-01-015
Total number of active participants reported on line 7a of the Form 55002020-01-015
Total of all active and inactive participants2020-01-015
Total participants2020-01-015
Number of participants with account balances2020-01-015
2019: THOMAS D. KOZICKI DDS SERP 2019 401k membership
Total participants, beginning-of-year2019-01-014
Total number of active participants reported on line 7a of the Form 55002019-01-015
Total of all active and inactive participants2019-01-015
Total participants2019-01-015
Number of participants with account balances2019-01-015
2018: THOMAS D. KOZICKI DDS SERP 2018 401k membership
Total participants, beginning-of-year2018-01-014
Total number of active participants reported on line 7a of the Form 55002018-01-014
Total of all active and inactive participants2018-01-014
Total participants2018-01-014
Number of participants with account balances2018-01-014
2017: THOMAS D. KOZICKI DDS SERP 2017 401k membership
Total participants, beginning-of-year2017-01-014
Total number of active participants reported on line 7a of the Form 55002017-01-014
Total of all active and inactive participants2017-01-014
Total participants2017-01-014
Number of participants with account balances2017-01-014
2016: THOMAS D. KOZICKI DDS SERP 2016 401k membership
Total participants, beginning-of-year2016-01-014
Total number of active participants reported on line 7a of the Form 55002016-01-014
Total of all active and inactive participants2016-01-014
Total participants2016-01-014
Number of participants with account balances2016-01-014
2015: THOMAS D. KOZICKI DDS SERP 2015 401k membership
Total participants, beginning-of-year2015-01-014
Total number of active participants reported on line 7a of the Form 55002015-01-013
Total of all active and inactive participants2015-01-013
Total participants2015-01-013
Number of participants with account balances2015-01-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: THOMAS D. KOZICKI DDS SERP 2014 401k membership
Total participants, beginning-of-year2014-01-014
Total number of active participants reported on line 7a of the Form 55002014-01-014
Total of all active and inactive participants2014-01-014
Total participants2014-01-014
Number of participants with account balances2014-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: THOMAS D. KOZICKI DDS SERP 2013 401k membership
Total participants, beginning-of-year2013-01-014
Total number of active participants reported on line 7a of the Form 55002013-01-014
Total of all active and inactive participants2013-01-014
Total participants2013-01-014
Number of participants with account balances2013-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: THOMAS D. KOZICKI DDS SERP 2012 401k membership
Total participants, beginning-of-year2012-01-014
Total number of active participants reported on line 7a of the Form 55002012-01-014
Total of all active and inactive participants2012-01-014
Total participants2012-01-014
Number of participants with account balances2012-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: THOMAS D. KOZICKI DDS SERP 2011 401k membership
Total participants, beginning-of-year2011-01-015
Total number of active participants reported on line 7a of the Form 55002011-01-014
Total of all active and inactive participants2011-01-014
Total participants2011-01-014
Number of participants with account balances2011-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: THOMAS D. KOZICKI DDS SERP 2010 401k membership
Total participants, beginning-of-year2010-01-016
Total number of active participants reported on line 7a of the Form 55002010-01-015
Total of all active and inactive participants2010-01-015
Total participants2010-01-015
Number of participants with account balances2010-01-010
2009: THOMAS D. KOZICKI DDS SERP 2009 401k membership
Total participants, beginning-of-year2009-01-016
Total number of active participants reported on line 7a of the Form 55002009-01-016
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-016
Number of participants with account balances2009-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on THOMAS D. KOZICKI DDS SERP

Measure Date Value
2023 : THOMAS D. KOZICKI DDS SERP 2023 401k financial data
Total income from all sources2023-01-31$4,024
Expenses. Total of all expenses incurred2023-01-31$1,570,386
Benefits paid (including direct rollovers)2023-01-31$1,570,386
Total plan assets at end of year2023-01-31$0
Total plan assets at beginning of year2023-01-31$1,566,362
Other income received2023-01-31$4,024
Net income (gross income less expenses)2023-01-31$-1,566,362
Net plan assets at end of year (total assets less liabilities)2023-01-31$0
Net plan assets at beginning of year (total assets less liabilities)2023-01-31$1,566,362
Total contributions received or receivable from employer(s)2023-01-31$0
2022 : THOMAS D. KOZICKI DDS SERP 2022 401k financial data
Total income from all sources2022-12-31$-150,041
Expenses. Total of all expenses incurred2022-12-31$147,926
Benefits paid (including direct rollovers)2022-12-31$147,900
Total plan assets at end of year2022-12-31$1,566,362
Total plan assets at beginning of year2022-12-31$1,864,329
Other income received2022-12-31$-150,041
Net income (gross income less expenses)2022-12-31$-297,967
Net plan assets at end of year (total assets less liabilities)2022-12-31$1,566,362
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$1,864,329
Total contributions received or receivable from employer(s)2022-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$26
2021 : THOMAS D. KOZICKI DDS SERP 2021 401k financial data
Total income from all sources2021-12-31$218,035
Expenses. Total of all expenses incurred2021-12-31$0
Total plan assets at end of year2021-12-31$1,864,329
Total plan assets at beginning of year2021-12-31$1,646,294
Total contributions received or receivable from participants2021-12-31$0
Contributions received from other sources (not participants or employers)2021-12-31$0
Other income received2021-12-31$218,035
Net income (gross income less expenses)2021-12-31$218,035
Net plan assets at end of year (total assets less liabilities)2021-12-31$1,864,329
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$1,646,294
Value of certain deemed distributions of participant loans2021-12-31$0
2020 : THOMAS D. KOZICKI DDS SERP 2020 401k financial data
Total income from all sources2020-12-31$155,885
Expenses. Total of all expenses incurred2020-12-31$0
Total plan assets at end of year2020-12-31$1,646,294
Total plan assets at beginning of year2020-12-31$1,490,409
Other income received2020-12-31$155,885
Net income (gross income less expenses)2020-12-31$155,885
Net plan assets at end of year (total assets less liabilities)2020-12-31$1,646,294
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$1,490,409
2019 : THOMAS D. KOZICKI DDS SERP 2019 401k financial data
Total income from all sources2019-12-31$246,504
Expenses. Total of all expenses incurred2019-12-31$0
Total plan assets at end of year2019-12-31$1,490,409
Total plan assets at beginning of year2019-12-31$1,243,905
Other income received2019-12-31$233,102
Net income (gross income less expenses)2019-12-31$246,504
Net plan assets at end of year (total assets less liabilities)2019-12-31$1,490,409
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$1,243,905
Total contributions received or receivable from employer(s)2019-12-31$13,402
2018 : THOMAS D. KOZICKI DDS SERP 2018 401k financial data
Total income from all sources2018-12-31$-23,746
Expenses. Total of all expenses incurred2018-12-31$0
Total plan assets at end of year2018-12-31$1,243,905
Total plan assets at beginning of year2018-12-31$1,267,651
Other income received2018-12-31$-36,181
Net income (gross income less expenses)2018-12-31$-23,746
Net plan assets at end of year (total assets less liabilities)2018-12-31$1,243,905
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$1,267,651
Total contributions received or receivable from employer(s)2018-12-31$12,435
2017 : THOMAS D. KOZICKI DDS SERP 2017 401k financial data
Total income from all sources2017-12-31$154,912
Expenses. Total of all expenses incurred2017-12-31$0
Total plan assets at end of year2017-12-31$1,267,651
Total plan assets at beginning of year2017-12-31$1,112,739
Value of fidelity bond covering the plan2017-12-31$100,000
Other income received2017-12-31$138,821
Net income (gross income less expenses)2017-12-31$154,912
Net plan assets at end of year (total assets less liabilities)2017-12-31$1,267,651
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$1,112,739
Total contributions received or receivable from employer(s)2017-12-31$16,091
2016 : THOMAS D. KOZICKI DDS SERP 2016 401k financial data
Total income from all sources2016-12-31$102,558
Expenses. Total of all expenses incurred2016-12-31$0
Total plan assets at end of year2016-12-31$1,112,739
Total plan assets at beginning of year2016-12-31$1,010,181
Value of fidelity bond covering the plan2016-12-31$100,000
Noncash contributions received2016-12-31$81,058
Net income (gross income less expenses)2016-12-31$102,558
Net plan assets at end of year (total assets less liabilities)2016-12-31$1,112,739
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$1,010,181
Total contributions received or receivable from employer(s)2016-12-31$21,500
2015 : THOMAS D. KOZICKI DDS SERP 2015 401k financial data
Total income from all sources2015-12-31$46,133
Expenses. Total of all expenses incurred2015-12-31$11,469
Benefits paid (including direct rollovers)2015-12-31$11,469
Total plan assets at end of year2015-12-31$1,010,181
Total plan assets at beginning of year2015-12-31$975,517
Other income received2015-12-31$27,138
Net income (gross income less expenses)2015-12-31$34,664
Net plan assets at end of year (total assets less liabilities)2015-12-31$1,010,181
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$975,517
Total contributions received or receivable from employer(s)2015-12-31$18,995
2014 : THOMAS D. KOZICKI DDS SERP 2014 401k financial data
Total income from all sources2014-12-31$84,161
Expenses. Total of all expenses incurred2014-12-31$0
Total plan assets at end of year2014-12-31$975,517
Total plan assets at beginning of year2014-12-31$891,356
Other income received2014-12-31$63,842
Net income (gross income less expenses)2014-12-31$84,161
Net plan assets at end of year (total assets less liabilities)2014-12-31$975,517
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$891,356
Total contributions received or receivable from employer(s)2014-12-31$20,319
2013 : THOMAS D. KOZICKI DDS SERP 2013 401k financial data
Total income from all sources2013-12-31$113,287
Expenses. Total of all expenses incurred2013-12-31$0
Total plan assets at end of year2013-12-31$891,356
Total plan assets at beginning of year2013-12-31$778,069
Expenses. Other expenses not covered elsewhere2013-12-31$0
Other income received2013-12-31$94,278
Net income (gross income less expenses)2013-12-31$113,287
Net plan assets at end of year (total assets less liabilities)2013-12-31$891,356
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$778,069
Total contributions received or receivable from employer(s)2013-12-31$19,009
2012 : THOMAS D. KOZICKI DDS SERP 2012 401k financial data
Total income from all sources2012-12-31$44,275
Expenses. Total of all expenses incurred2012-12-31$0
Total plan assets at end of year2012-12-31$778,069
Total plan assets at beginning of year2012-12-31$733,793
Other income received2012-12-31$22,448
Net income (gross income less expenses)2012-12-31$44,275
Net plan assets at end of year (total assets less liabilities)2012-12-31$778,069
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$733,793
Total contributions received or receivable from employer(s)2012-12-31$21,827
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$0
2011 : THOMAS D. KOZICKI DDS SERP 2011 401k financial data
Total income from all sources2011-12-31$86,913
Expenses. Total of all expenses incurred2011-12-31$11,716
Benefits paid (including direct rollovers)2011-12-31$11,716
Total plan assets at end of year2011-12-31$733,793
Total plan assets at beginning of year2011-12-31$658,596
Other income received2011-12-31$64,971
Net income (gross income less expenses)2011-12-31$75,197
Net plan assets at end of year (total assets less liabilities)2011-12-31$733,793
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$658,596
Total contributions received or receivable from employer(s)2011-12-31$21,942
2010 : THOMAS D. KOZICKI DDS SERP 2010 401k financial data
Total income from all sources2010-12-31$72,651
Expenses. Total of all expenses incurred2010-12-31$32,733
Benefits paid (including direct rollovers)2010-12-31$32,733
Total plan assets at end of year2010-12-31$658,596
Total plan assets at beginning of year2010-12-31$618,676
Value of fidelity bond covering the plan2010-12-31$100,000
Other income received2010-12-31$48,270
Net income (gross income less expenses)2010-12-31$39,918
Net plan assets at end of year (total assets less liabilities)2010-12-31$658,596
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$618,676
Total contributions received or receivable from employer(s)2010-12-31$24,381

Form 5500 Responses for THOMAS D. KOZICKI DDS SERP

2023: THOMAS D. KOZICKI DDS SERP 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingYes
2023-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement - TrustYes
2022: THOMAS D. KOZICKI DDS SERP 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: THOMAS D. KOZICKI DDS SERP 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: THOMAS D. KOZICKI DDS SERP 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: THOMAS D. KOZICKI DDS SERP 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: THOMAS D. KOZICKI DDS SERP 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: THOMAS D. KOZICKI DDS SERP 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: THOMAS D. KOZICKI DDS SERP 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: THOMAS D. KOZICKI DDS SERP 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: THOMAS D. KOZICKI DDS SERP 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: THOMAS D. KOZICKI DDS SERP 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: THOMAS D. KOZICKI DDS SERP 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: THOMAS D. KOZICKI DDS SERP 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2010: THOMAS D. KOZICKI DDS SERP 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: THOMAS D. KOZICKI DDS SERP 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

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