401k Plan data: JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN plan

JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN
Plan identification number	002

JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
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

JAMES G. RAFAEL DDS has sponsored the creation of one or more 401k plans.

Company Name: JAMES G. RAFAEL DDS

Employer identification number (EIN): 561955069

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01
002 2021-01-01 JAMES G. RAFAEL, DDS 2023-03-10 JAMES G. RAFAEL, DDS 2023-03-10
002 2020-01-01
002 2019-01-01
002 2018-01-01
002 2017-01-01 JAMES RAFAEL 2018-05-17 JAMES RAFAEL 2018-05-17
002 2016-01-01 JAMES RAFAEL 2018-01-08 JAMES RAFAEL 2018-01-08
002 2015-01-01 JAMES RAFAEL JAMES RAFAEL 2017-03-15
002 2014-01-01 JAMES RAFAEL JAMES RAFAEL 2015-10-15
002 2013-01-01 JAMES G RAFAEL DDS JAMES G RAFAEL DDS 2014-10-14
002 2012-01-01 JAMES G RAFAEL JAMES G RAFAEL 2013-10-03
002 2011-01-01 JAMES RAFAEL JAMES RAFAEL 2012-10-10
002 2009-01-01 JAMES G RAFAEL JAMES G RAFAEL 2010-10-13

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2022-01-01
002	2021-01-01	JAMES G. RAFAEL, DDS	2023-03-10	JAMES G. RAFAEL, DDS	2023-03-10
002	2020-01-01
002	2019-01-01
002	2018-01-01
002	2017-01-01	JAMES RAFAEL	2018-05-17	JAMES RAFAEL	2018-05-17
002	2016-01-01	JAMES RAFAEL	2018-01-08	JAMES RAFAEL	2018-01-08
002	2015-01-01	JAMES RAFAEL		JAMES RAFAEL	2017-03-15
002	2014-01-01	JAMES RAFAEL		JAMES RAFAEL	2015-10-15
002	2013-01-01	JAMES G RAFAEL DDS		JAMES G RAFAEL DDS	2014-10-14
002	2012-01-01	JAMES G RAFAEL		JAMES G RAFAEL	2013-10-03
002	2011-01-01	JAMES RAFAEL		JAMES RAFAEL	2012-10-10
002	2009-01-01	JAMES G RAFAEL		JAMES G RAFAEL	2010-10-13

Plan Statistics for JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN

Measure Date Value
2022: JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 2
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 3
Total of all active and inactive participants 2022-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 5
Number of participants with account balances 2022-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 3
Number of other retired or separated participants entitled to future benefits 2021-01-01 5
Total of all active and inactive participants 2021-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 8
Number of participants with account balances 2021-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 6
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 2
Total of all active and inactive participants 2020-01-01 8
Total participants 2020-01-01 8
Number of participants with account balances 2020-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 1
2019: JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 6
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 1
Total of all active and inactive participants 2019-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 7
Number of participants with account balances 2019-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 11
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 2
Total of all active and inactive participants 2018-01-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 13
Number of participants with account balances 2018-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2015: JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 10
Number of other retired or separated participants entitled to future benefits 2015-01-01 1
Total of all active and inactive participants 2015-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 11
Number of participants with account balances 2015-01-01 10
2014: JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 10
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 1
Total of all active and inactive participants 2014-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 11
Number of participants with account balances 2014-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 10
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 1
Total of all active and inactive participants 2013-01-01 10
Total participants 2013-01-01 10
Number of participants with account balances 2013-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: JAMES G. RAFAEL DDS 401(K) 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 2
Total of all active and inactive participants 2012-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 10
Number of participants with account balances 2012-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 8
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 3
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: JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 8
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 2
Total of all active and inactive participants 2009-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 10
Number of participants with account balances 2009-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 1

Measure	Date	Value
2022: JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	2
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	3
Total of all active and inactive participants	2022-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	5
Number of participants with account balances	2022-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	3
Number of other retired or separated participants entitled to future benefits	2021-01-01	5
Total of all active and inactive participants	2021-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	8
Number of participants with account balances	2021-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	6
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	2
Total of all active and inactive participants	2020-01-01	8
Total participants	2020-01-01	8
Number of participants with account balances	2020-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	1
2019: JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	6
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	1
Total of all active and inactive participants	2019-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	7
Number of participants with account balances	2019-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	11
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	2
Total of all active and inactive participants	2018-01-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	13
Number of participants with account balances	2018-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2015: JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	10
Number of other retired or separated participants entitled to future benefits	2015-01-01	1
Total of all active and inactive participants	2015-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	11
Number of participants with account balances	2015-01-01	10
2014: JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	10
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	1
Total of all active and inactive participants	2014-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	11
Number of participants with account balances	2014-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	10
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	1
Total of all active and inactive participants	2013-01-01	10
Total participants	2013-01-01	10
Number of participants with account balances	2013-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: JAMES G. RAFAEL DDS 401(K) 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	2
Total of all active and inactive participants	2012-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	10
Number of participants with account balances	2012-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	8
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	3
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: JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	8
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	2
Total of all active and inactive participants	2009-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	10
Number of participants with account balances	2009-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	1

Financial Data on JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2022 : JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2022 401k financial data
Total income from all sources	2022-12-31	$436,898
Expenses. Total of all expenses incurred	2022-12-31	$247,736
Benefits paid (including direct rollovers)	2022-12-31	$179,082
Total plan assets at end of year	2022-12-31	$1,742,660
Total plan assets at beginning of year	2022-12-31	$1,553,498
Value of fidelity bond covering the plan	2022-12-31	$500,000
Total contributions received or receivable from participants	2022-12-31	$7,027
Expenses. Other expenses not covered elsewhere	2022-12-31	$68,654
Other income received	2022-12-31	$412,898
Net income (gross income less expenses)	2022-12-31	$189,162
Net plan assets at end of year (total assets less liabilities)	2022-12-31	$1,742,660
Net plan assets at beginning of year (total assets less liabilities)	2022-12-31	$1,553,498
Assets. Value of real-estate (other than employer real property)	2022-12-31	$1,608,200
Total contributions received or receivable from employer(s)	2022-12-31	$16,973
2021 : JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2021 401k financial data
Total income from all sources	2021-12-31	$138,834
Expenses. Total of all expenses incurred	2021-12-31	$100,094
Total plan assets at end of year	2021-12-31	$1,553,498
Total plan assets at beginning of year	2021-12-31	$1,514,758
Value of fidelity bond covering the plan	2021-12-31	$500,000
Total contributions received or receivable from participants	2021-12-31	$21,534
Assets. Value of loans (other than to participants)	2021-12-31	$75,496
Other income received	2021-12-31	$100,834
Net income (gross income less expenses)	2021-12-31	$38,740
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$1,553,498
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$1,514,758
Assets. Value of assets in partnership/joint-venture interests	2021-12-31	$3,040
Assets. Value of real-estate (other than employer real property)	2021-12-31	$980,000
Total contributions received or receivable from employer(s)	2021-12-31	$16,466
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$100,094
2020 : JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources	2020-12-31	$370,142
Expenses. Total of all expenses incurred	2020-12-31	$63,480
Total plan assets at end of year	2020-12-31	$1,514,758
Total plan assets at beginning of year	2020-12-31	$1,208,096
Value of fidelity bond covering the plan	2020-12-31	$500,000
Total contributions received or receivable from participants	2020-12-31	$37,383
Assets. Value of loans (other than to participants)	2020-12-31	$0
Expenses. Other expenses not covered elsewhere	2020-12-31	$63,480
Other income received	2020-12-31	$304,142
Net income (gross income less expenses)	2020-12-31	$306,662
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$1,514,758
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$1,208,096
Assets. Value of assets in partnership/joint-venture interests	2020-12-31	$3,040
Assets. Value of real-estate (other than employer real property)	2020-12-31	$980,000
Total contributions received or receivable from employer(s)	2020-12-31	$28,617
2019 : JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources	2019-12-31	$110,521
Expenses. Total of all expenses incurred	2019-12-31	$73,037
Total plan assets at end of year	2019-12-31	$1,208,096
Total plan assets at beginning of year	2019-12-31	$1,170,612
Value of fidelity bond covering the plan	2019-12-31	$500,000
Total contributions received or receivable from participants	2019-12-31	$34,956
Assets. Value of loans (other than to participants)	2019-12-31	$60,520
Expenses. Other expenses not covered elsewhere	2019-12-31	$17,824
Contributions received from other sources (not participants or employers)	2019-12-31	$0
Other income received	2019-12-31	$44,521
Net income (gross income less expenses)	2019-12-31	$37,484
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$1,208,096
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$1,170,612
Assets. Value of participant loans	2019-12-31	$6,736
Assets. Value of assets in partnership/joint-venture interests	2019-12-31	$5,581
Assets. Value of real-estate (other than employer real property)	2019-12-31	$670,681
Total contributions received or receivable from employer(s)	2019-12-31	$31,044
Value of corrective distributions	2019-12-31	$55,213
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$0
2018 : JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$168,431
Expenses. Total of all expenses incurred	2018-12-31	$123,075
Benefits paid (including direct rollovers)	2018-12-31	$51,727
Total plan assets at end of year	2018-12-31	$1,170,612
Total plan assets at beginning of year	2018-12-31	$1,125,256
Value of fidelity bond covering the plan	2018-12-31	$500,000
Total contributions received or receivable from participants	2018-12-31	$35,633
Expenses. Other expenses not covered elsewhere	2018-12-31	$71,348
Contributions received from other sources (not participants or employers)	2018-12-31	$0
Other income received	2018-12-31	$104,708
Net income (gross income less expenses)	2018-12-31	$45,356
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$1,170,612
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$1,125,256
Assets. Value of participant loans	2018-12-31	$13,000
Assets. Value of assets in partnership/joint-venture interests	2018-12-31	$12,666
Assets. Value of real-estate (other than employer real property)	2018-12-31	$690,941
Total contributions received or receivable from employer(s)	2018-12-31	$28,090
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$0
2015 : JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$153,180
Expenses. Total of all expenses incurred	2015-12-31	$5,825
Total plan assets at end of year	2015-12-31	$866,303
Total plan assets at beginning of year	2015-12-31	$718,948
Value of fidelity bond covering the plan	2015-12-31	$500,000
Total contributions received or receivable from participants	2015-12-31	$34,214
Expenses. Other expenses not covered elsewhere	2015-12-31	$5,825
Other income received	2015-12-31	$88,555
Net income (gross income less expenses)	2015-12-31	$147,355
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$866,303
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$718,948
Assets. Value of assets in partnership/joint-venture interests	2015-12-31	$151,008
Assets. Value of real-estate (other than employer real property)	2015-12-31	$362,749
Total contributions received or receivable from employer(s)	2015-12-31	$30,411
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$0
2014 : JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$131,328
Expenses. Total of all expenses incurred	2014-12-31	$42,430
Total plan assets at end of year	2014-12-31	$718,948
Total plan assets at beginning of year	2014-12-31	$630,050
Value of fidelity bond covering the plan	2014-12-31	$1,000,000
Total contributions received or receivable from participants	2014-12-31	$28,363
Expenses. Other expenses not covered elsewhere	2014-12-31	$42,430
Other income received	2014-12-31	$76,204
Net income (gross income less expenses)	2014-12-31	$88,898
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$718,948
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$630,050
Assets. Value of assets in partnership/joint-venture interests	2014-12-31	$158,639
Assets. Value of real-estate (other than employer real property)	2014-12-31	$362,749
Total contributions received or receivable from employer(s)	2014-12-31	$26,761
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$135,820
Expenses. Total of all expenses incurred	2013-12-31	$121,658
Benefits paid (including direct rollovers)	2013-12-31	$101,979
Total plan assets at end of year	2013-12-31	$733,368
Total plan assets at beginning of year	2013-12-31	$719,206
Value of fidelity bond covering the plan	2013-12-31	$1,000,000
Assets. Value of tangible personal property	2013-12-31	$5,655
Total contributions received or receivable from participants	2013-12-31	$21,829
Assets. Value of loans (other than to participants)	2013-12-31	$78,000
Other income received	2013-12-31	$92,271
Net income (gross income less expenses)	2013-12-31	$14,162
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$733,368
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$719,206
Assets. Value of assets in partnership/joint-venture interests	2013-12-31	$170,000
Assets. Value of real-estate (other than employer real property)	2013-12-31	$427,000
Total contributions received or receivable from employer(s)	2013-12-31	$21,720
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$19,679
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$101,979
2012 : JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$76,627
Expenses. Total of all expenses incurred	2012-12-31	$11,436
Benefits paid (including direct rollovers)	2012-12-31	$1,765
Total plan assets at end of year	2012-12-31	$719,206
Total plan assets at beginning of year	2012-12-31	$654,015
Value of fidelity bond covering the plan	2012-12-31	$25,000
Total contributions received or receivable from participants	2012-12-31	$19,763
Assets. Value of loans (other than to participants)	2012-12-31	$299,036
Expenses. Other expenses not covered elsewhere	2012-12-31	$9,671
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$37,781
Net income (gross income less expenses)	2012-12-31	$65,191
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$719,206
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$654,015
Assets. Value of assets in partnership/joint-venture interests	2012-12-31	$170,000
Assets. Value of real-estate (other than employer real property)	2012-12-31	$149,000
Total contributions received or receivable from employer(s)	2012-12-31	$19,083
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$0
2011 : JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$82,449
Expenses. Total of all expenses incurred	2011-12-31	$9,822
Benefits paid (including direct rollovers)	2011-12-31	$4,848
Total plan assets at end of year	2011-12-31	$654,015
Total plan assets at beginning of year	2011-12-31	$581,388
Value of fidelity bond covering the plan	2011-12-31	$200,000
Total contributions received or receivable from participants	2011-12-31	$14,364
Assets. Value of loans (other than to participants)	2011-12-31	$219,796
Expenses. Other expenses not covered elsewhere	2011-12-31	$4,957
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$46,317
Net income (gross income less expenses)	2011-12-31	$72,627
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$654,015
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$581,388
Assets. Value of assets in partnership/joint-venture interests	2011-12-31	$157,104
Assets. Value of real-estate (other than employer real property)	2011-12-31	$209,617
Total contributions received or receivable from employer(s)	2011-12-31	$21,768
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$17
2010 : JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$106,146
Expenses. Total of all expenses incurred	2010-12-31	$19,280
Benefits paid (including direct rollovers)	2010-12-31	$15,806
Total plan assets at end of year	2010-12-31	$581,388
Total plan assets at beginning of year	2010-12-31	$494,522
Value of fidelity bond covering the plan	2010-12-31	$200,000
Total contributions received or receivable from participants	2010-12-31	$18,835
Assets. Value of loans (other than to participants)	2010-12-31	$243,813
Expenses. Other expenses not covered elsewhere	2010-12-31	$3,474
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$62,124
Net income (gross income less expenses)	2010-12-31	$86,866
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$581,388
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$494,522
Assets. Value of assets in partnership/joint-venture interests	2010-12-31	$65,753
Assets. Value of real-estate (other than employer real property)	2010-12-31	$134,449
Total contributions received or receivable from employer(s)	2010-12-31	$25,187
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0

Form 5500 Responses for JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN

2022: JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2015: JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: JAMES G. RAFAEL DDS 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	JAMES G. RAFAEL DDS
Employer identification number (EIN):	561955069
NAIC Classification:	621210
NAIC Description:	Offices of Dentists