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JOHN R. WESTINE, DDS, PA 401k Plan overview

Plan NameJOHN R. WESTINE, DDS, PA
Plan identification number 002

JOHN R. WESTINE, DDS, PA Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Money purchase (other than target benefit)
  • Profit-sharing

401k Sponsoring company profile

JOHN R WESTINE has sponsored the creation of one or more 401k plans.

Company Name:JOHN R WESTINE
Employer identification number (EIN):591374931
NAIC Classification:621210
NAIC Description:Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JOHN R. WESTINE, DDS, PA

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022021-11-01
0022020-11-01
0022019-11-01
0022018-11-01
0022017-11-01
0022016-11-01JOHN WESTINE
0022015-11-01JOHN WESTINE
0022014-11-01JOHN WESTINE JOHN WESTINE2016-03-16
0022013-11-01JOHN WESTINE JOHN WESTINE2015-02-04
0022012-11-01JOHN WESTINE JOHN WESTINE2014-03-27
0022011-11-01JOHN WESTINE
0022010-11-01JOHN WESTINE
0022009-11-01JOHN WESTINE
0022009-11-01JOHN WESTINE
0022008-11-01JOHN WESTINE

Plan Statistics for JOHN R. WESTINE, DDS, PA

401k plan membership statisitcs for JOHN R. WESTINE, DDS, PA

Measure Date Value
2021: JOHN R. WESTINE, DDS, PA 2021 401k membership
Total participants, beginning-of-year2021-11-014
Total number of active participants reported on line 7a of the Form 55002021-11-014
Number of retired or separated participants receiving benefits2021-11-010
Number of other retired or separated participants entitled to future benefits2021-11-010
Total of all active and inactive participants2021-11-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-11-010
Total participants2021-11-014
Number of participants with account balances2021-11-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-11-010
2020: JOHN R. WESTINE, DDS, PA 2020 401k membership
Total participants, beginning-of-year2020-11-014
Total number of active participants reported on line 7a of the Form 55002020-11-014
Number of retired or separated participants receiving benefits2020-11-010
Number of other retired or separated participants entitled to future benefits2020-11-010
Total of all active and inactive participants2020-11-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-11-010
Total participants2020-11-014
Number of participants with account balances2020-11-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-11-010
2019: JOHN R. WESTINE, DDS, PA 2019 401k membership
Total participants, beginning-of-year2019-11-014
Total number of active participants reported on line 7a of the Form 55002019-11-014
Number of retired or separated participants receiving benefits2019-11-010
Number of other retired or separated participants entitled to future benefits2019-11-010
Total of all active and inactive participants2019-11-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-11-010
Total participants2019-11-014
Number of participants with account balances2019-11-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-11-010
2018: JOHN R. WESTINE, DDS, PA 2018 401k membership
Total participants, beginning-of-year2018-11-014
Total number of active participants reported on line 7a of the Form 55002018-11-014
Number of retired or separated participants receiving benefits2018-11-010
Number of other retired or separated participants entitled to future benefits2018-11-010
Total of all active and inactive participants2018-11-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-11-010
Total participants2018-11-014
Number of participants with account balances2018-11-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-11-010
2017: JOHN R. WESTINE, DDS, PA 2017 401k membership
Total participants, beginning-of-year2017-11-014
Total number of active participants reported on line 7a of the Form 55002017-11-014
Number of retired or separated participants receiving benefits2017-11-010
Number of other retired or separated participants entitled to future benefits2017-11-010
Total of all active and inactive participants2017-11-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-11-010
Total participants2017-11-014
Number of participants with account balances2017-11-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-11-010
2016: JOHN R. WESTINE, DDS, PA 2016 401k membership
Total participants, beginning-of-year2016-11-014
Total number of active participants reported on line 7a of the Form 55002016-11-014
Number of retired or separated participants receiving benefits2016-11-010
Number of other retired or separated participants entitled to future benefits2016-11-010
Total of all active and inactive participants2016-11-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-11-010
Total participants2016-11-014
Number of participants with account balances2016-11-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-11-010
2015: JOHN R. WESTINE, DDS, PA 2015 401k membership
Total participants, beginning-of-year2015-11-014
Total number of active participants reported on line 7a of the Form 55002015-11-014
Number of retired or separated participants receiving benefits2015-11-010
Number of other retired or separated participants entitled to future benefits2015-11-010
Total of all active and inactive participants2015-11-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-11-010
Total participants2015-11-014
Number of participants with account balances2015-11-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-11-010
2014: JOHN R. WESTINE, DDS, PA 2014 401k membership
Total participants, beginning-of-year2014-11-014
Total number of active participants reported on line 7a of the Form 55002014-11-014
Number of retired or separated participants receiving benefits2014-11-010
Number of other retired or separated participants entitled to future benefits2014-11-010
Total of all active and inactive participants2014-11-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-11-010
Total participants2014-11-014
Number of participants with account balances2014-11-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-11-011
2013: JOHN R. WESTINE, DDS, PA 2013 401k membership
Total participants, beginning-of-year2013-11-014
Total of all active and inactive participants2013-11-010
Total participants2013-11-010
2012: JOHN R. WESTINE, DDS, PA 2012 401k membership
Total participants, beginning-of-year2012-11-015
Total number of active participants reported on line 7a of the Form 55002012-11-013
Number of retired or separated participants receiving benefits2012-11-010
Number of other retired or separated participants entitled to future benefits2012-11-010
Total of all active and inactive participants2012-11-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-11-010
Total participants2012-11-013
Number of participants with account balances2012-11-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-11-010
2011: JOHN R. WESTINE, DDS, PA 2011 401k membership
Total participants, beginning-of-year2011-11-015
Total number of active participants reported on line 7a of the Form 55002011-11-015
Number of retired or separated participants receiving benefits2011-11-010
Number of other retired or separated participants entitled to future benefits2011-11-010
Total of all active and inactive participants2011-11-015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-11-010
Total participants2011-11-015
Number of participants with account balances2011-11-015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-11-010
2010: JOHN R. WESTINE, DDS, PA 2010 401k membership
Total participants, beginning-of-year2010-11-015
Total number of active participants reported on line 7a of the Form 55002010-11-015
Total of all active and inactive participants2010-11-015
Total participants2010-11-015
Number of participants with account balances2010-11-015
2009: JOHN R. WESTINE, DDS, PA 2009 401k membership
Total participants, beginning-of-year2009-11-015
Total number of active participants reported on line 7a of the Form 55002009-11-015
Total of all active and inactive participants2009-11-015
Total participants2009-11-015
Number of participants with account balances2009-11-015
2008: JOHN R. WESTINE, DDS, PA 2008 401k membership
Total participants, beginning-of-year2008-11-015
Total number of active participants reported on line 7a of the Form 55002008-11-014
Number of retired or separated participants receiving benefits2008-11-010
Number of other retired or separated participants entitled to future benefits2008-11-010
Total of all active and inactive participants2008-11-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2008-11-010
Total participants2008-11-014
Number of participants with account balances2008-11-015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2008-11-010

Financial Data on JOHN R. WESTINE, DDS, PA

Measure Date Value
2022 : JOHN R. WESTINE, DDS, PA 2022 401k financial data
Total income from all sources2022-10-31$-444,966
Expenses. Total of all expenses incurred2022-10-31$171,004
Benefits paid (including direct rollovers)2022-10-31$171,000
Total plan assets at end of year2022-10-31$1,610,572
Total plan assets at beginning of year2022-10-31$2,226,542
Value of fidelity bond covering the plan2022-10-31$500,000
Other income received2022-10-31$-444,966
Net income (gross income less expenses)2022-10-31$-615,970
Net plan assets at end of year (total assets less liabilities)2022-10-31$1,610,572
Net plan assets at beginning of year (total assets less liabilities)2022-10-31$2,226,542
Expenses. Administrative service providers (salaries,fees and commissions)2022-10-31$4
2021 : JOHN R. WESTINE, DDS, PA 2021 401k financial data
Total plan liabilities at end of year2021-10-31$0
Total plan liabilities at beginning of year2021-10-31$0
Total income from all sources2021-10-31$653,445
Expenses. Total of all expenses incurred2021-10-31$125,004
Benefits paid (including direct rollovers)2021-10-31$125,000
Total plan assets at end of year2021-10-31$2,226,542
Total plan assets at beginning of year2021-10-31$1,698,101
Value of fidelity bond covering the plan2021-10-31$500,000
Total contributions received or receivable from participants2021-10-31$0
Contributions received from other sources (not participants or employers)2021-10-31$0
Other income received2021-10-31$653,445
Noncash contributions received2021-10-31$0
Net income (gross income less expenses)2021-10-31$528,441
Net plan assets at end of year (total assets less liabilities)2021-10-31$2,226,542
Net plan assets at beginning of year (total assets less liabilities)2021-10-31$1,698,101
Total contributions received or receivable from employer(s)2021-10-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2021-10-31$4
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-10-31$0
2020 : JOHN R. WESTINE, DDS, PA 2020 401k financial data
Total plan liabilities at end of year2020-10-31$0
Total plan liabilities at beginning of year2020-10-31$0
Total income from all sources2020-10-31$221,278
Expenses. Total of all expenses incurred2020-10-31$119,004
Benefits paid (including direct rollovers)2020-10-31$119,000
Total plan assets at end of year2020-10-31$1,698,101
Total plan assets at beginning of year2020-10-31$1,595,827
Value of fidelity bond covering the plan2020-10-31$500,000
Total contributions received or receivable from participants2020-10-31$0
Contributions received from other sources (not participants or employers)2020-10-31$0
Other income received2020-10-31$199,318
Noncash contributions received2020-10-31$0
Net income (gross income less expenses)2020-10-31$102,274
Net plan assets at end of year (total assets less liabilities)2020-10-31$1,698,101
Net plan assets at beginning of year (total assets less liabilities)2020-10-31$1,595,827
Total contributions received or receivable from employer(s)2020-10-31$21,960
Value of certain deemed distributions of participant loans2020-10-31$0
Value of corrective distributions2020-10-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2020-10-31$4
2019 : JOHN R. WESTINE, DDS, PA 2019 401k financial data
Total plan liabilities at end of year2019-10-31$0
Total plan liabilities at beginning of year2019-10-31$0
Total income from all sources2019-10-31$287,390
Expenses. Total of all expenses incurred2019-10-31$100,325
Benefits paid (including direct rollovers)2019-10-31$100,000
Total plan assets at end of year2019-10-31$1,595,827
Total plan assets at beginning of year2019-10-31$1,408,762
Value of fidelity bond covering the plan2019-10-31$500,000
Total contributions received or receivable from participants2019-10-31$0
Expenses. Other expenses not covered elsewhere2019-10-31$0
Contributions received from other sources (not participants or employers)2019-10-31$0
Other income received2019-10-31$271,773
Noncash contributions received2019-10-31$0
Net income (gross income less expenses)2019-10-31$187,065
Net plan assets at end of year (total assets less liabilities)2019-10-31$1,595,827
Net plan assets at beginning of year (total assets less liabilities)2019-10-31$1,408,762
Total contributions received or receivable from employer(s)2019-10-31$15,617
Value of certain deemed distributions of participant loans2019-10-31$0
Value of corrective distributions2019-10-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2019-10-31$325
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-10-31$0
2018 : JOHN R. WESTINE, DDS, PA 2018 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-10-31$0
2017 : JOHN R. WESTINE, DDS, PA 2017 401k financial data
Total income from all sources2017-10-31$264,440
Expenses. Total of all expenses incurred2017-10-31$99,902
Benefits paid (including direct rollovers)2017-10-31$99,000
Total plan assets at end of year2017-10-31$1,790,706
Total plan assets at beginning of year2017-10-31$1,626,168
Value of fidelity bond covering the plan2017-10-31$500,000
Other income received2017-10-31$247,389
Net income (gross income less expenses)2017-10-31$164,538
Net plan assets at end of year (total assets less liabilities)2017-10-31$1,790,706
Net plan assets at beginning of year (total assets less liabilities)2017-10-31$1,626,168
Total contributions received or receivable from employer(s)2017-10-31$17,051
Expenses. Administrative service providers (salaries,fees and commissions)2017-10-31$902
2016 : JOHN R. WESTINE, DDS, PA 2016 401k financial data
Total plan liabilities at end of year2016-10-31$0
Total plan liabilities at beginning of year2016-10-31$0
Total income from all sources2016-10-31$92,629
Expenses. Total of all expenses incurred2016-10-31$103,952
Benefits paid (including direct rollovers)2016-10-31$103,952
Total plan assets at end of year2016-10-31$1,626,168
Total plan assets at beginning of year2016-10-31$1,637,491
Value of fidelity bond covering the plan2016-10-31$500,000
Other income received2016-10-31$76,225
Net income (gross income less expenses)2016-10-31$-11,323
Net plan assets at end of year (total assets less liabilities)2016-10-31$1,626,168
Net plan assets at beginning of year (total assets less liabilities)2016-10-31$1,637,491
Total contributions received or receivable from employer(s)2016-10-31$16,404
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-10-31$0
Funding deficiency by the employer to the plan for this plan year2016-10-31$10,404
Minimum employer required contribution for this plan year2016-10-31$16,404
Amount contributed by the employer to the plan for this plan year2016-10-31$6,000
2015 : JOHN R. WESTINE, DDS, PA 2015 401k financial data
Total plan liabilities at end of year2015-10-31$0
Total plan liabilities at beginning of year2015-10-31$0
Total income from all sources2015-10-31$77,293
Expenses. Total of all expenses incurred2015-10-31$94,301
Benefits paid (including direct rollovers)2015-10-31$94,199
Total plan assets at end of year2015-10-31$1,637,491
Total plan assets at beginning of year2015-10-31$1,654,499
Value of fidelity bond covering the plan2015-10-31$500,000
Total contributions received or receivable from participants2015-10-31$0
Expenses. Other expenses not covered elsewhere2015-10-31$102
Contributions received from other sources (not participants or employers)2015-10-31$0
Other income received2015-10-31$63,084
Noncash contributions received2015-10-31$0
Net income (gross income less expenses)2015-10-31$-17,008
Net plan assets at end of year (total assets less liabilities)2015-10-31$1,637,491
Net plan assets at beginning of year (total assets less liabilities)2015-10-31$1,654,499
Total contributions received or receivable from employer(s)2015-10-31$14,209
Value of certain deemed distributions of participant loans2015-10-31$0
Value of corrective distributions2015-10-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-10-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-10-31$0
Funding deficiency by the employer to the plan for this plan year2015-10-31$2,685
Minimum employer required contribution for this plan year2015-10-31$14,209
Amount contributed by the employer to the plan for this plan year2015-10-31$11,524
2014 : JOHN R. WESTINE, DDS, PA 2014 401k financial data
Total plan liabilities at end of year2014-10-31$0
Total plan liabilities at beginning of year2014-10-31$0
Total income from all sources2014-10-31$206,035
Expenses. Total of all expenses incurred2014-10-31$129,498
Benefits paid (including direct rollovers)2014-10-31$129,394
Total plan assets at end of year2014-10-31$1,654,499
Total plan assets at beginning of year2014-10-31$1,577,962
Value of fidelity bond covering the plan2014-10-31$800,000
Total contributions received or receivable from participants2014-10-31$0
Other income received2014-10-31$193,059
Net income (gross income less expenses)2014-10-31$76,537
Net plan assets at end of year (total assets less liabilities)2014-10-31$1,654,499
Net plan assets at beginning of year (total assets less liabilities)2014-10-31$1,577,962
Total contributions received or receivable from employer(s)2014-10-31$12,976
Expenses. Administrative service providers (salaries,fees and commissions)2014-10-31$104
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-10-31$0
Funding deficiency by the employer to the plan for this plan year2014-10-31$0
Minimum employer required contribution for this plan year2014-10-31$12,976
Amount contributed by the employer to the plan for this plan year2014-10-31$12,976
2013 : JOHN R. WESTINE, DDS, PA 2013 401k financial data
Total income from all sources2013-10-31$365,847
Expenses. Total of all expenses incurred2013-10-31$87,410
Benefits paid (including direct rollovers)2013-10-31$87,410
Total plan assets at end of year2013-10-31$1,577,962
Total plan assets at beginning of year2013-10-31$1,299,523
Value of fidelity bond covering the plan2013-10-31$800,000
Total contributions received or receivable from participants2013-10-31$0
Other income received2013-10-31$350,638
Net income (gross income less expenses)2013-10-31$278,437
Net plan assets at end of year (total assets less liabilities)2013-10-31$1,577,962
Net plan assets at beginning of year (total assets less liabilities)2013-10-31$1,299,523
Total contributions received or receivable from employer(s)2013-10-31$15,209
Value of certain deemed distributions of participant loans2013-10-31$0
Value of corrective distributions2013-10-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2013-10-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-10-31$0
Funding deficiency by the employer to the plan for this plan year2013-10-31$1,059
Minimum employer required contribution for this plan year2013-10-31$15,209
Amount contributed by the employer to the plan for this plan year2013-10-31$14,150
2012 : JOHN R. WESTINE, DDS, PA 2012 401k financial data
Total income from all sources2012-10-31$122,334
Expenses. Total of all expenses incurred2012-10-31$59,197
Benefits paid (including direct rollovers)2012-10-31$58,946
Total plan assets at end of year2012-10-31$1,299,523
Total plan assets at beginning of year2012-10-31$1,236,386
Value of fidelity bond covering the plan2012-10-31$800,000
Total contributions received or receivable from participants2012-10-31$0
Expenses. Other expenses not covered elsewhere2012-10-31$251
Contributions received from other sources (not participants or employers)2012-10-31$0
Other income received2012-10-31$105,653
Noncash contributions received2012-10-31$0
Net income (gross income less expenses)2012-10-31$63,137
Net plan assets at end of year (total assets less liabilities)2012-10-31$1,299,523
Net plan assets at beginning of year (total assets less liabilities)2012-10-31$1,236,386
Total contributions received or receivable from employer(s)2012-10-31$16,681
Value of certain deemed distributions of participant loans2012-10-31$0
Value of corrective distributions2012-10-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2012-10-31$0
Funding deficiency by the employer to the plan for this plan year2012-10-31$2,656
Minimum employer required contribution for this plan year2012-10-31$16,681
Amount contributed by the employer to the plan for this plan year2012-10-31$14,025
2011 : JOHN R. WESTINE, DDS, PA 2011 401k financial data
Total income from all sources2011-10-31$30,734
Expenses. Total of all expenses incurred2011-10-31$59,174
Benefits paid (including direct rollovers)2011-10-31$58,823
Total plan assets at end of year2011-10-31$1,236,386
Total plan assets at beginning of year2011-10-31$1,264,826
Value of fidelity bond covering the plan2011-10-31$800,000
Total contributions received or receivable from participants2011-10-31$0
Expenses. Other expenses not covered elsewhere2011-10-31$351
Contributions received from other sources (not participants or employers)2011-10-31$0
Other income received2011-10-31$11,942
Noncash contributions received2011-10-31$0
Net income (gross income less expenses)2011-10-31$-28,440
Net plan assets at end of year (total assets less liabilities)2011-10-31$1,236,386
Net plan assets at beginning of year (total assets less liabilities)2011-10-31$1,264,826
Total contributions received or receivable from employer(s)2011-10-31$18,792
Value of certain deemed distributions of participant loans2011-10-31$0
Value of corrective distributions2011-10-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2011-10-31$0
Funding deficiency by the employer to the plan for this plan year2011-10-31$-1,208
Minimum employer required contribution for this plan year2011-10-31$18,792
Amount contributed by the employer to the plan for this plan year2011-10-31$20,000
2010 : JOHN R. WESTINE, DDS, PA 2010 401k financial data
Total income from all sources2010-10-31$181,707
Expenses. Total of all expenses incurred2010-10-31$109,096
Benefits paid (including direct rollovers)2010-10-31$108,395
Total plan assets at end of year2010-10-31$1,264,826
Total plan assets at beginning of year2010-10-31$1,192,215
Value of fidelity bond covering the plan2010-10-31$800,000
Total contributions received or receivable from participants2010-10-31$0
Expenses. Other expenses not covered elsewhere2010-10-31$701
Contributions received from other sources (not participants or employers)2010-10-31$0
Other income received2010-10-31$161,242
Noncash contributions received2010-10-31$0
Net income (gross income less expenses)2010-10-31$72,611
Net plan assets at end of year (total assets less liabilities)2010-10-31$1,264,826
Net plan assets at beginning of year (total assets less liabilities)2010-10-31$1,192,215
Total contributions received or receivable from employer(s)2010-10-31$20,465
Value of certain deemed distributions of participant loans2010-10-31$0
Value of corrective distributions2010-10-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2010-10-31$0
Funding deficiency by the employer to the plan for this plan year2010-10-31$3,865
Minimum employer required contribution for this plan year2010-10-31$20,465
Amount contributed by the employer to the plan for this plan year2010-10-31$16,600
2009 : JOHN R. WESTINE, DDS, PA 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-10-31$0
Funding deficiency by the employer to the plan for this plan year2009-10-31$7,683
Minimum employer required contribution for this plan year2009-10-31$19,683
Amount contributed by the employer to the plan for this plan year2009-10-31$12,000

Form 5500 Responses for JOHN R. WESTINE, DDS, PA

2021: JOHN R. WESTINE, DDS, PA 2021 form 5500 responses
2021-11-01Type of plan entitySingle employer plan
2021-11-01Submission has been amendedNo
2021-11-01This submission is the final filingNo
2021-11-01This return/report is a short plan year return/report (less than 12 months)No
2021-11-01Plan is a collectively bargained planNo
2021-11-01Plan funding arrangement – TrustYes
2021-11-01Plan benefit arrangement - TrustYes
2020: JOHN R. WESTINE, DDS, PA 2020 form 5500 responses
2020-11-01Type of plan entitySingle employer plan
2020-11-01Submission has been amendedNo
2020-11-01This submission is the final filingNo
2020-11-01This return/report is a short plan year return/report (less than 12 months)No
2020-11-01Plan is a collectively bargained planNo
2020-11-01Plan funding arrangement – TrustYes
2020-11-01Plan benefit arrangement - TrustYes
2019: JOHN R. WESTINE, DDS, PA 2019 form 5500 responses
2019-11-01Type of plan entitySingle employer plan
2019-11-01Submission has been amendedNo
2019-11-01This submission is the final filingNo
2019-11-01This return/report is a short plan year return/report (less than 12 months)No
2019-11-01Plan is a collectively bargained planNo
2019-11-01Plan funding arrangement – TrustYes
2019-11-01Plan benefit arrangement - TrustYes
2018: JOHN R. WESTINE, DDS, PA 2018 form 5500 responses
2018-11-01Type of plan entitySingle employer plan
2018-11-01Submission has been amendedNo
2018-11-01This submission is the final filingNo
2018-11-01This return/report is a short plan year return/report (less than 12 months)No
2018-11-01Plan is a collectively bargained planNo
2018-11-01Plan funding arrangement – TrustYes
2018-11-01Plan benefit arrangement - TrustYes
2017: JOHN R. WESTINE, DDS, PA 2017 form 5500 responses
2017-11-01Type of plan entitySingle employer plan
2017-11-01Submission has been amendedNo
2017-11-01This submission is the final filingNo
2017-11-01This return/report is a short plan year return/report (less than 12 months)No
2017-11-01Plan is a collectively bargained planNo
2017-11-01Plan funding arrangement – TrustYes
2017-11-01Plan benefit arrangement - TrustYes
2016: JOHN R. WESTINE, DDS, PA 2016 form 5500 responses
2016-11-01Type of plan entitySingle employer plan
2016-11-01Submission has been amendedNo
2016-11-01This submission is the final filingNo
2016-11-01This return/report is a short plan year return/report (less than 12 months)No
2016-11-01Plan is a collectively bargained planNo
2016-11-01Plan funding arrangement – TrustYes
2016-11-01Plan benefit arrangement - TrustYes
2015: JOHN R. WESTINE, DDS, PA 2015 form 5500 responses
2015-11-01Type of plan entitySingle employer plan
2015-11-01First time form 5500 has been submittedYes
2015-11-01Submission has been amendedNo
2015-11-01This submission is the final filingNo
2015-11-01This return/report is a short plan year return/report (less than 12 months)No
2015-11-01Plan is a collectively bargained planNo
2015-11-01Plan funding arrangement – TrustYes
2015-11-01Plan benefit arrangement - TrustYes
2014: JOHN R. WESTINE, DDS, PA 2014 form 5500 responses
2014-11-01Type of plan entitySingle employer plan
2014-11-01First time form 5500 has been submittedYes
2014-11-01Submission has been amendedNo
2014-11-01This submission is the final filingNo
2014-11-01This return/report is a short plan year return/report (less than 12 months)No
2014-11-01Plan is a collectively bargained planNo
2014-11-01Plan funding arrangement – TrustYes
2014-11-01Plan benefit arrangement - TrustYes
2013: JOHN R. WESTINE, DDS, PA 2013 form 5500 responses
2013-11-01Type of plan entitySingle employer plan
2013-11-01First time form 5500 has been submittedYes
2013-11-01Submission has been amendedNo
2013-11-01This submission is the final filingNo
2013-11-01This return/report is a short plan year return/report (less than 12 months)No
2013-11-01Plan is a collectively bargained planNo
2013-11-01Plan funding arrangement – TrustYes
2013-11-01Plan benefit arrangement - TrustYes
2012: JOHN R. WESTINE, DDS, PA 2012 form 5500 responses
2012-11-01Type of plan entitySingle employer plan
2012-11-01First time form 5500 has been submittedYes
2012-11-01Submission has been amendedNo
2012-11-01This submission is the final filingNo
2012-11-01This return/report is a short plan year return/report (less than 12 months)No
2012-11-01Plan is a collectively bargained planNo
2012-11-01Plan funding arrangement – TrustYes
2012-11-01Plan benefit arrangement - TrustYes
2011: JOHN R. WESTINE, DDS, PA 2011 form 5500 responses
2011-11-01Type of plan entitySingle employer plan
2011-11-01First time form 5500 has been submittedYes
2011-11-01Submission has been amendedNo
2011-11-01This submission is the final filingNo
2011-11-01This return/report is a short plan year return/report (less than 12 months)No
2011-11-01Plan is a collectively bargained planNo
2011-11-01Plan funding arrangement – TrustYes
2011-11-01Plan benefit arrangement - TrustYes
2010: JOHN R. WESTINE, DDS, PA 2010 form 5500 responses
2010-11-01Type of plan entitySingle employer plan
2010-11-01Submission has been amendedYes
2010-11-01This submission is the final filingNo
2010-11-01This return/report is a short plan year return/report (less than 12 months)No
2010-11-01Plan is a collectively bargained planNo
2010-11-01Plan funding arrangement – TrustYes
2010-11-01Plan benefit arrangement - TrustYes
2009: JOHN R. WESTINE, DDS, PA 2009 form 5500 responses
2009-11-01Type of plan entitySingle employer plan
2009-11-01Submission has been amendedYes
2009-11-01This submission is the final filingNo
2009-11-01This return/report is a short plan year return/report (less than 12 months)No
2009-11-01Plan is a collectively bargained planNo
2009-11-01Plan funding arrangement – TrustYes
2009-11-01Plan benefit arrangement - TrustYes
2008: JOHN R. WESTINE, DDS, PA 2008 form 5500 responses
2008-11-01Type of plan entitySingle employer plan
2008-11-01Submission has been amendedNo
2008-11-01This submission is the final filingNo
2008-11-01This return/report is a short plan year return/report (less than 12 months)No
2008-11-01Plan is a collectively bargained planNo
2008-11-01Plan funding arrangement – TrustYes
2008-11-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number591374931D2
Policy instance 1
Insurance contract or identification number591374931D2
Number of Individuals Covered1
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number591374931D2
Policy instance 1
Insurance contract or identification number591374931D2
Number of Individuals Covered1
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number591374931D2
Policy instance 1
Insurance contract or identification number591374931D2
Number of Individuals Covered1
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number591374931D2
Policy instance 1
Insurance contract or identification number591374931D2
Number of Individuals Covered1
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number591374931D2
Policy instance 1
Insurance contract or identification number591374931D2
Number of Individuals Covered1
Insurance policy start date2017-11-02
Insurance policy end date2018-10-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number591374931D2
Policy instance 1
Insurance contract or identification number591374931D2
Number of Individuals Covered1
Insurance policy start date2015-11-01
Insurance policy end date2016-10-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number591374931D2
Policy instance 1
Insurance contract or identification number591374931D2
Number of Individuals Covered1
Insurance policy start date2014-11-01
Insurance policy end date2015-10-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number591374931D2
Policy instance 1
Insurance contract or identification number591374931D2
Number of Individuals Covered1
Insurance policy start date2013-11-01
Insurance policy end date2014-10-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number591374931D2
Policy instance 1
Insurance contract or identification number591374931D2
Number of Individuals Covered1
Insurance policy start date2012-11-01
Insurance policy end date2013-08-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number591374931D2
Policy instance 1
Insurance contract or identification number591374931D2
Number of Individuals Covered1
Insurance policy start date2011-11-01
Insurance policy end date2012-08-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number59-1374931D2
Policy instance 1
Insurance contract or identification number59-1374931D2
Number of Individuals Covered1
Insurance policy start date2010-11-01
Insurance policy end date2011-10-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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