401k Plan data: PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A. plan

PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A. 401k Plan overview

Plan Name	PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A.
Plan identification number	001

PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A. Benefits

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

401k Sponsoring company profile

BENJAMIN E. MOORE M.D., P.A. C/O DR. BENJAMIN E. MOORE has sponsored the creation of one or more 401k plans.

Company Name: BENJAMIN E. MOORE M.D., P.A. C/O DR. BENJAMIN E. MOORE

Employer identification number (EIN): 592189735

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-04-01 BENJAMIN E. MOORE
001 2015-04-01 BENJAMIN E. MOORE
001 2014-04-01 BENJAMIN E. MOORE
001 2013-04-01 BENJAMIN E. MOORE
001 2012-04-01 BENJAMIN E. MOORE
001 2011-04-01 BENJAMIN E. MOORE
001 2010-04-01 BENJAMIN E. MOORE
001 2009-04-01 BENJAMIN E. MOORE BENJAMIN E. MOORE 2010-06-11
001 2009-04-01 BENJAMIN E. MOORE

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2016-04-01	BENJAMIN E. MOORE
001	2015-04-01	BENJAMIN E. MOORE
001	2014-04-01	BENJAMIN E. MOORE
001	2013-04-01	BENJAMIN E. MOORE
001	2012-04-01	BENJAMIN E. MOORE
001	2011-04-01	BENJAMIN E. MOORE
001	2010-04-01	BENJAMIN E. MOORE
001	2009-04-01	BENJAMIN E. MOORE	BENJAMIN E. MOORE	2010-06-11
001	2009-04-01	BENJAMIN E. MOORE

Plan Statistics for PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A.

401k plan membership statisitcs for PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A.

Measure Date Value
2016: PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A. 2016 401k membership
Total participants, beginning-of-year 2016-04-01 2
Total number of active participants reported on line 7a of the Form 5500 2016-04-01 0
Number of retired or separated participants receiving benefits 2016-04-01 0
Number of other retired or separated participants entitled to future benefits 2016-04-01 0
Total of all active and inactive participants 2016-04-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-04-01 0
Total participants 2016-04-01 0
Number of participants with account balances 2016-04-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-04-01 0
2015: PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A. 2015 401k membership
Total participants, beginning-of-year 2015-04-01 2
Total number of active participants reported on line 7a of the Form 5500 2015-04-01 2
Number of retired or separated participants receiving benefits 2015-04-01 0
Number of other retired or separated participants entitled to future benefits 2015-04-01 0
Total of all active and inactive participants 2015-04-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-04-01 0
Total participants 2015-04-01 2
Number of participants with account balances 2015-04-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-04-01 0
2014: PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A. 2014 401k membership
Total participants, beginning-of-year 2014-04-01 2
Total number of active participants reported on line 7a of the Form 5500 2014-04-01 2
Number of retired or separated participants receiving benefits 2014-04-01 0
Number of other retired or separated participants entitled to future benefits 2014-04-01 0
Total of all active and inactive participants 2014-04-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-04-01 0
Total participants 2014-04-01 2
Number of participants with account balances 2014-04-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-04-01 0
2013: PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A. 2013 401k membership
Total participants, beginning-of-year 2013-04-01 2
Total number of active participants reported on line 7a of the Form 5500 2013-04-01 2
Number of retired or separated participants receiving benefits 2013-04-01 0
Number of other retired or separated participants entitled to future benefits 2013-04-01 0
Total of all active and inactive participants 2013-04-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-04-01 0
Total participants 2013-04-01 2
Number of participants with account balances 2013-04-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-04-01 0
2012: PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A. 2012 401k membership
Total participants, beginning-of-year 2012-04-01 2
Total number of active participants reported on line 7a of the Form 5500 2012-04-01 2
Number of retired or separated participants receiving benefits 2012-04-01 0
Number of other retired or separated participants entitled to future benefits 2012-04-01 0
Total of all active and inactive participants 2012-04-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-04-01 0
Total participants 2012-04-01 2
Number of participants with account balances 2012-04-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-04-01 0
2011: PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A. 2011 401k membership
Total participants, beginning-of-year 2011-04-01 2
Total number of active participants reported on line 7a of the Form 5500 2011-04-01 2
Number of retired or separated participants receiving benefits 2011-04-01 0
Number of other retired or separated participants entitled to future benefits 2011-04-01 0
Total of all active and inactive participants 2011-04-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-04-01 0
Total participants 2011-04-01 2
Number of participants with account balances 2011-04-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-04-01 0
2010: PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A. 2010 401k membership
Total participants, beginning-of-year 2010-04-01 2
Total number of active participants reported on line 7a of the Form 5500 2010-04-01 2
Number of retired or separated participants receiving benefits 2010-04-01 0
Number of other retired or separated participants entitled to future benefits 2010-04-01 0
Total of all active and inactive participants 2010-04-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-04-01 0
Total participants 2010-04-01 2
Number of participants with account balances 2010-04-01 2
2009: PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A. 2009 401k membership
Total participants, beginning-of-year 2009-04-01 2
Total number of active participants reported on line 7a of the Form 5500 2009-04-01 2
Number of retired or separated participants receiving benefits 2009-04-01 0
Number of other retired or separated participants entitled to future benefits 2009-04-01 0
Total of all active and inactive participants 2009-04-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-04-01 0
Total participants 2009-04-01 2
Number of participants with account balances 2009-04-01 2

Measure	Date	Value
2016: PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A. 2016 401k membership
Total participants, beginning-of-year	2016-04-01	2
Total number of active participants reported on line 7a of the Form 5500	2016-04-01	0
Number of retired or separated participants receiving benefits	2016-04-01	0
Number of other retired or separated participants entitled to future benefits	2016-04-01	0
Total of all active and inactive participants	2016-04-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-04-01	0
Total participants	2016-04-01	0
Number of participants with account balances	2016-04-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-04-01	0
2015: PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A. 2015 401k membership
Total participants, beginning-of-year	2015-04-01	2
Total number of active participants reported on line 7a of the Form 5500	2015-04-01	2
Number of retired or separated participants receiving benefits	2015-04-01	0
Number of other retired or separated participants entitled to future benefits	2015-04-01	0
Total of all active and inactive participants	2015-04-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-04-01	0
Total participants	2015-04-01	2
Number of participants with account balances	2015-04-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-04-01	0
2014: PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A. 2014 401k membership
Total participants, beginning-of-year	2014-04-01	2
Total number of active participants reported on line 7a of the Form 5500	2014-04-01	2
Number of retired or separated participants receiving benefits	2014-04-01	0
Number of other retired or separated participants entitled to future benefits	2014-04-01	0
Total of all active and inactive participants	2014-04-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-04-01	0
Total participants	2014-04-01	2
Number of participants with account balances	2014-04-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-04-01	0
2013: PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A. 2013 401k membership
Total participants, beginning-of-year	2013-04-01	2
Total number of active participants reported on line 7a of the Form 5500	2013-04-01	2
Number of retired or separated participants receiving benefits	2013-04-01	0
Number of other retired or separated participants entitled to future benefits	2013-04-01	0
Total of all active and inactive participants	2013-04-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-04-01	0
Total participants	2013-04-01	2
Number of participants with account balances	2013-04-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-04-01	0
2012: PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A. 2012 401k membership
Total participants, beginning-of-year	2012-04-01	2
Total number of active participants reported on line 7a of the Form 5500	2012-04-01	2
Number of retired or separated participants receiving benefits	2012-04-01	0
Number of other retired or separated participants entitled to future benefits	2012-04-01	0
Total of all active and inactive participants	2012-04-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-04-01	0
Total participants	2012-04-01	2
Number of participants with account balances	2012-04-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-04-01	0
2011: PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A. 2011 401k membership
Total participants, beginning-of-year	2011-04-01	2
Total number of active participants reported on line 7a of the Form 5500	2011-04-01	2
Number of retired or separated participants receiving benefits	2011-04-01	0
Number of other retired or separated participants entitled to future benefits	2011-04-01	0
Total of all active and inactive participants	2011-04-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-04-01	0
Total participants	2011-04-01	2
Number of participants with account balances	2011-04-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-04-01	0
2010: PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A. 2010 401k membership
Total participants, beginning-of-year	2010-04-01	2
Total number of active participants reported on line 7a of the Form 5500	2010-04-01	2
Number of retired or separated participants receiving benefits	2010-04-01	0
Number of other retired or separated participants entitled to future benefits	2010-04-01	0
Total of all active and inactive participants	2010-04-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-04-01	0
Total participants	2010-04-01	2
Number of participants with account balances	2010-04-01	2
2009: PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A. 2009 401k membership
Total participants, beginning-of-year	2009-04-01	2
Total number of active participants reported on line 7a of the Form 5500	2009-04-01	2
Number of retired or separated participants receiving benefits	2009-04-01	0
Number of other retired or separated participants entitled to future benefits	2009-04-01	0
Total of all active and inactive participants	2009-04-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-04-01	0
Total participants	2009-04-01	2
Number of participants with account balances	2009-04-01	2

Financial Data on PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A.

Measure	Date	Value
2017 : PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A. 2017 401k financial data
Total income from all sources	2017-03-31	$-83,655
Expenses. Total of all expenses incurred	2017-03-31	$1,468,824
Benefits paid (including direct rollovers)	2017-03-31	$1,468,674
Total plan assets at end of year	2017-03-31	$0
Total plan assets at beginning of year	2017-03-31	$1,552,479
Expenses. Other expenses not covered elsewhere	2017-03-31	$150
Other income received	2017-03-31	$-83,655
Net income (gross income less expenses)	2017-03-31	$-1,552,479
Net plan assets at end of year (total assets less liabilities)	2017-03-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2017-03-31	$1,552,479
2016 : PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A. 2016 401k financial data
Total income from all sources	2016-03-31	$-39,799
Expenses. Total of all expenses incurred	2016-03-31	$150
Total plan assets at end of year	2016-03-31	$1,552,479
Total plan assets at beginning of year	2016-03-31	$1,592,428
Value of fidelity bond covering the plan	2016-03-31	$160,000
Expenses. Other expenses not covered elsewhere	2016-03-31	$150
Other income received	2016-03-31	$-39,799
Net income (gross income less expenses)	2016-03-31	$-39,949
Net plan assets at end of year (total assets less liabilities)	2016-03-31	$1,552,479
Net plan assets at beginning of year (total assets less liabilities)	2016-03-31	$1,592,428
2015 : PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A. 2015 401k financial data
Total income from all sources	2015-03-31	$71,078
Expenses. Total of all expenses incurred	2015-03-31	$150
Total plan assets at end of year	2015-03-31	$1,592,428
Total plan assets at beginning of year	2015-03-31	$1,521,500
Value of fidelity bond covering the plan	2015-03-31	$160,000
Expenses. Other expenses not covered elsewhere	2015-03-31	$150
Other income received	2015-03-31	$71,078
Net income (gross income less expenses)	2015-03-31	$70,928
Net plan assets at end of year (total assets less liabilities)	2015-03-31	$1,592,428
Net plan assets at beginning of year (total assets less liabilities)	2015-03-31	$1,521,500
2014 : PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A. 2014 401k financial data
Total income from all sources	2014-03-31	$95,977
Expenses. Total of all expenses incurred	2014-03-31	$150
Total plan assets at end of year	2014-03-31	$1,521,500
Total plan assets at beginning of year	2014-03-31	$1,425,673
Value of fidelity bond covering the plan	2014-03-31	$160,000
Expenses. Other expenses not covered elsewhere	2014-03-31	$150
Other income received	2014-03-31	$95,977
Net income (gross income less expenses)	2014-03-31	$95,827
Net plan assets at end of year (total assets less liabilities)	2014-03-31	$1,521,500
Net plan assets at beginning of year (total assets less liabilities)	2014-03-31	$1,425,673
2013 : PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A. 2013 401k financial data
Total income from all sources	2013-03-31	$115,637
Expenses. Total of all expenses incurred	2013-03-31	$150
Total plan assets at end of year	2013-03-31	$1,425,673
Total plan assets at beginning of year	2013-03-31	$1,310,186
Value of fidelity bond covering the plan	2013-03-31	$150,000
Expenses. Other expenses not covered elsewhere	2013-03-31	$150
Other income received	2013-03-31	$115,637
Net income (gross income less expenses)	2013-03-31	$115,487
Net plan assets at end of year (total assets less liabilities)	2013-03-31	$1,425,673
Net plan assets at beginning of year (total assets less liabilities)	2013-03-31	$1,310,186
2012 : PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A. 2012 401k financial data
Total income from all sources	2012-03-31	$28,843
Expenses. Total of all expenses incurred	2012-03-31	$4,382
Total plan assets at end of year	2012-03-31	$1,310,186
Total plan assets at beginning of year	2012-03-31	$1,285,725
Value of fidelity bond covering the plan	2012-03-31	$140,000
Expenses. Other expenses not covered elsewhere	2012-03-31	$150
Other income received	2012-03-31	$28,843
Net income (gross income less expenses)	2012-03-31	$24,461
Net plan assets at end of year (total assets less liabilities)	2012-03-31	$1,310,186
Net plan assets at beginning of year (total assets less liabilities)	2012-03-31	$1,285,725
Expenses. Administrative service providers (salaries,fees and commissions)	2012-03-31	$4,232
2011 : PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A. 2011 401k financial data
Total income from all sources	2011-03-31	$130,221
Expenses. Total of all expenses incurred	2011-03-31	$4,106
Total plan assets at end of year	2011-03-31	$1,285,725
Total plan assets at beginning of year	2011-03-31	$1,159,610
Value of fidelity bond covering the plan	2011-03-31	$130,000
Expenses. Other expenses not covered elsewhere	2011-03-31	$150
Other income received	2011-03-31	$112,221
Net income (gross income less expenses)	2011-03-31	$126,115
Net plan assets at end of year (total assets less liabilities)	2011-03-31	$1,285,725
Net plan assets at beginning of year (total assets less liabilities)	2011-03-31	$1,159,610
Total contributions received or receivable from employer(s)	2011-03-31	$18,000
Expenses. Administrative service providers (salaries,fees and commissions)	2011-03-31	$3,956

Form 5500 Responses for PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A.

2016: PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A. 2016 form 5500 responses
2016-04-01	Type of plan entity	Single employer plan
2016-04-01	This submission is the final filing	Yes
2016-04-01	Plan funding arrangement – Trust	Yes
2016-04-01	Plan benefit arrangement - Trust	Yes
2015: PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A. 2015 form 5500 responses
2015-04-01	Type of plan entity	Single employer plan
2015-04-01	Plan funding arrangement – Trust	Yes
2015-04-01	Plan benefit arrangement - Trust	Yes
2014: PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A. 2014 form 5500 responses
2014-04-01	Type of plan entity	Single employer plan
2014-04-01	Plan funding arrangement – Trust	Yes
2014-04-01	Plan benefit arrangement - Trust	Yes
2013: PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A. 2013 form 5500 responses
2013-04-01	Type of plan entity	Single employer plan
2013-04-01	Plan funding arrangement – Trust	Yes
2013-04-01	Plan benefit arrangement - Trust	Yes
2012: PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A. 2012 form 5500 responses
2012-04-01	Type of plan entity	Single employer plan
2012-04-01	Plan funding arrangement – Trust	Yes
2012-04-01	Plan benefit arrangement - Trust	Yes
2011: PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A. 2011 form 5500 responses
2011-04-01	Type of plan entity	Single employer plan
2011-04-01	Plan funding arrangement – Trust	Yes
2011-04-01	Plan benefit arrangement - Trust	Yes
2010: PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A. 2010 form 5500 responses
2010-04-01	Type of plan entity	Single employer plan
2010-04-01	Plan funding arrangement – Trust	Yes
2010-04-01	Plan benefit arrangement - Trust	Yes
2009: PROFIT SHARING PLAN OF BENJAMIN E. MOORE M.D. P.A. 2009 form 5500 responses
2009-04-01	Type of plan entity	Single employer plan
2009-04-01	Plan funding arrangement – Trust	Yes
2009-04-01	Plan benefit arrangement - Trust	Yes

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Company Name:	BENJAMIN E. MOORE M.D., P.A. C/O DR. BENJAMIN E. MOORE
Employer identification number (EIN):	592189735
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)