JEFFREY M. DAVIDSON, M.D. DEFINED BENEFIT PENSION PLAN 401k Plan overview

JEFFREY M. DAVIDSON, M.D. DEFINED BENEFIT PENSION PLAN Benefits

401k Sponsoring company profile

Company Name:	JEFFREY M. DAVIDSON, M.D.
Employer identification number (EIN):	943150664
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2021-01-01
002	2020-01-01
002	2019-01-01
002	2018-01-01
002	2017-01-01
002	2016-01-01
002	2015-01-01	JEFFREY DAVIDSON	2016-10-04
002	2014-01-01	JEFFREY DAVIDSON	2015-10-07
002	2013-01-01	JEFFREY DAVIDSON	2014-10-09
002	2012-01-01	JEFFREY DAVIDSON	2013-10-05
002	2011-01-01	JEFFREY DAVIDSON	2012-09-21
002	2010-01-01	JEFFREY DAVIDSON	2011-10-05

Plan Statistics for JEFFREY M. DAVIDSON, M.D. DEFINED BENEFIT PENSION PLAN

Measure	Date	Value
2020: JEFFREY M. DAVIDSON, M.D. DEFINED BENEFIT PENSION PLAN 2020 401k membership
Market value of plan assets	2020-08-15	2,558,322
Acturial value of plan assets	2020-08-15	2,558,322
Funding target for retired participants and beneficiaries receiving payment	2020-08-15	0
Number of terminated vested participants	2020-08-15	5
Fundng target for terminated vested participants	2020-08-15	82,803
Active participant vested funding target	2020-08-15	2,677,277
Number of active participants	2020-08-15	1
Total funding liabilities for active participants	2020-08-15	2,677,277
Total participant count	2020-08-15	6
Total funding target for all participants	2020-08-15	2,760,080
Balance at beginning of prior year after applicable adjustments	2020-08-15	0
Prefunding balance at beginning of prior year after applicable adjustments	2020-08-15	76
Carryover balanced portion elected for use to offset prior years funding requirement	2020-08-15	0
Prefunding balanced used to offset prior years funding requirement	2020-08-15	0
Amount remaining of carryover balance	2020-08-15	0
Amount remaining of prefunding balance	2020-08-15	76
Present value of excess contributions	2020-08-15	130,478
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2020-08-15	130,478
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2020-08-15	67,000
Reductions in caryover balances due to elections or deemed elections	2020-08-15	0
Reductions in prefunding balances due to elections or deemed elections	2020-08-15	0
Balance of carryovers at beginning of current year	2020-08-15	0
Balance of prefunding at beginning of current year	2020-08-15	67,084
Total employer contributions	2020-08-15	75,000
Total employee contributions	2020-08-15	0
Contributions allocated toward unpaid minimum require contributions from prior years	2020-08-15	0
Contributions made to avoid restrictions adjusted to valuation date	2020-08-15	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2020-08-15	73,504
Liquidity shortfalls end of Q1	2020-08-15	0
Liquidity shortfalls end of Q2	2020-08-15	0
Liquidity shortfalls end of Q3	2020-08-15	0
Liquidity shortfalls end of Q4	2020-08-15	0
Unpaid minimum required contributions for all prior years	2020-08-15	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2020-08-15	0
Remaining amount of unpaid minimum required contributions	2020-08-15	0
Minimum required contributions for current year target normal cost	2020-08-15	0
Net shortfall amortization installment of oustanding balance	2020-08-15	270,993
Waiver amortization installment	2020-08-15	0
Total funding amount beforereflecting carryover/prefunding balances	2020-08-15	31,843
Carryover balance elected to use to offset funding requirement	2020-08-15	0
Prefunding balance elected to use to offset funding requirement	2020-08-15	0
Additional cash requirement	2020-08-15	31,843
Contributions allocatedtoward minimum required contributions for current year	2020-08-15	73,504
Unpaid minimum required contributions for current year	2020-08-15	0
Unpaid minimum required contributions for all years	2020-08-15	0
2019: JEFFREY M. DAVIDSON, M.D. DEFINED BENEFIT PENSION PLAN 2019 401k membership
Market value of plan assets	2019-12-31	2,318,673
Acturial value of plan assets	2019-12-31	2,318,673
Funding target for retired participants and beneficiaries receiving payment	2019-12-31	0
Number of terminated vested participants	2019-12-31	5
Fundng target for terminated vested participants	2019-12-31	70,787
Active participant vested funding target	2019-12-31	2,372,622
Number of active participants	2019-12-31	1
Total funding liabilities for active participants	2019-12-31	2,372,622
Total participant count	2019-12-31	6
Total funding target for all participants	2019-12-31	2,443,409
Balance at beginning of prior year after applicable adjustments	2019-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2019-12-31	189
Carryover balanced portion elected for use to offset prior years funding requirement	2019-12-31	0
Prefunding balanced used to offset prior years funding requirement	2019-12-31	108
Amount remaining of carryover balance	2019-12-31	0
Amount remaining of prefunding balance	2019-12-31	81
Present value of excess contributions	2019-12-31	0
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2019-12-31	0
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2019-12-31	0
Reductions in caryover balances due to elections or deemed elections	2019-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2019-12-31	0
Balance of carryovers at beginning of current year	2019-12-31	0
Balance of prefunding at beginning of current year	2019-12-31	76
Total employer contributions	2019-12-31	295,000
Total employee contributions	2019-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2019-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2019-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2019-12-31	283,000
Unpaid minimum required contributions for all prior years	2019-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2019-12-31	0
Remaining amount of unpaid minimum required contributions	2019-12-31	0
Minimum required contributions for current year target normal cost	2019-12-31	128,159
Net shortfall amortization installment of oustanding balance	2019-12-31	124,816
Waiver amortization installment	2019-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2019-12-31	152,522
Carryover balance elected to use to offset funding requirement	2019-12-31	0
Prefunding balance elected to use to offset funding requirement	2019-12-31	0
Additional cash requirement	2019-12-31	152,522
Contributions allocatedtoward minimum required contributions for current year	2019-12-31	283,000
Unpaid minimum required contributions for current year	2019-12-31	0
Unpaid minimum required contributions for all years	2019-12-31	0
2018: JEFFREY M. DAVIDSON, M.D. DEFINED BENEFIT PENSION PLAN 2018 401k membership
Market value of plan assets	2018-12-31	1,823,714
Acturial value of plan assets	2018-12-31	1,823,714
Funding target for retired participants and beneficiaries receiving payment	2018-12-31	0
Number of terminated vested participants	2018-12-31	2
Fundng target for terminated vested participants	2018-12-31	2,857
Active participant vested funding target	2018-12-31	2,031,007
Number of active participants	2018-12-31	3
Total funding liabilities for active participants	2018-12-31	2,031,007
Total participant count	2018-12-31	5
Total funding target for all participants	2018-12-31	2,033,864
Balance at beginning of prior year after applicable adjustments	2018-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2018-12-31	174
Carryover balanced portion elected for use to offset prior years funding requirement	2018-12-31	0
Prefunding balanced used to offset prior years funding requirement	2018-12-31	0
Amount remaining of carryover balance	2018-12-31	0
Amount remaining of prefunding balance	2018-12-31	174
Present value of excess contributions	2018-12-31	235
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2018-12-31	235
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2018-12-31	0
Reductions in caryover balances due to elections or deemed elections	2018-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2018-12-31	0
Balance of carryovers at beginning of current year	2018-12-31	0
Balance of prefunding at beginning of current year	2018-12-31	189
Total employer contributions	2018-12-31	301,635
Total employee contributions	2018-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2018-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2018-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2018-12-31	290,402
Unpaid minimum required contributions for all prior years	2018-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2018-12-31	0
Remaining amount of unpaid minimum required contributions	2018-12-31	0
Minimum required contributions for current year target normal cost	2018-12-31	256,176
Net shortfall amortization installment of oustanding balance	2018-12-31	210,350
Waiver amortization installment	2018-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2018-12-31	290,516
Carryover balance elected to use to offset funding requirement	2018-12-31	0
Prefunding balance elected to use to offset funding requirement	2018-12-31	114
Additional cash requirement	2018-12-31	290,402
Contributions allocatedtoward minimum required contributions for current year	2018-12-31	290,402
Unpaid minimum required contributions for current year	2018-12-31	0
Unpaid minimum required contributions for all years	2018-12-31	0
2017: JEFFREY M. DAVIDSON, M.D. DEFINED BENEFIT PENSION PLAN 2017 401k membership
Market value of plan assets	2017-12-31	1,704,968
Acturial value of plan assets	2017-12-31	1,704,968
Funding target for retired participants and beneficiaries receiving payment	2017-12-31	0
Number of terminated vested participants	2017-12-31	2
Fundng target for terminated vested participants	2017-12-31	86
Active participant vested funding target	2017-12-31	1,676,985
Number of active participants	2017-12-31	3
Total funding liabilities for active participants	2017-12-31	1,677,340
Total participant count	2017-12-31	5
Total funding target for all participants	2017-12-31	1,677,426
Balance at beginning of prior year after applicable adjustments	2017-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2017-12-31	162
Carryover balanced portion elected for use to offset prior years funding requirement	2017-12-31	0
Prefunding balanced used to offset prior years funding requirement	2017-12-31	0
Amount remaining of carryover balance	2017-12-31	0
Amount remaining of prefunding balance	2017-12-31	162
Present value of excess contributions	2017-12-31	3,854
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2017-12-31	3,854
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2017-12-31	0
Reductions in caryover balances due to elections or deemed elections	2017-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2017-12-31	0
Balance of carryovers at beginning of current year	2017-12-31	0
Balance of prefunding at beginning of current year	2017-12-31	174
Total employer contributions	2017-12-31	231,497
Total employee contributions	2017-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2017-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2017-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2017-12-31	214,919
Unpaid minimum required contributions for all prior years	2017-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2017-12-31	0
Remaining amount of unpaid minimum required contributions	2017-12-31	0
Minimum required contributions for current year target normal cost	2017-12-31	242,043
Net shortfall amortization installment of oustanding balance	2017-12-31	0
Waiver amortization installment	2017-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2017-12-31	214,684
Carryover balance elected to use to offset funding requirement	2017-12-31	0
Prefunding balance elected to use to offset funding requirement	2017-12-31	0
Additional cash requirement	2017-12-31	214,684
Contributions allocatedtoward minimum required contributions for current year	2017-12-31	214,919
Unpaid minimum required contributions for current year	2017-12-31	0
Unpaid minimum required contributions for all years	2017-12-31	0
2016: JEFFREY M. DAVIDSON, M.D. DEFINED BENEFIT PENSION PLAN 2016 401k membership
Market value of plan assets	2016-12-31	1,325,738
Acturial value of plan assets	2016-12-31	1,325,738
Funding target for retired participants and beneficiaries receiving payment	2016-12-31	0
Number of terminated vested participants	2016-12-31	2
Fundng target for terminated vested participants	2016-12-31	151
Active participant vested funding target	2016-12-31	1,367,944
Number of active participants	2016-12-31	5
Total funding liabilities for active participants	2016-12-31	1,360,350
Total participant count	2016-12-31	7
Total funding target for all participants	2016-12-31	1,360,501
Balance at beginning of prior year after applicable adjustments	2016-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2016-12-31	61,478
Carryover balanced portion elected for use to offset prior years funding requirement	2016-12-31	0
Prefunding balanced used to offset prior years funding requirement	2016-12-31	61,317
Amount remaining of carryover balance	2016-12-31	0
Amount remaining of prefunding balance	2016-12-31	161
Present value of excess contributions	2016-12-31	0
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2016-12-31	0
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2016-12-31	0
Reductions in caryover balances due to elections or deemed elections	2016-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2016-12-31	0
Balance of carryovers at beginning of current year	2016-12-31	0
Balance of prefunding at beginning of current year	2016-12-31	162
Total employer contributions	2016-12-31	257,805
Total employee contributions	2016-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2016-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2016-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2016-12-31	242,867
Unpaid minimum required contributions for all prior years	2016-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2016-12-31	0
Remaining amount of unpaid minimum required contributions	2016-12-31	0
Minimum required contributions for current year target normal cost	2016-12-31	230,652
Net shortfall amortization installment of oustanding balance	2016-12-31	42,933
Waiver amortization installment	2016-12-31	0
Waived amount of outstanding balance	2016-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2016-12-31	239,124
Carryover balance elected to use to offset funding requirement	2016-12-31	0
Prefunding balance elected to use to offset funding requirement	2016-12-31	0
Additional cash requirement	2016-12-31	239,124
Contributions allocatedtoward minimum required contributions for current year	2016-12-31	242,867
Unpaid minimum required contributions for current year	2016-12-31	0
Unpaid minimum required contributions for all years	2016-12-31	0

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• JEFFREY M. BARLOW, D.D.S., P.A. CASH BALANCE PLAN AND TRUST [EIN = 200685187]
• JEFFREY M. SAGE, INC. DEFINED BENEFIT PENSION PLAN [EIN = 954823383]
• JEFFREY M. SHAPIRO MD, INC. PROFIT SHARING PLAN [EIN = 953516335]
• JEFFREY M. KRAKOWER, M.D. PROFIT SHARING PLAN [EIN = 943221549]
• JEFFREY M. BARTNICK PROFIT SHARING PLAN [EIN = 592528418]
• JEFFREY M. VERDON LAW GROUP, LLP DEFINED BENEFIT PENSION PLAN [EIN = 342064163]
• JEFFREY M. VERDON LAW GROUP, LLP 401(K) PROFIT SHARING PLAN [EIN = 342064163]
• JEFFREY M. LEITNER, DMD PROFIT SHARING PLAN [EIN = 141705783]
• JEFFREY M. RUBIN, O.D., P.C. CASH BALANCE PLAN [EIN = 133196220]
• JEFFREY M. GOTTLIEB ESQ. 401(K) PROFIT SHARING PLAN [EIN = 830452462]
• JEFFREY M. GOTTLIEB ESQ. CASH BALANCE PLAN [EIN = 830452462]
• JEFFREY M. FALDUTO, DMD, LLC 401(K) PS PLAN [EIN = 223693960]
• JEFFREY M. JOSEPH MD. INC. 401(K) PLAN [EIN = 800941692]

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