401k Plan data: LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN plan

LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 401k Plan overview

Plan Name	LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN
Plan identification number	001

LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
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.
Plan covering Self-Employed individuals.
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

LONG ISLAND ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, LLP has sponsored the creation of one or more 401k plans.

Company Name: LONG ISLAND ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, LLP

Employer identification number (EIN): 113393135

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Additional information about LONG ISLAND ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, LLP

Jurisdiction of Incorporation: New York Department of State

Incorporation Date: 2000-05-31

Company Identification Number: 2515563

Legal Registered Office Address: 132 TERRYVILLE ROAD

PT JEFFERSON STATION
United States of America (USA)
11776

More information about LONG ISLAND ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, LLP

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-01-01 STEVEN SCHWARTZ 2022-10-13
001 2020-01-01 STEVEN SCHWARTZ 2021-10-11
001 2019-01-01
001 2018-01-01
001 2017-01-01 STEVEN SCHWARTZ
001 2016-01-01 STEVEN SCHWARTZ
001 2015-01-01 STEVEN SCHWARTZ
001 2014-01-01 STEVEN SCHWARTZ
001 2013-01-01 STEVEN SCHWARTZ
001 2012-01-01 STEVEN SCHWARTZ
001 2011-01-01 STEVEN SCHWARTZ
001 2009-01-01 STEVEN SCHWARTZ

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2021-01-01	STEVEN SCHWARTZ	2022-10-13
001	2020-01-01	STEVEN SCHWARTZ	2021-10-11
001	2019-01-01
001	2018-01-01
001	2017-01-01	STEVEN SCHWARTZ
001	2016-01-01	STEVEN SCHWARTZ
001	2015-01-01	STEVEN SCHWARTZ
001	2014-01-01	STEVEN SCHWARTZ
001	2013-01-01	STEVEN SCHWARTZ
001	2012-01-01	STEVEN SCHWARTZ
001	2011-01-01	STEVEN SCHWARTZ
001	2009-01-01	STEVEN SCHWARTZ

Plan Statistics for LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN

401k plan membership statisitcs for LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN

Measure Date Value
2020: LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 44
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 4
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 16
Total of all active and inactive participants 2020-01-01 20
Total participants 2020-01-01 20
Number of participants with account balances 2020-01-01 20
2019: LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 43
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 4
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 41
Total of all active and inactive participants 2019-01-01 45
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 45
Number of participants with account balances 2019-01-01 45
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 46
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 45
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 5
Total of all active and inactive participants 2018-01-01 50
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 50
Number of participants with account balances 2018-01-01 50
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 11
2017: LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 41
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 40
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 6
Total of all active and inactive participants 2017-01-01 46
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 46
Number of participants with account balances 2017-01-01 46
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 7
2016: LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 51
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 35
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 9
Total of all active and inactive participants 2016-01-01 44
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 44
Number of participants with account balances 2016-01-01 44
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 4
2015: LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 38
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 36
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 10
Total of all active and inactive participants 2015-01-01 46
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 46
Number of participants with account balances 2015-01-01 46
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 8
2014: LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 40
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 30
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 5
Total of all active and inactive participants 2014-01-01 35
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 35
Number of participants with account balances 2014-01-01 35
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 4
2013: LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 39
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 33
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 9
Total of all active and inactive participants 2013-01-01 42
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 42
Number of participants with account balances 2013-01-01 42
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 5
2012: LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 40
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 34
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 6
Total of all active and inactive participants 2012-01-01 40
Total participants 2012-01-01 40
Number of participants with account balances 2012-01-01 40
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 4
2011: LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 29
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 29
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 5
Total of all active and inactive participants 2011-01-01 34
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 34
Number of participants with account balances 2011-01-01 21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 7
2009: LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 29
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 29
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 5
Total of all active and inactive participants 2009-01-01 34
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 34
Number of participants with account balances 2009-01-01 25
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 4

Measure	Date	Value
2020: LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	44
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	4
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	16
Total of all active and inactive participants	2020-01-01	20
Total participants	2020-01-01	20
Number of participants with account balances	2020-01-01	20
2019: LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	43
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	4
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	41
Total of all active and inactive participants	2019-01-01	45
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	45
Number of participants with account balances	2019-01-01	45
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	46
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	45
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	5
Total of all active and inactive participants	2018-01-01	50
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	50
Number of participants with account balances	2018-01-01	50
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	11
2017: LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	41
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	40
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	6
Total of all active and inactive participants	2017-01-01	46
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	46
Number of participants with account balances	2017-01-01	46
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	7
2016: LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	51
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	35
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	9
Total of all active and inactive participants	2016-01-01	44
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	44
Number of participants with account balances	2016-01-01	44
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	4
2015: LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	38
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	36
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	10
Total of all active and inactive participants	2015-01-01	46
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	46
Number of participants with account balances	2015-01-01	46
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	8
2014: LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	40
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	30
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	5
Total of all active and inactive participants	2014-01-01	35
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	35
Number of participants with account balances	2014-01-01	35
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	4
2013: LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	39
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	33
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	9
Total of all active and inactive participants	2013-01-01	42
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	42
Number of participants with account balances	2013-01-01	42
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	5
2012: LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	40
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	34
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	6
Total of all active and inactive participants	2012-01-01	40
Total participants	2012-01-01	40
Number of participants with account balances	2012-01-01	40
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	4
2011: LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	29
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	29
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	5
Total of all active and inactive participants	2011-01-01	34
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	34
Number of participants with account balances	2011-01-01	21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	7
2009: LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	29
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	29
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	5
Total of all active and inactive participants	2009-01-01	34
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	34
Number of participants with account balances	2009-01-01	25
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	4

Financial Data on LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN

Measure	Date	Value
2020 : LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 2020 401k financial data
Total income from all sources	2020-12-31	$223,554
Expenses. Total of all expenses incurred	2020-12-31	$936,325
Benefits paid (including direct rollovers)	2020-12-31	$936,325
Total plan assets at end of year	2020-12-31	$1,824,025
Total plan assets at beginning of year	2020-12-31	$2,536,796
Value of fidelity bond covering the plan	2020-12-31	$260,000
Other income received	2020-12-31	$223,554
Net income (gross income less expenses)	2020-12-31	$-712,771
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$1,824,025
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$2,536,796
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
2019 : LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 2019 401k financial data
Total income from all sources	2019-12-31	$520,972
Expenses. Total of all expenses incurred	2019-12-31	$105,418
Benefits paid (including direct rollovers)	2019-12-31	$99,855
Total plan assets at end of year	2019-12-31	$2,536,796
Total plan assets at beginning of year	2019-12-31	$2,121,242
Value of fidelity bond covering the plan	2019-12-31	$260,000
Total contributions received or receivable from participants	2019-12-31	$3,345
Other income received	2019-12-31	$285,546
Net income (gross income less expenses)	2019-12-31	$415,554
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$2,536,796
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$2,121,242
Total contributions received or receivable from employer(s)	2019-12-31	$232,081
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$5,563
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
2018 : LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$247,184
Expenses. Total of all expenses incurred	2018-12-31	$766,527
Benefits paid (including direct rollovers)	2018-12-31	$766,527
Total plan assets at end of year	2018-12-31	$2,121,242
Total plan assets at beginning of year	2018-12-31	$2,640,585
Value of fidelity bond covering the plan	2018-12-31	$260,000
Total contributions received or receivable from participants	2018-12-31	$13,260
Contributions received from other sources (not participants or employers)	2018-12-31	$24,200
Other income received	2018-12-31	$-67,378
Net income (gross income less expenses)	2018-12-31	$-519,343
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$2,121,242
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$2,640,585
Assets. Value of participant loans	2018-12-31	$51,017
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2018-12-31	$31,386
Total contributions received or receivable from employer(s)	2018-12-31	$277,102
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
2017 : LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$580,214
Expenses. Total of all expenses incurred	2017-12-31	$65,381
Benefits paid (including direct rollovers)	2017-12-31	$64,681
Total plan assets at end of year	2017-12-31	$2,640,585
Total plan assets at beginning of year	2017-12-31	$2,125,752
Value of fidelity bond covering the plan	2017-12-31	$260,000
Total contributions received or receivable from participants	2017-12-31	$13,180
Expenses. Other expenses not covered elsewhere	2017-12-31	$700
Contributions received from other sources (not participants or employers)	2017-12-31	$6,923
Other income received	2017-12-31	$294,817
Net income (gross income less expenses)	2017-12-31	$514,833
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$2,640,585
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$2,125,752
Assets. Value of participant loans	2017-12-31	$46,888
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2017-12-31	$40,058
Total contributions received or receivable from employer(s)	2017-12-31	$265,294
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
2016 : LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$321,952
Expenses. Total of all expenses incurred	2016-12-31	$49,957
Benefits paid (including direct rollovers)	2016-12-31	$46,586
Total plan assets at end of year	2016-12-31	$2,125,752
Total plan assets at beginning of year	2016-12-31	$1,853,757
Value of fidelity bond covering the plan	2016-12-31	$260,000
Total contributions received or receivable from participants	2016-12-31	$11,700
Expenses. Other expenses not covered elsewhere	2016-12-31	$100
Contributions received from other sources (not participants or employers)	2016-12-31	$29,005
Other income received	2016-12-31	$18,942
Net income (gross income less expenses)	2016-12-31	$271,995
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$2,125,752
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$1,853,757
Assets. Value of participant loans	2016-12-31	$25,401
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2016-12-31	$21,253
Total contributions received or receivable from employer(s)	2016-12-31	$262,305
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$3,271
2015 : LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$275,707
Expenses. Total of all expenses incurred	2015-12-31	$898
Benefits paid (including direct rollovers)	2015-12-31	$898
Total plan assets at end of year	2015-12-31	$1,853,757
Total plan assets at beginning of year	2015-12-31	$1,578,948
Value of fidelity bond covering the plan	2015-12-31	$260,000
Total contributions received or receivable from participants	2015-12-31	$8,840
Other income received	2015-12-31	$-15,330
Net income (gross income less expenses)	2015-12-31	$274,809
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,853,757
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,578,948
Assets. Value of participant loans	2015-12-31	$21,767
Total contributions received or receivable from employer(s)	2015-12-31	$282,197
2014 : LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$125,341
Expenses. Total of all expenses incurred	2014-12-31	$11,092
Benefits paid (including direct rollovers)	2014-12-31	$11,056
Total plan assets at end of year	2014-12-31	$1,578,948
Total plan assets at beginning of year	2014-12-31	$1,464,699
Value of fidelity bond covering the plan	2014-12-31	$260,000
Total contributions received or receivable from participants	2014-12-31	$11,740
Expenses. Other expenses not covered elsewhere	2014-12-31	$36
Other income received	2014-12-31	$52,461
Net income (gross income less expenses)	2014-12-31	$114,249
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,578,948
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,464,699
Assets. Value of participant loans	2014-12-31	$28,607
Total contributions received or receivable from employer(s)	2014-12-31	$61,140
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$288,957
Expenses. Total of all expenses incurred	2013-12-31	$2,827
Total plan assets at end of year	2013-12-31	$1,464,699
Total plan assets at beginning of year	2013-12-31	$1,178,569
Value of fidelity bond covering the plan	2013-12-31	$260,000
Total contributions received or receivable from participants	2013-12-31	$11,070
Other income received	2013-12-31	$203,378
Net income (gross income less expenses)	2013-12-31	$286,130
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,464,699
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,178,569
Assets. Value of participant loans	2013-12-31	$19,758
Total contributions received or receivable from employer(s)	2013-12-31	$74,509
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$2,827
2012 : LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$162,151
Expenses. Total of all expenses incurred	2012-12-31	$3,557
Benefits paid (including direct rollovers)	2012-12-31	$3,332
Total plan assets at end of year	2012-12-31	$1,178,569
Total plan assets at beginning of year	2012-12-31	$1,019,975
Value of fidelity bond covering the plan	2012-12-31	$260,000
Total contributions received or receivable from participants	2012-12-31	$8,590
Expenses. Other expenses not covered elsewhere	2012-12-31	$225
Other income received	2012-12-31	$53,561
Net income (gross income less expenses)	2012-12-31	$158,594
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,178,569
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,019,975
Assets. Value of participant loans	2012-12-31	$21,725
Total contributions received or receivable from employer(s)	2012-12-31	$100,000
2011 : LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$6,099
Expenses. Total of all expenses incurred	2011-12-31	$32,923
Benefits paid (including direct rollovers)	2011-12-31	$32,843
Total plan assets at end of year	2011-12-31	$1,019,975
Total plan assets at beginning of year	2011-12-31	$1,046,799
Value of fidelity bond covering the plan	2011-12-31	$260,000
Total contributions received or receivable from participants	2011-12-31	$8,070
Expenses. Other expenses not covered elsewhere	2011-12-31	$32
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-1,971
Net income (gross income less expenses)	2011-12-31	$-26,824
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,019,975
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,046,799
Assets. Value of participant loans	2011-12-31	$3,566
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$48
2010 : LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$115,500
Expenses. Total of all expenses incurred	2010-12-31	$32,254
Benefits paid (including direct rollovers)	2010-12-31	$32,206
Total plan assets at end of year	2010-12-31	$1,046,799
Total plan assets at beginning of year	2010-12-31	$963,553
Value of fidelity bond covering the plan	2010-12-31	$260,000
Total contributions received or receivable from participants	2010-12-31	$9,415
Other income received	2010-12-31	$106,085
Net income (gross income less expenses)	2010-12-31	$83,246
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,046,799
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$963,553
Assets. Value of participant loans	2010-12-31	$14,421
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$48
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN

2020: LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S 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: LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S 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 – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S 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 – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S 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 – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S 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 – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S 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 – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S 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 – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S 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 – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: LI ORAL & MAXILLOFACIAL SURGERY ASSOC., LLP 401K) P S 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 – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

DARROONYOOK1

Policy instance

Insurance contract or identification number	DARROONYOOK1
Number of Individuals Covered	1
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

DARROONYOOK1

Policy instance

Insurance contract or identification number	DARROONYOOK1
Number of Individuals Covered	2
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

DARROONYOOK1

Policy instance

Insurance contract or identification number	DARROONYOOK1
Number of Individuals Covered	3
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

DARROONYOOK1

Policy instance

Insurance contract or identification number	DARROONYOOK1
Number of Individuals Covered	4
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

DARROONYOOK1

Policy instance

Insurance contract or identification number	DARROONYOOK1
Number of Individuals Covered	4
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

DARROONYOOK1

Policy instance

Insurance contract or identification number	DARROONYOOK1
Number of Individuals Covered	4
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

DARROONYOOK1

Policy instance

Insurance contract or identification number	DARROONYOOK1
Number of Individuals Covered	4
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

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Company Name:	LONG ISLAND ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, LLP
Employer identification number (EIN):	113393135
NAIC Classification:	621210
NAIC Description:	Offices of Dentists

Jurisdiction of Incorporation:	New York Department of State
Incorporation Date:	2000-05-31
Company Identification Number:	2515563
Legal Registered Office Address:	132 TERRYVILLE ROAD PT JEFFERSON STATION United States of America (USA) 11776