401k Plan data: CLIFFORD MELNICK, D.M.D, P.C. DEFINED BENEFIT PLAN plan

CLIFFORD MELNICK, D.M.D, P.C. DEFINED BENEFIT PLAN 401k Plan overview

Plan Name	CLIFFORD MELNICK, D.M.D, P.C. DEFINED BENEFIT PLAN
Plan identification number	002

CLIFFORD MELNICK, D.M.D, P.C. DEFINED BENEFIT PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily pay related
Cash balance or similar plan - Plan has a "cash balance" formula. For this purpose, a "cash balance" formula is a benefit formula in a defined benefit plan by whatever name (for example, personal account plan, pension equity plan, life cycle plan, cash account plan, etc.) that rather than, or in addition to, expressing the accrued benefit as a life annuity commencing at normal retirement age, defines benefits for each employee in terms more common to a defined contribution plan such as a single sum distribution amount (for example, 10 percent of final average pay times years of service, or the amount of the employee's hypothetical account balance).

401k Sponsoring company profile

CLIFFORD MELNICK, D.M.D., P.C. has sponsored the creation of one or more 401k plans.

Company Name: CLIFFORD MELNICK, D.M.D., P.C.

Employer identification number (EIN): 133350396

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CLIFFORD MELNICK, D.M.D, P.C. DEFINED BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2015-01-01 CLIFFORD MELNICK 2016-09-09 CLIFFORD MELNICK 2016-09-09
002 2014-01-01 CLIFFORD MELNICK 2015-09-03 CLIFFORD MELNICK 2015-09-03
002 2013-01-01 CLIFFORD MELNICK 2014-10-03 CLIFFORD MELNICK 2014-10-03
002 2012-01-01 CLIFFORD MELNICK CLIFFORD MELNICK 2013-10-09
002 2011-01-01 CLIFFORD MELNICK CLIFFORD MELNICK 2012-10-02
002 2009-01-01 CLIFFORD MELNICK CLIFFORD MELNICK 2010-09-30
002 2009-01-01 CLIFFORD MELNICK CLIFFORD MELNICK 2010-09-29

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2015-01-01	CLIFFORD MELNICK	2016-09-09	CLIFFORD MELNICK	2016-09-09
002	2014-01-01	CLIFFORD MELNICK	2015-09-03	CLIFFORD MELNICK	2015-09-03
002	2013-01-01	CLIFFORD MELNICK	2014-10-03	CLIFFORD MELNICK	2014-10-03
002	2012-01-01	CLIFFORD MELNICK		CLIFFORD MELNICK	2013-10-09
002	2011-01-01	CLIFFORD MELNICK		CLIFFORD MELNICK	2012-10-02
002	2009-01-01	CLIFFORD MELNICK		CLIFFORD MELNICK	2010-09-30
002	2009-01-01	CLIFFORD MELNICK		CLIFFORD MELNICK	2010-09-29

Plan Statistics for CLIFFORD MELNICK, D.M.D, P.C. DEFINED BENEFIT PLAN

401k plan membership statisitcs for CLIFFORD MELNICK, D.M.D, P.C. DEFINED BENEFIT PLAN

Measure Date Value
2012: CLIFFORD MELNICK, D.M.D, P.C. DEFINED BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 3
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 0
Total of all active and inactive participants 2012-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: CLIFFORD MELNICK, D.M.D, P.C. DEFINED BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 3
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 0
Total of all active and inactive participants 2011-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: CLIFFORD MELNICK, D.M.D, P.C. DEFINED BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 3
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 0
Total of all active and inactive participants 2009-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2012: CLIFFORD MELNICK, D.M.D, P.C. DEFINED BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	3
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	0
Total of all active and inactive participants	2012-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: CLIFFORD MELNICK, D.M.D, P.C. DEFINED BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	3
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	0
Total of all active and inactive participants	2011-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: CLIFFORD MELNICK, D.M.D, P.C. DEFINED BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	3
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	0
Total of all active and inactive participants	2009-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on CLIFFORD MELNICK, D.M.D, P.C. DEFINED BENEFIT PLAN

Measure	Date	Value
2012 : CLIFFORD MELNICK, D.M.D, P.C. DEFINED BENEFIT PLAN 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$78,694
Expenses. Total of all expenses incurred	2012-12-31	$0
Benefits paid (including direct rollovers)	2012-12-31	$0
Total plan assets at end of year	2012-12-31	$608,329
Total plan assets at beginning of year	2012-12-31	$529,635
Total contributions received or receivable from participants	2012-12-31	$0
Expenses. Other expenses not covered elsewhere	2012-12-31	$0
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$28,694
Noncash contributions received	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$78,694
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$608,329
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$529,635
Assets. Value of participant loans	2012-12-31	$4,957
Total contributions received or receivable from employer(s)	2012-12-31	$50,000
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$0
2011 : CLIFFORD MELNICK, D.M.D, P.C. DEFINED BENEFIT PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$27,705
Expenses. Total of all expenses incurred	2011-12-31	$0
Benefits paid (including direct rollovers)	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$529,635
Total plan assets at beginning of year	2011-12-31	$501,930
Total contributions received or receivable from participants	2011-12-31	$0
Expenses. Other expenses not covered elsewhere	2011-12-31	$0
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-23,295
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$27,705
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$529,635
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$501,930
Assets. Value of participant loans	2011-12-31	$6,924
Total contributions received or receivable from employer(s)	2011-12-31	$51,000
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : CLIFFORD MELNICK, D.M.D, P.C. DEFINED BENEFIT PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$82,342
Expenses. Total of all expenses incurred	2010-12-31	$0
Benefits paid (including direct rollovers)	2010-12-31	$0
Total plan assets at end of year	2010-12-31	$501,930
Total plan assets at beginning of year	2010-12-31	$419,588
Total contributions received or receivable from participants	2010-12-31	$0
Expenses. Other expenses not covered elsewhere	2010-12-31	$0
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$31,342
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$82,342
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$501,930
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$419,588
Assets. Value of participant loans	2010-12-31	$9,126
Total contributions received or receivable from employer(s)	2010-12-31	$51,000
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : CLIFFORD MELNICK, D.M.D, P.C. DEFINED BENEFIT 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 CLIFFORD MELNICK, D.M.D, P.C. DEFINED BENEFIT PLAN

2012: CLIFFORD MELNICK, D.M.D, P.C. DEFINED BENEFIT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: CLIFFORD MELNICK, D.M.D, P.C. DEFINED BENEFIT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: CLIFFORD MELNICK, D.M.D, P.C. DEFINED BENEFIT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	CLIFFORD MELNICK, D.M.D., P.C.
Employer identification number (EIN):	133350396
NAIC Classification:	621210
NAIC Description:	Offices of Dentists