401k Plan data: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN plan

NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 401k Plan overview

Plan Name	NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN
Plan identification number	002

NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
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.
Life insurance

401k Sponsoring company profile

NEIL J. DASH, M.D., P.C. has sponsored the creation of one or more 401k plans.

Company Name: NEIL J. DASH, M.D., P.C.

Employer identification number (EIN): 133447871

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

Additional information about NEIL J. DASH, M.D., P.C.

Jurisdiction of Incorporation: New York Department of State

Incorporation Date: 1988-03-28

Company Identification Number: 1247755

Legal Registered Office Address: 575 UNDERHILL BLVD
STE 140
SYOSSET
United States of America (USA)
11791

More information about NEIL J. DASH, M.D., P.C.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01
002 2022-01-01
002 2021-01-01
002 2020-01-01
002 2019-01-01
002 2018-01-01 NEIL J. DASH
002 2017-10-01 NEIL DASH
002 2016-10-01 NEIL DASH
002 2015-10-01 NEIL J. DASH
002 2014-10-01 NEIL DASH
002 2013-10-01 NEIL DASH
002 2012-10-01 NEIL J. DASH
002 2011-10-01 NEIL J. DASH
002 2009-10-01 NEIL J. DASH

Plan Statistics for NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN

401k plan membership statisitcs for NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN

Measure Date Value
2022: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 0
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 2
Total of all active and inactive participants 2022-01-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 2
Number of participants with account balances 2022-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 0
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 3
Total of all active and inactive participants 2021-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 3
Number of participants with account balances 2021-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 7
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 2
Total of all active and inactive participants 2020-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 9
Number of participants with account balances 2020-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 9
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 1
Total of all active and inactive participants 2019-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 10
Number of participants with account balances 2019-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 8
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 1
Total of all active and inactive participants 2018-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 9
Number of participants with account balances 2018-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-10-01 9
Total number of active participants reported on line 7a of the Form 5500 2017-10-01 7
Number of retired or separated participants receiving benefits 2017-10-01 0
Number of other retired or separated participants entitled to future benefits 2017-10-01 1
Total of all active and inactive participants 2017-10-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-10-01 0
Total participants 2017-10-01 8
Number of participants with account balances 2017-10-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-10-01 0
2016: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-10-01 9
Total number of active participants reported on line 7a of the Form 5500 2016-10-01 7
Number of retired or separated participants receiving benefits 2016-10-01 0
Number of other retired or separated participants entitled to future benefits 2016-10-01 2
Total of all active and inactive participants 2016-10-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-10-01 0
Total participants 2016-10-01 9
Number of participants with account balances 2016-10-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-10-01 0
2015: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-10-01 11
Total number of active participants reported on line 7a of the Form 5500 2015-10-01 9
Number of retired or separated participants receiving benefits 2015-10-01 0
Number of other retired or separated participants entitled to future benefits 2015-10-01 0
Total of all active and inactive participants 2015-10-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-10-01 0
Total participants 2015-10-01 9
Number of participants with account balances 2015-10-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-10-01 0
2014: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-10-01 11
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 9
Number of retired or separated participants receiving benefits 2014-10-01 0
Number of other retired or separated participants entitled to future benefits 2014-10-01 2
Total of all active and inactive participants 2014-10-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-10-01 0
Total participants 2014-10-01 11
Number of participants with account balances 2014-10-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-10-01 0
2013: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 10
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 10
Number of retired or separated participants receiving benefits 2013-10-01 0
Number of other retired or separated participants entitled to future benefits 2013-10-01 1
Total of all active and inactive participants 2013-10-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-10-01 0
Total participants 2013-10-01 11
Number of participants with account balances 2013-10-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-10-01 0
2012: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-10-01 12
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 9
Number of retired or separated participants receiving benefits 2012-10-01 0
Number of other retired or separated participants entitled to future benefits 2012-10-01 1
Total of all active and inactive participants 2012-10-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-10-01 0
Total participants 2012-10-01 10
Number of participants with account balances 2012-10-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-10-01 0
2011: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-10-01 11
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 10
Number of retired or separated participants receiving benefits 2011-10-01 0
Number of other retired or separated participants entitled to future benefits 2011-10-01 3
Total of all active and inactive participants 2011-10-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-10-01 0
Total participants 2011-10-01 13
Number of participants with account balances 2011-10-01 13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-10-01 0
2009: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-10-01 14
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 11
Number of retired or separated participants receiving benefits 2009-10-01 0
Number of other retired or separated participants entitled to future benefits 2009-10-01 3
Total of all active and inactive participants 2009-10-01 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-10-01 0
Total participants 2009-10-01 14
Number of participants with account balances 2009-10-01 14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-10-01 3

Measure	Date	Value
2022: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	0
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	2
Total of all active and inactive participants	2022-01-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	2
Number of participants with account balances	2022-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	0
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	3
Total of all active and inactive participants	2021-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	3
Number of participants with account balances	2021-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	7
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	2
Total of all active and inactive participants	2020-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	9
Number of participants with account balances	2020-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	9
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	1
Total of all active and inactive participants	2019-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	10
Number of participants with account balances	2019-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	8
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	1
Total of all active and inactive participants	2018-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	9
Number of participants with account balances	2018-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-10-01	9
Total number of active participants reported on line 7a of the Form 5500	2017-10-01	7
Number of retired or separated participants receiving benefits	2017-10-01	0
Number of other retired or separated participants entitled to future benefits	2017-10-01	1
Total of all active and inactive participants	2017-10-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-10-01	0
Total participants	2017-10-01	8
Number of participants with account balances	2017-10-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-10-01	0
2016: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-10-01	9
Total number of active participants reported on line 7a of the Form 5500	2016-10-01	7
Number of retired or separated participants receiving benefits	2016-10-01	0
Number of other retired or separated participants entitled to future benefits	2016-10-01	2
Total of all active and inactive participants	2016-10-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-10-01	0
Total participants	2016-10-01	9
Number of participants with account balances	2016-10-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-10-01	0
2015: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-10-01	11
Total number of active participants reported on line 7a of the Form 5500	2015-10-01	9
Number of retired or separated participants receiving benefits	2015-10-01	0
Number of other retired or separated participants entitled to future benefits	2015-10-01	0
Total of all active and inactive participants	2015-10-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-10-01	0
Total participants	2015-10-01	9
Number of participants with account balances	2015-10-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-10-01	0
2014: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-10-01	11
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	9
Number of retired or separated participants receiving benefits	2014-10-01	0
Number of other retired or separated participants entitled to future benefits	2014-10-01	2
Total of all active and inactive participants	2014-10-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-10-01	0
Total participants	2014-10-01	11
Number of participants with account balances	2014-10-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-10-01	0
2013: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	10
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	10
Number of retired or separated participants receiving benefits	2013-10-01	0
Number of other retired or separated participants entitled to future benefits	2013-10-01	1
Total of all active and inactive participants	2013-10-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-10-01	0
Total participants	2013-10-01	11
Number of participants with account balances	2013-10-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-10-01	0
2012: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-10-01	12
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	9
Number of retired or separated participants receiving benefits	2012-10-01	0
Number of other retired or separated participants entitled to future benefits	2012-10-01	1
Total of all active and inactive participants	2012-10-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-10-01	0
Total participants	2012-10-01	10
Number of participants with account balances	2012-10-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-10-01	0
2011: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	11
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	10
Number of retired or separated participants receiving benefits	2011-10-01	0
Number of other retired or separated participants entitled to future benefits	2011-10-01	3
Total of all active and inactive participants	2011-10-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-10-01	0
Total participants	2011-10-01	13
Number of participants with account balances	2011-10-01	13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-10-01	0
2009: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-10-01	14
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	11
Number of retired or separated participants receiving benefits	2009-10-01	0
Number of other retired or separated participants entitled to future benefits	2009-10-01	3
Total of all active and inactive participants	2009-10-01	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-10-01	0
Total participants	2009-10-01	14
Number of participants with account balances	2009-10-01	14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-10-01	3

Financial Data on NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN

Measure	Date	Value
2022 : NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2022 401k financial data
Transfers to/from the plan	2022-12-31	$0
Total plan liabilities at end of year	2022-12-31	$0
Total plan liabilities at beginning of year	2022-12-31	$0
Total income from all sources	2022-12-31	$-799,428
Expenses. Total of all expenses incurred	2022-12-31	$26,325
Benefits paid (including direct rollovers)	2022-12-31	$26,078
Total plan assets at end of year	2022-12-31	$2,447,972
Total plan assets at beginning of year	2022-12-31	$3,273,725
Value of fidelity bond covering the plan	2022-12-31	$300,000
Total contributions received or receivable from participants	2022-12-31	$0
Expenses. Other expenses not covered elsewhere	2022-12-31	$247
Contributions received from other sources (not participants or employers)	2022-12-31	$0
Other income received	2022-12-31	$-799,428
Noncash contributions received	2022-12-31	$0
Net income (gross income less expenses)	2022-12-31	$-825,753
Net plan assets at end of year (total assets less liabilities)	2022-12-31	$2,447,972
Net plan assets at beginning of year (total assets less liabilities)	2022-12-31	$3,273,725
Total contributions received or receivable from employer(s)	2022-12-31	$0
Value of certain deemed distributions of participant loans	2022-12-31	$0
Value of corrective distributions	2022-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2022-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2022-12-31	$0
2021 : NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2021 401k financial data
Transfers to/from the plan	2021-12-31	$0
Total plan liabilities at end of year	2021-12-31	$0
Total plan liabilities at beginning of year	2021-12-31	$0
Total income from all sources	2021-12-31	$510,230
Expenses. Total of all expenses incurred	2021-12-31	$595,963
Benefits paid (including direct rollovers)	2021-12-31	$595,723
Total plan assets at end of year	2021-12-31	$3,273,725
Total plan assets at beginning of year	2021-12-31	$3,359,458
Value of fidelity bond covering the plan	2021-12-31	$300,000
Total contributions received or receivable from participants	2021-12-31	$7,207
Expenses. Other expenses not covered elsewhere	2021-12-31	$0
Contributions received from other sources (not participants or employers)	2021-12-31	$0
Other income received	2021-12-31	$501,210
Noncash contributions received	2021-12-31	$0
Net income (gross income less expenses)	2021-12-31	$-85,733
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$3,273,725
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$3,359,458
Total contributions received or receivable from employer(s)	2021-12-31	$1,813
Value of certain deemed distributions of participant loans	2021-12-31	$0
Value of corrective distributions	2021-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$240
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
2020 : NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2020 401k financial data
Transfers to/from the plan	2020-12-31	$0
Total plan liabilities at end of year	2020-12-31	$0
Total plan liabilities at beginning of year	2020-12-31	$0
Total income from all sources	2020-12-31	$446,028
Expenses. Total of all expenses incurred	2020-12-31	$392,712
Benefits paid (including direct rollovers)	2020-12-31	$392,577
Total plan assets at end of year	2020-12-31	$3,359,458
Total plan assets at beginning of year	2020-12-31	$3,306,142
Value of fidelity bond covering the plan	2020-12-31	$300,000
Total contributions received or receivable from participants	2020-12-31	$55,865
Expenses. Other expenses not covered elsewhere	2020-12-31	$0
Contributions received from other sources (not participants or employers)	2020-12-31	$0
Other income received	2020-12-31	$339,925
Noncash contributions received	2020-12-31	$0
Net income (gross income less expenses)	2020-12-31	$53,316
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$3,359,458
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$3,306,142
Total contributions received or receivable from employer(s)	2020-12-31	$50,238
Value of certain deemed distributions of participant loans	2020-12-31	$0
Value of corrective distributions	2020-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$135
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
2019 : NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2019 401k financial data
Transfers to/from the plan	2019-12-31	$0
Total plan liabilities at end of year	2019-12-31	$0
Total plan liabilities at beginning of year	2019-12-31	$0
Total income from all sources	2019-12-31	$649,303
Expenses. Total of all expenses incurred	2019-12-31	$115
Benefits paid (including direct rollovers)	2019-12-31	$0
Total plan assets at end of year	2019-12-31	$3,306,142
Total plan assets at beginning of year	2019-12-31	$2,656,954
Value of fidelity bond covering the plan	2019-12-31	$300,000
Total contributions received or receivable from participants	2019-12-31	$65,255
Expenses. Other expenses not covered elsewhere	2019-12-31	$0
Contributions received from other sources (not participants or employers)	2019-12-31	$0
Other income received	2019-12-31	$512,405
Noncash contributions received	2019-12-31	$0
Net income (gross income less expenses)	2019-12-31	$649,188
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$3,306,142
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$2,656,954
Total contributions received or receivable from employer(s)	2019-12-31	$71,643
Value of certain deemed distributions of participant loans	2019-12-31	$0
Value of corrective distributions	2019-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$115
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
2018 : NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2018 401k financial data
Transfers to/from the plan	2018-12-31	$0
Total plan liabilities at end of year	2018-12-31	$0
Total plan liabilities at beginning of year	2018-12-31	$0
Total income from all sources	2018-12-31	$-21,241
Expenses. Total of all expenses incurred	2018-12-31	$75
Benefits paid (including direct rollovers)	2018-12-31	$0
Total plan assets at end of year	2018-12-31	$2,656,954
Total plan assets at beginning of year	2018-12-31	$2,678,270
Value of fidelity bond covering the plan	2018-12-31	$300,000
Total contributions received or receivable from participants	2018-12-31	$61,930
Expenses. Other expenses not covered elsewhere	2018-12-31	$0
Contributions received from other sources (not participants or employers)	2018-12-31	$0
Other income received	2018-12-31	$-147,876
Noncash contributions received	2018-12-31	$0
Net income (gross income less expenses)	2018-12-31	$-21,316
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$2,656,954
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$2,678,270
Total contributions received or receivable from employer(s)	2018-12-31	$64,705
Value of certain deemed distributions of participant loans	2018-12-31	$0
Value of corrective distributions	2018-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$75
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
2017 : NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2017 401k financial data
Transfers to/from the plan	2017-12-31	$0
Total plan liabilities at end of year	2017-12-31	$0
Total plan liabilities at beginning of year	2017-12-31	$0
Total income from all sources	2017-12-31	$120,220
Expenses. Total of all expenses incurred	2017-12-31	$32,412
Benefits paid (including direct rollovers)	2017-12-31	$32,412
Total plan assets at end of year	2017-12-31	$2,678,270
Total plan assets at beginning of year	2017-12-31	$2,590,462
Value of fidelity bond covering the plan	2017-12-31	$100,000
Total contributions received or receivable from participants	2017-12-31	$14,473
Expenses. Other expenses not covered elsewhere	2017-12-31	$0
Contributions received from other sources (not participants or employers)	2017-12-31	$0
Other income received	2017-12-31	$89,146
Noncash contributions received	2017-12-31	$0
Net income (gross income less expenses)	2017-12-31	$87,808
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$2,678,270
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$2,590,462
Total contributions received or receivable from employer(s)	2017-12-31	$16,601
Value of certain deemed distributions of participant loans	2017-12-31	$0
Value of corrective distributions	2017-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Transfers to/from the plan	2017-09-30	$0
Total plan liabilities at end of year	2017-09-30	$0
Total plan liabilities at beginning of year	2017-09-30	$0
Total income from all sources	2017-09-30	$373,433
Expenses. Total of all expenses incurred	2017-09-30	$0
Benefits paid (including direct rollovers)	2017-09-30	$0
Total plan assets at end of year	2017-09-30	$2,590,462
Total plan assets at beginning of year	2017-09-30	$2,217,029
Value of fidelity bond covering the plan	2017-09-30	$100,000
Total contributions received or receivable from participants	2017-09-30	$53,328
Contributions received from other sources (not participants or employers)	2017-09-30	$0
Other income received	2017-09-30	$258,696
Noncash contributions received	2017-09-30	$0
Net income (gross income less expenses)	2017-09-30	$373,433
Net plan assets at end of year (total assets less liabilities)	2017-09-30	$2,590,462
Net plan assets at beginning of year (total assets less liabilities)	2017-09-30	$2,217,029
Total contributions received or receivable from employer(s)	2017-09-30	$61,409
Value of certain deemed distributions of participant loans	2017-09-30	$0
Value of corrective distributions	2017-09-30	$0
2016 : NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2016 401k financial data
Transfers to/from the plan	2016-09-30	$0
Total plan liabilities at end of year	2016-09-30	$0
Total plan liabilities at beginning of year	2016-09-30	$0
Total income from all sources	2016-09-30	$284,648
Expenses. Total of all expenses incurred	2016-09-30	$8,620
Benefits paid (including direct rollovers)	2016-09-30	$8,620
Total plan assets at end of year	2016-09-30	$2,217,029
Total plan assets at beginning of year	2016-09-30	$1,941,001
Value of fidelity bond covering the plan	2016-09-30	$100,000
Total contributions received or receivable from participants	2016-09-30	$60,000
Expenses. Other expenses not covered elsewhere	2016-09-30	$0
Contributions received from other sources (not participants or employers)	2016-09-30	$0
Other income received	2016-09-30	$160,099
Noncash contributions received	2016-09-30	$0
Net income (gross income less expenses)	2016-09-30	$276,028
Net plan assets at end of year (total assets less liabilities)	2016-09-30	$2,217,029
Net plan assets at beginning of year (total assets less liabilities)	2016-09-30	$1,941,001
Total contributions received or receivable from employer(s)	2016-09-30	$64,549
Value of certain deemed distributions of participant loans	2016-09-30	$0
Value of corrective distributions	2016-09-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2016-09-30	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-09-30	$0
2015 : NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2015 401k financial data
Transfers to/from the plan	2015-09-30	$0
Total plan liabilities at end of year	2015-09-30	$0
Total plan liabilities at beginning of year	2015-09-30	$0
Total income from all sources	2015-09-30	$11,824
Expenses. Total of all expenses incurred	2015-09-30	$0
Benefits paid (including direct rollovers)	2015-09-30	$0
Total plan assets at end of year	2015-09-30	$1,941,001
Total plan assets at beginning of year	2015-09-30	$1,929,177
Value of fidelity bond covering the plan	2015-09-30	$100,000
Total contributions received or receivable from participants	2015-09-30	$62,078
Expenses. Other expenses not covered elsewhere	2015-09-30	$0
Contributions received from other sources (not participants or employers)	2015-09-30	$0
Other income received	2015-09-30	$-111,847
Noncash contributions received	2015-09-30	$0
Net income (gross income less expenses)	2015-09-30	$11,824
Net plan assets at end of year (total assets less liabilities)	2015-09-30	$1,941,001
Net plan assets at beginning of year (total assets less liabilities)	2015-09-30	$1,929,177
Total contributions received or receivable from employer(s)	2015-09-30	$61,593
Value of certain deemed distributions of participant loans	2015-09-30	$0
Value of corrective distributions	2015-09-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-09-30	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-09-30	$0
2014 : NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2014 401k financial data
Transfers to/from the plan	2014-09-30	$0
Total plan liabilities at end of year	2014-09-30	$0
Total plan liabilities at beginning of year	2014-09-30	$0
Total income from all sources	2014-09-30	$205,562
Expenses. Total of all expenses incurred	2014-09-30	$0
Benefits paid (including direct rollovers)	2014-09-30	$0
Total plan assets at end of year	2014-09-30	$1,929,177
Total plan assets at beginning of year	2014-09-30	$1,723,615
Value of fidelity bond covering the plan	2014-09-30	$100,000
Total contributions received or receivable from participants	2014-09-30	$53,308
Expenses. Other expenses not covered elsewhere	2014-09-30	$0
Contributions received from other sources (not participants or employers)	2014-09-30	$0
Other income received	2014-09-30	$90,228
Noncash contributions received	2014-09-30	$0
Net income (gross income less expenses)	2014-09-30	$205,562
Net plan assets at end of year (total assets less liabilities)	2014-09-30	$1,929,177
Net plan assets at beginning of year (total assets less liabilities)	2014-09-30	$1,723,615
Total contributions received or receivable from employer(s)	2014-09-30	$62,026
Value of certain deemed distributions of participant loans	2014-09-30	$0
Value of corrective distributions	2014-09-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-09-30	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-09-30	$0
2013 : NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2013 401k financial data
Transfers to/from the plan	2013-09-30	$0
Total plan liabilities at end of year	2013-09-30	$0
Total plan liabilities at beginning of year	2013-09-30	$0
Total income from all sources	2013-09-30	$293,912
Expenses. Total of all expenses incurred	2013-09-30	$20,834
Benefits paid (including direct rollovers)	2013-09-30	$20,834
Total plan assets at end of year	2013-09-30	$1,723,615
Total plan assets at beginning of year	2013-09-30	$1,450,537
Value of fidelity bond covering the plan	2013-09-30	$100,000
Total contributions received or receivable from participants	2013-09-30	$59,076
Expenses. Other expenses not covered elsewhere	2013-09-30	$0
Contributions received from other sources (not participants or employers)	2013-09-30	$0
Other income received	2013-09-30	$176,876
Noncash contributions received	2013-09-30	$0
Net income (gross income less expenses)	2013-09-30	$273,078
Net plan assets at end of year (total assets less liabilities)	2013-09-30	$1,723,615
Net plan assets at beginning of year (total assets less liabilities)	2013-09-30	$1,450,537
Total contributions received or receivable from employer(s)	2013-09-30	$57,960
Value of certain deemed distributions of participant loans	2013-09-30	$0
Value of corrective distributions	2013-09-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-09-30	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-09-30	$0
2012 : NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2012 401k financial data
Transfers to/from the plan	2012-09-30	$0
Total plan liabilities at end of year	2012-09-30	$0
Total plan liabilities at beginning of year	2012-09-30	$0
Total income from all sources	2012-09-30	$271,456
Expenses. Total of all expenses incurred	2012-09-30	$22,060
Benefits paid (including direct rollovers)	2012-09-30	$22,060
Total plan assets at end of year	2012-09-30	$1,454,703
Total plan assets at beginning of year	2012-09-30	$1,205,307
Value of fidelity bond covering the plan	2012-09-30	$100,000
Total contributions received or receivable from participants	2012-09-30	$69,671
Expenses. Other expenses not covered elsewhere	2012-09-30	$0
Contributions received from other sources (not participants or employers)	2012-09-30	$0
Other income received	2012-09-30	$143,511
Noncash contributions received	2012-09-30	$0
Net income (gross income less expenses)	2012-09-30	$249,396
Net plan assets at end of year (total assets less liabilities)	2012-09-30	$1,454,703
Net plan assets at beginning of year (total assets less liabilities)	2012-09-30	$1,205,307
Total contributions received or receivable from employer(s)	2012-09-30	$58,274
Value of certain deemed distributions of participant loans	2012-09-30	$0
Value of corrective distributions	2012-09-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-09-30	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-09-30	$0
2011 : NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan	2011-09-30	$0
Total plan liabilities at end of year	2011-09-30	$0
Total plan liabilities at beginning of year	2011-09-30	$0
Total income from all sources	2011-09-30	$70,174
Expenses. Total of all expenses incurred	2011-09-30	$18,291
Benefits paid (including direct rollovers)	2011-09-30	$18,291
Total plan assets at end of year	2011-09-30	$1,205,307
Total plan assets at beginning of year	2011-09-30	$1,153,424
Value of fidelity bond covering the plan	2011-09-30	$100,000
Total contributions received or receivable from participants	2011-09-30	$59,716
Expenses. Other expenses not covered elsewhere	2011-09-30	$0
Contributions received from other sources (not participants or employers)	2011-09-30	$0
Other income received	2011-09-30	$-43,889
Noncash contributions received	2011-09-30	$0
Net income (gross income less expenses)	2011-09-30	$51,883
Net plan assets at end of year (total assets less liabilities)	2011-09-30	$1,205,307
Net plan assets at beginning of year (total assets less liabilities)	2011-09-30	$1,153,424
Total contributions received or receivable from employer(s)	2011-09-30	$54,347
Value of certain deemed distributions of participant loans	2011-09-30	$0
Value of corrective distributions	2011-09-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-09-30	$0

Form 5500 Responses for NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN

2022: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	Yes
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
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: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
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: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2017 form 5500 responses
2017-10-01	Type of plan entity	Single employer plan
2017-10-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2017-10-01	Plan funding arrangement – Insurance	Yes
2017-10-01	Plan funding arrangement – Trust	Yes
2017-10-01	Plan benefit arrangement - Trust	Yes
2016: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2016 form 5500 responses
2016-10-01	Type of plan entity	Single employer plan
2016-10-01	Plan funding arrangement – Insurance	Yes
2016-10-01	Plan funding arrangement – Trust	Yes
2016-10-01	Plan benefit arrangement - Trust	Yes
2015: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2015 form 5500 responses
2015-10-01	Type of plan entity	Single employer plan
2015-10-01	Plan funding arrangement – Insurance	Yes
2015-10-01	Plan funding arrangement – Trust	Yes
2015-10-01	Plan benefit arrangement - Trust	Yes
2014: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	Plan funding arrangement – Insurance	Yes
2014-10-01	Plan funding arrangement – Trust	Yes
2014-10-01	Plan benefit arrangement - Trust	Yes
2013: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Plan funding arrangement – Insurance	Yes
2013-10-01	Plan funding arrangement – Trust	Yes
2013-10-01	Plan benefit arrangement - Trust	Yes
2012: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	Plan funding arrangement – Insurance	Yes
2012-10-01	Plan funding arrangement – Trust	Yes
2012-10-01	Plan benefit arrangement - Trust	Yes
2011: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Plan funding arrangement – Insurance	Yes
2011-10-01	Plan funding arrangement – Trust	Yes
2011-10-01	Plan benefit arrangement - Trust	Yes
2009: NEIL J. DASH, M.D.,P.C. PROFIT SHARING PLAN 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	Plan funding arrangement – Insurance	Yes
2009-10-01	Plan funding arrangement – Trust	Yes
2009-10-01	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

1200555665

Policy instance

Insurance contract or identification number	1200555665
Number of Individuals Covered	1
Insurance policy start date	2021-10-01
Insurance policy end date	2022-09-30
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

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

Policy contract number

016326458

Policy instance

Insurance contract or identification number	016326458
Number of Individuals Covered	1
Insurance policy start date	2021-10-01
Insurance policy end date	2022-09-30
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

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

Policy contract number

N550116880

Policy instance

Insurance contract or identification number	N550116880
Number of Individuals Covered	1
Insurance policy start date	2021-10-01
Insurance policy end date	2022-09-30
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

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

Policy contract number

N550091480

Policy instance

Insurance contract or identification number	N550091480
Number of Individuals Covered	2
Insurance policy start date	2021-10-01
Insurance policy end date	2022-09-30
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

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

Policy contract number

1200555665

Policy instance

Insurance contract or identification number	1200555665
Number of Individuals Covered	1
Insurance policy start date	2020-10-01
Insurance policy end date	2021-09-30
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

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

Policy contract number

016326458

Policy instance

Insurance contract or identification number	016326458
Number of Individuals Covered	1
Insurance policy start date	2020-10-01
Insurance policy end date	2021-09-30
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

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

Policy contract number

N550116880

Policy instance

Insurance contract or identification number	N550116880
Number of Individuals Covered	1
Insurance policy start date	2020-10-01
Insurance policy end date	2021-09-30
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

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

Policy contract number

N550091480

Policy instance

Insurance contract or identification number	N550091480
Number of Individuals Covered	18
Insurance policy start date	2020-10-01
Insurance policy end date	2021-09-30
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

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

Policy contract number

1200555665

Policy instance

Insurance contract or identification number	1200555665
Number of Individuals Covered	1
Insurance policy start date	2019-10-01
Insurance policy end date	2020-09-30
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

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

Policy contract number

016326458

Policy instance

Insurance contract or identification number	016326458
Number of Individuals Covered	1
Insurance policy start date	2019-10-01
Insurance policy end date	2020-09-30
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

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

Policy contract number

N550116880

Policy instance

Insurance contract or identification number	N550116880
Number of Individuals Covered	1
Insurance policy start date	2019-10-01
Insurance policy end date	2020-09-30
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

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

Policy contract number

N550091480

Policy instance

Insurance contract or identification number	N550091480
Number of Individuals Covered	1
Insurance policy start date	2019-10-01
Insurance policy end date	2020-09-30
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

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

Policy contract number

1200555665

Policy instance

Insurance contract or identification number	1200555665
Number of Individuals Covered	1
Insurance policy start date	2018-10-01
Insurance policy end date	2019-09-30
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

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

Policy contract number

016326458

Policy instance

Insurance contract or identification number	016326458
Number of Individuals Covered	1
Insurance policy start date	2018-10-01
Insurance policy end date	2019-09-30
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

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

Policy contract number

N550116880

Policy instance

Insurance contract or identification number	N550116880
Number of Individuals Covered	1
Insurance policy start date	2018-10-01
Insurance policy end date	2019-09-30
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

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

Policy contract number

N550091480

Policy instance

Insurance contract or identification number	N550091480
Number of Individuals Covered	1
Insurance policy start date	2018-10-01
Insurance policy end date	2019-09-30
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

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Company Name:	NEIL J. DASH, M.D., P.C.
Employer identification number (EIN):	133447871
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Jurisdiction of Incorporation:	New York Department of State
Incorporation Date:	1988-03-28
Company Identification Number:	1247755
Legal Registered Office Address:	575 UNDERHILL BLVD STE 140 SYOSSET United States of America (USA) 11791