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TIBBETTS ORTHODONTICS, P.C. RETIREMENT PLAN 401k Plan overview

Plan NameTIBBETTS ORTHODONTICS, P.C. RETIREMENT PLAN
Plan identification number 001

TIBBETTS ORTHODONTICS, P.C. RETIREMENT PLAN Benefits

401k Plan TypeDefined 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.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all 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.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • 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

TIBBETTS ORTHODONTICS, P.C. has sponsored the creation of one or more 401k plans.

Company Name:TIBBETTS ORTHODONTICS, P.C.
Employer identification number (EIN):160994242
NAIC Classification:621210
NAIC Description:Offices of Dentists

Additional information about TIBBETTS ORTHODONTICS, P.C.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1972-03-28
Company Identification Number: 326512
Legal Registered Office Address: 5353 MAIN ST
Erie
WILLIAMSVILLE
United States of America (USA)
14221

More information about TIBBETTS ORTHODONTICS, P.C.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TIBBETTS ORTHODONTICS, P.C. RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012017-01-01JOHN TIBBETTS2018-01-19 JOHN TIBBETTS2018-01-19
0012016-01-01JOHN R TIBBETTS2017-06-12 JOHN R TIBBETTS2017-06-12
0012015-01-01JOHN R TIBBETTS2016-10-03 JOHN R TIBBETTS2016-10-03
0012014-01-01JOHN TIBBETTS2015-10-12 JOHN TIBBETTS2015-10-12
0012013-01-01JOHN R TIBBETTS JOHN R TIBBETTS2014-06-13
0012012-01-01JOHN TIBBETTS JOHN TIBBETTS2013-07-23
0012011-01-01JOHN TIBBETTS JOHN TIBBETTS2012-09-10
0012009-01-01JOHN TIBBETTS JOHN TIBBETTS2010-07-27

Plan Statistics for TIBBETTS ORTHODONTICS, P.C. RETIREMENT PLAN

401k plan membership statisitcs for TIBBETTS ORTHODONTICS, P.C. RETIREMENT PLAN

Measure Date Value
2013: TIBBETTS ORTHODONTICS, P.C. RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-017
Total number of active participants reported on line 7a of the Form 55002013-01-015
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-011
Total of all active and inactive participants2013-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-016
Number of participants with account balances2013-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: TIBBETTS ORTHODONTICS, P.C. RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-018
Total number of active participants reported on line 7a of the Form 55002012-01-015
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-012
Total of all active and inactive participants2012-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-017
Number of participants with account balances2012-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: TIBBETTS ORTHODONTICS, P.C. RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-019
Total number of active participants reported on line 7a of the Form 55002011-01-016
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-012
Total of all active and inactive participants2011-01-018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-018
Number of participants with account balances2011-01-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-018
2009: TIBBETTS ORTHODONTICS, P.C. RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0112
Total number of active participants reported on line 7a of the Form 55002009-01-016
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-015
Total of all active and inactive participants2009-01-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0111
Number of participants with account balances2009-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on TIBBETTS ORTHODONTICS, P.C. RETIREMENT PLAN

Measure Date Value
2013 : TIBBETTS ORTHODONTICS, P.C. RETIREMENT PLAN 2013 401k financial data
Transfers to/from the plan2013-12-31$0
Total income from all sources2013-12-31$156,268
Expenses. Total of all expenses incurred2013-12-31$64,051
Benefits paid (including direct rollovers)2013-12-31$59,429
Total plan assets at end of year2013-12-31$837,740
Total plan assets at beginning of year2013-12-31$745,523
Value of fidelity bond covering the plan2013-12-31$100,000
Total contributions received or receivable from participants2013-12-31$32,774
Expenses. Other expenses not covered elsewhere2013-12-31$0
Contributions received from other sources (not participants or employers)2013-12-31$0
Other income received2013-12-31$113,649
Noncash contributions received2013-12-31$0
Net income (gross income less expenses)2013-12-31$92,217
Net plan assets at end of year (total assets less liabilities)2013-12-31$837,740
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$745,523
Assets. Value of participant loans2013-12-31$34,513
Total contributions received or receivable from employer(s)2013-12-31$9,845
Value of certain deemed distributions of participant loans2013-12-31$0
Value of corrective distributions2013-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$4,622
2012 : TIBBETTS ORTHODONTICS, P.C. RETIREMENT PLAN 2012 401k financial data
Total income from all sources2012-12-31$114,865
Expenses. Total of all expenses incurred2012-12-31$6,958
Benefits paid (including direct rollovers)2012-12-31$202
Total plan assets at end of year2012-12-31$745,523
Total plan assets at beginning of year2012-12-31$637,616
Value of fidelity bond covering the plan2012-12-31$100,000
Total contributions received or receivable from participants2012-12-31$32,819
Other income received2012-12-31$72,758
Net income (gross income less expenses)2012-12-31$107,907
Net plan assets at end of year (total assets less liabilities)2012-12-31$745,523
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$637,616
Assets. Value of participant loans2012-12-31$43,984
Total contributions received or receivable from employer(s)2012-12-31$9,288
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$6,756
2011 : TIBBETTS ORTHODONTICS, P.C. RETIREMENT PLAN 2011 401k financial data
Total plan liabilities at beginning of year2011-12-31$0
Total income from all sources2011-12-31$42,986
Expenses. Total of all expenses incurred2011-12-31$6,252
Benefits paid (including direct rollovers)2011-12-31$48
Total plan assets at end of year2011-12-31$637,616
Total plan assets at beginning of year2011-12-31$600,882
Value of fidelity bond covering the plan2011-12-31$100,000
Total contributions received or receivable from participants2011-12-31$32,695
Contributions received from other sources (not participants or employers)2011-12-31$0
Other income received2011-12-31$792
Noncash contributions received2011-12-31$0
Net income (gross income less expenses)2011-12-31$36,734
Net plan assets at end of year (total assets less liabilities)2011-12-31$637,616
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$600,882
Total contributions received or receivable from employer(s)2011-12-31$9,499
Value of certain deemed distributions of participant loans2011-12-31$0
Value of corrective distributions2011-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$6,204
2010 : TIBBETTS ORTHODONTICS, P.C. RETIREMENT PLAN 2010 401k financial data
Transfers to/from the plan2010-12-31$0
Total plan liabilities at end of year2010-12-31$0
Total plan liabilities at beginning of year2010-12-31$0
Total income from all sources2010-12-31$109,780
Expenses. Total of all expenses incurred2010-12-31$39,693
Benefits paid (including direct rollovers)2010-12-31$34,000
Total plan assets at end of year2010-12-31$600,882
Total plan assets at beginning of year2010-12-31$530,795
Value of fidelity bond covering the plan2010-12-31$100,000
Total contributions received or receivable from participants2010-12-31$31,714
Expenses. Other expenses not covered elsewhere2010-12-31$0
Contributions received from other sources (not participants or employers)2010-12-31$0
Other income received2010-12-31$67,342
Noncash contributions received2010-12-31$0
Net income (gross income less expenses)2010-12-31$70,087
Net plan assets at end of year (total assets less liabilities)2010-12-31$600,882
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$530,795
Total contributions received or receivable from employer(s)2010-12-31$10,724
Value of certain deemed distributions of participant loans2010-12-31$0
Value of corrective distributions2010-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$5,693

Form 5500 Responses for TIBBETTS ORTHODONTICS, P.C. RETIREMENT PLAN

2013: TIBBETTS ORTHODONTICS, P.C. RETIREMENT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: TIBBETTS ORTHODONTICS, P.C. RETIREMENT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: TIBBETTS ORTHODONTICS, P.C. RETIREMENT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: TIBBETTS ORTHODONTICS, P.C. RETIREMENT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberIND POL
Policy instance 1
Insurance contract or identification numberIND POL
Number of Individuals Covered2
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $4,032
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
Other information about contractINDIVIDUAL ANNUITY CONTRACTS
Commission paid to Insurance BrokerUSD $4,032
Insurance broker organization code?3
Insurance broker nameVICTOR ANASTASIA
JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )
Policy contract number80719
Policy instance 2
Insurance contract or identification number80719
Number of Individuals Covered6
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $1,279
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Commission paid to Insurance BrokerUSD $1,006
Insurance broker organization code?3
Insurance broker nameACTUARIAL CONSULTING SERVICES, INC.
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberIND POL
Policy instance 1
Insurance contract or identification numberIND POL
Number of Individuals Covered2
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $3,858
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractINDIVIDUAL ANNUITY CONTRACTS
Commission paid to Insurance BrokerUSD $3,858
Insurance broker organization code?3
Insurance broker nameVICTOR ANASTASIA
JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )
Policy contract number80719
Policy instance 2
Insurance contract or identification number80719
Number of Individuals Covered7
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $1,188
Total amount of fees paid to insurance companyUSD $94
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,188
Insurance broker organization code?3
Amount paid for insurance broker fees94
Insurance broker nameACTUARIAL CONSULTING SERVICES, INC.
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberIND POL
Policy instance 1
Insurance contract or identification numberIND POL
Number of Individuals Covered2
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $6,404
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractINDIVIDUAL ANNUITY CONTRACTS
JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )
Policy contract number80719
Policy instance 2
Insurance contract or identification number80719
Number of Individuals Covered8
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $1,340
Total amount of fees paid to insurance companyUSD $219
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberIND POL
Policy instance 1
Insurance contract or identification numberIND POL
Number of Individuals Covered2
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $8,438
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractINDIVIDUAL ANNUITY CONTRACTS
Commission paid to Insurance BrokerUSD $8,438
Insurance broker organization code?3
Insurance broker nameVICTOR ANASTASIA
JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )
Policy contract number80719
Policy instance 2
Insurance contract or identification number80719
Number of Individuals Covered9
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $1,625
Total amount of fees paid to insurance companyUSD $403
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,625
Insurance broker organization code?3
Amount paid for insurance broker fees403
Additional information about fees paid to insurance brokerTPA FEES PAID
Insurance broker nameACTUARIAL CONSULTING SERVICES, INC.

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