401k Plan data: NICHOLAS G BARANETSKY MD & ASSOC 401K RETIREMENT PLAN plan

NICHOLAS G BARANETSKY MD & ASSOC 401K RETIREMENT PLAN 401k Plan overview

Plan Name	NICHOLAS G BARANETSKY MD & ASSOC 401K RETIREMENT PLAN
Plan identification number	001

NICHOLAS G BARANETSKY MD & ASSOC 401K RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
Plan covering Self-Employed individuals.

401k Sponsoring company profile

NICHOLAS G. BARANETSKY, M.D. & ASSOCIATES has sponsored the creation of one or more 401k plans.

Company Name: NICHOLAS G. BARANETSKY, M.D. & ASSOCIATES

Employer identification number (EIN): 222956974

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NICHOLAS G BARANETSKY MD & ASSOC 401K RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2018-01-01 NICHOLAS BARANETSKY 2018-07-19
001 2017-01-01 NICHOLAS BARANETSKY 2018-07-19
001 2016-01-01 NICHOLAS BARANETSKY 2017-07-08
001 2015-01-01 NICHOLAS BARANETSKY 2016-09-12
001 2014-01-01 NICHOLAS BARANETSKY 2015-04-17
001 2013-01-01 NICHOLAS BARANETSKY
001 2012-01-01 NICHOLAS BARANETSKY
001 2011-01-01 NICHOLAS BARANETSKY
001 2010-01-01 NICHOLAS BARANETSKY
001 2009-01-01 NICHOLAS BARANETSKY

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2018-01-01	NICHOLAS BARANETSKY	2018-07-19
001	2017-01-01	NICHOLAS BARANETSKY	2018-07-19
001	2016-01-01	NICHOLAS BARANETSKY	2017-07-08
001	2015-01-01	NICHOLAS BARANETSKY	2016-09-12
001	2014-01-01	NICHOLAS BARANETSKY	2015-04-17
001	2013-01-01	NICHOLAS BARANETSKY
001	2012-01-01	NICHOLAS BARANETSKY
001	2011-01-01	NICHOLAS BARANETSKY
001	2010-01-01	NICHOLAS BARANETSKY
001	2009-01-01	NICHOLAS BARANETSKY

Plan Statistics for NICHOLAS G BARANETSKY MD & ASSOC 401K RETIREMENT PLAN

401k plan membership statisitcs for NICHOLAS G BARANETSKY MD & ASSOC 401K RETIREMENT PLAN

Measure Date Value
2013: NICHOLAS G BARANETSKY MD & ASSOC 401K RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 3
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 0
Total of all active and inactive participants 2013-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 1
Total participants 2013-01-01 4
Number of participants with account balances 2013-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: NICHOLAS G BARANETSKY MD & ASSOC 401K RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 4
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 1
Total participants 2012-01-01 4
Number of participants with account balances 2012-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: NICHOLAS G BARANETSKY MD & ASSOC 401K RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 4
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 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 4
Number of participants with account balances 2011-01-01 4
2010: NICHOLAS G BARANETSKY MD & ASSOC 401K RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 4
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 4
Number of participants with account balances 2010-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: NICHOLAS G BARANETSKY MD & ASSOC 401K RETIREMENT 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
Number of participants with account balances 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
2013: NICHOLAS G BARANETSKY MD & ASSOC 401K RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	3
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	0
Total of all active and inactive participants	2013-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	1
Total participants	2013-01-01	4
Number of participants with account balances	2013-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: NICHOLAS G BARANETSKY MD & ASSOC 401K RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	4
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	1
Total participants	2012-01-01	4
Number of participants with account balances	2012-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: NICHOLAS G BARANETSKY MD & ASSOC 401K RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	4
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	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	4
Number of participants with account balances	2011-01-01	4
2010: NICHOLAS G BARANETSKY MD & ASSOC 401K RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	4
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	4
Number of participants with account balances	2010-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: NICHOLAS G BARANETSKY MD & ASSOC 401K RETIREMENT 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
Number of participants with account balances	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 NICHOLAS G BARANETSKY MD & ASSOC 401K RETIREMENT PLAN

Measure	Date	Value
2013 : NICHOLAS G BARANETSKY MD & ASSOC 401K RETIREMENT PLAN 2013 401k financial data
Total plan liabilities at end of year	2013-12-31	$0
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$122,545
Expenses. Total of all expenses incurred	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$512,518
Total plan assets at beginning of year	2013-12-31	$389,973
Total contributions received or receivable from participants	2013-12-31	$25,750
Other income received	2013-12-31	$60,312
Net income (gross income less expenses)	2013-12-31	$122,545
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$512,518
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$389,973
Assets. Value of participant loans	2013-12-31	$563
Total contributions received or receivable from employer(s)	2013-12-31	$36,483
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : NICHOLAS G BARANETSKY MD & ASSOC 401K RETIREMENT PLAN 2012 401k financial data
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	$95,633
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	$389,973
Total plan assets at beginning of year	2012-12-31	$294,340
Total contributions received or receivable from participants	2012-12-31	$25,800
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	$32,384
Noncash contributions received	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$95,633
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$389,973
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$294,340
Assets. Value of participant loans	2012-12-31	$1,159
Total contributions received or receivable from employer(s)	2012-12-31	$37,449
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : NICHOLAS G BARANETSKY MD & ASSOC 401K RETIREMENT PLAN 2011 401k financial data
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	$72,358
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	$294,340
Total plan assets at beginning of year	2011-12-31	$221,982
Total contributions received or receivable from participants	2011-12-31	$37,475
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-4,017
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$72,358
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$294,340
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$221,982
Total contributions received or receivable from employer(s)	2011-12-31	$38,900
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 : NICHOLAS G BARANETSKY MD & ASSOC 401K RETIREMENT 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	$97,836
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	$221,982
Total plan assets at beginning of year	2010-12-31	$124,146
Total contributions received or receivable from participants	2010-12-31	$41,630
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	$16,504
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$97,836
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$221,982
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$124,146
Total contributions received or receivable from employer(s)	2010-12-31	$39,702
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 : NICHOLAS G BARANETSKY MD & ASSOC 401K RETIREMENT 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 NICHOLAS G BARANETSKY MD & ASSOC 401K RETIREMENT PLAN

2013: NICHOLAS G BARANETSKY MD & ASSOC 401K RETIREMENT 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 – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: NICHOLAS G BARANETSKY MD & ASSOC 401K RETIREMENT 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: NICHOLAS G BARANETSKY MD & ASSOC 401K RETIREMENT 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
2010: NICHOLAS G BARANETSKY MD & ASSOC 401K RETIREMENT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: NICHOLAS G BARANETSKY MD & ASSOC 401K RETIREMENT 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 – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	NICHOLAS G. BARANETSKY, M.D. & ASSOCIATES
Employer identification number (EIN):	222956974
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)