401k Plan data: CARMINE N PETRARCA PROFIT SHARING PLAN plan

CARMINE N PETRARCA PROFIT SHARING PLAN 401k Plan overview

Plan Name	CARMINE N PETRARCA PROFIT SHARING PLAN
Plan identification number	002

CARMINE N PETRARCA PROFIT SHARING PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing Plan covering Self-Employed individuals. Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

CARMINE N. PETRARCA DDS MS has sponsored the creation of one or more 401k plans.

Company Name: CARMINE N. PETRARCA DDS MS

Employer identification number (EIN): 521281859

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CARMINE N PETRARCA PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2016-01-01 CARMINE N PETRARCA CARMINE N PETRARCA 2017-02-01
002 2015-01-01 CARMINE N PETRARCA CARMINE N PETRARCA 2016-06-22
002 2014-01-01 CARMINE N PETRARCA CARMINE N PETRARCA 2015-10-15
002 2013-01-01 CARMINE N PETRARCA CARMINE N PETRARCA 2014-10-14
002 2012-01-01 CARMINE N PETRARCA CARMINE N PETRARCA 2013-10-14
002 2011-01-01 CARMINE N PETRARCA CARMINE N PETRARCA 2012-10-15
002 2009-01-01 CARMINE PETRARCA CARMINE PETRARCA 2010-10-15
002 2009-01-01 CARMINE PETRARCA CARMINE PETRARCA 2010-10-15

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2016-01-01	CARMINE N PETRARCA	CARMINE N PETRARCA	2017-02-01
002	2015-01-01	CARMINE N PETRARCA	CARMINE N PETRARCA	2016-06-22
002	2014-01-01	CARMINE N PETRARCA	CARMINE N PETRARCA	2015-10-15
002	2013-01-01	CARMINE N PETRARCA	CARMINE N PETRARCA	2014-10-14
002	2012-01-01	CARMINE N PETRARCA	CARMINE N PETRARCA	2013-10-14
002	2011-01-01	CARMINE N PETRARCA	CARMINE N PETRARCA	2012-10-15
002	2009-01-01	CARMINE PETRARCA	CARMINE PETRARCA	2010-10-15
002	2009-01-01	CARMINE PETRARCA	CARMINE PETRARCA	2010-10-15

Plan Statistics for CARMINE N PETRARCA PROFIT SHARING PLAN

401k plan membership statisitcs for CARMINE N PETRARCA PROFIT SHARING PLAN

Measure Date Value
2016: CARMINE N PETRARCA PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: CARMINE N PETRARCA PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 5
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 5
Number of participants with account balances 2015-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: CARMINE N PETRARCA PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 5
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 5
Number of participants with account balances 2014-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: CARMINE N PETRARCA PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 5
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 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 5
Number of participants with account balances 2013-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: CARMINE N PETRARCA PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 5
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 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 5
Number of participants with account balances 2012-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: CARMINE N PETRARCA PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 5
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 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 5
Number of participants with account balances 2011-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: CARMINE N PETRARCA PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 5
Total of all active and inactive participants 2009-01-01 5
Total participants 2009-01-01 5
Number of participants with account balances 2009-01-01 5

Measure	Date	Value
2016: CARMINE N PETRARCA PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: CARMINE N PETRARCA PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	5
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	5
Number of participants with account balances	2015-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: CARMINE N PETRARCA PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	5
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	5
Number of participants with account balances	2014-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: CARMINE N PETRARCA PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	5
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	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	5
Number of participants with account balances	2013-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: CARMINE N PETRARCA PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	5
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	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	5
Number of participants with account balances	2012-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: CARMINE N PETRARCA PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	5
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	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	5
Number of participants with account balances	2011-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: CARMINE N PETRARCA PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	5
Total of all active and inactive participants	2009-01-01	5
Total participants	2009-01-01	5
Number of participants with account balances	2009-01-01	5

Financial Data on CARMINE N PETRARCA PROFIT SHARING PLAN

Measure	Date	Value
2016 : CARMINE N PETRARCA PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$94,075
Expenses. Total of all expenses incurred	2016-12-31	$1,919,104
Benefits paid (including direct rollovers)	2016-12-31	$1,907,676
Total plan assets at end of year	2016-12-31	$0
Total plan assets at beginning of year	2016-12-31	$1,825,029
Value of fidelity bond covering the plan	2016-12-31	$195,000
Other income received	2016-12-31	$94,075
Net income (gross income less expenses)	2016-12-31	$-1,825,029
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$1,825,029
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$11,428
2015 : CARMINE N PETRARCA PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$27,983
Expenses. Total of all expenses incurred	2015-12-31	$20,835
Total plan assets at end of year	2015-12-31	$1,825,029
Total plan assets at beginning of year	2015-12-31	$1,817,881
Value of fidelity bond covering the plan	2015-12-31	$190,000
Other income received	2015-12-31	$-39,990
Net income (gross income less expenses)	2015-12-31	$7,148
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,825,029
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,817,881
Total contributions received or receivable from employer(s)	2015-12-31	$67,973
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$20,835
2014 : CARMINE N PETRARCA PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$214,531
Expenses. Total of all expenses incurred	2014-12-31	$7,165
Total plan assets at end of year	2014-12-31	$1,817,886
Total plan assets at beginning of year	2014-12-31	$1,610,520
Value of fidelity bond covering the plan	2014-12-31	$180,000
Other income received	2014-12-31	$148,493
Net income (gross income less expenses)	2014-12-31	$207,366
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,817,886
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,610,520
Total contributions received or receivable from employer(s)	2014-12-31	$66,038
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$7,165
2013 : CARMINE N PETRARCA PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$250,401
Expenses. Total of all expenses incurred	2013-12-31	$4,227
Total plan assets at end of year	2013-12-31	$1,610,520
Total plan assets at beginning of year	2013-12-31	$1,364,346
Value of fidelity bond covering the plan	2013-12-31	$165,000
Other income received	2013-12-31	$186,298
Net income (gross income less expenses)	2013-12-31	$246,174
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,610,520
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,364,346
Total contributions received or receivable from employer(s)	2013-12-31	$64,103
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$4,227
2012 : CARMINE N PETRARCA PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$238,905
Expenses. Total of all expenses incurred	2012-12-31	$3,306
Total plan assets at end of year	2012-12-31	$1,364,346
Total plan assets at beginning of year	2012-12-31	$1,128,747
Value of fidelity bond covering the plan	2012-12-31	$140,000
Other income received	2012-12-31	$176,042
Net income (gross income less expenses)	2012-12-31	$235,599
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,364,346
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,128,747
Total contributions received or receivable from employer(s)	2012-12-31	$62,863
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$3,306
2011 : CARMINE N PETRARCA PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$81,216
Expenses. Total of all expenses incurred	2011-12-31	$256
Total plan assets at end of year	2011-12-31	$1,128,747
Total plan assets at beginning of year	2011-12-31	$1,047,787
Value of fidelity bond covering the plan	2011-12-31	$130,000
Other income received	2011-12-31	$19,882
Net income (gross income less expenses)	2011-12-31	$80,960
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,128,747
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,047,787
Total contributions received or receivable from employer(s)	2011-12-31	$61,334
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$256
2010 : CARMINE N PETRARCA PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$174,017
Expenses. Total of all expenses incurred	2010-12-31	$2,712
Total plan assets at end of year	2010-12-31	$1,047,787
Total plan assets at beginning of year	2010-12-31	$876,482
Value of fidelity bond covering the plan	2010-12-31	$110,000
Other income received	2010-12-31	$113,584
Net income (gross income less expenses)	2010-12-31	$171,305
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,047,787
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$876,482
Total contributions received or receivable from employer(s)	2010-12-31	$60,433
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$2,712

Form 5500 Responses for CARMINE N PETRARCA PROFIT SHARING PLAN

2016: CARMINE N PETRARCA PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	This submission is the final filing	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: CARMINE N PETRARCA PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: CARMINE N PETRARCA PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: CARMINE N PETRARCA PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: CARMINE N PETRARCA PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: CARMINE N PETRARCA PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: CARMINE N PETRARCA PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	CARMINE N. PETRARCA DDS MS
Employer identification number (EIN):	521281859
NAIC Classification:	621210
NAIC Description:	Offices of Dentists