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ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 401k Plan overview

Plan NameROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN
Plan identification number 001

ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • 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

ROBERT L. GOLUBA, DMD, PA has sponsored the creation of one or more 401k plans.

Company Name:ROBERT L. GOLUBA, DMD, PA
Employer identification number (EIN):591745592
NAIC Classification:621210
NAIC Description:Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01ROBERT L. GOLUBA2024-02-01
0012021-01-01ROBERT L. GOLUBA2022-10-15
0012020-01-01ROBERT L. GOLUBA2021-10-14
0012019-01-01ROBERT L. GOLUBA2020-10-11
0012018-01-01ROBERT L. GOLUBA2019-10-09
0012017-01-01
0012016-01-01
0012015-01-01
0012014-01-01
0012013-01-01
0012012-01-01ROBERT L. GOLUBA
0012011-01-01ROBERT L. GOLUBA
0012009-01-01ROBERT L. GOLUBA

Plan Statistics for ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN

401k plan membership statisitcs for ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN

Measure Date Value
2022: ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-016
Total number of active participants reported on line 7a of the Form 55002022-01-012
Number of retired or separated participants receiving benefits2022-01-011
Number of other retired or separated participants entitled to future benefits2022-01-013
Total of all active and inactive participants2022-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-016
Number of participants with account balances2022-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-016
Total number of active participants reported on line 7a of the Form 55002021-01-012
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-014
Total of all active and inactive participants2021-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-016
Number of participants with account balances2021-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-016
Total number of active participants reported on line 7a of the Form 55002020-01-012
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-014
Total of all active and inactive participants2020-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-016
Number of participants with account balances2020-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-017
Total number of active participants reported on line 7a of the Form 55002019-01-012
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-014
Total of all active and inactive participants2019-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-016
Number of participants with account balances2019-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-018
Total number of active participants reported on line 7a of the Form 55002018-01-012
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-015
Total of all active and inactive participants2018-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-017
Number of participants with account balances2018-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-017
Total number of active participants reported on line 7a of the Form 55002017-01-016
Number of other retired or separated participants entitled to future benefits2017-01-011
Total of all active and inactive participants2017-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-017
Number of participants with account balances2017-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-019
Total number of active participants reported on line 7a of the Form 55002016-01-016
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-011
Total of all active and inactive participants2016-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-017
Number of participants with account balances2016-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0110
Total number of active participants reported on line 7a of the Form 55002015-01-016
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-012
Total of all active and inactive participants2015-01-018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-018
Number of participants with account balances2015-01-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-019
Total number of active participants reported on line 7a of the Form 55002014-01-015
Number of retired or separated participants receiving benefits2014-01-011
Number of other retired or separated participants entitled to future benefits2014-01-012
Total of all active and inactive participants2014-01-018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-011
Total participants2014-01-019
Number of participants with account balances2014-01-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-019
Total number of active participants reported on line 7a of the Form 55002013-01-014
Number of other retired or separated participants entitled to future benefits2013-01-012
Total of all active and inactive participants2013-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-011
Total participants2013-01-017
Number of participants with account balances2013-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-018
Total number of active participants reported on line 7a of the Form 55002012-01-018
Total of all active and inactive participants2012-01-018
Total participants2012-01-018
Number of participants with account balances2012-01-018
2011: ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-018
Total number of active participants reported on line 7a of the Form 55002011-01-018
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
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% vested2011-01-010
2009: ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-017
Total number of active participants reported on line 7a of the Form 55002009-01-014
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-014
Total of all active and inactive participants2009-01-018
Total participants2009-01-018
Number of participants with account balances2009-01-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN

Measure Date Value
2022 : ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2022 401k financial data
Total plan liabilities at end of year2022-12-31$121
Total plan liabilities at beginning of year2022-12-31$0
Total income from all sources2022-12-31$-119,102
Expenses. Total of all expenses incurred2022-12-31$142,033
Benefits paid (including direct rollovers)2022-12-31$110,124
Total plan assets at end of year2022-12-31$963,627
Total plan assets at beginning of year2022-12-31$1,224,641
Value of fidelity bond covering the plan2022-12-31$500,000
Total contributions received or receivable from participants2022-12-31$0
Expenses. Other expenses not covered elsewhere2022-12-31$27,656
Contributions received from other sources (not participants or employers)2022-12-31$0
Other income received2022-12-31$-119,102
Noncash contributions received2022-12-31$0
Net income (gross income less expenses)2022-12-31$-261,135
Net plan assets at end of year (total assets less liabilities)2022-12-31$963,506
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$1,224,641
Assets. Value of participant loans2022-12-31$0
Assets. Value of real-estate (other than employer real property)2022-12-31$355,000
Total contributions received or receivable from employer(s)2022-12-31$0
Value of certain deemed distributions of participant loans2022-12-31$0
Value of corrective distributions2022-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$4,253
2021 : ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2021 401k financial data
Total income from all sources2021-12-31$113,330
Expenses. Total of all expenses incurred2021-12-31$173,615
Benefits paid (including direct rollovers)2021-12-31$150,000
Total plan assets at end of year2021-12-31$1,224,641
Total plan assets at beginning of year2021-12-31$1,284,926
Value of fidelity bond covering the plan2021-12-31$500,000
Expenses. Other expenses not covered elsewhere2021-12-31$23,615
Other income received2021-12-31$113,330
Net income (gross income less expenses)2021-12-31$-60,285
Net plan assets at end of year (total assets less liabilities)2021-12-31$1,224,641
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$1,284,926
Assets. Value of participant loans2021-12-31$0
Assets. Value of real-estate (other than employer real property)2021-12-31$355,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
2020 : ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources2020-12-31$78,901
Expenses. Total of all expenses incurred2020-12-31$45,793
Benefits paid (including direct rollovers)2020-12-31$35,000
Total plan assets at end of year2020-12-31$1,284,926
Total plan assets at beginning of year2020-12-31$1,251,818
Value of fidelity bond covering the plan2020-12-31$500,000
Expenses. Other expenses not covered elsewhere2020-12-31$10,793
Other income received2020-12-31$78,901
Net income (gross income less expenses)2020-12-31$33,108
Net plan assets at end of year (total assets less liabilities)2020-12-31$1,284,926
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$1,251,818
Assets. Value of participant loans2020-12-31$2,770
Assets. Value of real-estate (other than employer real property)2020-12-31$355,000
2019 : ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources2019-12-31$186,696
Expenses. Total of all expenses incurred2019-12-31$432,425
Benefits paid (including direct rollovers)2019-12-31$387,386
Total plan assets at end of year2019-12-31$1,251,818
Total plan assets at beginning of year2019-12-31$1,497,547
Value of fidelity bond covering the plan2019-12-31$500,000
Other income received2019-12-31$186,696
Net income (gross income less expenses)2019-12-31$-245,729
Net plan assets at end of year (total assets less liabilities)2019-12-31$1,251,818
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$1,497,547
Assets. Value of participant loans2019-12-31$13,550
Assets. Value of real-estate (other than employer real property)2019-12-31$355,000
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$45,039
2018 : ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources2018-12-31$-80,198
Expenses. Total of all expenses incurred2018-12-31$134,336
Benefits paid (including direct rollovers)2018-12-31$105,000
Total plan assets at end of year2018-12-31$1,497,547
Total plan assets at beginning of year2018-12-31$1,712,081
Value of fidelity bond covering the plan2018-12-31$510,000
Other income received2018-12-31$-80,198
Net income (gross income less expenses)2018-12-31$-214,534
Net plan assets at end of year (total assets less liabilities)2018-12-31$1,497,547
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$1,712,081
Assets. Value of participant loans2018-12-31$23,865
Assets. Value of real-estate (other than employer real property)2018-12-31$355,000
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$29,336
2017 : ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2017 401k financial data
Total plan liabilities at beginning of year2017-12-31$0
Total income from all sources2017-12-31$175,336
Expenses. Total of all expenses incurred2017-12-31$141,257
Benefits paid (including direct rollovers)2017-12-31$105,000
Total plan assets at end of year2017-12-31$1,712,081
Total plan assets at beginning of year2017-12-31$1,678,002
Value of fidelity bond covering the plan2017-12-31$490,000
Other income received2017-12-31$175,336
Net income (gross income less expenses)2017-12-31$34,079
Net plan assets at end of year (total assets less liabilities)2017-12-31$1,712,081
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$1,678,002
Assets. Value of participant loans2017-12-31$33,737
Assets. Value of real-estate (other than employer real property)2017-12-31$355,000
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$36,257
2016 : ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2016 401k financial data
Total plan liabilities at end of year2016-12-31$0
Total plan liabilities at beginning of year2016-12-31$702,222
Total income from all sources2016-12-31$97,964
Expenses. Total of all expenses incurred2016-12-31$374,059
Benefits paid (including direct rollovers)2016-12-31$316,340
Total plan assets at end of year2016-12-31$1,678,002
Total plan assets at beginning of year2016-12-31$2,656,319
Value of fidelity bond covering the plan2016-12-31$600,000
Other income received2016-12-31$93,236
Net income (gross income less expenses)2016-12-31$-276,095
Net plan assets at end of year (total assets less liabilities)2016-12-31$1,678,002
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$1,954,097
Assets. Value of participant loans2016-12-31$43,183
Assets. Value of real-estate (other than employer real property)2016-12-31$355,000
Total contributions received or receivable from employer(s)2016-12-31$4,728
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$57,719
2015 : ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2015 401k financial data
Total plan liabilities at end of year2015-12-31$702,222
Total income from all sources2015-12-31$8,841
Expenses. Total of all expenses incurred2015-12-31$729,864
Benefits paid (including direct rollovers)2015-12-31$719,560
Total plan assets at end of year2015-12-31$2,656,319
Total plan assets at beginning of year2015-12-31$2,675,120
Value of fidelity bond covering the plan2015-12-31$2,660,000
Assets. Value of loans (other than to participants)2015-12-31$0
Other income received2015-12-31$1,749
Net income (gross income less expenses)2015-12-31$-721,023
Net plan assets at end of year (total assets less liabilities)2015-12-31$1,954,097
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$2,675,120
Assets. Value of real-estate (other than employer real property)2015-12-31$355,000
Total contributions received or receivable from employer(s)2015-12-31$7,092
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$10,304
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources2014-12-31$15,335
Expenses. Total of all expenses incurred2014-12-31$49,176
Benefits paid (including direct rollovers)2014-12-31$9,835
Total plan assets at end of year2014-12-31$2,675,120
Total plan assets at beginning of year2014-12-31$2,708,961
Value of fidelity bond covering the plan2014-12-31$2,940,000
Assets. Value of loans (other than to participants)2014-12-31$2,300,000
Expenses. Other expenses not covered elsewhere2014-12-31$16,313
Other income received2014-12-31$1,075
Net income (gross income less expenses)2014-12-31$-33,841
Net plan assets at end of year (total assets less liabilities)2014-12-31$2,675,120
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$2,708,961
Assets. Value of real-estate (other than employer real property)2014-12-31$355,000
Total contributions received or receivable from employer(s)2014-12-31$14,260
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$23,028
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources2013-12-31$2,357,107
Expenses. Total of all expenses incurred2013-12-31$140,301
Total plan assets at end of year2013-12-31$2,963,689
Total plan assets at beginning of year2013-12-31$746,883
Value of fidelity bond covering the plan2013-12-31$730,000
Assets. Value of loans (other than to participants)2013-12-31$2,300,000
Expenses. Other expenses not covered elsewhere2013-12-31$83,768
Other income received2013-12-31$2,289,002
Net income (gross income less expenses)2013-12-31$2,216,806
Net plan assets at end of year (total assets less liabilities)2013-12-31$2,963,689
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$746,883
Assets. Value of real-estate (other than employer real property)2013-12-31$609,728
Total contributions received or receivable from employer(s)2013-12-31$68,105
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$56,533
2012 : ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at beginning of year2012-12-31$0
Total income from all sources2012-12-31$22,284
Expenses. Total of all expenses incurred2012-12-31$35,347
Total plan assets at end of year2012-12-31$743,332
Total plan assets at beginning of year2012-12-31$756,395
Value of fidelity bond covering the plan2012-12-31$750,000
Expenses. Other expenses not covered elsewhere2012-12-31$2,364
Other income received2012-12-31$-7,060
Net income (gross income less expenses)2012-12-31$-13,063
Net plan assets at end of year (total assets less liabilities)2012-12-31$743,332
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$756,395
Assets. Value of real-estate (other than employer real property)2012-12-31$724,394
Total contributions received or receivable from employer(s)2012-12-31$29,344
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$32,983
2011 : ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan2011-12-31$0
Total plan liabilities at end of year2011-12-31$0
Total plan liabilities at beginning of year2011-12-31$0
Total income from all sources2011-12-31$32,406
Expenses. Total of all expenses incurred2011-12-31$40,339
Benefits paid (including direct rollovers)2011-12-31$0
Total plan assets at end of year2011-12-31$756,395
Total plan assets at beginning of year2011-12-31$764,328
Value of fidelity bond covering the plan2011-12-31$750,000
Total contributions received or receivable from participants2011-12-31$0
Expenses. Other expenses not covered elsewhere2011-12-31$0
Contributions received from other sources (not participants or employers)2011-12-31$0
Other income received2011-12-31$-5,374
Noncash contributions received2011-12-31$0
Net income (gross income less expenses)2011-12-31$-7,933
Net plan assets at end of year (total assets less liabilities)2011-12-31$756,395
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$764,328
Assets. Value of real-estate (other than employer real property)2011-12-31$724,394
Total contributions received or receivable from employer(s)2011-12-31$37,780
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$40,339
2010 : ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources2010-12-31$33,704
Expenses. Total of all expenses incurred2010-12-31$39,752
Benefits paid (including direct rollovers)2010-12-31$0
Total plan assets at end of year2010-12-31$764,328
Total plan assets at beginning of year2010-12-31$770,376
Value of fidelity bond covering the plan2010-12-31$800,000
Expenses. Other expenses not covered elsewhere2010-12-31$39,752
Other income received2010-12-31$-3,781
Net income (gross income less expenses)2010-12-31$-6,048
Net plan assets at end of year (total assets less liabilities)2010-12-31$764,328
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$770,376
Assets. Value of real-estate (other than employer real property)2010-12-31$724,394
Total contributions received or receivable from employer(s)2010-12-31$37,485

Form 5500 Responses for ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN

2022: ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedYes
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: ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedYes
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: ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
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: ROBERT L. GOLUBA, DMD, PA PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
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

NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number23801
Policy instance 1
Insurance contract or identification number23801
Number of Individuals Covered1
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number23801
Policy instance 1
Insurance contract or identification number23801
Number of Individuals Covered1
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number23801
Policy instance 1
Insurance contract or identification number23801
Number of Individuals Covered1
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number23801
Policy instance 1
Insurance contract or identification number23801
Number of Individuals Covered1
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number23801
Policy instance 1
Insurance contract or identification number23801
Number of Individuals Covered1
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number23801
Policy instance 1
Insurance contract or identification number23801
Number of Individuals Covered7
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number23801
Policy instance 1
Insurance contract or identification number23801
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of fees paid to insurance companyUSD $228
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
Amount paid for insurance broker fees228
Additional information about fees paid to insurance brokerPERSISTENCY FEE AND OTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameROBERT J BURNSIDE
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number23801
Policy instance 1
Insurance contract or identification number23801
Number of Individuals Covered1
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of fees paid to insurance companyUSD $228
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
Amount paid for insurance broker fees228
Additional information about fees paid to insurance brokerPERSISTENCY FEES AND OTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameROBERT J BURNSIDE
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number23801
Policy instance 1
Insurance contract or identification number23801
Number of Individuals Covered1
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of fees paid to insurance companyUSD $342
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
Amount paid for insurance broker fees342
Additional information about fees paid to insurance brokerPERSISTENCY FEES AND OTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameROBERT J BURNSIDE
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number23801
Policy instance 1
Insurance contract or identification number23801
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of fees paid to insurance companyUSD $236
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees236
Additional information about fees paid to insurance brokerPERSISTENCY FEES & OTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameROBERT J BURNSIDE
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number23801
Policy instance 1
Insurance contract or identification number23801
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number23801
Policy instance 1
Insurance contract or identification number23801
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31

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