401k Plan data: LARRY M. RASKIN, PH.D. PSC PROFIT SHARING PLAN plan

LARRY M. RASKIN, PH.D. PSC PROFIT SHARING PLAN 401k Plan overview

Plan Name	LARRY M. RASKIN, PH.D. PSC PROFIT SHARING PLAN
Plan identification number	001

LARRY M. RASKIN, PH.D. PSC PROFIT SHARING PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing 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. Participant-directed brokerage accounts provided as an investment option under the plan.

401k Sponsoring company profile

LARRY M. RASKIN, PH.D., PSC has sponsored the creation of one or more 401k plans.

Company Name: LARRY M. RASKIN, PH.D., PSC

Employer identification number (EIN): 610990951

NAIC Classification: 621330
NAIC Description: Offices of Mental Health Practitioners (except Physicians)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LARRY M. RASKIN, PH.D. PSC PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01 LARRY M RASKIN LARRY M RASKIN 2018-03-01
001 2016-01-01 LARRY M RASKIN LARRY M RASKIN 2017-07-31
001 2016-01-01 LARRY M RASKIN
001 2015-01-01 LARRY M RASKIN LARRY M. RASKIN 2016-08-10
001 2014-01-01 LARRY M RASKIN LARRY M RASKIN 2015-02-17
001 2013-01-01 LARRY M RASKIN LARRY M. RASKIN PH.D. 2014-09-19
001 2011-01-01 LARRY M RASKIN PHD 2012-10-10
001 2010-01-01 LARRY M RASKIN, PHD
001 2009-01-01 LARRY M RASKIN, PHD

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2017-01-01	LARRY M RASKIN		LARRY M RASKIN	2018-03-01
001	2016-01-01	LARRY M RASKIN		LARRY M RASKIN	2017-07-31
001	2016-01-01			LARRY M RASKIN
001	2015-01-01	LARRY M RASKIN		LARRY M. RASKIN	2016-08-10
001	2014-01-01	LARRY M RASKIN		LARRY M RASKIN	2015-02-17
001	2013-01-01	LARRY M RASKIN		LARRY M. RASKIN PH.D.	2014-09-19
001	2011-01-01	LARRY M RASKIN PHD	2012-10-10
001	2010-01-01	LARRY M RASKIN, PHD
001	2009-01-01	LARRY M RASKIN, PHD

Plan Statistics for LARRY M. RASKIN, PH.D. PSC PROFIT SHARING PLAN

401k plan membership statisitcs for LARRY M. RASKIN, PH.D. PSC PROFIT SHARING PLAN

Measure Date Value
2017: LARRY M. RASKIN, PH.D. PSC PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 0
Number of participants with account balances 2017-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: LARRY M. RASKIN, PH.D. PSC PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 3
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 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: LARRY M. RASKIN, PH.D. PSC PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 3
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 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 3
Number of participants with account balances 2015-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: LARRY M. RASKIN, PH.D. PSC PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 3
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 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 3
Number of participants with account balances 2014-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: LARRY M. RASKIN, PH.D. PSC PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 3
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 0
Total participants 2013-01-01 3
Number of participants with account balances 2013-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2011: LARRY M. RASKIN, PH.D. PSC PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 3
Total of all active and inactive participants 2011-01-01 3
Total participants 2011-01-01 3
Number of participants with account balances 2011-01-01 3
2010: LARRY M. RASKIN, PH.D. PSC PROFIT SHARING 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 3
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 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 3
2009: LARRY M. RASKIN, PH.D. PSC PROFIT SHARING 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

Measure	Date	Value
2017: LARRY M. RASKIN, PH.D. PSC PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	0
Number of participants with account balances	2017-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: LARRY M. RASKIN, PH.D. PSC PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	3
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	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: LARRY M. RASKIN, PH.D. PSC PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	3
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	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	3
Number of participants with account balances	2015-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: LARRY M. RASKIN, PH.D. PSC PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	3
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	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	3
Number of participants with account balances	2014-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: LARRY M. RASKIN, PH.D. PSC PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	3
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	0
Total participants	2013-01-01	3
Number of participants with account balances	2013-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2011: LARRY M. RASKIN, PH.D. PSC PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	3
Total of all active and inactive participants	2011-01-01	3
Total participants	2011-01-01	3
Number of participants with account balances	2011-01-01	3
2010: LARRY M. RASKIN, PH.D. PSC PROFIT SHARING 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	3
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	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	3
2009: LARRY M. RASKIN, PH.D. PSC PROFIT SHARING 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

Financial Data on LARRY M. RASKIN, PH.D. PSC PROFIT SHARING PLAN

Measure	Date	Value
2017 : LARRY M. RASKIN, PH.D. PSC PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources	2017-08-31	$3,584
Expenses. Total of all expenses incurred	2017-08-31	$118,135
Benefits paid (including direct rollovers)	2017-08-31	$118,040
Total plan assets at end of year	2017-08-31	$0
Total plan assets at beginning of year	2017-08-31	$114,551
Other income received	2017-08-31	$3,584
Net income (gross income less expenses)	2017-08-31	$-114,551
Net plan assets at end of year (total assets less liabilities)	2017-08-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2017-08-31	$114,551
Expenses. Administrative service providers (salaries,fees and commissions)	2017-08-31	$95
2016 : LARRY M. RASKIN, PH.D. PSC PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$6,775
Expenses. Total of all expenses incurred	2016-12-31	$568
Total plan assets at end of year	2016-12-31	$114,551
Total plan assets at beginning of year	2016-12-31	$108,344
Other income received	2016-12-31	$6,775
Net income (gross income less expenses)	2016-12-31	$6,207
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$114,551
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$108,344
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$568
2015 : LARRY M. RASKIN, PH.D. PSC PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$-1,800
Expenses. Total of all expenses incurred	2015-12-31	$586
Total plan assets at end of year	2015-12-31	$108,344
Total plan assets at beginning of year	2015-12-31	$110,730
Other income received	2015-12-31	$-1,800
Net income (gross income less expenses)	2015-12-31	$-2,386
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$108,344
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$110,730
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$586
2014 : LARRY M. RASKIN, PH.D. PSC PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$4,654
Expenses. Total of all expenses incurred	2014-12-31	$498
Total plan assets at end of year	2014-12-31	$110,730
Total plan assets at beginning of year	2014-12-31	$106,574
Other income received	2014-12-31	$4,654
Net income (gross income less expenses)	2014-12-31	$4,156
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$110,730
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$106,574
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$498
2013 : LARRY M. RASKIN, PH.D. PSC PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$12,765
Expenses. Total of all expenses incurred	2013-12-31	$447
Total plan assets at end of year	2013-12-31	$106,574
Total plan assets at beginning of year	2013-12-31	$94,256
Other income received	2013-12-31	$12,765
Net income (gross income less expenses)	2013-12-31	$12,318
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$106,574
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$94,256
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$447
2012 : LARRY M. RASKIN, PH.D. PSC PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$13,992
Expenses. Total of all expenses incurred	2012-12-31	$350
Total plan assets at end of year	2012-12-31	$94,256
Total plan assets at beginning of year	2012-12-31	$80,614
Other income received	2012-12-31	$8,501
Net income (gross income less expenses)	2012-12-31	$13,642
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$94,256
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$80,614
Total contributions received or receivable from employer(s)	2012-12-31	$5,491
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$350
2011 : LARRY M. RASKIN, PH.D. PSC PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$8,207
Expenses. Total of all expenses incurred	2011-12-31	$299
Total plan assets at end of year	2011-12-31	$80,614
Total plan assets at beginning of year	2011-12-31	$72,706
Other income received	2011-12-31	$-3,203
Net income (gross income less expenses)	2011-12-31	$7,908
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$80,614
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$72,706
Total contributions received or receivable from employer(s)	2011-12-31	$11,410
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$299
2010 : LARRY M. RASKIN, PH.D. PSC PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$25,307
Expenses. Total of all expenses incurred	2010-12-31	$221
Total plan assets at end of year	2010-12-31	$72,706
Total plan assets at beginning of year	2010-12-31	$47,620
Other income received	2010-12-31	$7,453
Net income (gross income less expenses)	2010-12-31	$25,086
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$72,706
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$47,620
Total contributions received or receivable from employer(s)	2010-12-31	$17,854
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$221

Form 5500 Responses for LARRY M. RASKIN, PH.D. PSC PROFIT SHARING PLAN

2017: LARRY M. RASKIN, PH.D. PSC PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	This submission is the final filing	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: LARRY M. RASKIN, PH.D. PSC PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: LARRY M. RASKIN, PH.D. PSC 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: LARRY M. RASKIN, PH.D. PSC 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: LARRY M. RASKIN, PH.D. PSC PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2011: LARRY M. RASKIN, PH.D. PSC PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: LARRY M. RASKIN, PH.D. PSC PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: LARRY M. RASKIN, PH.D. PSC PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

CROWN LIFE (National Association of Insurance Commissioners NAIC id number: )

Policy contract number

2479826

Policy instance

Insurance contract or identification number	2479826
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	LARRY M. RASKIN, PH.D., PSC
Employer identification number (EIN):	610990951
NAIC Classification:	621330
NAIC Description:	Offices of Mental Health Practitioners (except Physicians)