401k Plan data: KENNETH J. CANZONERI, D.D.S. PROFIT SHARING PLAN plan

KENNETH J. CANZONERI, D.D.S. PROFIT SHARING PLAN 401k Plan overview

Plan Name	KENNETH J. CANZONERI, D.D.S. PROFIT SHARING PLAN
Plan identification number	001

KENNETH J. CANZONERI, D.D.S. PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
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

KENNETH J. CANZONERI, D.D.S. has sponsored the creation of one or more 401k plans.

Company Name: KENNETH J. CANZONERI, D.D.S.

Employer identification number (EIN): 953614841

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KENNETH J. CANZONERI, D.D.S. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01 KENNETH J CANZONERI 2019-10-08 KENNETH J CANZONERI 2019-10-08
001 2017-01-01
001 2016-01-01
001 2015-01-01
001 2014-01-01
001 2013-01-01
001 2012-01-01 KENNETH CANZONERI KENNETH CANZONERI 2013-09-05
001 2011-01-01 KENNETH CANZONERI 2012-05-11 KENNETH CANZONERI 2012-05-11
001 2010-01-01 KENNETH CANZONERI 2011-06-30 KENNETH CANZONERI 2011-06-30

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01
001	2021-01-01
001	2020-01-01
001	2019-01-01
001	2018-01-01	KENNETH J CANZONERI	2019-10-08	KENNETH J CANZONERI	2019-10-08
001	2017-01-01
001	2016-01-01
001	2015-01-01
001	2014-01-01
001	2013-01-01
001	2012-01-01	KENNETH CANZONERI		KENNETH CANZONERI	2013-09-05
001	2011-01-01	KENNETH CANZONERI	2012-05-11	KENNETH CANZONERI	2012-05-11
001	2010-01-01	KENNETH CANZONERI	2011-06-30	KENNETH CANZONERI	2011-06-30

Plan Statistics for KENNETH J. CANZONERI, D.D.S. PROFIT SHARING PLAN

401k plan membership statisitcs for KENNETH J. CANZONERI, D.D.S. PROFIT SHARING PLAN

Measure Date Value
2018: KENNETH J. CANZONERI, D.D.S. PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 5
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 1
Total of all active and inactive participants 2018-01-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 6
Number of participants with account balances 2018-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: KENNETH J. CANZONERI, D.D.S. PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 5
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 1
Total of all active and inactive participants 2017-01-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 6
Number of participants with account balances 2017-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: KENNETH J. CANZONERI, D.D.S. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 4
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 1
Total of all active and inactive participants 2016-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 5
Number of participants with account balances 2016-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 1
2015: KENNETH J. CANZONERI, D.D.S. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 6
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 1
Total of all active and inactive participants 2015-01-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 6
Number of participants with account balances 2015-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 1
2014: KENNETH J. CANZONERI, D.D.S. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 6
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 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 6
Number of participants with account balances 2014-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: KENNETH J. CANZONERI, D.D.S. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 6
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 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 6
Number of participants with account balances 2013-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: KENNETH J. CANZONERI, D.D.S. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 6
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 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 6
Number of participants with account balances 2012-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0

Measure	Date	Value
2018: KENNETH J. CANZONERI, D.D.S. PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	5
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	1
Total of all active and inactive participants	2018-01-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	6
Number of participants with account balances	2018-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: KENNETH J. CANZONERI, D.D.S. PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	5
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	1
Total of all active and inactive participants	2017-01-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	6
Number of participants with account balances	2017-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: KENNETH J. CANZONERI, D.D.S. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	4
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	1
Total of all active and inactive participants	2016-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	5
Number of participants with account balances	2016-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	1
2015: KENNETH J. CANZONERI, D.D.S. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	6
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	1
Total of all active and inactive participants	2015-01-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	6
Number of participants with account balances	2015-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	1
2014: KENNETH J. CANZONERI, D.D.S. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	6
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	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	6
Number of participants with account balances	2014-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: KENNETH J. CANZONERI, D.D.S. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	6
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	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	6
Number of participants with account balances	2013-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: KENNETH J. CANZONERI, D.D.S. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	6
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	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	6
Number of participants with account balances	2012-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0

Financial Data on KENNETH J. CANZONERI, D.D.S. PROFIT SHARING PLAN

Measure	Date	Value
2018 : KENNETH J. CANZONERI, D.D.S. PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$-71,681
Expenses. Total of all expenses incurred	2018-12-31	$2,492
Total plan assets at end of year	2018-12-31	$1,417,474
Total plan assets at beginning of year	2018-12-31	$1,491,647
Value of fidelity bond covering the plan	2018-12-31	$85,000
Other income received	2018-12-31	$-137,738
Net income (gross income less expenses)	2018-12-31	$-74,173
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$1,417,474
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$1,491,647
Total contributions received or receivable from employer(s)	2018-12-31	$66,057
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$2,492
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
2017 : KENNETH J. CANZONERI, D.D.S. PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$226,121
Expenses. Total of all expenses incurred	2017-12-31	$57,115
Benefits paid (including direct rollovers)	2017-12-31	$55,442
Total plan assets at end of year	2017-12-31	$1,491,647
Total plan assets at beginning of year	2017-12-31	$1,322,641
Value of fidelity bond covering the plan	2017-12-31	$85,000
Total contributions received or receivable from participants	2017-12-31	$0
Expenses. Other expenses not covered elsewhere	2017-12-31	$0
Contributions received from other sources (not participants or employers)	2017-12-31	$0
Other income received	2017-12-31	$161,152
Net income (gross income less expenses)	2017-12-31	$169,006
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$1,491,647
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$1,322,641
Total contributions received or receivable from employer(s)	2017-12-31	$64,969
Value of certain deemed distributions of participant loans	2017-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$1,673
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
2016 : KENNETH J. CANZONERI, D.D.S. PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$130,462
Expenses. Total of all expenses incurred	2016-12-31	$14,260
Benefits paid (including direct rollovers)	2016-12-31	$12,690
Total plan assets at end of year	2016-12-31	$1,322,641
Total plan assets at beginning of year	2016-12-31	$1,206,439
Value of fidelity bond covering the plan	2016-12-31	$85,000
Total contributions received or receivable from participants	2016-12-31	$0
Contributions received from other sources (not participants or employers)	2016-12-31	$0
Other income received	2016-12-31	$67,618
Noncash contributions received	2016-12-31	$0
Net income (gross income less expenses)	2016-12-31	$116,202
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$1,322,641
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$1,206,439
Total contributions received or receivable from employer(s)	2016-12-31	$62,844
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$1,570
2015 : KENNETH J. CANZONERI, D.D.S. PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$118
Expenses. Total of all expenses incurred	2015-12-31	$1,455
Total plan assets at end of year	2015-12-31	$1,206,439
Total plan assets at beginning of year	2015-12-31	$1,207,776
Value of fidelity bond covering the plan	2015-12-31	$85,000
Total contributions received or receivable from participants	2015-12-31	$0
Expenses. Other expenses not covered elsewhere	2015-12-31	$0
Contributions received from other sources (not participants or employers)	2015-12-31	$0
Other income received	2015-12-31	$-63,817
Net income (gross income less expenses)	2015-12-31	$-1,337
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,206,439
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,207,776
Total contributions received or receivable from employer(s)	2015-12-31	$63,935
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$1,455
2014 : KENNETH J. CANZONERI, D.D.S. PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$88,599
Expenses. Total of all expenses incurred	2014-12-31	$0
Total plan assets at end of year	2014-12-31	$1,207,776
Total plan assets at beginning of year	2014-12-31	$1,119,177
Value of fidelity bond covering the plan	2014-12-31	$85,000
Total contributions received or receivable from participants	2014-12-31	$0
Expenses. Other expenses not covered elsewhere	2014-12-31	$0
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$21,911
Net income (gross income less expenses)	2014-12-31	$88,599
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,207,776
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,119,177
Total contributions received or receivable from employer(s)	2014-12-31	$66,688
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$0
2013 : KENNETH J. CANZONERI, D.D.S. PROFIT SHARING PLAN 2013 401k financial data
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$216,990
Expenses. Total of all expenses incurred	2013-12-31	$10,541
Total plan assets at end of year	2013-12-31	$1,119,177
Total plan assets at beginning of year	2013-12-31	$912,728
Value of fidelity bond covering the plan	2013-12-31	$85,000
Total contributions received or receivable from participants	2013-12-31	$0
Expenses. Other expenses not covered elsewhere	2013-12-31	$0
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$151,347
Net income (gross income less expenses)	2013-12-31	$206,449
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,119,177
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$912,728
Total contributions received or receivable from employer(s)	2013-12-31	$65,643
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$10,541
2012 : KENNETH J. CANZONERI, D.D.S. PROFIT SHARING PLAN 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
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	$129,821
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	$912,728
Total plan assets at beginning of year	2012-12-31	$782,907
Value of fidelity bond covering the plan	2012-12-31	$85,000
Total contributions received or receivable from participants	2012-12-31	$0
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	$64,051
Noncash contributions received	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$129,821
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$912,728
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$782,907
Total contributions received or receivable from employer(s)	2012-12-31	$65,770
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

Form 5500 Responses for KENNETH J. CANZONERI, D.D.S. PROFIT SHARING PLAN

2018: KENNETH J. CANZONERI, D.D.S. PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: KENNETH J. CANZONERI, D.D.S. PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: KENNETH J. CANZONERI, D.D.S. PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: KENNETH J. CANZONERI, D.D.S. PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: KENNETH J. CANZONERI, D.D.S. PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: KENNETH J. CANZONERI, D.D.S. PROFIT SHARING 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 – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: KENNETH J. CANZONERI, D.D.S. PROFIT SHARING 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 – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

C072457-OX

Policy instance

Insurance contract or identification number	C072457-OX
Number of Individuals Covered	6
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $13,132
Total amount of fees paid to insurance company	USD $0
Commission paid to Insurance Broker	USD $0
Insurance broker organization code?	3

ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

C072457-OX

Policy instance

Insurance contract or identification number	C072457-OX
Number of Individuals Covered	6
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $12,611
Total amount of fees paid to insurance company	USD $0
Commission paid to Insurance Broker	USD $9,321
Insurance broker organization code?	3
Insurance broker name	JOHN G ROLLER

ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

C072457-0X

Policy instance

Insurance contract or identification number	C072457-0X
Number of Individuals Covered	6
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $11,518
Total amount of fees paid to insurance company	USD $0
Commission paid to Insurance Broker	USD $11,518
Insurance broker organization code?	3
Insurance broker name	DANIEL PUGEL

ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

C072457-0X

Policy instance

Insurance contract or identification number	C072457-0X
Number of Individuals Covered	1
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Insurance broker organization code?	3
Insurance broker name	DANIEL PUGEL

ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

C072457-0X

Policy instance

Insurance contract or identification number	C072457-0X
Number of Individuals Covered	1
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $10,541
Total amount of fees paid to insurance company	USD $0
Commission paid to Insurance Broker	USD $10,541
Insurance broker organization code?	3
Insurance broker name	DANIEL PUGEL

ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

C072457-0X

Policy instance

Insurance contract or identification number	C072457-0X
Number of Individuals Covered	1
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Insurance broker name	DANIEL PUGEL

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Company Name:	KENNETH J. CANZONERI, D.D.S.
Employer identification number (EIN):	953614841
NAIC Classification:	621210
NAIC Description:	Offices of Dentists