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LONG ISLAND EYE SURGICAL CARE P.C. 401K PLAN 401k Plan overview

Plan NameLONG ISLAND EYE SURGICAL CARE P.C. 401K PLAN
Plan identification number 002

LONG ISLAND EYE SURGICAL CARE P.C. 401K PLAN Benefits

401k Plan TypeDefined 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.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

LONG ISLAND EYE SURGICAL CARE P.C. has sponsored the creation of one or more 401k plans.

Company Name:LONG ISLAND EYE SURGICAL CARE P.C.
Employer identification number (EIN):112355523
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LONG ISLAND EYE SURGICAL CARE P.C. 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022018-01-01JIM FRAZZETTA2019-08-27
0022017-01-01JIM FRAZZETTA
0022017-01-01JIM FRAZZETTA
0022016-01-01JOHN PASSARELLI
0022016-01-01JIM FRAZZETTA
0022015-01-01DIGNA MUNOZ2016-10-14
0022014-01-01JOHN PASSARELLI2015-07-30
0022013-01-01JOHN PASSARELLI2014-10-14
0022012-01-01JOHN PASSARELLI2013-07-31
0022011-01-01JOHN PASSARELLI2012-06-11
0022010-01-01JOHN PASSARELLI2011-07-29

Plan Statistics for LONG ISLAND EYE SURGICAL CARE P.C. 401K PLAN

401k plan membership statisitcs for LONG ISLAND EYE SURGICAL CARE P.C. 401K PLAN

Measure Date Value
2017: LONG ISLAND EYE SURGICAL CARE P.C. 401K PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01179
Total number of active participants reported on line 7a of the Form 55002017-01-01118
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0117
Total of all active and inactive participants2017-01-01135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01135
Number of participants with account balances2017-01-0194
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-018
2016: LONG ISLAND EYE SURGICAL CARE P.C. 401K PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01154
Total number of active participants reported on line 7a of the Form 55002016-01-01179
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01179
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01179
Number of participants with account balances2016-01-0179
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-011

Financial Data on LONG ISLAND EYE SURGICAL CARE P.C. 401K PLAN

Measure Date Value
2017 : LONG ISLAND EYE SURGICAL CARE P.C. 401K PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-12-31$805,607
Total of all expenses incurred2017-12-31$159,253
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$156,316
Expenses. Certain deemed distributions of participant loans2017-12-31$1,898
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$384,525
Value of total assets at end of year2017-12-31$2,890,228
Value of total assets at beginning of year2017-12-31$2,243,874
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$1,039
Total interest from all sources2017-12-31$1,991
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$1,906
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$1,906
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$200,000
If this is an individual account plan, was there a blackout period2017-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$309,020
Participant contributions at end of year2017-12-31$19,384
Participant contributions at beginning of year2017-12-31$20,907
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$31,056
Assets. Loans (other than to participants) at end of year2017-12-31$51,074
Assets. Loans (other than to participants) at beginning of year2017-12-31$36,126
Administrative expenses (other) incurred2017-12-31$1,039
Total non interest bearing cash at end of year2017-12-31$0
Total non interest bearing cash at beginning of year2017-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$646,354
Value of net assets at end of year (total assets less liabilities)2017-12-31$2,890,228
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$2,243,874
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$2,839,154
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$2,135,531
Interest on participant loans2017-12-31$1,991
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$72,217
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$72,217
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$58,578
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$417,185
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$44,449
Employer contributions (assets) at end of year2017-12-31$4,700
Employer contributions (assets) at beginning of year2017-12-31$3,765
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$156,316
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31Yes
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31BDO USA, LLP
Accountancy firm EIN2017-12-31135381590
2016 : LONG ISLAND EYE SURGICAL CARE P.C. 401K PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$410,572
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$110,659
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$89,914
Expenses. Certain deemed distributions of participant loans2016-12-31$17,290
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$249,133
Value of total assets at end of year2016-12-31$2,243,874
Value of total assets at beginning of year2016-12-31$1,943,961
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$3,455
Total interest from all sources2016-12-31$1,193
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$3,455
Assets. Corporate prefeered stocks other than exployer securities at end of year2016-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2016-12-31$0
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$200,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$209,042
Participant contributions at end of year2016-12-31$36,126
Participant contributions at beginning of year2016-12-31$65,345
Participant contributions at end of year2016-12-31$20,907
Participant contributions at beginning of year2016-12-31$0
Total non interest bearing cash at end of year2016-12-31$0
Total non interest bearing cash at beginning of year2016-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$299,913
Value of net assets at end of year (total assets less liabilities)2016-12-31$2,243,874
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$1,943,961
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$2,135,531
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$1,805,937
Interest on participant loans2016-12-31$1,809
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$72,217
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$72,679
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$72,679
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$-616
Asset value of US Government securities at end of year2016-12-31$0
Asset value of US Government securities at beginning of year2016-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$160,246
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$40,091
Employer contributions (assets) at end of year2016-12-31$3,765
Employer contributions (assets) at beginning of year2016-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$89,914
Asset. Corporate debt instrument preferred debt at end of year2016-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2016-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2016-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2016-12-31$0
Contract administrator fees2016-12-31$22,523
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2016-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2016-12-31$0
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31BDO USA, LLP
Accountancy firm EIN2016-12-31135381590

Form 5500 Responses for LONG ISLAND EYE SURGICAL CARE P.C. 401K PLAN

2017: LONG ISLAND EYE SURGICAL CARE P.C. 401K PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedYes
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: LONG ISLAND EYE SURGICAL CARE P.C. 401K PLAN 2016 form 5500 responses
2016-01-01Type of plan entityMulitple employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

FIRST GREAT WEST LIFE INSURANCE & ANNUITY CO (National Association of Insurance Commissioners NAIC id number: 60214 )
Policy contract number590130-01
Policy instance 1
Insurance contract or identification number590130-01
Number of Individuals Covered13
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $202
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $95
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameKEVIN PETERS

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