401k Plan data: KIMBERLY M. SANDBERG RN, CRNA, APC 401(K) PLAN plan

KIMBERLY M. SANDBERG RN, CRNA, APC 401(K) PLAN 401k Plan overview

Plan Name	KIMBERLY M. SANDBERG RN, CRNA, APC 401(K) PLAN
Plan identification number	001

KIMBERLY M. SANDBERG RN, CRNA, APC 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
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.
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

KIMBERLY M. SANDBERG RN, CRNA, APC has sponsored the creation of one or more 401k plans.

Company Name: KIMBERLY M. SANDBERG RN, CRNA, APC

Employer identification number (EIN): 208459477

NAIC Classification: 621399
NAIC Description: Offices of All Other Miscellaneous Health Practitioners

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KIMBERLY M. SANDBERG RN, CRNA, APC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2023-01-01 KIMBERLY M. SANDBERG 2024-08-12
001 2022-01-01 KIMBERLY M. SANDBERG 2023-09-14

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2023-01-01	KIMBERLY M. SANDBERG	2024-08-12
001	2022-01-01	KIMBERLY M. SANDBERG	2023-09-14

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Company Name:	KIMBERLY M. SANDBERG RN, CRNA, APC
Employer identification number (EIN):	208459477
NAIC Classification:	621399
NAIC Description:	Offices of All Other Miscellaneous Health Practitioners