401k Plan data: PREMIER SURGICAL CENTER, LLC 401(K) PLAN plan

PREMIER SURGICAL CENTER, LLC 401(K) PLAN 401k Plan overview

Plan Name	PREMIER SURGICAL CENTER, LLC 401(K) PLAN
Plan identification number	001

PREMIER SURGICAL CENTER, LLC 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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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

PREMIER SURGICAL CENTER, LLC has sponsored the creation of one or more 401k plans.

Company Name: PREMIER SURGICAL CENTER, LLC

Employer identification number (EIN): 223717100

NAIC Classification: 621493
NAIC Description: Freestanding Ambulatory Surgical and Emergency Centers

Additional information about PREMIER SURGICAL CENTER, LLC

Jurisdiction of Incorporation: Wyoming Corporations Division

Incorporation Date: 2010-12-02

Company Identification Number: 000593441

Legal Registered Office Address: Premier Surgical Center, LLC
195 Overthurst Rd
Evanston
United States of America (USA)
82930

More information about PREMIER SURGICAL CENTER, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PREMIER SURGICAL CENTER, LLC 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
001 2022-01-01
001 2021-01-01 TODD LIPSCHULTZ 2022-09-14 TODD LIPSCHULTZ 2022-09-14
001 2020-01-01 TODD LIPSCHULTZ 2021-10-13 TODD LIPSCHULTZ 2021-10-13
001 2019-01-01 CRAIG ROSEN 2020-07-23 CRAIG ROSEN 2020-07-23
001 2018-01-01
001 2017-01-01
001 2016-01-01
001 2015-01-01
001 2014-01-01
001 2013-01-01
001 2012-01-01 CRAIG ROSEN
001 2011-01-01 CRAIG ROSEN
001 2010-01-01 TODD M. LIPSCHULTZ
001 2009-01-01 TODD M. LIPSCHULTZ TODD M. LIPSCHULTZ 2010-10-13

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2023-01-01
001	2022-01-01
001	2021-01-01	TODD LIPSCHULTZ	2022-09-14	TODD LIPSCHULTZ	2022-09-14
001	2020-01-01	TODD LIPSCHULTZ	2021-10-13	TODD LIPSCHULTZ	2021-10-13
001	2019-01-01	CRAIG ROSEN	2020-07-23	CRAIG ROSEN	2020-07-23
001	2018-01-01
001	2017-01-01
001	2016-01-01
001	2015-01-01
001	2014-01-01
001	2013-01-01
001	2012-01-01	CRAIG ROSEN
001	2011-01-01	CRAIG ROSEN
001	2010-01-01	TODD M. LIPSCHULTZ
001	2009-01-01	TODD M. LIPSCHULTZ		TODD M. LIPSCHULTZ	2010-10-13

Plan Statistics for PREMIER SURGICAL CENTER, LLC 401(K) PLAN

401k plan membership statisitcs for PREMIER SURGICAL CENTER, LLC 401(K) PLAN

Measure Date Value
2021: PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 8
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 1
Total of all active and inactive participants 2021-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 9
Number of participants with account balances 2021-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 7
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 1
Total of all active and inactive participants 2020-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 8
Number of participants with account balances 2020-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 6
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 1
Total of all active and inactive participants 2019-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 7
Number of participants with account balances 2019-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 7
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 2
Total of all active and inactive participants 2018-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 9
Number of participants with account balances 2018-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 7
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 3
Total of all active and inactive participants 2017-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 10
Number of participants with account balances 2017-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 14
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 4
Total of all active and inactive participants 2016-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 8
Number of participants with account balances 2016-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 1
2015: PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 18
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 8
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 6
Total of all active and inactive participants 2015-01-01 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 14
Number of participants with account balances 2015-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 1
2014: PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 15
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 3
Total of all active and inactive participants 2014-01-01 18
Total participants 2014-01-01 18
Number of participants with account balances 2014-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 14
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 2
Total of all active and inactive participants 2013-01-01 16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 16
Number of participants with account balances 2013-01-01 9
2012: PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 13
Number of retired or separated participants receiving benefits 2012-01-01 4
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 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 17
Number of participants with account balances 2012-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 6
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 3
Total of all active and inactive participants 2011-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 9
Number of participants with account balances 2011-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 8
Number of retired or separated participants receiving benefits 2010-01-01 1
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 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 9
Number of participants with account balances 2010-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 10
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 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 10
Number of participants with account balances 2009-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2021: PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	8
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	1
Total of all active and inactive participants	2021-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	9
Number of participants with account balances	2021-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	7
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	1
Total of all active and inactive participants	2020-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	8
Number of participants with account balances	2020-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	6
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	1
Total of all active and inactive participants	2019-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	7
Number of participants with account balances	2019-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	7
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	2
Total of all active and inactive participants	2018-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	9
Number of participants with account balances	2018-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	7
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	3
Total of all active and inactive participants	2017-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	10
Number of participants with account balances	2017-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	14
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	4
Total of all active and inactive participants	2016-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	8
Number of participants with account balances	2016-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	1
2015: PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	18
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	8
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	6
Total of all active and inactive participants	2015-01-01	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	14
Number of participants with account balances	2015-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	1
2014: PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	15
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	3
Total of all active and inactive participants	2014-01-01	18
Total participants	2014-01-01	18
Number of participants with account balances	2014-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	14
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	2
Total of all active and inactive participants	2013-01-01	16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	16
Number of participants with account balances	2013-01-01	9
2012: PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	13
Number of retired or separated participants receiving benefits	2012-01-01	4
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	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	17
Number of participants with account balances	2012-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	6
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	3
Total of all active and inactive participants	2011-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	9
Number of participants with account balances	2011-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	8
Number of retired or separated participants receiving benefits	2010-01-01	1
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	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	9
Number of participants with account balances	2010-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	10
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	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	10
Number of participants with account balances	2009-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on PREMIER SURGICAL CENTER, LLC 401(K) PLAN

Measure	Date	Value
2021 : PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2021 401k financial data
Total income from all sources	2021-12-31	$52,673
Expenses. Total of all expenses incurred	2021-12-31	$54,263
Benefits paid (including direct rollovers)	2021-12-31	$54,028
Total plan assets at end of year	2021-12-31	$219,603
Total plan assets at beginning of year	2021-12-31	$221,193
Value of fidelity bond covering the plan	2021-12-31	$400,000
Total contributions received or receivable from participants	2021-12-31	$17,718
Expenses. Other expenses not covered elsewhere	2021-12-31	$235
Other income received	2021-12-31	$30,872
Net income (gross income less expenses)	2021-12-31	$-1,590
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$219,603
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$221,193
Assets. Value of participant loans	2021-12-31	$5,485
Total contributions received or receivable from employer(s)	2021-12-31	$4,083
2020 : PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2020 401k financial data
Total income from all sources	2020-12-31	$50,227
Expenses. Total of all expenses incurred	2020-12-31	$215
Total plan assets at end of year	2020-12-31	$221,193
Total plan assets at beginning of year	2020-12-31	$171,181
Value of fidelity bond covering the plan	2020-12-31	$400,000
Total contributions received or receivable from participants	2020-12-31	$14,267
Expenses. Other expenses not covered elsewhere	2020-12-31	$215
Other income received	2020-12-31	$32,884
Net income (gross income less expenses)	2020-12-31	$50,012
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$221,193
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$171,181
Assets. Value of participant loans	2020-12-31	$17,782
Total contributions received or receivable from employer(s)	2020-12-31	$3,076
2019 : PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2019 401k financial data
Total income from all sources	2019-12-31	$67,855
Expenses. Total of all expenses incurred	2019-12-31	$161,514
Benefits paid (including direct rollovers)	2019-12-31	$161,207
Total plan assets at end of year	2019-12-31	$171,181
Total plan assets at beginning of year	2019-12-31	$264,840
Value of fidelity bond covering the plan	2019-12-31	$400,000
Total contributions received or receivable from participants	2019-12-31	$3,984
Expenses. Other expenses not covered elsewhere	2019-12-31	$307
Contributions received from other sources (not participants or employers)	2019-12-31	$0
Other income received	2019-12-31	$38,184
Net income (gross income less expenses)	2019-12-31	$-93,659
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$171,181
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$264,840
Assets. Value of participant loans	2019-12-31	$16,367
Total contributions received or receivable from employer(s)	2019-12-31	$25,687
2018 : PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$44,469
Expenses. Total of all expenses incurred	2018-12-31	$193,747
Benefits paid (including direct rollovers)	2018-12-31	$193,432
Total plan assets at end of year	2018-12-31	$264,840
Total plan assets at beginning of year	2018-12-31	$414,118
Value of fidelity bond covering the plan	2018-12-31	$400,000
Total contributions received or receivable from participants	2018-12-31	$31,450
Expenses. Other expenses not covered elsewhere	2018-12-31	$315
Contributions received from other sources (not participants or employers)	2018-12-31	$17,847
Other income received	2018-12-31	$-9,279
Net income (gross income less expenses)	2018-12-31	$-149,278
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$264,840
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$414,118
Total contributions received or receivable from employer(s)	2018-12-31	$4,451
2017 : PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$67,725
Expenses. Total of all expenses incurred	2017-12-31	$0
Total plan assets at end of year	2017-12-31	$414,118
Total plan assets at beginning of year	2017-12-31	$346,393
Value of fidelity bond covering the plan	2017-12-31	$400,000
Total contributions received or receivable from participants	2017-12-31	$26,365
Other income received	2017-12-31	$38,042
Net income (gross income less expenses)	2017-12-31	$67,725
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$414,118
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$346,393
Total contributions received or receivable from employer(s)	2017-12-31	$3,318
2016 : PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$47,531
Expenses. Total of all expenses incurred	2016-12-31	$128,992
Benefits paid (including direct rollovers)	2016-12-31	$128,892
Total plan assets at end of year	2016-12-31	$346,393
Total plan assets at beginning of year	2016-12-31	$427,854
Value of fidelity bond covering the plan	2016-12-31	$400,000
Total contributions received or receivable from participants	2016-12-31	$28,500
Expenses. Other expenses not covered elsewhere	2016-12-31	$100
Other income received	2016-12-31	$15,566
Net income (gross income less expenses)	2016-12-31	$-81,461
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$346,393
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$427,854
Total contributions received or receivable from employer(s)	2016-12-31	$3,465
2015 : PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$23,842
Expenses. Total of all expenses incurred	2015-12-31	$0
Total plan assets at end of year	2015-12-31	$427,854
Total plan assets at beginning of year	2015-12-31	$404,012
Value of fidelity bond covering the plan	2015-12-31	$400,000
Total contributions received or receivable from participants	2015-12-31	$22,792
Other income received	2015-12-31	$-1,572
Net income (gross income less expenses)	2015-12-31	$23,842
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$427,854
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$404,012
Total contributions received or receivable from employer(s)	2015-12-31	$2,622
2014 : PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$43,785
Expenses. Total of all expenses incurred	2014-12-31	$0
Total plan assets at end of year	2014-12-31	$404,012
Total plan assets at beginning of year	2014-12-31	$360,227
Value of fidelity bond covering the plan	2014-12-31	$50,000
Total contributions received or receivable from participants	2014-12-31	$22,880
Other income received	2014-12-31	$18,057
Net income (gross income less expenses)	2014-12-31	$43,785
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$404,012
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$360,227
Total contributions received or receivable from employer(s)	2014-12-31	$2,848
2013 : PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$92,056
Expenses. Total of all expenses incurred	2013-12-31	$184,188
Benefits paid (including direct rollovers)	2013-12-31	$184,188
Total plan assets at end of year	2013-12-31	$360,227
Total plan assets at beginning of year	2013-12-31	$452,359
Value of fidelity bond covering the plan	2013-12-31	$50,000
Total contributions received or receivable from participants	2013-12-31	$33,832
Other income received	2013-12-31	$54,100
Net income (gross income less expenses)	2013-12-31	$-92,132
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$360,227
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$452,359
Total contributions received or receivable from employer(s)	2013-12-31	$4,124
2012 : PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$82,942
Expenses. Total of all expenses incurred	2012-12-31	$26,649
Benefits paid (including direct rollovers)	2012-12-31	$26,649
Total plan assets at end of year	2012-12-31	$452,359
Total plan assets at beginning of year	2012-12-31	$396,066
Value of fidelity bond covering the plan	2012-12-31	$50,000
Total contributions received or receivable from participants	2012-12-31	$36,496
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	$41,590
Noncash contributions received	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$56,293
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$452,359
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$396,066
Total contributions received or receivable from employer(s)	2012-12-31	$4,856
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$47,176
Expenses. Total of all expenses incurred	2011-12-31	$0
Benefits paid (including direct rollovers)	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$396,066
Total plan assets at beginning of year	2011-12-31	$348,890
Value of fidelity bond covering the plan	2011-12-31	$50,000
Total contributions received or receivable from participants	2011-12-31	$43,862
Expenses. Other expenses not covered elsewhere	2011-12-31	$0
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-2,445
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$47,176
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$396,066
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$348,890
Total contributions received or receivable from employer(s)	2011-12-31	$5,759
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$0
2010 : PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2010 401k financial data
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$79,481
Expenses. Total of all expenses incurred	2010-12-31	$0
Benefits paid (including direct rollovers)	2010-12-31	$0
Total plan assets at end of year	2010-12-31	$348,890
Total plan assets at beginning of year	2010-12-31	$269,409
Value of fidelity bond covering the plan	2010-12-31	$50,000
Total contributions received or receivable from participants	2010-12-31	$47,500
Expenses. Other expenses not covered elsewhere	2010-12-31	$0
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$25,730
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$79,481
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$348,890
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$269,409
Total contributions received or receivable from employer(s)	2010-12-31	$6,251
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$0

Form 5500 Responses for PREMIER SURGICAL CENTER, LLC 401(K) PLAN

2021: PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: PREMIER SURGICAL CENTER, LLC 401(K) 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 – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: PREMIER SURGICAL CENTER, LLC 401(K) 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 – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: PREMIER SURGICAL CENTER, LLC 401(K) 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 – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: PREMIER SURGICAL CENTER, LLC 401(K) 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 – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: PREMIER SURGICAL CENTER, LLC 401(K) 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 – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: PREMIER SURGICAL CENTER, LLC 401(K) 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 – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: PREMIER SURGICAL CENTER, LLC 401(K) 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 – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: PREMIER SURGICAL CENTER, LLC 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	PREMIER SURGICAL CENTER, LLC
Employer identification number (EIN):	223717100
NAIC Classification:	621493
NAIC Description:	Freestanding Ambulatory Surgical and Emergency Centers

Jurisdiction of Incorporation:	Wyoming Corporations Division
Incorporation Date:	2010-12-02
Company Identification Number:	000593441
Legal Registered Office Address:	Premier Surgical Center, LLC 195 Overthurst Rd Evanston United States of America (USA) 82930