401k Plan data: PROVIDENCE PEDIATRICS P.C. 401(K) PLAN plan

PROVIDENCE PEDIATRICS P.C. 401(K) PLAN 401k Plan overview

Plan Name	PROVIDENCE PEDIATRICS P.C. 401(K) PLAN
Plan identification number	001

PROVIDENCE PEDIATRICS P.C. 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

PROVIDENCE PEDIATRICS P.C. has sponsored the creation of one or more 401k plans.

Company Name: PROVIDENCE PEDIATRICS P.C.

Employer identification number (EIN): 233013095

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PROVIDENCE PEDIATRICS P.C. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 JOSEPH DEMAY 2023-04-25
001 2022-01-01 JOSEPH DEMAY 2023-05-30
001 2021-01-01 JOSEPH DEMAY 2023-05-30
001 2020-01-01 JOSEPH DEMAY 2022-01-12
001 2020-01-01 JOSEPH DEMAY 2021-10-07
001 2019-01-01 JOSEPH DEMAY 2020-08-22
001 2018-01-01 JOSEPH DEMAY 2019-07-12 JOSEPH DEMAY 2019-07-12
001 2017-01-01
001 2016-01-01 JOSEPH DEMAY 2017-08-07 JOSEPH DEMAY 2017-08-07
001 2015-01-01
001 2014-01-01 JOSEPH DEMAY
001 2013-01-01 JOSEPH DEMAY JOSEPH DEMAY 2014-06-17
001 2012-01-01 JOSEPH DEMAY JOSEPH DEMAY 2013-06-15
001 2011-01-01 JOSEPH DEMAY JOSEPH DEMAY 2012-07-12
001 2009-01-01 GERALD BAVERO

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	JOSEPH DEMAY	2023-04-25
001	2022-01-01	JOSEPH DEMAY	2023-05-30
001	2021-01-01	JOSEPH DEMAY	2023-05-30
001	2020-01-01	JOSEPH DEMAY	2022-01-12
001	2020-01-01	JOSEPH DEMAY	2021-10-07
001	2019-01-01	JOSEPH DEMAY	2020-08-22
001	2018-01-01	JOSEPH DEMAY	2019-07-12	JOSEPH DEMAY	2019-07-12
001	2017-01-01
001	2016-01-01	JOSEPH DEMAY	2017-08-07	JOSEPH DEMAY	2017-08-07
001	2015-01-01
001	2014-01-01	JOSEPH DEMAY
001	2013-01-01	JOSEPH DEMAY		JOSEPH DEMAY	2014-06-17
001	2012-01-01	JOSEPH DEMAY		JOSEPH DEMAY	2013-06-15
001	2011-01-01	JOSEPH DEMAY		JOSEPH DEMAY	2012-07-12
001	2009-01-01	GERALD BAVERO

Plan Statistics for PROVIDENCE PEDIATRICS P.C. 401(K) PLAN

401k plan membership statisitcs for PROVIDENCE PEDIATRICS P.C. 401(K) PLAN

Measure Date Value
2015: PROVIDENCE PEDIATRICS P.C. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 5
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 0
Total of all active and inactive participants 2015-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 5
Number of participants with account balances 2015-01-01 5
2014: PROVIDENCE PEDIATRICS P.C. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 5
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 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 5
Number of participants with account balances 2014-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: PROVIDENCE PEDIATRICS P.C. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 5
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 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 5
Number of participants with account balances 2013-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: PROVIDENCE PEDIATRICS P.C. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 5
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 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 5
Number of participants with account balances 2012-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: PROVIDENCE PEDIATRICS P.C. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 5
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 0
Total of all active and inactive participants 2011-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 5
Number of participants with account balances 2011-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: PROVIDENCE PEDIATRICS P.C. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 5
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 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 5
Number of participants with account balances 2009-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2015: PROVIDENCE PEDIATRICS P.C. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	5
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	0
Total of all active and inactive participants	2015-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	5
Number of participants with account balances	2015-01-01	5
2014: PROVIDENCE PEDIATRICS P.C. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	5
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	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	5
Number of participants with account balances	2014-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: PROVIDENCE PEDIATRICS P.C. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	5
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	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	5
Number of participants with account balances	2013-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: PROVIDENCE PEDIATRICS P.C. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	5
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	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	5
Number of participants with account balances	2012-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: PROVIDENCE PEDIATRICS P.C. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	5
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	0
Total of all active and inactive participants	2011-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	5
Number of participants with account balances	2011-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: PROVIDENCE PEDIATRICS P.C. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	5
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	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	5
Number of participants with account balances	2009-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on PROVIDENCE PEDIATRICS P.C. 401(K) PLAN

Measure	Date	Value
2015 : PROVIDENCE PEDIATRICS P.C. 401(K) PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$9,493
Expenses. Total of all expenses incurred	2015-12-31	$0
Total plan assets at end of year	2015-12-31	$189,364
Total plan assets at beginning of year	2015-12-31	$179,871
Value of fidelity bond covering the plan	2015-12-31	$20,000
Total contributions received or receivable from participants	2015-12-31	$10,140
Other income received	2015-12-31	$-647
Net income (gross income less expenses)	2015-12-31	$9,493
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$189,364
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$179,871
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : PROVIDENCE PEDIATRICS P.C. 401(K) PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$19,408
Expenses. Total of all expenses incurred	2014-12-31	$208
Total plan assets at end of year	2014-12-31	$179,871
Total plan assets at beginning of year	2014-12-31	$160,671
Value of fidelity bond covering the plan	2014-12-31	$20,000
Total contributions received or receivable from participants	2014-12-31	$10,140
Expenses. Other expenses not covered elsewhere	2014-12-31	$208
Other income received	2014-12-31	$9,268
Net income (gross income less expenses)	2014-12-31	$19,200
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$179,871
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$160,671
2013 : PROVIDENCE PEDIATRICS P.C. 401(K) PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$26,109
Expenses. Total of all expenses incurred	2013-12-31	$720
Total plan assets at end of year	2013-12-31	$160,671
Total plan assets at beginning of year	2013-12-31	$135,282
Value of fidelity bond covering the plan	2013-12-31	$20,000
Total contributions received or receivable from participants	2013-12-31	$10,140
Expenses. Other expenses not covered elsewhere	2013-12-31	$720
Other income received	2013-12-31	$15,969
Net income (gross income less expenses)	2013-12-31	$25,389
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$160,671
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$135,282
2012 : PROVIDENCE PEDIATRICS P.C. 401(K) PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$20,726
Expenses. Total of all expenses incurred	2012-12-31	$676
Total plan assets at end of year	2012-12-31	$135,282
Total plan assets at beginning of year	2012-12-31	$115,232
Total contributions received or receivable from participants	2012-12-31	$10,140
Expenses. Other expenses not covered elsewhere	2012-12-31	$676
Other income received	2012-12-31	$10,586
Net income (gross income less expenses)	2012-12-31	$20,050
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$135,282
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$115,232
2011 : PROVIDENCE PEDIATRICS P.C. 401(K) PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$12,544
Expenses. Total of all expenses incurred	2011-12-31	$630
Total plan assets at end of year	2011-12-31	$115,232
Total plan assets at beginning of year	2011-12-31	$103,318
Total contributions received or receivable from participants	2011-12-31	$10,140
Expenses. Other expenses not covered elsewhere	2011-12-31	$630
Other income received	2011-12-31	$2,404
Net income (gross income less expenses)	2011-12-31	$11,914
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$115,232
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$103,318
2010 : PROVIDENCE PEDIATRICS P.C. 401(K) PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$16,370
Total plan assets at end of year	2010-12-31	$103,318
Total plan assets at beginning of year	2010-12-31	$86,948
Total contributions received or receivable from participants	2010-12-31	$10,140
Other income received	2010-12-31	$6,230
Net income (gross income less expenses)	2010-12-31	$16,370
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$103,318
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$86,948

Form 5500 Responses for PROVIDENCE PEDIATRICS P.C. 401(K) PLAN

2015: PROVIDENCE PEDIATRICS P.C. 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: PROVIDENCE PEDIATRICS P.C. 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: PROVIDENCE PEDIATRICS P.C. 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: PROVIDENCE PEDIATRICS P.C. 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: PROVIDENCE PEDIATRICS P.C. 401(K) 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
2009: PROVIDENCE PEDIATRICS P.C. 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:	PROVIDENCE PEDIATRICS P.C.
Employer identification number (EIN):	233013095
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)