401k Plan data: GAINESVILLE FAMILY PRACTICE PC 401K PSP plan

GAINESVILLE FAMILY PRACTICE PC 401K PSP 401k Plan overview

Plan Name	GAINESVILLE FAMILY PRACTICE PC 401K PSP
Plan identification number	001

GAINESVILLE FAMILY PRACTICE PC 401K PSP 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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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

GAINESVILLE FAMILY PRACTICE, P.C. has sponsored the creation of one or more 401k plans.

Company Name: GAINESVILLE FAMILY PRACTICE, P.C.

Employer identification number (EIN): 260016274

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

Additional information about GAINESVILLE FAMILY PRACTICE, P.C.

Jurisdiction of Incorporation: Virginia Secretary of State

Incorporation Date: 2002-01-10

Company Identification Number: 0570022

Legal Registered Office Address: 14370 LEE HWY STE 105

GAINESVILLE
United States of America (USA)
20155

More information about GAINESVILLE FAMILY PRACTICE, P.C.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GAINESVILLE FAMILY PRACTICE PC 401K PSP

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2023-01-01 DOUGLAS SIGMON 2024-05-14
001 2022-01-01 DOUGLAS SIGMON 2023-05-12
001 2021-01-01 DOUGLAS SIGMON 2022-09-06
001 2020-01-01 DOUGLAS SIGMON MD 2021-05-11
001 2019-01-01 DOUGLAS SIGMON MD 2020-08-05
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 DOUGLAS SIGMON
001 2011-01-01 DOUGLAS SIGMON
001 2010-01-01 DOUGLAS SIGMON
001 2009-01-01 DOUGLAS SIGMON MD

Plan Statistics for GAINESVILLE FAMILY PRACTICE PC 401K PSP

401k plan membership statisitcs for GAINESVILLE FAMILY PRACTICE PC 401K PSP

Measure Date Value
2020: GAINESVILLE FAMILY PRACTICE PC 401K PSP 2020 401k membership
Total participants, beginning-of-year 2020-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 11
Number of other retired or separated participants entitled to future benefits 2020-01-01 4
Total of all active and inactive participants 2020-01-01 15
Total participants 2020-01-01 15
Number of participants with account balances 2020-01-01 15
2019: GAINESVILLE FAMILY PRACTICE PC 401K PSP 2019 401k membership
Total participants, beginning-of-year 2019-01-01 21
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 11
Number of other retired or separated participants entitled to future benefits 2019-01-01 2
Total of all active and inactive participants 2019-01-01 13
Total participants 2019-01-01 13
Number of participants with account balances 2019-01-01 13
2018: GAINESVILLE FAMILY PRACTICE PC 401K PSP 2018 401k membership
Total participants, beginning-of-year 2018-01-01 24
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 9
Number of other retired or separated participants entitled to future benefits 2018-01-01 12
Total of all active and inactive participants 2018-01-01 21
Total participants 2018-01-01 21
Number of participants with account balances 2018-01-01 21
2017: GAINESVILLE FAMILY PRACTICE PC 401K PSP 2017 401k membership
Total participants, beginning-of-year 2017-01-01 31
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 9
Number of other retired or separated participants entitled to future benefits 2017-01-01 15
Total of all active and inactive participants 2017-01-01 24
Total participants 2017-01-01 24
Number of participants with account balances 2017-01-01 24
2016: GAINESVILLE FAMILY PRACTICE PC 401K PSP 2016 401k membership
Total participants, beginning-of-year 2016-01-01 30
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 10
Number of other retired or separated participants entitled to future benefits 2016-01-01 21
Total of all active and inactive participants 2016-01-01 31
Total participants 2016-01-01 31
Number of participants with account balances 2016-01-01 31
2015: GAINESVILLE FAMILY PRACTICE PC 401K PSP 2015 401k membership
Total participants, beginning-of-year 2015-01-01 30
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 13
Number of other retired or separated participants entitled to future benefits 2015-01-01 17
Total of all active and inactive participants 2015-01-01 30
Total participants 2015-01-01 30
Number of participants with account balances 2015-01-01 30
2014: GAINESVILLE FAMILY PRACTICE PC 401K PSP 2014 401k membership
Total participants, beginning-of-year 2014-01-01 30
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 17
Number of other retired or separated participants entitled to future benefits 2014-01-01 13
Total of all active and inactive participants 2014-01-01 30
Total participants 2014-01-01 30
Number of participants with account balances 2014-01-01 30
2013: GAINESVILLE FAMILY PRACTICE PC 401K PSP 2013 401k membership
Total participants, beginning-of-year 2013-01-01 27
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 16
Number of other retired or separated participants entitled to future benefits 2013-01-01 14
Total of all active and inactive participants 2013-01-01 30
Total participants 2013-01-01 30
Number of participants with account balances 2013-01-01 30
2012: GAINESVILLE FAMILY PRACTICE PC 401K PSP 2012 401k membership
Total participants, beginning-of-year 2012-01-01 26
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 17
Number of other retired or separated participants entitled to future benefits 2012-01-01 10
Total of all active and inactive participants 2012-01-01 27
Total participants 2012-01-01 27
Number of participants with account balances 2012-01-01 27
2011: GAINESVILLE FAMILY PRACTICE PC 401K PSP 2011 401k membership
Total participants, beginning-of-year 2011-01-01 24
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 14
Number of other retired or separated participants entitled to future benefits 2011-01-01 12
Total of all active and inactive participants 2011-01-01 26
Total participants 2011-01-01 26
Number of participants with account balances 2011-01-01 26
2010: GAINESVILLE FAMILY PRACTICE PC 401K PSP 2010 401k membership
Total participants, beginning-of-year 2010-01-01 26
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 18
Number of other retired or separated participants entitled to future benefits 2010-01-01 6
Total of all active and inactive participants 2010-01-01 24
Total participants 2010-01-01 24
Number of participants with account balances 2010-01-01 24
2009: GAINESVILLE FAMILY PRACTICE PC 401K PSP 2009 401k membership
Total participants, beginning-of-year 2009-01-01 21
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 19
Number of other retired or separated participants entitled to future benefits 2009-01-01 7
Total of all active and inactive participants 2009-01-01 26
Total participants 2009-01-01 26
Number of participants with account balances 2009-01-01 26

Measure	Date	Value
2020: GAINESVILLE FAMILY PRACTICE PC 401K PSP 2020 401k membership
Total participants, beginning-of-year	2020-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	11
Number of other retired or separated participants entitled to future benefits	2020-01-01	4
Total of all active and inactive participants	2020-01-01	15
Total participants	2020-01-01	15
Number of participants with account balances	2020-01-01	15
2019: GAINESVILLE FAMILY PRACTICE PC 401K PSP 2019 401k membership
Total participants, beginning-of-year	2019-01-01	21
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	11
Number of other retired or separated participants entitled to future benefits	2019-01-01	2
Total of all active and inactive participants	2019-01-01	13
Total participants	2019-01-01	13
Number of participants with account balances	2019-01-01	13
2018: GAINESVILLE FAMILY PRACTICE PC 401K PSP 2018 401k membership
Total participants, beginning-of-year	2018-01-01	24
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	9
Number of other retired or separated participants entitled to future benefits	2018-01-01	12
Total of all active and inactive participants	2018-01-01	21
Total participants	2018-01-01	21
Number of participants with account balances	2018-01-01	21
2017: GAINESVILLE FAMILY PRACTICE PC 401K PSP 2017 401k membership
Total participants, beginning-of-year	2017-01-01	31
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	9
Number of other retired or separated participants entitled to future benefits	2017-01-01	15
Total of all active and inactive participants	2017-01-01	24
Total participants	2017-01-01	24
Number of participants with account balances	2017-01-01	24
2016: GAINESVILLE FAMILY PRACTICE PC 401K PSP 2016 401k membership
Total participants, beginning-of-year	2016-01-01	30
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	10
Number of other retired or separated participants entitled to future benefits	2016-01-01	21
Total of all active and inactive participants	2016-01-01	31
Total participants	2016-01-01	31
Number of participants with account balances	2016-01-01	31
2015: GAINESVILLE FAMILY PRACTICE PC 401K PSP 2015 401k membership
Total participants, beginning-of-year	2015-01-01	30
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	13
Number of other retired or separated participants entitled to future benefits	2015-01-01	17
Total of all active and inactive participants	2015-01-01	30
Total participants	2015-01-01	30
Number of participants with account balances	2015-01-01	30
2014: GAINESVILLE FAMILY PRACTICE PC 401K PSP 2014 401k membership
Total participants, beginning-of-year	2014-01-01	30
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	17
Number of other retired or separated participants entitled to future benefits	2014-01-01	13
Total of all active and inactive participants	2014-01-01	30
Total participants	2014-01-01	30
Number of participants with account balances	2014-01-01	30
2013: GAINESVILLE FAMILY PRACTICE PC 401K PSP 2013 401k membership
Total participants, beginning-of-year	2013-01-01	27
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	16
Number of other retired or separated participants entitled to future benefits	2013-01-01	14
Total of all active and inactive participants	2013-01-01	30
Total participants	2013-01-01	30
Number of participants with account balances	2013-01-01	30
2012: GAINESVILLE FAMILY PRACTICE PC 401K PSP 2012 401k membership
Total participants, beginning-of-year	2012-01-01	26
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	17
Number of other retired or separated participants entitled to future benefits	2012-01-01	10
Total of all active and inactive participants	2012-01-01	27
Total participants	2012-01-01	27
Number of participants with account balances	2012-01-01	27
2011: GAINESVILLE FAMILY PRACTICE PC 401K PSP 2011 401k membership
Total participants, beginning-of-year	2011-01-01	24
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	14
Number of other retired or separated participants entitled to future benefits	2011-01-01	12
Total of all active and inactive participants	2011-01-01	26
Total participants	2011-01-01	26
Number of participants with account balances	2011-01-01	26
2010: GAINESVILLE FAMILY PRACTICE PC 401K PSP 2010 401k membership
Total participants, beginning-of-year	2010-01-01	26
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	18
Number of other retired or separated participants entitled to future benefits	2010-01-01	6
Total of all active and inactive participants	2010-01-01	24
Total participants	2010-01-01	24
Number of participants with account balances	2010-01-01	24
2009: GAINESVILLE FAMILY PRACTICE PC 401K PSP 2009 401k membership
Total participants, beginning-of-year	2009-01-01	21
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	19
Number of other retired or separated participants entitled to future benefits	2009-01-01	7
Total of all active and inactive participants	2009-01-01	26
Total participants	2009-01-01	26
Number of participants with account balances	2009-01-01	26

Financial Data on GAINESVILLE FAMILY PRACTICE PC 401K PSP

Measure	Date	Value
2020 : GAINESVILLE FAMILY PRACTICE PC 401K PSP 2020 401k financial data
Total income from all sources	2020-12-31	$511,823
Total plan assets at end of year	2020-12-31	$2,743,299
Total plan assets at beginning of year	2020-12-31	$2,231,476
Value of fidelity bond covering the plan	2020-12-31	$187,000
Total contributions received or receivable from participants	2020-12-31	$99,399
Other income received	2020-12-31	$384,001
Net income (gross income less expenses)	2020-12-31	$511,823
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$2,743,299
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$2,231,476
Total contributions received or receivable from employer(s)	2020-12-31	$28,423
2019 : GAINESVILLE FAMILY PRACTICE PC 401K PSP 2019 401k financial data
Total income from all sources	2019-12-31	$483,636
Expenses. Total of all expenses incurred	2019-12-31	$11,611
Benefits paid (including direct rollovers)	2019-12-31	$11,356
Total plan assets at end of year	2019-12-31	$2,231,476
Total plan assets at beginning of year	2019-12-31	$1,759,451
Value of fidelity bond covering the plan	2019-12-31	$187,000
Total contributions received or receivable from participants	2019-12-31	$89,472
Other income received	2019-12-31	$366,472
Net income (gross income less expenses)	2019-12-31	$472,025
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$2,231,476
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$1,759,451
Total contributions received or receivable from employer(s)	2019-12-31	$27,692
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$255
2018 : GAINESVILLE FAMILY PRACTICE PC 401K PSP 2018 401k financial data
Total income from all sources	2018-12-31	$-72,416
Expenses. Total of all expenses incurred	2018-12-31	$33,437
Benefits paid (including direct rollovers)	2018-12-31	$33,362
Total plan assets at end of year	2018-12-31	$1,759,451
Total plan assets at beginning of year	2018-12-31	$1,865,304
Value of fidelity bond covering the plan	2018-12-31	$187,000
Total contributions received or receivable from participants	2018-12-31	$84,851
Other income received	2018-12-31	$-182,842
Net income (gross income less expenses)	2018-12-31	$-105,853
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$1,759,451
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$1,865,304
Total contributions received or receivable from employer(s)	2018-12-31	$25,575
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$75
2017 : GAINESVILLE FAMILY PRACTICE PC 401K PSP 2017 401k financial data
Total income from all sources	2017-12-31	$403,616
Expenses. Total of all expenses incurred	2017-12-31	$185,852
Benefits paid (including direct rollovers)	2017-12-31	$185,852
Total plan assets at end of year	2017-12-31	$1,865,304
Total plan assets at beginning of year	2017-12-31	$1,647,540
Value of fidelity bond covering the plan	2017-12-31	$155,000
Total contributions received or receivable from participants	2017-12-31	$86,695
Other income received	2017-12-31	$291,631
Net income (gross income less expenses)	2017-12-31	$217,764
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$1,865,304
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$1,647,540
Total contributions received or receivable from employer(s)	2017-12-31	$25,290
2016 : GAINESVILLE FAMILY PRACTICE PC 401K PSP 2016 401k financial data
Total income from all sources	2016-12-31	$208,861
Expenses. Total of all expenses incurred	2016-12-31	$23,006
Benefits paid (including direct rollovers)	2016-12-31	$23,006
Total plan assets at end of year	2016-12-31	$1,647,540
Total plan assets at beginning of year	2016-12-31	$1,461,685
Value of fidelity bond covering the plan	2016-12-31	$155,000
Total contributions received or receivable from participants	2016-12-31	$61,306
Other income received	2016-12-31	$122,720
Net income (gross income less expenses)	2016-12-31	$185,855
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$1,647,540
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$1,461,685
Total contributions received or receivable from employer(s)	2016-12-31	$24,835
2015 : GAINESVILLE FAMILY PRACTICE PC 401K PSP 2015 401k financial data
Total income from all sources	2015-12-31	$46,036
Expenses. Total of all expenses incurred	2015-12-31	$105,594
Benefits paid (including direct rollovers)	2015-12-31	$105,594
Total plan assets at end of year	2015-12-31	$1,461,685
Total plan assets at beginning of year	2015-12-31	$1,521,243
Value of fidelity bond covering the plan	2015-12-31	$155,000
Total contributions received or receivable from participants	2015-12-31	$57,992
Other income received	2015-12-31	$-37,676
Net income (gross income less expenses)	2015-12-31	$-59,558
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,461,685
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,521,243
Total contributions received or receivable from employer(s)	2015-12-31	$25,720
2014 : GAINESVILLE FAMILY PRACTICE PC 401K PSP 2014 401k financial data
Total income from all sources	2014-12-31	$175,685
Expenses. Total of all expenses incurred	2014-12-31	$2,253
Benefits paid (including direct rollovers)	2014-12-31	$2,253
Total plan assets at end of year	2014-12-31	$1,521,243
Total plan assets at beginning of year	2014-12-31	$1,347,811
Value of fidelity bond covering the plan	2014-12-31	$140,000
Total contributions received or receivable from participants	2014-12-31	$90,670
Other income received	2014-12-31	$55,216
Net income (gross income less expenses)	2014-12-31	$173,432
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,521,243
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,347,811
Total contributions received or receivable from employer(s)	2014-12-31	$29,799
2013 : GAINESVILLE FAMILY PRACTICE PC 401K PSP 2013 401k financial data
Total income from all sources	2013-12-31	$320,796
Expenses. Total of all expenses incurred	2013-12-31	$24,259
Benefits paid (including direct rollovers)	2013-12-31	$24,259
Total plan assets at end of year	2013-12-31	$1,347,811
Total plan assets at beginning of year	2013-12-31	$1,051,274
Value of fidelity bond covering the plan	2013-12-31	$110,000
Total contributions received or receivable from participants	2013-12-31	$75,275
Other income received	2013-12-31	$213,972
Net income (gross income less expenses)	2013-12-31	$296,537
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,347,811
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,051,274
Total contributions received or receivable from employer(s)	2013-12-31	$31,549
2012 : GAINESVILLE FAMILY PRACTICE PC 401K PSP 2012 401k financial data
Total income from all sources	2012-12-31	$211,836
Expenses. Total of all expenses incurred	2012-12-31	$6,923
Benefits paid (including direct rollovers)	2012-12-31	$6,923
Total plan assets at end of year	2012-12-31	$1,051,274
Total plan assets at beginning of year	2012-12-31	$846,361
Value of fidelity bond covering the plan	2012-12-31	$85,000
Total contributions received or receivable from participants	2012-12-31	$74,265
Other income received	2012-12-31	$108,229
Net income (gross income less expenses)	2012-12-31	$204,913
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,051,274
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$846,361
Total contributions received or receivable from employer(s)	2012-12-31	$29,342
2011 : GAINESVILLE FAMILY PRACTICE PC 401K PSP 2011 401k financial data
Total income from all sources	2011-12-31	$169,319
Expenses. Total of all expenses incurred	2011-12-31	$14,859
Benefits paid (including direct rollovers)	2011-12-31	$14,004
Total plan assets at end of year	2011-12-31	$846,361
Total plan assets at beginning of year	2011-12-31	$691,901
Value of fidelity bond covering the plan	2011-12-31	$70,000
Total contributions received or receivable from participants	2011-12-31	$92,700
Other income received	2011-12-31	$13,786
Net income (gross income less expenses)	2011-12-31	$154,460
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$846,361
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$691,901
Total contributions received or receivable from employer(s)	2011-12-31	$62,833
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$855
2010 : GAINESVILLE FAMILY PRACTICE PC 401K PSP 2010 401k financial data
Total income from all sources	2010-12-31	$188,992
Expenses. Total of all expenses incurred	2010-12-31	$60,111
Benefits paid (including direct rollovers)	2010-12-31	$60,111
Total plan assets at end of year	2010-12-31	$691,901
Total plan assets at beginning of year	2010-12-31	$563,020
Value of fidelity bond covering the plan	2010-12-31	$50,000
Total contributions received or receivable from participants	2010-12-31	$80,190
Contributions received from other sources (not participants or employers)	2010-12-31	$663
Other income received	2010-12-31	$75,404
Net income (gross income less expenses)	2010-12-31	$128,881
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$691,901
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$563,020
Total contributions received or receivable from employer(s)	2010-12-31	$32,735

Form 5500 Responses for GAINESVILLE FAMILY PRACTICE PC 401K PSP

2020: GAINESVILLE FAMILY PRACTICE PC 401K PSP 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: GAINESVILLE FAMILY PRACTICE PC 401K PSP 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2018: GAINESVILLE FAMILY PRACTICE PC 401K PSP 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: GAINESVILLE FAMILY PRACTICE PC 401K PSP 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: GAINESVILLE FAMILY PRACTICE PC 401K PSP 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: GAINESVILLE FAMILY PRACTICE PC 401K PSP 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: GAINESVILLE FAMILY PRACTICE PC 401K PSP 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: GAINESVILLE FAMILY PRACTICE PC 401K PSP 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: GAINESVILLE FAMILY PRACTICE PC 401K PSP 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: GAINESVILLE FAMILY PRACTICE PC 401K PSP 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: GAINESVILLE FAMILY PRACTICE PC 401K PSP 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: GAINESVILLE FAMILY PRACTICE PC 401K PSP 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

102236

Policy instance

Insurance contract or identification number	102236
Number of Individuals Covered	13
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $4,943
Total amount of fees paid to insurance company	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,943
Insurance broker organization code?	4

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

102236

Policy instance

Insurance contract or identification number	102236
Number of Individuals Covered	20
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $4,771
Total amount of fees paid to insurance company	USD $22
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,771
Amount paid for insurance broker fees	22
Additional information about fees paid to insurance broker	OTHER ALLOWANCES
Insurance broker organization code?	4

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

102236

Policy instance

Insurance contract or identification number	102236
Number of Individuals Covered	23
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $4,480
Total amount of fees paid to insurance company	USD $92
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,480
Amount paid for insurance broker fees	92
Additional information about fees paid to insurance broker	OTHER ALLOWANCES
Insurance broker organization code?	4
Insurance broker name	MORGAN STANLEY SMITH BARNEY

Potentially related plans

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Company Name:	GAINESVILLE FAMILY PRACTICE, P.C.
Employer identification number (EIN):	260016274
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Jurisdiction of Incorporation:	Virginia Secretary of State
Incorporation Date:	2002-01-10
Company Identification Number:	0570022
Legal Registered Office Address:	14370 LEE HWY STE 105 GAINESVILLE United States of America (USA) 20155

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2023-01-01	DOUGLAS SIGMON	2024-05-14
001	2022-01-01	DOUGLAS SIGMON	2023-05-12
001	2021-01-01	DOUGLAS SIGMON	2022-09-06
001	2020-01-01	DOUGLAS SIGMON MD	2021-05-11
001	2019-01-01	DOUGLAS SIGMON MD	2020-08-05
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	DOUGLAS SIGMON
001	2011-01-01	DOUGLAS SIGMON
001	2010-01-01	DOUGLAS SIGMON
001	2009-01-01	DOUGLAS SIGMON MD