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INTERNAL MEDICINE SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameINTERNAL MEDICINE SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN
Plan identification number 001

INTERNAL MEDICINE SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN Benefits

401k Plan TypeDefined 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.
  • 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

INTERNAL MEDICINE SPECIALISTS, INC. has sponsored the creation of one or more 401k plans.

Company Name:INTERNAL MEDICINE SPECIALISTS, INC.
Employer identification number (EIN):260417679
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INTERNAL MEDICINE SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01CARLOS A. LOPEZ, M.D.2023-10-08
0012021-01-01CARLOS A. LOPEZ, M.D.2022-10-10
0012020-01-01CARLOS A. LOPEZ, M.D.2021-09-16
0012019-01-01CARLOS A. LOPEZ, M.D.2020-09-17
0012017-01-01
0012016-01-01
0012015-01-01CARLOS A. LOPEZ, M.D.2016-09-21
0012014-01-01CARLOS A. LOPEZ, M.D.2015-09-16
0012013-01-01CARLOS A. LOPEZ, M.D.2014-10-03 CARLOS A. LOPEZ, M.D.2014-10-03
0012012-01-01CARLOS A. LOPEZ, M.D.2013-10-02 CARLOS A. LOPEZ, M.D.2013-10-02
0012011-01-01CARLOS A. LOPEZ, M.D.2012-09-11 CARLOS A. LOPEZ, M.D.2012-09-11
0012010-01-01CARLOS A. LOPEZ, M.D.2011-09-27 CARLOS A. LOPEZ, M.D.2011-09-27

Plan Statistics for INTERNAL MEDICINE SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for INTERNAL MEDICINE SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2022: INTERNAL MEDICINE SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0122
Total number of active participants reported on line 7a of the Form 55002022-01-0115
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-018
Total of all active and inactive participants2022-01-0123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0123
Number of participants with account balances2022-01-0123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-011
2021: INTERNAL MEDICINE SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0121
Total number of active participants reported on line 7a of the Form 55002021-01-0111
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0111
Total of all active and inactive participants2021-01-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0122
Number of participants with account balances2021-01-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-012
2020: INTERNAL MEDICINE SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0119
Total number of active participants reported on line 7a of the Form 55002020-01-0113
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-018
Total of all active and inactive participants2020-01-0121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0121
Number of participants with account balances2020-01-0121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: INTERNAL MEDICINE SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0124
Total number of active participants reported on line 7a of the Form 55002019-01-0110
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-019
Total of all active and inactive participants2019-01-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0119
Number of participants with account balances2019-01-0118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010

Financial Data on INTERNAL MEDICINE SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2022 : INTERNAL MEDICINE SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN 2022 401k financial data
Total income from all sources2022-12-31$-1,280,175
Expenses. Total of all expenses incurred2022-12-31$2,539
Benefits paid (including direct rollovers)2022-12-31$2,161
Total plan assets at end of year2022-12-31$3,809,822
Total plan assets at beginning of year2022-12-31$5,092,536
Value of fidelity bond covering the plan2022-12-31$500,000
Total contributions received or receivable from participants2022-12-31$119,068
Other income received2022-12-31$-1,460,889
Net income (gross income less expenses)2022-12-31$-1,282,714
Net plan assets at end of year (total assets less liabilities)2022-12-31$3,809,822
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$5,092,536
Assets. Value of participant loans2022-12-31$28,830
Assets. Value of assets in partnership/joint-venture interests2022-12-31$120,096
Total contributions received or receivable from employer(s)2022-12-31$61,646
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$378
2021 : INTERNAL MEDICINE SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN 2021 401k financial data
Total plan liabilities at beginning of year2021-12-31$0
Total income from all sources2021-12-31$690,171
Expenses. Total of all expenses incurred2021-12-31$29,839
Benefits paid (including direct rollovers)2021-12-31$29,197
Total plan assets at end of year2021-12-31$5,092,536
Total plan assets at beginning of year2021-12-31$4,432,204
Value of fidelity bond covering the plan2021-12-31$450,000
Total contributions received or receivable from participants2021-12-31$115,847
Other income received2021-12-31$518,696
Net income (gross income less expenses)2021-12-31$660,332
Net plan assets at end of year (total assets less liabilities)2021-12-31$5,092,536
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$4,432,204
Assets. Value of participant loans2021-12-31$29,699
Assets. Value of assets in partnership/joint-venture interests2021-12-31$66,250
Total contributions received or receivable from employer(s)2021-12-31$55,628
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$642
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
2020 : INTERNAL MEDICINE SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN 2020 401k financial data
Transfers to/from the plan2020-12-31$0
Total plan liabilities at end of year2020-12-31$0
Total plan liabilities at beginning of year2020-12-31$0
Total income from all sources2020-12-31$1,199,633
Expenses. Total of all expenses incurred2020-12-31$53,678
Benefits paid (including direct rollovers)2020-12-31$50,743
Total plan assets at end of year2020-12-31$4,432,204
Total plan assets at beginning of year2020-12-31$3,286,249
Value of fidelity bond covering the plan2020-12-31$330,000
Total contributions received or receivable from participants2020-12-31$106,061
Expenses. Other expenses not covered elsewhere2020-12-31$0
Contributions received from other sources (not participants or employers)2020-12-31$0
Other income received2020-12-31$955,370
Noncash contributions received2020-12-31$0
Net income (gross income less expenses)2020-12-31$1,145,955
Net plan assets at end of year (total assets less liabilities)2020-12-31$4,432,204
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$3,286,249
Assets. Value of participant loans2020-12-31$22,491
Assets. Value of assets in partnership/joint-venture interests2020-12-31$59,072
Total contributions received or receivable from employer(s)2020-12-31$138,202
Value of certain deemed distributions of participant loans2020-12-31$0
Value of corrective distributions2020-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$2,935
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
2019 : INTERNAL MEDICINE SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN 2019 401k financial data
Transfers to/from the plan2019-12-31$0
Total plan liabilities at end of year2019-12-31$0
Total plan liabilities at beginning of year2019-12-31$0
Total income from all sources2019-12-31$670,802
Expenses. Total of all expenses incurred2019-12-31$46,085
Benefits paid (including direct rollovers)2019-12-31$42,520
Total plan assets at end of year2019-12-31$3,286,249
Total plan assets at beginning of year2019-12-31$2,661,532
Value of fidelity bond covering the plan2019-12-31$280,000
Total contributions received or receivable from participants2019-12-31$82,335
Expenses. Other expenses not covered elsewhere2019-12-31$0
Contributions received from other sources (not participants or employers)2019-12-31$0
Other income received2019-12-31$510,883
Noncash contributions received2019-12-31$0
Net income (gross income less expenses)2019-12-31$624,717
Net plan assets at end of year (total assets less liabilities)2019-12-31$3,286,249
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$2,661,532
Assets. Value of participant loans2019-12-31$42,914
Assets. Value of assets in partnership/joint-venture interests2019-12-31$28,950
Total contributions received or receivable from employer(s)2019-12-31$77,584
Value of certain deemed distributions of participant loans2019-12-31$0
Value of corrective distributions2019-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$3,565
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : INTERNAL MEDICINE SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN 2018 401k financial data
Transfers to/from the plan2018-12-31$0
Total plan liabilities at end of year2018-12-31$0
Total plan liabilities at beginning of year2018-12-31$0
Total income from all sources2018-12-31$31,937
Expenses. Total of all expenses incurred2018-12-31$101,268
Benefits paid (including direct rollovers)2018-12-31$96,428
Total plan assets at end of year2018-12-31$2,661,532
Total plan assets at beginning of year2018-12-31$2,730,863
Value of fidelity bond covering the plan2018-12-31$280,000
Total contributions received or receivable from participants2018-12-31$82,995
Expenses. Other expenses not covered elsewhere2018-12-31$0
Contributions received from other sources (not participants or employers)2018-12-31$0
Other income received2018-12-31$-91,007
Noncash contributions received2018-12-31$0
Net income (gross income less expenses)2018-12-31$-69,331
Net plan assets at end of year (total assets less liabilities)2018-12-31$2,661,532
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$2,730,863
Assets. Value of participant loans2018-12-31$46,863
Assets. Value of assets in partnership/joint-venture interests2018-12-31$9,352
Total contributions received or receivable from employer(s)2018-12-31$39,949
Value of certain deemed distributions of participant loans2018-12-31$0
Value of corrective distributions2018-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$4,840
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0

Form 5500 Responses for INTERNAL MEDICINE SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN

2022: INTERNAL MEDICINE SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: INTERNAL MEDICINE SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: INTERNAL MEDICINE SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: INTERNAL MEDICINE SPECIALISTS, INC. 401(K) PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number111340
Policy instance 1
Insurance contract or identification number111340
Number of Individuals Covered20
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $4,698
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees2485
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker organization code?5
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number111340
Policy instance 1
Insurance contract or identification number111340
Number of Individuals Covered16
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $2,249
Total amount of fees paid to insurance companyUSD $1,287
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,249
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSION
Insurance broker organization code?4
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number111340
Policy instance 1
Insurance contract or identification number111340
Number of Individuals Covered19
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $1,561
Total amount of fees paid to insurance companyUSD $4,231
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,561
Amount paid for insurance broker fees2670
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker organization code?5
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number111340
Policy instance 1
Insurance contract or identification number111340
Number of Individuals Covered18
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,275
Total amount of fees paid to insurance companyUSD $4,549
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,275
Amount paid for insurance broker fees3274
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker organization code?5

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