BRUCE M. HANSEN DEFINED BENEFIT PLAN 401k Plan overview

BRUCE M. HANSEN DEFINED BENEFIT PLAN Benefits

401k Sponsoring company profile

Company Name:	BRUCE M. HANSEN D.O. ANESTHESIA PC
Employer identification number (EIN):	270616122
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2019-01-01	BRUCE HANSEN	2020-10-12
002	2018-01-01	BRUCE HANSEN	2019-10-02	BRUCE HANSEN	2019-10-02
002	2017-01-01	BRUCE HANSEN	2018-10-11	BRUCE HANSEN	2018-10-11
002	2016-01-01	BRUCE HANSEN	2017-10-01	BRUCE HANSEN	2017-10-01
002	2015-01-01	BRUCE HANSEN	2016-09-28	BRUCE HANSEN	2016-09-28

Plan Statistics for BRUCE M. HANSEN DEFINED BENEFIT PLAN

Measure	Date	Value
2017: BRUCE M. HANSEN DEFINED BENEFIT PLAN 2017 401k membership
Market value of plan assets	2017-12-31	268,807
Acturial value of plan assets	2017-12-31	268,807
Funding target for retired participants and beneficiaries receiving payment	2017-12-31	0
Number of terminated vested participants	2017-12-31	0
Fundng target for terminated vested participants	2017-12-31	0
Active participant vested funding target	2017-12-31	181,256
Number of active participants	2017-12-31	2
Total funding liabilities for active participants	2017-12-31	302,093
Total participant count	2017-12-31	2
Total funding target for all participants	2017-12-31	302,093
Balance at beginning of prior year after applicable adjustments	2017-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2017-12-31	0
Carryover balanced portion elected for use to offset prior years funding requirement	2017-12-31	0
Prefunding balanced used to offset prior years funding requirement	2017-12-31	0
Amount remaining of carryover balance	2017-12-31	0
Amount remaining of prefunding balance	2017-12-31	0
Present value of excess contributions	2017-12-31	742
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2017-12-31	791
Balance of carryovers at beginning of current year	2017-12-31	0
Balance of prefunding at beginning of current year	2017-12-31	0
Total employer contributions	2017-12-31	104,000
Total employee contributions	2017-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2017-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2017-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2017-12-31	92,096
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2017-12-31	0
Remaining amount of unpaid minimum required contributions	2017-12-31	0
Minimum required contributions for current year target normal cost	2017-12-31	75,975
Net shortfall amortization installment of oustanding balance	2017-12-31	33,286
Total funding amount beforereflecting carryover/prefunding balances	2017-12-31	81,761
Additional cash requirement	2017-12-31	81,761
Contributions allocatedtoward minimum required contributions for current year	2017-12-31	92,096
Unpaid minimum required contributions for current year	2017-12-31	0
Unpaid minimum required contributions for all years	2017-12-31	0
2016: BRUCE M. HANSEN DEFINED BENEFIT PLAN 2016 401k membership
Market value of plan assets	2016-12-31	181,354
Acturial value of plan assets	2016-12-31	181,354
Funding target for retired participants and beneficiaries receiving payment	2016-12-31	0
Number of terminated vested participants	2016-12-31	0
Fundng target for terminated vested participants	2016-12-31	0
Active participant vested funding target	2016-12-31	79,139
Number of active participants	2016-12-31	2
Total funding liabilities for active participants	2016-12-31	197,847
Total participant count	2016-12-31	2
Total funding target for all participants	2016-12-31	197,847
Balance at beginning of prior year after applicable adjustments	2016-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2016-12-31	0
Amount remaining of carryover balance	2016-12-31	0
Amount remaining of prefunding balance	2016-12-31	0
Present value of excess contributions	2016-12-31	4,405
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2016-12-31	4,705
Balance of carryovers at beginning of current year	2016-12-31	0
Balance of prefunding at beginning of current year	2016-12-31	0
Total employer contributions	2016-12-31	77,000
Total employee contributions	2016-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2016-12-31	69,737
Remaining amount of unpaid minimum required contributions	2016-12-31	0
Minimum required contributions for current year target normal cost	2016-12-31	66,270
Net shortfall amortization installment of oustanding balance	2016-12-31	16,493
Total funding amount beforereflecting carryover/prefunding balances	2016-12-31	68,995
Additional cash requirement	2016-12-31	68,995
Contributions allocatedtoward minimum required contributions for current year	2016-12-31	69,737
Unpaid minimum required contributions for current year	2016-12-31	0
Unpaid minimum required contributions for all years	2016-12-31	0

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