401k Plan data: ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS, INC. DEFINED BENEFIT PLAN plan

ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS, INC. DEFINED BENEFIT PLAN 401k Plan overview

Plan Name	ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS, INC. DEFINED BENEFIT PLAN
Plan identification number	005

ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS, INC. DEFINED BENEFIT PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily pay related
Floor-offset plan - Plan benefits are subject to offset for retirement benefits provided by an employer-sponsored defined contribution plan.
Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).
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

ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS, INC. has sponsored the creation of one or more 401k plans.

Company Name: ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS, INC.

Employer identification number (EIN): 310745618

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

Additional information about ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS, INC.

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division

Incorporation Date: 1968-12-23

Company Identification Number: 378587

Legal Registered Office Address: 275 NORTH BREIEL BLVD.
-
MIDDLETOWN
United States of America (USA)
45042

More information about ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS, INC. DEFINED BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
005 2017-01-01 DR. JERRY MAGONE 2017-06-29
005 2016-01-01 DR. JERRY MAGONE 2017-06-29
005 2015-01-01 DR. JERRY MAGONE 2016-07-28
005 2014-01-01 DR. JERRY MAGONE 2015-09-26
005 2013-01-01 DR. JERRY MAGONE
005 2012-01-01 DR. JERRY MAGONE
005 2011-01-01 DR. JERRY MAGONE

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
005	2017-01-01	DR. JERRY MAGONE	2017-06-29
005	2016-01-01	DR. JERRY MAGONE	2017-06-29
005	2015-01-01	DR. JERRY MAGONE	2016-07-28
005	2014-01-01	DR. JERRY MAGONE	2015-09-26
005	2013-01-01	DR. JERRY MAGONE
005	2012-01-01	DR. JERRY MAGONE
005	2011-01-01	DR. JERRY MAGONE

Plan Statistics for ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS, INC. DEFINED BENEFIT PLAN

401k plan membership statisitcs for ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS, INC. DEFINED BENEFIT PLAN

Measure Date Value
2016: ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS, INC. DEFINED BENEFIT PLAN 2016 401k membership
Market value of plan assets 2016-12-31 1,615,817
Acturial value of plan assets 2016-12-31 1,615,817
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 1,234,907
Number of active participants 2016-12-31 6
Total funding liabilities for active participants 2016-12-31 1,234,907
Total participant count 2016-12-31 6
Total funding target for all participants 2016-12-31 1,234,907
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
Carryover balanced portion elected for use to offset prior years funding requirement 2016-12-31 0
Prefunding balanced used to offset prior years funding requirement 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 2016-12-31 352,725
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2016-12-31 374,453
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2016-12-31 0
Reductions in caryover balances due to elections or deemed elections 2016-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2016-12-31 0
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 2016-12-31 400,000
Total employee contributions 2016-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2016-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2016-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2016-12-31 397,593
Unpaid minimum required contributions for all prior years 2016-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2016-12-31 0
Remaining amount of unpaid minimum required contributions 2016-12-31 0
Minimum required contributions for current year target normal cost 2016-12-31 390,077
Net shortfall amortization installment of oustanding balance 2016-12-31 0
Waiver amortization installment 2016-12-31 0
Waived amount of outstanding balance 2016-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2016-12-31 9,167
Carryover balance elected to use to offset funding requirement 2016-12-31 0
Prefunding balance elected to use to offset funding requirement 2016-12-31 0
Additional cash requirement 2016-12-31 9,167
Contributions allocatedtoward minimum required contributions for current year 2016-12-31 397,593
Unpaid minimum required contributions for current year 2016-12-31 0
Unpaid minimum required contributions for all years 2016-12-31 0
2013: ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS, INC. DEFINED BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 33
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 33
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 33
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 33
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS, INC. DEFINED BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 34
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 33
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 33
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 33
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS, INC. DEFINED BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 34
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 34
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 34
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 34
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2016: ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS, INC. DEFINED BENEFIT PLAN 2016 401k membership
Market value of plan assets	2016-12-31	1,615,817
Acturial value of plan assets	2016-12-31	1,615,817
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	1,234,907
Number of active participants	2016-12-31	6
Total funding liabilities for active participants	2016-12-31	1,234,907
Total participant count	2016-12-31	6
Total funding target for all participants	2016-12-31	1,234,907
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
Carryover balanced portion elected for use to offset prior years funding requirement	2016-12-31	0
Prefunding balanced used to offset prior years funding requirement	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	352,725
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2016-12-31	374,453
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2016-12-31	0
Reductions in caryover balances due to elections or deemed elections	2016-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2016-12-31	0
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	400,000
Total employee contributions	2016-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2016-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2016-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2016-12-31	397,593
Unpaid minimum required contributions for all prior years	2016-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2016-12-31	0
Remaining amount of unpaid minimum required contributions	2016-12-31	0
Minimum required contributions for current year target normal cost	2016-12-31	390,077
Net shortfall amortization installment of oustanding balance	2016-12-31	0
Waiver amortization installment	2016-12-31	0
Waived amount of outstanding balance	2016-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2016-12-31	9,167
Carryover balance elected to use to offset funding requirement	2016-12-31	0
Prefunding balance elected to use to offset funding requirement	2016-12-31	0
Additional cash requirement	2016-12-31	9,167
Contributions allocatedtoward minimum required contributions for current year	2016-12-31	397,593
Unpaid minimum required contributions for current year	2016-12-31	0
Unpaid minimum required contributions for all years	2016-12-31	0
2013: ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS, INC. DEFINED BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	33
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	33
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	33
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	33
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS, INC. DEFINED BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	34
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	33
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	33
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	33
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS, INC. DEFINED BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	34
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	34
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	34
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	34
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS, INC. DEFINED BENEFIT PLAN

Measure	Date	Value
2013 : ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS, INC. DEFINED BENEFIT PLAN 2013 401k financial data
Total plan liabilities at end of year	2013-12-31	$0
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$423,571
Expenses. Total of all expenses incurred	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$870,705
Total plan assets at beginning of year	2013-12-31	$447,134
Value of fidelity bond covering the plan	2013-12-31	$500,000
Other income received	2013-12-31	$93,587
Net income (gross income less expenses)	2013-12-31	$423,571
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$870,705
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$447,134
Total contributions received or receivable from employer(s)	2013-12-31	$329,984
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS, INC. DEFINED BENEFIT PLAN 2012 401k financial data
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$327,235
Expenses. Total of all expenses incurred	2012-12-31	$0
Total plan assets at end of year	2012-12-31	$447,134
Total plan assets at beginning of year	2012-12-31	$119,899
Value of fidelity bond covering the plan	2012-12-31	$500,000
Other income received	2012-12-31	$17,186
Net income (gross income less expenses)	2012-12-31	$327,235
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$447,134
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$119,899
Total contributions received or receivable from employer(s)	2012-12-31	$310,049
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS, INC. DEFINED BENEFIT PLAN 2011 401k financial data
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	$119,899
Expenses. Total of all expenses incurred	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$119,899
Total plan assets at beginning of year	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$119,899
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$119,899
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$0
Total contributions received or receivable from employer(s)	2011-12-31	$119,899
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0

Form 5500 Responses for ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS, INC. DEFINED BENEFIT PLAN

2013: ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS, INC. DEFINED BENEFIT 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: ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS, INC. DEFINED BENEFIT 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: ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS, INC. DEFINED BENEFIT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	First time form 5500 has been submitted	Yes
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

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Company Name:	ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS, INC.
Employer identification number (EIN):	310745618
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Jurisdiction of Incorporation:	Ohio Secretary of State Business Services Division
Incorporation Date:	1968-12-23
Company Identification Number:	378587
Legal Registered Office Address:	275 NORTH BREIEL BLVD. - MIDDLETOWN United States of America (USA) 45042