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| Plan Name | PAUL E. CHASAN, M.D., INC. 401(K) PROFIT SHARING PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | PAUL E. CHASAN, M.D., INC. |
| Employer identification number (EIN): | 330836735 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2023-01-01 | ||||
| 001 | 2022-01-01 | ||||
| 001 | 2021-01-01 | ||||
| 001 | 2020-01-01 | ||||
| 001 | 2019-01-01 | PAUL E. CHASAN, M.D. | 2020-05-12 | ||
| 001 | 2018-01-01 | PAUL CHASAN | 2019-04-29 | PAUL CHASAN | 2019-04-29 |
| 001 | 2017-01-01 | PAUL CHASAN | 2018-08-24 | PAUL CHASAN | 2018-08-24 |
| 001 | 2016-01-01 | PAUL CHASAN | 2017-08-10 | PAUL CHASAN | 2017-08-10 |
| 001 | 2015-01-01 | PAUL CHASAN | 2016-04-26 | PAUL CHASAN | 2016-04-26 |
| 001 | 2014-01-01 | PAUL CHASAN | 2015-07-27 | PAUL CHASAN | 2015-07-27 |
| 001 | 2013-01-01 | PAUL CHASAN | 2014-05-12 | PAUL CHASAN | 2014-05-12 |
| 001 | 2012-01-01 | PAUL CHASAN | 2013-06-18 | PAUL CHASAN | 2013-06-18 |
| 001 | 2011-01-01 | PAUL CHASAN | 2012-08-29 | PAUL CHASAN | 2012-08-29 |
| 001 | 2009-01-01 | PAUL CHASAN | PAUL CHASAN | 2010-08-09 |
| Measure | Date | Value |
|---|---|---|
| 2009: PAUL E. CHASAN, M.D., INC. 401(K) PROFIT SHARING PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-01-01 | 11 |
| 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 | 4 |
| Total of all active and inactive participants | 2009-01-01 | 9 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2009-01-01 | 0 |
| Total participants | 2009-01-01 | 9 |
| Number of participants with account balances | 2009-01-01 | 9 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2009-01-01 | 1 |
| Measure | Date | Value |
|---|---|---|
| 2010 : PAUL E. CHASAN, M.D., INC. 401(K) PROFIT SHARING PLAN 2010 401k financial data | ||
| Total income from all sources | 2010-12-31 | $76,008 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $4,832 |
| Total plan assets at end of year | 2010-12-31 | $459,937 |
| Total plan assets at beginning of year | 2010-12-31 | $388,761 |
| Total contributions received or receivable from participants | 2010-12-31 | $22,500 |
| Contributions received from other sources (not participants or employers) | 2010-12-31 | $0 |
| Other income received | 2010-12-31 | $38,907 |
| Net income (gross income less expenses) | 2010-12-31 | $71,176 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $459,937 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $388,761 |
| Total contributions received or receivable from employer(s) | 2010-12-31 | $14,601 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2010-12-31 | $4,832 |
| 2009: PAUL E. CHASAN, M.D., INC. 401(K) PROFIT SHARING 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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