401k Plan data: DERMATOLOGY & DERMATOLOGIC SURGERY CENTER PC 401K RETIREMENT PLAN plan

DERMATOLOGY & DERMATOLOGIC SURGERY CENTER PC 401K RETIREMENT PLAN 401k Plan overview

Plan Name	DERMATOLOGY & DERMATOLOGIC SURGERY CENTER PC 401K RETIREMENT PLAN
Plan identification number	002

DERMATOLOGY & DERMATOLOGIC SURGERY CENTER PC 401K RETIREMENT PLAN 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.
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.
Plan sponsor(s) received services of leased employees, as defined in Code section 414(n), during the plan year.

401k Sponsoring company profile

DERMATOLOGY AND DERMATOLOGIC SURGERY CENTER, P.C. has sponsored the creation of one or more 401k plans.

Company Name: DERMATOLOGY AND DERMATOLOGIC SURGERY CENTER, P.C.

Employer identification number (EIN): 421378306

NAIC Classification: 621399
NAIC Description: Offices of All Other Miscellaneous Health Practitioners

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DERMATOLOGY & DERMATOLOGIC SURGERY CENTER PC 401K RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2021-01-01
002 2020-01-01
002 2019-01-01
002 2018-01-01 DORA SANFORD
002 2017-01-01 DORA JEAN SANFORD 2018-10-10 STEVEN HARLAN 2018-10-11
002 2016-01-01 DORA SANFORD 2017-09-19
002 2015-01-01 DORA SANFORD 2016-10-06
002 2014-01-01 DEE KNOKE 2015-07-13
002 2013-01-01 DEE KNOKE 2014-09-26
002 2012-01-01 STEVEN HARLAN 2013-09-05 DEE KNOKE 2013-09-05
002 2011-01-01 STEVEN HARLAN 2012-07-25 STEVEN HARLAN 2012-07-25
002 2010-01-01 STEVEN HARLAN 2011-05-10 STEVEN HARLAN 2011-05-10

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2021-01-01
002	2020-01-01
002	2019-01-01
002	2018-01-01	DORA SANFORD
002	2017-01-01	DORA JEAN SANFORD	2018-10-10	STEVEN HARLAN	2018-10-11
002	2016-01-01	DORA SANFORD	2017-09-19
002	2015-01-01	DORA SANFORD	2016-10-06
002	2014-01-01	DEE KNOKE	2015-07-13
002	2013-01-01	DEE KNOKE	2014-09-26
002	2012-01-01	STEVEN HARLAN	2013-09-05	DEE KNOKE	2013-09-05
002	2011-01-01	STEVEN HARLAN	2012-07-25	STEVEN HARLAN	2012-07-25
002	2010-01-01	STEVEN HARLAN	2011-05-10	STEVEN HARLAN	2011-05-10

Plan Statistics for DERMATOLOGY & DERMATOLOGIC SURGERY CENTER PC 401K RETIREMENT PLAN

401k plan membership statisitcs for DERMATOLOGY & DERMATOLOGIC SURGERY CENTER PC 401K RETIREMENT PLAN

Measure Date Value
2021: DERMATOLOGY & DERMATOLOGIC SURGERY CENTER PC 401K RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 19
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 1
Total participants 2021-01-01 20
Number of participants with account balances 2021-01-01 16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: DERMATOLOGY & DERMATOLOGIC SURGERY CENTER PC 401K RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 20
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 16
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 1
Total participants 2020-01-01 17
Number of participants with account balances 2020-01-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: DERMATOLOGY & DERMATOLOGIC SURGERY CENTER PC 401K RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 20
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 15
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 4
Total of all active and inactive participants 2019-01-01 19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 1
Total participants 2019-01-01 20
Number of participants with account balances 2019-01-01 18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: DERMATOLOGY & DERMATOLOGIC SURGERY CENTER PC 401K RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 22
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 18
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 1
Total of all active and inactive participants 2018-01-01 19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 1
Total participants 2018-01-01 20
Number of participants with account balances 2018-01-01 18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0

Measure	Date	Value
2021: DERMATOLOGY & DERMATOLOGIC SURGERY CENTER PC 401K RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	19
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	1
Total participants	2021-01-01	20
Number of participants with account balances	2021-01-01	16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: DERMATOLOGY & DERMATOLOGIC SURGERY CENTER PC 401K RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	20
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	16
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	1
Total participants	2020-01-01	17
Number of participants with account balances	2020-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: DERMATOLOGY & DERMATOLOGIC SURGERY CENTER PC 401K RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	20
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	15
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	4
Total of all active and inactive participants	2019-01-01	19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	1
Total participants	2019-01-01	20
Number of participants with account balances	2019-01-01	18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: DERMATOLOGY & DERMATOLOGIC SURGERY CENTER PC 401K RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	22
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	18
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	1
Total of all active and inactive participants	2018-01-01	19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	1
Total participants	2018-01-01	20
Number of participants with account balances	2018-01-01	18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0

Financial Data on DERMATOLOGY & DERMATOLOGIC SURGERY CENTER PC 401K RETIREMENT PLAN

Measure	Date	Value
2021 : DERMATOLOGY & DERMATOLOGIC SURGERY CENTER PC 401K RETIREMENT PLAN 2021 401k financial data
Transfers to/from the plan	2021-12-31	$0
Total plan liabilities at end of year	2021-12-31	$0
Total plan liabilities at beginning of year	2021-12-31	$0
Total income from all sources	2021-12-31	$565,393
Expenses. Total of all expenses incurred	2021-12-31	$24,789
Benefits paid (including direct rollovers)	2021-12-31	$366
Total plan assets at end of year	2021-12-31	$3,634,325
Total plan assets at beginning of year	2021-12-31	$3,093,721
Value of fidelity bond covering the plan	2021-12-31	$200,000
Assets. Value of tangible personal property	2021-12-31	$0
Total contributions received or receivable from participants	2021-12-31	$128,820
Assets. Value of loans (other than to participants)	2021-12-31	$0
Expenses. Other expenses not covered elsewhere	2021-12-31	$0
Contributions received from other sources (not participants or employers)	2021-12-31	$0
Other income received	2021-12-31	$395,858
Noncash contributions received	2021-12-31	$0
Net income (gross income less expenses)	2021-12-31	$540,604
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$3,634,325
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$3,093,721
Assets. Value of participant loans	2021-12-31	$0
Assets. Value of assets in partnership/joint-venture interests	2021-12-31	$0
Assets. Value of real-estate (other than employer real property)	2021-12-31	$0
Assets. Value of employer securities	2021-12-31	$0
Assets. Value of employer real property	2021-12-31	$0
Total contributions received or receivable from employer(s)	2021-12-31	$40,715
Value of certain deemed distributions of participant loans	2021-12-31	$0
Value of corrective distributions	2021-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$24,423
2020 : DERMATOLOGY & DERMATOLOGIC SURGERY CENTER PC 401K RETIREMENT PLAN 2020 401k financial data
Transfers to/from the plan	2020-12-31	$0
Total plan liabilities at end of year	2020-12-31	$0
Total plan liabilities at beginning of year	2020-12-31	$0
Total income from all sources	2020-12-31	$515,534
Expenses. Total of all expenses incurred	2020-12-31	$93,009
Benefits paid (including direct rollovers)	2020-12-31	$71,938
Total plan assets at end of year	2020-12-31	$3,093,721
Total plan assets at beginning of year	2020-12-31	$2,671,196
Value of fidelity bond covering the plan	2020-12-31	$200,000
Assets. Value of tangible personal property	2020-12-31	$0
Total contributions received or receivable from participants	2020-12-31	$81,251
Assets. Value of loans (other than to participants)	2020-12-31	$0
Expenses. Other expenses not covered elsewhere	2020-12-31	$0
Contributions received from other sources (not participants or employers)	2020-12-31	$0
Other income received	2020-12-31	$388,218
Noncash contributions received	2020-12-31	$0
Net income (gross income less expenses)	2020-12-31	$422,525
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$3,093,721
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$2,671,196
Assets. Value of participant loans	2020-12-31	$0
Assets. Value of assets in partnership/joint-venture interests	2020-12-31	$0
Assets. Value of real-estate (other than employer real property)	2020-12-31	$0
Assets. Value of employer securities	2020-12-31	$0
Assets. Value of employer real property	2020-12-31	$0
Total contributions received or receivable from employer(s)	2020-12-31	$46,065
Value of certain deemed distributions of participant loans	2020-12-31	$0
Value of corrective distributions	2020-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$21,071
2019 : DERMATOLOGY & DERMATOLOGIC SURGERY CENTER PC 401K RETIREMENT PLAN 2019 401k financial data
Transfers to/from the plan	2019-12-31	$0
Total plan liabilities at end of year	2019-12-31	$0
Total plan liabilities at beginning of year	2019-12-31	$0
Total income from all sources	2019-12-31	$663,004
Expenses. Total of all expenses incurred	2019-12-31	$49,454
Benefits paid (including direct rollovers)	2019-12-31	$30,295
Total plan assets at end of year	2019-12-31	$2,671,196
Total plan assets at beginning of year	2019-12-31	$2,057,646
Value of fidelity bond covering the plan	2019-12-31	$200,000
Total contributions received or receivable from participants	2019-12-31	$90,564
Expenses. Other expenses not covered elsewhere	2019-12-31	$0
Contributions received from other sources (not participants or employers)	2019-12-31	$0
Other income received	2019-12-31	$528,679
Noncash contributions received	2019-12-31	$0
Net income (gross income less expenses)	2019-12-31	$613,550
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$2,671,196
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$2,057,646
Total contributions received or receivable from employer(s)	2019-12-31	$43,761
Value of certain deemed distributions of participant loans	2019-12-31	$0
Value of corrective distributions	2019-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$19,159
2018 : DERMATOLOGY & DERMATOLOGIC SURGERY CENTER PC 401K RETIREMENT PLAN 2018 401k financial data
Transfers to/from the plan	2018-12-31	$0
Total plan liabilities at end of year	2018-12-31	$0
Total plan liabilities at beginning of year	2018-12-31	$0
Total income from all sources	2018-12-31	$-65,419
Expenses. Total of all expenses incurred	2018-12-31	$36,250
Benefits paid (including direct rollovers)	2018-12-31	$21,832
Total plan assets at end of year	2018-12-31	$2,057,646
Total plan assets at beginning of year	2018-12-31	$2,159,315
Value of fidelity bond covering the plan	2018-12-31	$200,000
Total contributions received or receivable from participants	2018-12-31	$85,802
Expenses. Other expenses not covered elsewhere	2018-12-31	$0
Contributions received from other sources (not participants or employers)	2018-12-31	$0
Other income received	2018-12-31	$-191,540
Noncash contributions received	2018-12-31	$0
Net income (gross income less expenses)	2018-12-31	$-101,669
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$2,057,646
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$2,159,315
Total contributions received or receivable from employer(s)	2018-12-31	$40,319
Value of certain deemed distributions of participant loans	2018-12-31	$0
Value of corrective distributions	2018-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$14,418

Form 5500 Responses for DERMATOLOGY & DERMATOLOGIC SURGERY CENTER PC 401K RETIREMENT PLAN

2021: DERMATOLOGY & DERMATOLOGIC SURGERY CENTER PC 401K RETIREMENT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	This submission is the final filing	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: DERMATOLOGY & DERMATOLOGIC SURGERY CENTER PC 401K RETIREMENT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	This submission is the final filing	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: DERMATOLOGY & DERMATOLOGIC SURGERY CENTER PC 401K RETIREMENT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: DERMATOLOGY & DERMATOLOGIC SURGERY CENTER PC 401K RETIREMENT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	DERMATOLOGY AND DERMATOLOGIC SURGERY CENTER, P.C.
Employer identification number (EIN):	421378306
NAIC Classification:	621399
NAIC Description:	Offices of All Other Miscellaneous Health Practitioners