401k Plan data: CLARIS VISION, LLC 401(K) PLAN plan

CLARIS VISION, LLC 401(K) PLAN 401k Plan overview

Plan Name	CLARIS VISION, LLC 401(K) PLAN
Plan identification number	002

CLARIS VISION, LLC 401(K) 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.
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) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

EYE HEALTH ASSOCIATES, INC. has sponsored the creation of one or more 401k plans.

Company Name: EYE HEALTH ASSOCIATES, INC.

Employer identification number (EIN): 461083116

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CLARIS VISION, LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2023-01-01
002 2022-01-01 ANN BINA 2023-10-10
002 2021-01-01 ANN BINA 2022-09-08
002 2020-01-01 KRISTA FRANCIS 2021-07-30
002 2019-01-01 CARLOS MISSAGIA 2020-10-04
002 2018-01-01 CARLOS MISSAGIA 2019-10-03

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2023-01-01
002	2022-01-01	ANN BINA	2023-10-10
002	2021-01-01	ANN BINA	2022-09-08
002	2020-01-01	KRISTA FRANCIS	2021-07-30
002	2019-01-01	CARLOS MISSAGIA	2020-10-04
002	2018-01-01	CARLOS MISSAGIA	2019-10-03

Plan Statistics for CLARIS VISION, LLC 401(K) PLAN

401k plan membership statisitcs for CLARIS VISION, LLC 401(K) PLAN

Measure Date Value
2022: CLARIS VISION, LLC 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 130
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 46
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 45
Total of all active and inactive participants 2022-01-01 91
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 91
Number of participants with account balances 2022-01-01 82
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: CLARIS VISION, LLC 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 137
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 45
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 85
Total of all active and inactive participants 2021-01-01 130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 130
Number of participants with account balances 2021-01-01 119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: CLARIS VISION, LLC 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 260
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 49
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 88
Total of all active and inactive participants 2020-01-01 137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 137
Number of participants with account balances 2020-01-01 124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: CLARIS VISION, LLC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 386
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 59
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 201
Total of all active and inactive participants 2019-01-01 260
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 260
Number of participants with account balances 2019-01-01 238
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: CLARIS VISION, LLC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 348
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 280
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 106
Total of all active and inactive participants 2018-01-01 386
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 386
Number of participants with account balances 2018-01-01 255
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 13

Measure	Date	Value
2022: CLARIS VISION, LLC 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	130
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	46
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	45
Total of all active and inactive participants	2022-01-01	91
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	91
Number of participants with account balances	2022-01-01	82
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: CLARIS VISION, LLC 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	137
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	45
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	85
Total of all active and inactive participants	2021-01-01	130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	130
Number of participants with account balances	2021-01-01	119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: CLARIS VISION, LLC 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	260
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	49
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	88
Total of all active and inactive participants	2020-01-01	137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	137
Number of participants with account balances	2020-01-01	124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: CLARIS VISION, LLC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	386
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	59
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	201
Total of all active and inactive participants	2019-01-01	260
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	260
Number of participants with account balances	2019-01-01	238
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: CLARIS VISION, LLC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	348
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	280
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	106
Total of all active and inactive participants	2018-01-01	386
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	386
Number of participants with account balances	2018-01-01	255
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	13

Financial Data on CLARIS VISION, LLC 401(K) PLAN

Measure	Date	Value
2022 : CLARIS VISION, LLC 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$-724,057
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$408,761
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$333,096
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$662,403
Value of total assets at end of year	2022-12-31	$7,681,351
Value of total assets at beginning of year	2022-12-31	$8,814,169
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$75,665
Total interest from all sources	2022-12-31	$1,733
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$146,011
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$497,759
Participant contributions at end of year	2022-12-31	$94,833
Participant contributions at beginning of year	2022-12-31	$56,835
Administrative expenses (other) incurred	2022-12-31	$75,665
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-1,132,818
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$7,681,351
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$8,814,169
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$7,500,017
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$8,757,334
Interest on participant loans	2022-12-31	$1,733
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-1,534,204
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$164,644
Employer contributions (assets) at end of year	2022-12-31	$86,501
Employer contributions (assets) at beginning of year	2022-12-31	$0
Income. Dividends from common stock	2022-12-31	$146,011
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$333,096
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	EDELSTEIN & COMPANY LLP
Accountancy firm EIN	2022-12-31	042442519
2021 : CLARIS VISION, LLC 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$1,679,758
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$1,242,439
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$1,159,380
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$479,936
Value of total assets at end of year	2021-12-31	$8,814,169
Value of total assets at beginning of year	2021-12-31	$8,376,850
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$83,059
Total interest from all sources	2021-12-31	$1,666
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$125,405
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$125,405
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$477,468
Participant contributions at end of year	2021-12-31	$56,835
Participant contributions at beginning of year	2021-12-31	$36,540
Administrative expenses (other) incurred	2021-12-31	$83,059
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$437,319
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$8,814,169
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$8,376,850
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$8,757,334
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$8,340,310
Interest on participant loans	2021-12-31	$1,666
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$1,072,751
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$2,468
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$1,159,380
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Disclaimer
Accountancy firm name	2021-12-31	EDELSTEIN & COMPANY LLP
Accountancy firm EIN	2021-12-31	042442519
2020 : CLARIS VISION, LLC 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total transfer of assets from this plan	2020-12-31	$2,175,201
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$1,622,684
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$426,183
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$346,838
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$592,160
Value of total assets at end of year	2020-12-31	$8,376,850
Value of total assets at beginning of year	2020-12-31	$9,355,550
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$79,345
Total interest from all sources	2020-12-31	$1,533
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$123,614
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$123,614
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$460,193
Participant contributions at end of year	2020-12-31	$36,540
Participant contributions at beginning of year	2020-12-31	$78,293
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$125,093
Administrative expenses (other) incurred	2020-12-31	$79,345
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$1,196,501
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$8,376,850
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$9,355,550
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$8,340,310
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$9,277,257
Interest on participant loans	2020-12-31	$1,533
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$905,377
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$6,874
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$346,838
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	EDELSTEIN & COMPANY LLP
Accountancy firm EIN	2020-12-31	042442519
2019 : CLARIS VISION, LLC 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$3,990
Total income from all sources (including contributions)	2019-12-31	$2,109,482
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$1,446,802
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$1,441,163
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$436,851
Value of total assets at end of year	2019-12-31	$9,355,550
Value of total assets at beginning of year	2019-12-31	$8,696,860
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$5,639
Total interest from all sources	2019-12-31	$4,014
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$423,595
Participant contributions at end of year	2019-12-31	$78,293
Participant contributions at beginning of year	2019-12-31	$132,062
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$3,990
Administrative expenses (other) incurred	2019-12-31	$5,639
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$662,680
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$9,355,550
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$8,692,870
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$9,277,257
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$8,436,726
Interest on participant loans	2019-12-31	$4,014
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$1,668,617
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$13,256
Employer contributions (assets) at end of year	2019-12-31	$0
Employer contributions (assets) at beginning of year	2019-12-31	$128,072
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$1,441,163
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	KAHN, LITWIN, RENZA & CO. LTD
Accountancy firm EIN	2019-12-31	050409384
2018 : CLARIS VISION, LLC 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$3,990
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$37,653
Total income from all sources (including contributions)	2018-12-31	$361,897
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$791,872
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$786,478
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$790,306
Value of total assets at end of year	2018-12-31	$8,696,860
Value of total assets at beginning of year	2018-12-31	$9,160,498
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$5,394
Total interest from all sources	2018-12-31	$5,348
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$650,638
Participant contributions at end of year	2018-12-31	$132,062
Participant contributions at beginning of year	2018-12-31	$208,514
Participant contributions at end of year	2018-12-31	$0
Participant contributions at beginning of year	2018-12-31	$18,935
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2018-12-31	$3,990
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$37,653
Administrative expenses (other) incurred	2018-12-31	$5,394
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-429,975
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$8,692,870
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$9,122,845
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$8,436,726
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$8,766,945
Interest on participant loans	2018-12-31	$5,348
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-433,757
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$139,668
Employer contributions (assets) at end of year	2018-12-31	$128,072
Employer contributions (assets) at beginning of year	2018-12-31	$166,104
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$786,478
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	KAHN, LITWIN, RENZA & CO. LTD
Accountancy firm EIN	2018-12-31	050409384

Form 5500 Responses for CLARIS VISION, LLC 401(K) PLAN

2022: CLARIS VISION, LLC 401(K) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Mulitple employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: CLARIS VISION, LLC 401(K) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Mulitple employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	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: CLARIS VISION, LLC 401(K) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Mulitple employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	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: CLARIS VISION, LLC 401(K) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Mulitple 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: CLARIS VISION, LLC 401(K) 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:	EYE HEALTH ASSOCIATES, INC.
Employer identification number (EIN):	461083116
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)