401k Plan data: BLACK & KLETZ, M.D. P.C. 401(K) PROFIT SHARING PLAN plan

BLACK & KLETZ, M.D. P.C. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	BLACK & KLETZ, M.D. P.C. 401(K) PROFIT SHARING PLAN
Plan identification number	001

BLACK & KLETZ, M.D. P.C. 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
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.
Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of 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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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.

401k Sponsoring company profile

BLACK & KLETZ, M.D., P.C. has sponsored the creation of one or more 401k plans.

Company Name: BLACK & KLETZ, M.D., P.C.

Employer identification number (EIN): 540899712

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLACK & KLETZ, M.D. P.C. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-10-01 ALICIA O'BRIEN 2024-07-12
001 2021-10-01 ALICIA O'BRIEN 2023-07-07
001 2020-10-01
001 2020-10-01 ALICIA O'BRIEN 2022-11-01
001 2019-10-01
001 2018-10-01 MICHAEL KLETZ 2020-05-01
001 2017-10-01 MICHAEL KLETZ 2018-11-30
001 2016-10-01 MICHAEL KLETZ 2017-12-14
001 2015-10-01 MICHAEL KLETZ 2017-05-23
001 2014-10-01 MICHAEL KLETZ 2016-07-07
001 2013-10-01 MICHAEL KLETZ 2015-06-11 MICHAEL KLETZ 2015-06-11
001 2012-10-01 MICHAEL KLETZ 2014-01-13 MICHAEL KLETZ 2014-01-13
001 2011-10-01 MICHAEL KLETZ 2012-12-13
001 2010-10-01 MYTHILI BACHU 2012-04-24

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-10-01	ALICIA O'BRIEN	2024-07-12
001	2021-10-01	ALICIA O'BRIEN	2023-07-07
001	2020-10-01
001	2020-10-01	ALICIA O'BRIEN	2022-11-01
001	2019-10-01
001	2018-10-01	MICHAEL KLETZ	2020-05-01
001	2017-10-01	MICHAEL KLETZ	2018-11-30
001	2016-10-01	MICHAEL KLETZ	2017-12-14
001	2015-10-01	MICHAEL KLETZ	2017-05-23
001	2014-10-01	MICHAEL KLETZ	2016-07-07
001	2013-10-01	MICHAEL KLETZ	2015-06-11	MICHAEL KLETZ	2015-06-11
001	2012-10-01	MICHAEL KLETZ	2014-01-13	MICHAEL KLETZ	2014-01-13
001	2011-10-01	MICHAEL KLETZ	2012-12-13
001	2010-10-01	MYTHILI BACHU	2012-04-24

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Company Name:	BLACK & KLETZ, M.D., P.C.
Employer identification number (EIN):	540899712
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)