401k Plan data: CENTRAL CAROLINA SURGERY, P.A. RESTATED RESTATED 401(K) PROFIT SHARING PLAN AND TRUST plan

CENTRAL CAROLINA SURGERY, P.A. RESTATED RESTATED 401(K) PROFIT SHARING PLAN AND TRUST 401k Plan overview

Plan Name	CENTRAL CAROLINA SURGERY, P.A. RESTATED RESTATED 401(K) PROFIT SHARING PLAN AND TRUST
Plan identification number	003

CENTRAL CAROLINA SURGERY, P.A. RESTATED RESTATED 401(K) PROFIT SHARING PLAN AND TRUST 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.
Participant-directed brokerage accounts provided as an investment option under the plan.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
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

CENTRAL CAROLINA SURGERY P.A. has sponsored the creation of one or more 401k plans.

Company Name: CENTRAL CAROLINA SURGERY P.A.

Employer identification number (EIN): 561122070

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CENTRAL CAROLINA SURGERY, P.A. RESTATED RESTATED 401(K) PROFIT SHARING PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2023-01-01 JIMMIE HODGE 2023-09-26 JIMMIE HODGE 2023-09-26
003 2022-01-01 JIMMIE HODGE 2023-09-18 JIMMIE HODGE 2023-09-18
003 2021-01-01 JIM HODGE 2022-05-09 JIM HODGE 2022-05-09
003 2020-01-01 TODD GERKIN 2021-06-28 TODD GERKIN 2021-06-28
003 2019-01-01 TODD GERKIN 2020-07-15 TODD GERKIN 2020-07-15
003 2018-01-01 TODD GERKIN 2019-06-20 TODD GERKIN 2019-06-20
003 2017-01-01 ROSENBOWER 2018-07-17 ROSENBOWER 2018-07-17
003 2016-01-01 ROSENBOWER 2017-06-23 ROSENBOWER 2017-06-23
003 2015-01-01 TODD ROSENBOWER 2016-07-13 TODD ROSENBOWER 2016-07-13
003 2014-01-01 TODD ROSENBOWER 2015-07-08
003 2013-01-01 TODD ROSENBOWER 2014-09-23 TODD ROSENBOWER 2014-09-23
003 2012-01-01 TODD ROSENBOWER 2013-09-10
003 2011-01-01 TODD ROSENBOWER 2012-09-12
003 2010-01-01 TODD ROSENBOWER 2011-08-03

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
003	2023-01-01	JIMMIE HODGE	2023-09-26	JIMMIE HODGE	2023-09-26
003	2022-01-01	JIMMIE HODGE	2023-09-18	JIMMIE HODGE	2023-09-18
003	2021-01-01	JIM HODGE	2022-05-09	JIM HODGE	2022-05-09
003	2020-01-01	TODD GERKIN	2021-06-28	TODD GERKIN	2021-06-28
003	2019-01-01	TODD GERKIN	2020-07-15	TODD GERKIN	2020-07-15
003	2018-01-01	TODD GERKIN	2019-06-20	TODD GERKIN	2019-06-20
003	2017-01-01	ROSENBOWER	2018-07-17	ROSENBOWER	2018-07-17
003	2016-01-01	ROSENBOWER	2017-06-23	ROSENBOWER	2017-06-23
003	2015-01-01	TODD ROSENBOWER	2016-07-13	TODD ROSENBOWER	2016-07-13
003	2014-01-01	TODD ROSENBOWER	2015-07-08
003	2013-01-01	TODD ROSENBOWER	2014-09-23	TODD ROSENBOWER	2014-09-23
003	2012-01-01	TODD ROSENBOWER	2013-09-10
003	2011-01-01	TODD ROSENBOWER	2012-09-12
003	2010-01-01	TODD ROSENBOWER	2011-08-03

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Company Name:	CENTRAL CAROLINA SURGERY P.A.
Employer identification number (EIN):	561122070
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)