401k Plan data: DAVID A. SIGALOW, M.D., P.A., PROFIT SHARING PLAN plan

DAVID A. SIGALOW, M.D., P.A., PROFIT SHARING PLAN 401k Plan overview

Plan Name	DAVID A. SIGALOW, M.D., P.A., PROFIT SHARING PLAN
Plan identification number	001

DAVID A. SIGALOW, M.D., P.A., 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.
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

DAVID A. SIGALOW, M.D., P.A. has sponsored the creation of one or more 401k plans.

Company Name: DAVID A. SIGALOW, M.D., P.A.

Employer identification number (EIN): 650473285

NAIC Classification: 541990
NAIC Description: All Other Professional, Scientific, and Technical Services

Additional information about DAVID A. SIGALOW, M.D., P.A.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 1994-01-04

Company Identification Number: P94000002751

Legal Registered Office Address: 2562 sw racquet club drive

palm city

34990

More information about DAVID A. SIGALOW, M.D., P.A.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DAVID A. SIGALOW, M.D., P.A., PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2023-01-01 DR. DAVID SIGALOW 2024-10-01
001 2022-01-01 DR. DAVID SIGALOW 2023-09-23
001 2021-01-01 DR. DAVID SIGALOW 2022-10-12
001 2020-01-01 DR. DAVID SIGALOW 2021-10-11
001 2019-01-01 DAVID SIGALOW 2020-10-13 DAVID SIGALOW 2020-10-13
001 2018-01-01 DAVID SIGALOW 2019-09-17 DAVID SIGALOW 2019-09-17
001 2017-01-01 DAVID SIGALOW 2018-10-09 DAVID SIGALOW 2018-10-09
001 2016-01-01 DAVID SIGALOW 2017-09-21 DAVID SIGALOW 2017-09-21
001 2015-01-01 DAVID SIGALOW 2016-09-19 DAVID SIGALOW 2016-09-19
001 2014-01-01 DAVID SIGALOW 2015-09-15 DAVID SIGALOW 2015-09-15
001 2013-01-01 DAVID SIGALOW 2014-10-10 DAVID SIGALOW 2014-10-10
001 2012-01-01 DAVID SIGALOW 2013-10-08 DAVID SIGALOW 2013-10-08
001 2011-01-01 DAVID SIGALOW DAVID SIGALOW 2012-09-22

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2023-01-01	DR. DAVID SIGALOW	2024-10-01
001	2022-01-01	DR. DAVID SIGALOW	2023-09-23
001	2021-01-01	DR. DAVID SIGALOW	2022-10-12
001	2020-01-01	DR. DAVID SIGALOW	2021-10-11
001	2019-01-01	DAVID SIGALOW	2020-10-13	DAVID SIGALOW	2020-10-13
001	2018-01-01	DAVID SIGALOW	2019-09-17	DAVID SIGALOW	2019-09-17
001	2017-01-01	DAVID SIGALOW	2018-10-09	DAVID SIGALOW	2018-10-09
001	2016-01-01	DAVID SIGALOW	2017-09-21	DAVID SIGALOW	2017-09-21
001	2015-01-01	DAVID SIGALOW	2016-09-19	DAVID SIGALOW	2016-09-19
001	2014-01-01	DAVID SIGALOW	2015-09-15	DAVID SIGALOW	2015-09-15
001	2013-01-01	DAVID SIGALOW	2014-10-10	DAVID SIGALOW	2014-10-10
001	2012-01-01	DAVID SIGALOW	2013-10-08	DAVID SIGALOW	2013-10-08
001	2011-01-01	DAVID SIGALOW		DAVID SIGALOW	2012-09-22

Plan Statistics for DAVID A. SIGALOW, M.D., P.A., PROFIT SHARING PLAN

401k plan membership statisitcs for DAVID A. SIGALOW, M.D., P.A., PROFIT SHARING PLAN

Measure Date Value
2011: DAVID A. SIGALOW, M.D., P.A., PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 5
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 5
Number of participants with account balances 2011-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2011: DAVID A. SIGALOW, M.D., P.A., PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	5
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	5
Number of participants with account balances	2011-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on DAVID A. SIGALOW, M.D., P.A., PROFIT SHARING PLAN

Measure	Date	Value
2011 : DAVID A. SIGALOW, M.D., P.A., PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$57,695
Expenses. Total of all expenses incurred	2011-12-31	$51,181
Benefits paid (including direct rollovers)	2011-12-31	$43,062
Total plan assets at end of year	2011-12-31	$1,018,617
Total plan assets at beginning of year	2011-12-31	$1,012,103
Value of fidelity bond covering the plan	2011-12-31	$25,000
Total contributions received or receivable from participants	2011-12-31	$0
Expenses. Other expenses not covered elsewhere	2011-12-31	$0
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-8,256
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$6,514
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,018,617
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,012,103
Assets. Value of participant loans	2011-12-31	$2,455
Total contributions received or receivable from employer(s)	2011-12-31	$65,951
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$8,119
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : DAVID A. SIGALOW, M.D., P.A., PROFIT SHARING PLAN 2010 401k financial data
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$205,054
Expenses. Total of all expenses incurred	2010-12-31	$7,586
Benefits paid (including direct rollovers)	2010-12-31	$0
Total plan assets at end of year	2010-12-31	$1,012,103
Total plan assets at beginning of year	2010-12-31	$814,635
Value of fidelity bond covering the plan	2010-12-31	$25,000
Total contributions received or receivable from participants	2010-12-31	$0
Expenses. Other expenses not covered elsewhere	2010-12-31	$0
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$137,296
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$197,468
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,012,103
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$814,635
Assets. Value of participant loans	2010-12-31	$3,399
Total contributions received or receivable from employer(s)	2010-12-31	$67,758
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$7,586
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0

Form 5500 Responses for DAVID A. SIGALOW, M.D., P.A., PROFIT SHARING PLAN

2011: DAVID A. SIGALOW, M.D., P.A., PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	DAVID A. SIGALOW, M.D., P.A.
Employer identification number (EIN):	650473285
NAIC Classification:	541990
NAIC Description:	All Other Professional, Scientific, and Technical Services

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	1994-01-04
Company Identification Number:	P94000002751
Legal Registered Office Address:	2562 sw racquet club drive palm city 34990