401k Plan data: ARTHUR J. GRIZZLE, M.D., PLC PROFIT SHARING PLAN plan

ARTHUR J. GRIZZLE, M.D., PLC PROFIT SHARING PLAN 401k Plan overview

Plan Name	ARTHUR J. GRIZZLE, M.D., PLC PROFIT SHARING PLAN
Plan identification number	001

ARTHUR J. GRIZZLE, M.D., PLC PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily pay related
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.
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.

401k Sponsoring company profile

ARTHUR J. GRIZZLE, M.D., PLC has sponsored the creation of one or more 401k plans.

Company Name: ARTHUR J. GRIZZLE, M.D., PLC

Employer identification number (EIN): 651041051

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ARTHUR J. GRIZZLE, M.D., PLC PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-01-01
001 2020-01-01
001 2019-01-01 ARTHUR GRIZZLE 2020-01-13 ARTHUR GRIZZLE 2020-01-13
001 2018-01-01 ARTHUR GRIZZLE 2020-01-13 ARTHUR GRIZZLE 2020-01-13
001 2017-01-01 ARTHUR GRIZZLE 2018-10-02 ARTHUR GRIZZLE 2018-10-02
001 2016-01-01 ARTHUR GRIZZLE
001 2015-01-01 ARTHUR GRIZZLE
001 2014-01-01 ARTHUR GRIZZLE
001 2013-01-01 ARTHUR GRIZZLE
001 2012-01-01 ARTHUR GRIZZLE
001 2011-01-01 ARTHUR GRIZZLE
001 2009-01-01 ARTHUR GRIZZLE

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2021-01-01
001	2020-01-01
001	2019-01-01	ARTHUR GRIZZLE	2020-01-13	ARTHUR GRIZZLE	2020-01-13
001	2018-01-01	ARTHUR GRIZZLE	2020-01-13	ARTHUR GRIZZLE	2020-01-13
001	2017-01-01	ARTHUR GRIZZLE	2018-10-02	ARTHUR GRIZZLE	2018-10-02
001	2016-01-01	ARTHUR GRIZZLE
001	2015-01-01	ARTHUR GRIZZLE
001	2014-01-01	ARTHUR GRIZZLE
001	2013-01-01	ARTHUR GRIZZLE
001	2012-01-01	ARTHUR GRIZZLE
001	2011-01-01	ARTHUR GRIZZLE
001	2009-01-01	ARTHUR GRIZZLE

Plan Statistics for ARTHUR J. GRIZZLE, M.D., PLC PROFIT SHARING PLAN

401k plan membership statisitcs for ARTHUR J. GRIZZLE, M.D., PLC PROFIT SHARING PLAN

Measure Date Value
2016: ARTHUR J. GRIZZLE, M.D., PLC PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 3
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 1
Total of all active and inactive participants 2016-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 4
Number of participants with account balances 2016-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: ARTHUR J. GRIZZLE, M.D., PLC PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 4
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 3
Total of all active and inactive participants 2015-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 7
Number of participants with account balances 2015-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: ARTHUR J. GRIZZLE, M.D., PLC PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 3
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 3
Total of all active and inactive participants 2014-01-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 6
Number of participants with account balances 2014-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: ARTHUR J. GRIZZLE, M.D., PLC PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 3
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 3
Total of all active and inactive participants 2013-01-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 6
Number of participants with account balances 2013-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: ARTHUR J. GRIZZLE, M.D., PLC PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 3
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 3
Total of all active and inactive participants 2012-01-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 6
Number of participants with account balances 2012-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: ARTHUR J. GRIZZLE, M.D., PLC 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 3
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 3
Total of all active and inactive participants 2011-01-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 6
Number of participants with account balances 2011-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: ARTHUR J. GRIZZLE, M.D., PLC PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 3
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 1
Total of all active and inactive participants 2009-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 4
Number of participants with account balances 2009-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2016: ARTHUR J. GRIZZLE, M.D., PLC PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	3
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	1
Total of all active and inactive participants	2016-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	4
Number of participants with account balances	2016-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: ARTHUR J. GRIZZLE, M.D., PLC PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	4
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	3
Total of all active and inactive participants	2015-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	7
Number of participants with account balances	2015-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: ARTHUR J. GRIZZLE, M.D., PLC PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	3
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	3
Total of all active and inactive participants	2014-01-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	6
Number of participants with account balances	2014-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: ARTHUR J. GRIZZLE, M.D., PLC PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	3
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	3
Total of all active and inactive participants	2013-01-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	6
Number of participants with account balances	2013-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: ARTHUR J. GRIZZLE, M.D., PLC PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	3
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	3
Total of all active and inactive participants	2012-01-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	6
Number of participants with account balances	2012-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: ARTHUR J. GRIZZLE, M.D., PLC 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	3
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	3
Total of all active and inactive participants	2011-01-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	6
Number of participants with account balances	2011-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: ARTHUR J. GRIZZLE, M.D., PLC PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	3
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	1
Total of all active and inactive participants	2009-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	4
Number of participants with account balances	2009-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on ARTHUR J. GRIZZLE, M.D., PLC PROFIT SHARING PLAN

Measure	Date	Value
2016 : ARTHUR J. GRIZZLE, M.D., PLC PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$5,280
Expenses. Total of all expenses incurred	2016-12-31	$2,054
Benefits paid (including direct rollovers)	2016-12-31	$2,054
Total plan assets at end of year	2016-12-31	$103,187
Total plan assets at beginning of year	2016-12-31	$99,961
Value of fidelity bond covering the plan	2016-12-31	$100,000
Other income received	2016-12-31	$5,280
Net income (gross income less expenses)	2016-12-31	$3,226
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$103,187
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$99,961
2015 : ARTHUR J. GRIZZLE, M.D., PLC PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$7,963
Expenses. Total of all expenses incurred	2015-12-31	$0
Total plan assets at end of year	2015-12-31	$99,961
Total plan assets at beginning of year	2015-12-31	$91,998
Value of fidelity bond covering the plan	2015-12-31	$100,000
Other income received	2015-12-31	$2,963
Net income (gross income less expenses)	2015-12-31	$7,963
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$99,961
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$91,998
Total contributions received or receivable from employer(s)	2015-12-31	$5,000
2014 : ARTHUR J. GRIZZLE, M.D., PLC PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$1,659
Expenses. Total of all expenses incurred	2014-12-31	$0
Total plan assets at end of year	2014-12-31	$91,998
Total plan assets at beginning of year	2014-12-31	$90,339
Value of fidelity bond covering the plan	2014-12-31	$100,000
Other income received	2014-12-31	$1,659
Net income (gross income less expenses)	2014-12-31	$1,659
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$91,998
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$90,339
2013 : ARTHUR J. GRIZZLE, M.D., PLC PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$13,589
Expenses. Total of all expenses incurred	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$90,339
Total plan assets at beginning of year	2013-12-31	$76,750
Value of fidelity bond covering the plan	2013-12-31	$100,000
Other income received	2013-12-31	$13,589
Net income (gross income less expenses)	2013-12-31	$13,589
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$90,339
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$76,750
2012 : ARTHUR J. GRIZZLE, M.D., PLC PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$7,129
Expenses. Total of all expenses incurred	2012-12-31	$0
Total plan assets at end of year	2012-12-31	$76,750
Total plan assets at beginning of year	2012-12-31	$69,621
Value of fidelity bond covering the plan	2012-12-31	$100,000
Other income received	2012-12-31	$7,129
Net income (gross income less expenses)	2012-12-31	$7,129
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$76,750
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$69,621
2011 : ARTHUR J. GRIZZLE, M.D., PLC PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$1,651
Expenses. Total of all expenses incurred	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$69,621
Total plan assets at beginning of year	2011-12-31	$67,970
Value of fidelity bond covering the plan	2011-12-31	$100,000
Other income received	2011-12-31	$-3,349
Net income (gross income less expenses)	2011-12-31	$1,651
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$69,621
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$67,970
Total contributions received or receivable from employer(s)	2011-12-31	$5,000
2010 : ARTHUR J. GRIZZLE, M.D., PLC PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$10,453
Expenses. Total of all expenses incurred	2010-12-31	$0
Total plan assets at end of year	2010-12-31	$67,970
Total plan assets at beginning of year	2010-12-31	$57,517
Value of fidelity bond covering the plan	2010-12-31	$100,000
Other income received	2010-12-31	$5,453
Net income (gross income less expenses)	2010-12-31	$10,453
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$67,970
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$57,517
Total contributions received or receivable from employer(s)	2010-12-31	$5,000

Form 5500 Responses for ARTHUR J. GRIZZLE, M.D., PLC PROFIT SHARING PLAN

2016: ARTHUR J. GRIZZLE, M.D., PLC PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: ARTHUR J. GRIZZLE, M.D., PLC PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: ARTHUR J. GRIZZLE, M.D., PLC PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: ARTHUR J. GRIZZLE, M.D., PLC PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: ARTHUR J. GRIZZLE, M.D., PLC PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: ARTHUR J. GRIZZLE, M.D., PLC 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
2009: ARTHUR J. GRIZZLE, M.D., PLC PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	ARTHUR J. GRIZZLE, M.D., PLC
Employer identification number (EIN):	651041051
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)