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| Plan Name | RALPH BOURGEOIS MD APMC |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | RALPH BOURGEOIS MD APMC |
| Employer identification number (EIN): | 721417218 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2019-01-01 | RALPH BOURGEOIS | 2020-10-15 | RALPH BOURGEOIS | 2020-10-15 |
| 001 | 2018-01-01 | RALPH BOURGEOIS | 2019-10-14 | RALPH BOURGEOIS | 2019-10-14 |
| 001 | 2017-01-01 | ||||
| 001 | 2016-01-01 | ||||
| 001 | 2015-01-01 | ||||
| 001 | 2014-01-01 | ||||
| 001 | 2013-01-01 |
| Measure | Date | Value |
|---|---|---|
| 2019: RALPH BOURGEOIS MD APMC 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-01-01 | 2 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 0 |
| 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 | 2 |
| Total of all active and inactive participants | 2019-01-01 | 2 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2019-01-01 | 0 |
| Total participants | 2019-01-01 | 2 |
| Number of participants with account balances | 2019-01-01 | 2 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2019-01-01 | 0 |
| 2018: RALPH BOURGEOIS MD APMC 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-01-01 | 4 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 0 |
| 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 | 2 |
| Total of all active and inactive participants | 2018-01-01 | 2 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2018-01-01 | 0 |
| Total participants | 2018-01-01 | 2 |
| Number of participants with account balances | 2018-01-01 | 2 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2018-01-01 | 0 |
| 2017: RALPH BOURGEOIS MD APMC 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-01-01 | 4 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 4 |
| Total of all active and inactive participants | 2017-01-01 | 4 |
| Total participants | 2017-01-01 | 4 |
| Number of participants with account balances | 2017-01-01 | 4 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2017-01-01 | 0 |
| 2016: RALPH BOURGEOIS MD APMC 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-01-01 | 4 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 4 |
| 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 | 0 |
| 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 |
| Measure | Date | Value |
|---|---|---|
| 2019 : RALPH BOURGEOIS MD APMC 2019 401k financial data | ||
| Total income from all sources | 2019-12-31 | $107,933 |
| Expenses. Total of all expenses incurred | 2019-12-31 | $75,000 |
| Total plan assets at end of year | 2019-12-31 | $725,183 |
| Total plan assets at beginning of year | 2019-12-31 | $692,250 |
| Value of fidelity bond covering the plan | 2019-12-31 | $100,000 |
| Expenses. Other expenses not covered elsewhere | 2019-12-31 | $75,000 |
| Other income received | 2019-12-31 | $107,933 |
| Net income (gross income less expenses) | 2019-12-31 | $32,933 |
| Net plan assets at end of year (total assets less liabilities) | 2019-12-31 | $725,183 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-12-31 | $692,250 |
| 2018 : RALPH BOURGEOIS MD APMC 2018 401k financial data | ||
| Total income from all sources | 2018-12-31 | $-41,981 |
| Expenses. Total of all expenses incurred | 2018-12-31 | $95,178 |
| Benefits paid (including direct rollovers) | 2018-12-31 | $20,178 |
| Total plan assets at end of year | 2018-12-31 | $692,250 |
| Total plan assets at beginning of year | 2018-12-31 | $829,409 |
| Value of fidelity bond covering the plan | 2018-12-31 | $100,000 |
| Total contributions received or receivable from participants | 2018-12-31 | $49,000 |
| Expenses. Other expenses not covered elsewhere | 2018-12-31 | $75,000 |
| Other income received | 2018-12-31 | $-95,130 |
| Net income (gross income less expenses) | 2018-12-31 | $-137,159 |
| Net plan assets at end of year (total assets less liabilities) | 2018-12-31 | $692,250 |
| Net plan assets at beginning of year (total assets less liabilities) | 2018-12-31 | $829,409 |
| Total contributions received or receivable from employer(s) | 2018-12-31 | $4,149 |
| 2017 : RALPH BOURGEOIS MD APMC 2017 401k financial data | ||
| Total plan liabilities at beginning of year | 2017-12-31 | $0 |
| Total income from all sources | 2017-12-31 | $162,265 |
| Expenses. Total of all expenses incurred | 2017-12-31 | $75,000 |
| Total plan assets at end of year | 2017-12-31 | $829,409 |
| Total plan assets at beginning of year | 2017-12-31 | $742,144 |
| Value of fidelity bond covering the plan | 2017-12-31 | $100,000 |
| Total contributions received or receivable from participants | 2017-12-31 | $48,000 |
| Expenses. Other expenses not covered elsewhere | 2017-12-31 | $75,000 |
| Other income received | 2017-12-31 | $107,891 |
| Net income (gross income less expenses) | 2017-12-31 | $87,265 |
| Net plan assets at end of year (total assets less liabilities) | 2017-12-31 | $829,409 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-12-31 | $742,144 |
| Total contributions received or receivable from employer(s) | 2017-12-31 | $6,374 |
| 2016 : RALPH BOURGEOIS MD APMC 2016 401k financial data | ||
| Total income from all sources | 2016-12-31 | $124,742 |
| Expenses. Total of all expenses incurred | 2016-12-31 | $75,008 |
| Total plan assets at end of year | 2016-12-31 | $742,144 |
| Total plan assets at beginning of year | 2016-12-31 | $692,410 |
| Value of fidelity bond covering the plan | 2016-12-31 | $100,000 |
| Total contributions received or receivable from participants | 2016-12-31 | $30,000 |
| Expenses. Other expenses not covered elsewhere | 2016-12-31 | $75,000 |
| Other income received | 2016-12-31 | $80,806 |
| Net income (gross income less expenses) | 2016-12-31 | $49,734 |
| Net plan assets at end of year (total assets less liabilities) | 2016-12-31 | $742,144 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-12-31 | $692,410 |
| Total contributions received or receivable from employer(s) | 2016-12-31 | $13,936 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2016-12-31 | $8 |
| 2019: RALPH BOURGEOIS MD APMC 2019 form 5500 responses | ||
|---|---|---|
| 2019-01-01 | Type of plan entity | Single 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 – Insurance | Yes |
| 2019-01-01 | Plan funding arrangement – Trust | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement - Trust | Yes |
| 2018: RALPH BOURGEOIS MD APMC 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 – Insurance | Yes |
| 2018-01-01 | Plan funding arrangement – Trust | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement - Trust | Yes |
| 2017: RALPH BOURGEOIS MD APMC 2017 form 5500 responses | ||
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Submission has been amended | No |
| 2017-01-01 | This submission is the final filing | No |
| 2017-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-01-01 | Plan is a collectively bargained plan | No |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan funding arrangement – Trust | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement - Trust | Yes |
| 2016: RALPH BOURGEOIS MD APMC 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 – Insurance | Yes |
| 2016-01-01 | Plan funding arrangement – Trust | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement - Trust | Yes |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||
| Policy contract number | 18011572 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||
| Policy contract number | 18011572 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| |||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||
| Policy contract number | 18011572 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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