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FAMILY MEDICINE ASSOCIATES 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameFAMILY MEDICINE ASSOCIATES 401(K) PROFIT SHARING PLAN
Plan identification number 001

FAMILY MEDICINE ASSOCIATES 401(K) PROFIT SHARING PLAN Benefits

401k Plan TypeDefined 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.
  • 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

CLEBURNE FAMILY MEDICINE ASSOCIATES, PLLC has sponsored the creation of one or more 401k plans.

Company Name:CLEBURNE FAMILY MEDICINE ASSOCIATES, PLLC
Employer identification number (EIN):752233121
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Additional information about CLEBURNE FAMILY MEDICINE ASSOCIATES, PLLC

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 2016-10-04
Company Identification Number: P16000081003
Legal Registered Office Address: 7351 W OAKLAND PARK BLVD

LAUDERHILL

33319

More information about CLEBURNE FAMILY MEDICINE ASSOCIATES, PLLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FAMILY MEDICINE ASSOCIATES 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012023-01-01STEPHANIE FEYMA2024-06-14
0012022-01-01ERIC QUELLA2023-09-21
0012021-01-01JAMES FROSCH2023-01-12
0012020-01-01JAMES FROSCH2021-05-11
0012019-01-01
0012018-01-01VICKI BENNER2018-10-04
0012017-01-01VICKI BENNER
0012016-01-01VICKI BENNER
0012015-01-01BOBBIE ROBISON
0012014-01-01BOBBIE ROBISON
0012013-01-01BOBBIE ROBISON
0012012-01-01BOBBIE ROBISON2013-06-25
0012011-01-01BOBBIE ROBISON2012-06-18
0012010-01-01BOBBIE ROBISON2011-05-31

Plan Statistics for FAMILY MEDICINE ASSOCIATES 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for FAMILY MEDICINE ASSOCIATES 401(K) PROFIT SHARING PLAN

Measure Date Value
2021: FAMILY MEDICINE ASSOCIATES 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01149
Total number of active participants reported on line 7a of the Form 55002021-01-0110
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0168
Total of all active and inactive participants2021-01-0178
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0178
Number of participants with account balances2021-01-0172
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0148
2017: FAMILY MEDICINE ASSOCIATES 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01107
Total number of active participants reported on line 7a of the Form 55002017-01-0189
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0116
Total of all active and inactive participants2017-01-01105
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01105
Number of participants with account balances2017-01-0192
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-014
2016: FAMILY MEDICINE ASSOCIATES 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01193
Total number of active participants reported on line 7a of the Form 55002016-01-0189
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0119
Total of all active and inactive participants2016-01-01108
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01108
Number of participants with account balances2016-01-0198
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-017
2015: FAMILY MEDICINE ASSOCIATES 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01113
Total number of active participants reported on line 7a of the Form 55002015-01-0191
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-016
Total of all active and inactive participants2015-01-0197
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0197
Number of participants with account balances2015-01-0195
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: FAMILY MEDICINE ASSOCIATES 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01126
Total number of active participants reported on line 7a of the Form 55002014-01-0194
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0117
Total of all active and inactive participants2014-01-01111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01111
Number of participants with account balances2014-01-0188
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: FAMILY MEDICINE ASSOCIATES 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01123
Total number of active participants reported on line 7a of the Form 55002013-01-0193
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0132
Total of all active and inactive participants2013-01-01125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01125
Number of participants with account balances2013-01-01108
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0112

Financial Data on FAMILY MEDICINE ASSOCIATES 401(K) PROFIT SHARING PLAN

Measure Date Value
2021 : FAMILY MEDICINE ASSOCIATES 401(K) PROFIT SHARING PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total transfer of assets from this plan2021-12-31$187,960
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$1,389,619
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$4,338,745
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$4,314,280
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$422,698
Value of total assets at end of year2021-12-31$6,508,721
Value of total assets at beginning of year2021-12-31$9,645,807
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$24,465
Total interest from all sources2021-12-31$6,005
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$201,273
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$201,273
Was this plan covered by a fidelity bond2021-12-31No
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31Yes
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$248,274
Participant contributions at end of year2021-12-31$57,253
Participant contributions at beginning of year2021-12-31$358,135
Participant contributions at end of year2021-12-31$1,214
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$41,251
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-2,949,126
Value of net assets at end of year (total assets less liabilities)2021-12-31$6,508,721
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$9,645,807
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$943
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$6,449,252
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$9,287,672
Interest on participant loans2021-12-31$6,005
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$759,643
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$133,173
Employer contributions (assets) at end of year2021-12-31$1,002
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$4,314,280
Contract administrator fees2021-12-31$23,522
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31Yes
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31ALEXANDER & WILLIAMS, LLC
Accountancy firm EIN2021-12-31843798055
2017 : FAMILY MEDICINE ASSOCIATES 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$1,315,809
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$374,558
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$352,349
Expenses. Certain deemed distributions of participant loans2017-12-31$0
Value of total corrective distributions2017-12-31$18,769
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$470,034
Value of total assets at end of year2017-12-31$7,146,218
Value of total assets at beginning of year2017-12-31$6,204,967
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$3,440
Total interest from all sources2017-12-31$17,058
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$233,604
Participant contributions at end of year2017-12-31$265,900
Participant contributions at beginning of year2017-12-31$315,142
Assets. Other investments not covered elsewhere at end of year2017-12-31$8,333
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$6,246
Other income not declared elsewhere2017-12-31$2,087
Total non interest bearing cash at end of year2017-12-31$16,508
Total non interest bearing cash at beginning of year2017-12-31$13,012
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$941,251
Value of net assets at end of year (total assets less liabilities)2017-12-31$7,146,218
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$6,204,967
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in pooled separate accounts at end of year2017-12-31$6,855,477
Value of interest in pooled separate accounts at beginning of year2017-12-31$5,870,567
Interest on participant loans2017-12-31$17,058
Net investment gain/loss from pooled separate accounts2017-12-31$826,630
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$236,430
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$352,349
Contract administrator fees2017-12-31$3,440
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31ESTES, ARMSTRONG, EARLEY, LLC
Accountancy firm EIN2017-12-31271681844
2016 : FAMILY MEDICINE ASSOCIATES 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$867,824
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$412,302
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$399,124
Value of total corrective distributions2016-12-31$9,334
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$484,593
Value of total assets at end of year2016-12-31$6,204,967
Value of total assets at beginning of year2016-12-31$5,749,445
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$3,844
Total interest from all sources2016-12-31$17,113
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$242,490
Participant contributions at end of year2016-12-31$315,142
Participant contributions at beginning of year2016-12-31$319,117
Assets. Other investments not covered elsewhere at end of year2016-12-31$6,246
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$14,216
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$4,809
Total non interest bearing cash at end of year2016-12-31$13,012
Total non interest bearing cash at beginning of year2016-12-31$17,181
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$455,522
Value of net assets at end of year (total assets less liabilities)2016-12-31$6,204,967
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$5,749,445
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in pooled separate accounts at end of year2016-12-31$5,870,567
Value of interest in pooled separate accounts at beginning of year2016-12-31$5,398,931
Interest on participant loans2016-12-31$17,113
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$-7,971
Net investment gain/loss from pooled separate accounts2016-12-31$374,089
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$237,294
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$399,124
Contract administrator fees2016-12-31$3,844
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31ESTES, ARMSTRONG, EARLEY, LLC
Accountancy firm EIN2016-12-31271681844
2015 : FAMILY MEDICINE ASSOCIATES 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$456,222
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$950,051
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$944,103
Value of total corrective distributions2015-12-31$1,713
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$505,026
Value of total assets at end of year2015-12-31$5,749,445
Value of total assets at beginning of year2015-12-31$6,243,274
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$4,235
Total interest from all sources2015-12-31$18,554
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$256,648
Participant contributions at end of year2015-12-31$319,117
Participant contributions at beginning of year2015-12-31$365,331
Assets. Other investments not covered elsewhere at end of year2015-12-31$14,216
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$9,003
Total non interest bearing cash at end of year2015-12-31$17,181
Total non interest bearing cash at beginning of year2015-12-31$12,499
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-493,829
Value of net assets at end of year (total assets less liabilities)2015-12-31$5,749,445
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$6,243,274
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in pooled separate accounts at end of year2015-12-31$5,398,931
Value of interest in pooled separate accounts at beginning of year2015-12-31$5,856,441
Interest on participant loans2015-12-31$18,554
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$5,214
Net investment gain/loss from pooled separate accounts2015-12-31$-72,572
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$248,378
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$944,103
Contract administrator fees2015-12-31$4,235
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31ABC COMPANY
Accountancy firm EIN2015-12-31123456789
2014 : FAMILY MEDICINE ASSOCIATES 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$842,853
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$543,191
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$536,686
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$583,016
Value of total assets at end of year2014-12-31$6,243,274
Value of total assets at beginning of year2014-12-31$5,943,612
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$6,505
Total interest from all sources2014-12-31$18,827
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$245,463
Participant contributions at end of year2014-12-31$365,331
Participant contributions at beginning of year2014-12-31$273,147
Assets. Other investments not covered elsewhere at end of year2014-12-31$9,003
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$7,351
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$116,889
Total non interest bearing cash at end of year2014-12-31$12,499
Total non interest bearing cash at beginning of year2014-12-31$22,426
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$299,662
Value of net assets at end of year (total assets less liabilities)2014-12-31$6,243,274
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$5,943,612
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in pooled separate accounts at end of year2014-12-31$5,856,441
Value of interest in pooled separate accounts at beginning of year2014-12-31$5,640,688
Interest on participant loans2014-12-31$18,827
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$1,652
Net investment gain/loss from pooled separate accounts2014-12-31$239,358
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$220,664
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$536,686
Contract administrator fees2014-12-31$6,505
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31ABC COMPANY
Accountancy firm EIN2014-12-31123456789
2013 : FAMILY MEDICINE ASSOCIATES 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$1,170,809
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$297,718
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$293,452
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$417,483
Value of total assets at end of year2013-12-31$5,943,612
Value of total assets at beginning of year2013-12-31$5,070,521
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$4,266
Total interest from all sources2013-12-31$13,968
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$228,097
Participant contributions at end of year2013-12-31$273,147
Participant contributions at beginning of year2013-12-31$249,670
Assets. Other investments not covered elsewhere at end of year2013-12-31$7,351
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$9,754
Other income not declared elsewhere2013-12-31$-2,403
Total non interest bearing cash at end of year2013-12-31$22,426
Total non interest bearing cash at beginning of year2013-12-31$38,844
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$873,091
Value of net assets at end of year (total assets less liabilities)2013-12-31$5,943,612
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$5,070,521
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in pooled separate accounts at end of year2013-12-31$5,640,688
Value of interest in pooled separate accounts at beginning of year2013-12-31$4,772,253
Interest on participant loans2013-12-31$13,968
Net investment gain/loss from pooled separate accounts2013-12-31$741,761
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31Yes
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$189,386
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$293,452
Contract administrator fees2013-12-31$4,266
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31ABC COMPANY
Accountancy firm EIN2013-12-31123456789

Form 5500 Responses for FAMILY MEDICINE ASSOCIATES 401(K) PROFIT SHARING PLAN

2021: FAMILY MEDICINE ASSOCIATES 401(K) PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedYes
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2017: FAMILY MEDICINE ASSOCIATES 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: FAMILY MEDICINE ASSOCIATES 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: FAMILY MEDICINE ASSOCIATES 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: FAMILY MEDICINE ASSOCIATES 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: FAMILY MEDICINE ASSOCIATES 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedYes
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number74897
Policy instance 1
Insurance contract or identification number74897
Number of Individuals Covered99
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $2,610
Total amount of fees paid to insurance companyUSD $3,321
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,610
Amount paid for insurance broker fees3321
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker organization code?5
Insurance broker nameTHE RETIREMENT ADVANTAGE
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number74897
Policy instance 1
Insurance contract or identification number74897
Number of Individuals Covered101
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $2,986
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees2986
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker organization code?5
Insurance broker nameTHE RETIREMENT ADVANTAGE
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number74897
Policy instance 1
Insurance contract or identification number74897
Number of Individuals Covered205
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $3,080
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees3080
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker organization code?5
Insurance broker nameTHE RETIREMENT ADVANTAGE
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number74897
Policy instance 1
Insurance contract or identification number74897
Number of Individuals Covered108
Insurance policy start date2009-01-01
Insurance policy end date2009-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $6,300
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees3600
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker organization code?5
Insurance broker nameTHE RETIREMENT ADVANTAGE

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