401k Plan data: PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN plan

PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 401k Plan overview

Plan Name	PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN
Plan identification number	001

PHILIP S. EICHLING, M.D., P.C. 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.
Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of 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.
Life insurance

401k Sponsoring company profile

PHILIP S. EICHLING, M.D., P.C. has sponsored the creation of one or more 401k plans.

Company Name: PHILIP S. EICHLING, M.D., P.C.

Employer identification number (EIN): 860608819

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01 PHILIP S. EICHLING, MD
001 2017-01-01 PHILIP S. EICHLING, MD
001 2016-01-01 PHILIP S. EICHLING, MD
001 2015-01-01 PHILIP S. EICHLING, MD
001 2014-01-01 PHILIP S. EICHLING, MD
001 2013-01-01 PHILIP S. EICHLING, MD
001 2012-01-01 PHILIP S. EICHLING, MD
001 2011-01-01 PHILIP S. EICHLING, MD
001 2010-01-01 PHILIP S EICHLING PHILIP S. EICHLING, MD 2011-10-05

Plan Statistics for PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN

401k plan membership statisitcs for PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN

Measure Date Value
2022: PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 0
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 0
Total of all active and inactive participants 2022-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 0
Number of participants with account balances 2022-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 2
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 2
Total of all active and inactive participants 2021-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 4
Number of participants with account balances 2021-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 2
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 3
Total of all active and inactive participants 2020-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 5
Number of participants with account balances 2020-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 2
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 3
Total of all active and inactive participants 2019-01-01 5
Total participants 2019-01-01 5
Number of participants with account balances 2019-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 2
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 3
Total of all active and inactive participants 2018-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 5
Number of participants with account balances 2018-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 2
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 3
Total of all active and inactive participants 2017-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 5
Number of participants with account balances 2017-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 2
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 3
Total of all active and inactive participants 2016-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 5
Number of participants with account balances 2016-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: PHILIP S. EICHLING, M.D., P.C. 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 3
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 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 6
Number of participants with account balances 2015-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: PHILIP S. EICHLING, M.D., P.C. 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 4
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 2
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: PHILIP S. EICHLING, M.D., P.C. 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 4
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 2
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: PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 5
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 2
Total of all active and inactive participants 2012-01-01 5
Total participants 2012-01-01 5
Number of participants with account balances 2012-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 4
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
2010: PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 2
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 2
Number of participants with account balances 2010-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0

Measure	Date	Value
2022: PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	0
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	0
Number of participants with account balances	2022-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	2
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	2
Total of all active and inactive participants	2021-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	4
Number of participants with account balances	2021-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	2
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	3
Total of all active and inactive participants	2020-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	5
Number of participants with account balances	2020-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	2
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	3
Total of all active and inactive participants	2019-01-01	5
Total participants	2019-01-01	5
Number of participants with account balances	2019-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	2
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	3
Total of all active and inactive participants	2018-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	5
Number of participants with account balances	2018-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	2
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	3
Total of all active and inactive participants	2017-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	5
Number of participants with account balances	2017-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	2
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	3
Total of all active and inactive participants	2016-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	5
Number of participants with account balances	2016-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: PHILIP S. EICHLING, M.D., P.C. 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	3
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	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	6
Number of participants with account balances	2015-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: PHILIP S. EICHLING, M.D., P.C. 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	4
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	2
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: PHILIP S. EICHLING, M.D., P.C. 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	4
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	2
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: PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	5
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	2
Total of all active and inactive participants	2012-01-01	5
Total participants	2012-01-01	5
Number of participants with account balances	2012-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	4
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
2010: PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	2
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	2
Number of participants with account balances	2010-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0

Financial Data on PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN

Measure	Date	Value
2022 : PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2022 401k financial data
Total income from all sources	2022-08-31	$-219,831
Expenses. Total of all expenses incurred	2022-08-31	$1,588,062
Benefits paid (including direct rollovers)	2022-08-31	$1,578,231
Total plan assets at end of year	2022-08-31	$0
Total plan assets at beginning of year	2022-08-31	$1,807,893
Value of fidelity bond covering the plan	2022-08-31	$225,000
Expenses. Other expenses not covered elsewhere	2022-08-31	$9,831
Other income received	2022-08-31	$-221,520
Net income (gross income less expenses)	2022-08-31	$-1,807,893
Net plan assets at end of year (total assets less liabilities)	2022-08-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2022-08-31	$1,807,893
Total contributions received or receivable from employer(s)	2022-08-31	$1,689
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2022-08-31	$0
2021 : PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2021 401k financial data
Total income from all sources	2021-12-31	$257,010
Expenses. Total of all expenses incurred	2021-12-31	$59,874
Benefits paid (including direct rollovers)	2021-12-31	$55,543
Total plan assets at end of year	2021-12-31	$1,807,893
Total plan assets at beginning of year	2021-12-31	$1,610,757
Value of fidelity bond covering the plan	2021-12-31	$225,000
Total contributions received or receivable from participants	2021-12-31	$52,000
Expenses. Other expenses not covered elsewhere	2021-12-31	$4,331
Other income received	2021-12-31	$202,061
Net income (gross income less expenses)	2021-12-31	$197,136
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$1,807,893
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$1,610,757
Total contributions received or receivable from employer(s)	2021-12-31	$2,949
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
2020 : PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources	2020-12-31	$114,642
Expenses. Total of all expenses incurred	2020-12-31	$70,944
Benefits paid (including direct rollovers)	2020-12-31	$59,890
Total plan assets at end of year	2020-12-31	$1,610,757
Total plan assets at beginning of year	2020-12-31	$1,567,059
Value of fidelity bond covering the plan	2020-12-31	$225,000
Total contributions received or receivable from participants	2020-12-31	$52,000
Other income received	2020-12-31	$60,084
Net income (gross income less expenses)	2020-12-31	$43,698
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$1,610,757
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$1,567,059
Total contributions received or receivable from employer(s)	2020-12-31	$2,558
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$11,054
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
2019 : PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources	2019-12-31	$257,534
Expenses. Total of all expenses incurred	2019-12-31	$52,026
Benefits paid (including direct rollovers)	2019-12-31	$49,000
Total plan assets at end of year	2019-12-31	$1,567,059
Total plan assets at beginning of year	2019-12-31	$1,361,551
Value of fidelity bond covering the plan	2019-12-31	$150,000
Assets. Value of tangible personal property	2019-12-31	$1,200
Total contributions received or receivable from participants	2019-12-31	$50,000
Other income received	2019-12-31	$204,892
Net income (gross income less expenses)	2019-12-31	$205,508
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$1,567,059
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$1,361,551
Total contributions received or receivable from employer(s)	2019-12-31	$2,642
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$3,026
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
2018 : PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$-28,159
Expenses. Total of all expenses incurred	2018-12-31	$115,629
Benefits paid (including direct rollovers)	2018-12-31	$112,890
Total plan assets at end of year	2018-12-31	$1,361,551
Total plan assets at beginning of year	2018-12-31	$1,505,339
Value of fidelity bond covering the plan	2018-12-31	$150,000
Assets. Value of tangible personal property	2018-12-31	$1,200
Total contributions received or receivable from participants	2018-12-31	$49,000
Other income received	2018-12-31	$-81,118
Net income (gross income less expenses)	2018-12-31	$-143,788
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$1,361,551
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$1,505,339
Total contributions received or receivable from employer(s)	2018-12-31	$3,959
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$2,739
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
2017 : PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$215,874
Expenses. Total of all expenses incurred	2017-12-31	$50,777
Benefits paid (including direct rollovers)	2017-12-31	$47,875
Total plan assets at end of year	2017-12-31	$1,505,339
Total plan assets at beginning of year	2017-12-31	$1,340,242
Value of fidelity bond covering the plan	2017-12-31	$150,000
Assets. Value of tangible personal property	2017-12-31	$1,200
Total contributions received or receivable from participants	2017-12-31	$48,000
Noncash contributions received	2017-12-31	$161,380
Net income (gross income less expenses)	2017-12-31	$165,097
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$1,505,339
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$1,340,242
Total contributions received or receivable from employer(s)	2017-12-31	$6,494
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$2,902
2016 : PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$161,155
Expenses. Total of all expenses incurred	2016-12-31	$101,778
Benefits paid (including direct rollovers)	2016-12-31	$98,995
Total plan assets at end of year	2016-12-31	$1,340,242
Total plan assets at beginning of year	2016-12-31	$1,280,865
Value of fidelity bond covering the plan	2016-12-31	$150,000
Assets. Value of tangible personal property	2016-12-31	$1,200
Total contributions received or receivable from participants	2016-12-31	$48,000
Other income received	2016-12-31	$106,447
Net income (gross income less expenses)	2016-12-31	$59,377
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$1,340,242
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$1,280,865
Total contributions received or receivable from employer(s)	2016-12-31	$6,708
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$2,783
2015 : PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$-13,413
Expenses. Total of all expenses incurred	2015-12-31	$2,594
Total plan assets at end of year	2015-12-31	$1,280,865
Total plan assets at beginning of year	2015-12-31	$1,296,872
Value of fidelity bond covering the plan	2015-12-31	$125,000
Assets. Value of tangible personal property	2015-12-31	$1,200
Total contributions received or receivable from participants	2015-12-31	$94,000
Other income received	2015-12-31	$-116,752
Net income (gross income less expenses)	2015-12-31	$-16,007
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,280,865
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,296,872
Total contributions received or receivable from employer(s)	2015-12-31	$9,339
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$2,594
2014 : PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$333,422
Expenses. Total of all expenses incurred	2014-12-31	$241,406
Benefits paid (including direct rollovers)	2014-12-31	$217,626
Total plan assets at end of year	2014-12-31	$1,296,872
Total plan assets at beginning of year	2014-12-31	$1,204,856
Value of fidelity bond covering the plan	2014-12-31	$125,000
Assets. Value of tangible personal property	2014-12-31	$1,200
Total contributions received or receivable from participants	2014-12-31	$46,000
Expenses. Other expenses not covered elsewhere	2014-12-31	$21,990
Other income received	2014-12-31	$278,505
Net income (gross income less expenses)	2014-12-31	$92,016
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,296,872
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,204,856
Total contributions received or receivable from employer(s)	2014-12-31	$8,917
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$1,790
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$132,889
Expenses. Total of all expenses incurred	2013-12-31	$23,703
Benefits paid (including direct rollovers)	2013-12-31	$543
Total plan assets at end of year	2013-12-31	$1,204,856
Total plan assets at beginning of year	2013-12-31	$1,095,670
Value of fidelity bond covering the plan	2013-12-31	$125,000
Assets. Value of tangible personal property	2013-12-31	$1,200
Total contributions received or receivable from participants	2013-12-31	$43,000
Expenses. Other expenses not covered elsewhere	2013-12-31	$21,990
Other income received	2013-12-31	$81,042
Net income (gross income less expenses)	2013-12-31	$109,186
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,204,856
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,095,670
Total contributions received or receivable from employer(s)	2013-12-31	$8,847
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$1,170
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$76,232
Expenses. Total of all expenses incurred	2012-12-31	$22,560
Total plan assets at end of year	2012-12-31	$1,095,670
Total plan assets at beginning of year	2012-12-31	$1,041,998
Value of fidelity bond covering the plan	2012-12-31	$125,000
Assets. Value of tangible personal property	2012-12-31	$1,200
Total contributions received or receivable from participants	2012-12-31	$350
Expenses. Other expenses not covered elsewhere	2012-12-31	$21,990
Other income received	2012-12-31	$75,882
Net income (gross income less expenses)	2012-12-31	$53,672
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,095,670
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,041,998
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$570
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$65,255
Expenses. Total of all expenses incurred	2011-12-31	$21,990
Total plan assets at end of year	2011-12-31	$1,041,998
Total plan assets at beginning of year	2011-12-31	$998,733
Value of fidelity bond covering the plan	2011-12-31	$125,000
Assets. Value of tangible personal property	2011-12-31	$1,200
Total contributions received or receivable from participants	2011-12-31	$43,150
Expenses. Other expenses not covered elsewhere	2011-12-31	$21,990
Other income received	2011-12-31	$12,339
Net income (gross income less expenses)	2011-12-31	$43,265
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,041,998
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$998,733
Total contributions received or receivable from employer(s)	2011-12-31	$9,766
2010 : PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$129,567
Expenses. Total of all expenses incurred	2010-12-31	$0
Total plan assets at end of year	2010-12-31	$998,733
Total plan assets at beginning of year	2010-12-31	$869,166
Value of fidelity bond covering the plan	2010-12-31	$125,000
Assets. Value of tangible personal property	2010-12-31	$3,730
Other income received	2010-12-31	$77,700
Net income (gross income less expenses)	2010-12-31	$129,567
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$998,733
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$869,166
Total contributions received or receivable from employer(s)	2010-12-31	$51,867

Form 5500 Responses for PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN

2022: PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	Yes
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 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: PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 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: PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 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: PHILIP S. EICHLING, M.D., P.C. 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 – 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
2015: PHILIP S. EICHLING, M.D., P.C. 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 – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: PHILIP S. EICHLING, M.D., P.C. 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 – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: PHILIP S. EICHLING, M.D., P.C. 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 – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: PHILIP S. EICHLING, M.D., P.C. 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 – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: PHILIP S. EICHLING, M.D., P.C. 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 – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: PHILIP S. EICHLING, M.D., P.C. PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

PROTECTIVE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 52421 )

Policy contract number

FL0021824

Policy instance

Insurance contract or identification number	FL0021824
Number of Individuals Covered	1
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Are there contracts with allocated funds for individual policies?	Yes
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

PROTECTIVE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 52421 )

Policy contract number

FL0021824

Policy instance

Insurance contract or identification number	FL0021824
Number of Individuals Covered	1
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Are there contracts with allocated funds for individual policies?	Yes
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

PROTECTIVE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 52421 )

Policy contract number

FL0021824

Policy instance

Insurance contract or identification number	FL0021824
Number of Individuals Covered	1
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Are there contracts with allocated funds for individual policies?	Yes
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

PROTECTIVE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 52421 )

Policy contract number

FL0021824

Policy instance

Insurance contract or identification number	FL0021824
Number of Individuals Covered	1
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Are there contracts with allocated funds for individual policies?	Yes
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

PROTECTIVE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 52421 )

Policy contract number

FL0021824

Policy instance

Insurance contract or identification number	FL0021824
Number of Individuals Covered	1
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	Yes
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

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Company Name:	PHILIP S. EICHLING, M.D., P.C.
Employer identification number (EIN):	860608819
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)