401k Plan data: MATERNAL FETAL CARE, PC 401(K) PLAN AND TRUST plan

MATERNAL FETAL CARE, PC 401(K) PLAN AND TRUST 401k Plan overview

Plan Name	MATERNAL FETAL CARE, PC 401(K) PLAN AND TRUST
Plan identification number	001

MATERNAL FETAL CARE, PC 401(K) PLAN AND TRUST 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.
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.
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.
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.

401k Sponsoring company profile

MATERNAL FETAL CARE, P.C. has sponsored the creation of one or more 401k plans.

Company Name: MATERNAL FETAL CARE, P.C.

Employer identification number (EIN): 061419565

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MATERNAL FETAL CARE, PC 401(K) PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 SHIRLEY VISCARELLO 2023-09-21 SHIRLEY VISCARELLO 2023-09-21
001 2021-01-01 JAMES CANTEY 2022-09-13 JAMES CANTEY 2022-09-13
001 2020-01-01 JAMES CANTEY 2021-09-22 JAMES CANTEY 2021-09-22
001 2019-01-01 SHIRLEY VISCARELLO 2020-09-29 SHIRLEY VISCARELLO 2020-09-29
001 2018-01-01 SHIRLEY VISCARELLO 2019-09-12 SHIRLEY VISCARELLO 2019-09-12
001 2017-01-01 SHIRLEY VISCARELLO 2018-10-01 SHIRLEY VISCARELLO 2018-10-01
001 2016-01-01 SHIRLEY VISCARELLO 2017-09-25 SHIRLEY VISCARELLO 2017-09-25
001 2015-01-01 SHIRLEY VISCARELLO 2016-10-08
001 2014-01-01 SHIRLEY VISCARELLO 2015-09-18
001 2013-01-01 SHIRLEY VISCARELLO
001 2012-01-01 SHIRLEY VISCARELLO
001 2011-01-01 SHIRLEY VISCARELLO
001 2010-01-01 SHIRLEY VISCARELLO 2011-05-30 SHIRLEY VISCARELLO 2011-05-30

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	SHIRLEY VISCARELLO	2023-09-21	SHIRLEY VISCARELLO	2023-09-21
001	2021-01-01	JAMES CANTEY	2022-09-13	JAMES CANTEY	2022-09-13
001	2020-01-01	JAMES CANTEY	2021-09-22	JAMES CANTEY	2021-09-22
001	2019-01-01	SHIRLEY VISCARELLO	2020-09-29	SHIRLEY VISCARELLO	2020-09-29
001	2018-01-01	SHIRLEY VISCARELLO	2019-09-12	SHIRLEY VISCARELLO	2019-09-12
001	2017-01-01	SHIRLEY VISCARELLO	2018-10-01	SHIRLEY VISCARELLO	2018-10-01
001	2016-01-01	SHIRLEY VISCARELLO	2017-09-25	SHIRLEY VISCARELLO	2017-09-25
001	2015-01-01	SHIRLEY VISCARELLO	2016-10-08
001	2014-01-01	SHIRLEY VISCARELLO	2015-09-18
001	2013-01-01	SHIRLEY VISCARELLO
001	2012-01-01	SHIRLEY VISCARELLO
001	2011-01-01	SHIRLEY VISCARELLO
001	2010-01-01	SHIRLEY VISCARELLO	2011-05-30	SHIRLEY VISCARELLO	2011-05-30

Plan Statistics for MATERNAL FETAL CARE, PC 401(K) PLAN AND TRUST

401k plan membership statisitcs for MATERNAL FETAL CARE, PC 401(K) PLAN AND TRUST

Measure Date Value
2013: MATERNAL FETAL CARE, PC 401(K) PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year 2013-01-01 18
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 16
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 3
Total of all active and inactive participants 2013-01-01 19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 19
Number of participants with account balances 2013-01-01 19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 1
2012: MATERNAL FETAL CARE, PC 401(K) PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 19
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 16
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 18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 18
Number of participants with account balances 2012-01-01 18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: MATERNAL FETAL CARE, PC 401(K) PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 24
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 15
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 3
Total of all active and inactive participants 2011-01-01 18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 1
Total participants 2011-01-01 19
Number of participants with account balances 2011-01-01 19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 1

Measure	Date	Value
2013: MATERNAL FETAL CARE, PC 401(K) PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year	2013-01-01	18
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	16
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	3
Total of all active and inactive participants	2013-01-01	19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	19
Number of participants with account balances	2013-01-01	19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	1
2012: MATERNAL FETAL CARE, PC 401(K) PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	19
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	16
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	18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	18
Number of participants with account balances	2012-01-01	18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: MATERNAL FETAL CARE, PC 401(K) PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	24
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	15
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	3
Total of all active and inactive participants	2011-01-01	18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	1
Total participants	2011-01-01	19
Number of participants with account balances	2011-01-01	19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	1

Financial Data on MATERNAL FETAL CARE, PC 401(K) PLAN AND TRUST

Measure	Date	Value
2013 : MATERNAL FETAL CARE, PC 401(K) PLAN AND TRUST 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
Total plan liabilities at end of year	2013-12-31	$0
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$495,257
Expenses. Total of all expenses incurred	2013-12-31	$0
Benefits paid (including direct rollovers)	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$1,856,659
Total plan assets at beginning of year	2013-12-31	$1,361,402
Value of fidelity bond covering the plan	2013-12-31	$50,000
Total contributions received or receivable from participants	2013-12-31	$116,548
Expenses. Other expenses not covered elsewhere	2013-12-31	$0
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$249,088
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$495,257
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,856,659
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,361,402
Total contributions received or receivable from employer(s)	2013-12-31	$129,621
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$0
2012 : MATERNAL FETAL CARE, PC 401(K) PLAN AND TRUST 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$293,510
Expenses. Total of all expenses incurred	2012-12-31	$35,180
Benefits paid (including direct rollovers)	2012-12-31	$20,871
Total plan assets at end of year	2012-12-31	$1,361,402
Total plan assets at beginning of year	2012-12-31	$1,103,072
Value of fidelity bond covering the plan	2012-12-31	$50,000
Total contributions received or receivable from participants	2012-12-31	$117,965
Expenses. Other expenses not covered elsewhere	2012-12-31	$0
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$71,134
Noncash contributions received	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$258,330
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,361,402
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,103,072
Total contributions received or receivable from employer(s)	2012-12-31	$104,411
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$14,309
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : MATERNAL FETAL CARE, PC 401(K) PLAN AND TRUST 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$164,747
Expenses. Total of all expenses incurred	2011-12-31	$48,003
Benefits paid (including direct rollovers)	2011-12-31	$34,153
Total plan assets at end of year	2011-12-31	$1,103,072
Total plan assets at beginning of year	2011-12-31	$986,328
Value of fidelity bond covering the plan	2011-12-31	$98,632
Total contributions received or receivable from participants	2011-12-31	$106,583
Expenses. Other expenses not covered elsewhere	2011-12-31	$0
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-40,643
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$116,744
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,103,072
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$986,328
Total contributions received or receivable from employer(s)	2011-12-31	$98,807
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$13,850
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0

Form 5500 Responses for MATERNAL FETAL CARE, PC 401(K) PLAN AND TRUST

2013: MATERNAL FETAL CARE, PC 401(K) PLAN AND TRUST 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
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: MATERNAL FETAL CARE, PC 401(K) PLAN AND TRUST 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: MATERNAL FETAL CARE, PC 401(K) PLAN AND TRUST 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )

Policy contract number

068063

Policy instance

Insurance contract or identification number	068063
Number of Individuals Covered	19
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $16,868
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $16,868
Insurance broker organization code?	7
Insurance broker name	NFP SECURITIES

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Company Name:	MATERNAL FETAL CARE, P.C.
Employer identification number (EIN):	061419565
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)