401k Plan data: ALBANY ENT & ALLERGY SERVICES, PC PROFIT SHARING PLAN plan

ALBANY ENT & ALLERGY SERVICES, PC PROFIT SHARING PLAN 401k Plan overview

Plan Name	ALBANY ENT & ALLERGY SERVICES, PC PROFIT SHARING PLAN
Plan identification number	002

ALBANY ENT & ALLERGY SERVICES, PC 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.
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.
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

ALBANY ENT & ALLERGY SERVICES, PC has sponsored the creation of one or more 401k plans.

Company Name: ALBANY ENT & ALLERGY SERVICES, PC

Employer identification number (EIN): 141604510

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ALBANY ENT & ALLERGY SERVICES, PC PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2023-01-01 GAVIN SETZEN, MD 2024-10-07 GAVIN SETZEN, MD 2024-10-07
002 2022-01-01
002 2021-01-01
002 2020-01-01
002 2019-01-01
002 2018-01-01
002 2017-01-01
002 2016-01-01
002 2015-01-01
002 2014-01-01
002 2013-01-01
002 2012-01-01 GAVIN SETZEN, MD 2013-06-21 GAVIN SETZEN, MD 2013-06-21
002 2011-01-01 GAVIN SETZEN, MD 2012-06-08 GAVIN SETZEN, MD 2012-06-08
002 2010-01-01 GAVIN SETZEN, MD 2011-06-17 GAVIN SETZEN, MD 2011-06-17

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2023-01-01	GAVIN SETZEN, MD	2024-10-07	GAVIN SETZEN, MD	2024-10-07
002	2022-01-01
002	2021-01-01
002	2020-01-01
002	2019-01-01
002	2018-01-01
002	2017-01-01
002	2016-01-01
002	2015-01-01
002	2014-01-01
002	2013-01-01
002	2012-01-01	GAVIN SETZEN, MD	2013-06-21	GAVIN SETZEN, MD	2013-06-21
002	2011-01-01	GAVIN SETZEN, MD	2012-06-08	GAVIN SETZEN, MD	2012-06-08
002	2010-01-01	GAVIN SETZEN, MD	2011-06-17	GAVIN SETZEN, MD	2011-06-17

Plan Statistics for ALBANY ENT & ALLERGY SERVICES, PC PROFIT SHARING PLAN

401k plan membership statisitcs for ALBANY ENT & ALLERGY SERVICES, PC PROFIT SHARING PLAN

Measure Date Value
2023: ALBANY ENT & ALLERGY SERVICES, PC PROFIT SHARING PLAN 2023 401k membership
Total participants, beginning-of-year 2023-01-01 163
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 141
Number of retired or separated participants receiving benefits 2023-01-01 0
Number of other retired or separated participants entitled to future benefits 2023-01-01 64
Total of all active and inactive participants 2023-01-01 205
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2023-01-01 0
Total participants 2023-01-01 205
Number of participants with account balances 2023-01-01 205
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2023-01-01 23

Measure	Date	Value
2023: ALBANY ENT & ALLERGY SERVICES, PC PROFIT SHARING PLAN 2023 401k membership
Total participants, beginning-of-year	2023-01-01	163
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	141
Number of retired or separated participants receiving benefits	2023-01-01	0
Number of other retired or separated participants entitled to future benefits	2023-01-01	64
Total of all active and inactive participants	2023-01-01	205
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2023-01-01	0
Total participants	2023-01-01	205
Number of participants with account balances	2023-01-01	205
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2023-01-01	23

Financial Data on ALBANY ENT & ALLERGY SERVICES, PC PROFIT SHARING PLAN

Measure	Date	Value
2023 : ALBANY ENT & ALLERGY SERVICES, PC PROFIT SHARING PLAN 2023 401k financial data
Total income from all sources (including contributions)	2023-12-31	$3,622,277
Total of all expenses incurred	2023-12-31	$583,390
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2023-12-31	$548,698
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2023-12-31	$1,452,192
Value of total assets at end of year	2023-12-31	$16,174,291
Value of total assets at beginning of year	2023-12-31	$13,135,404
Total of administrative expenses incurred including professional, contract, advisory and management fees	2023-12-31	$34,692
Total interest from all sources	2023-12-31	$4,637
Total dividends received (eg from common stock, registered investment company shares)	2023-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2023-12-31	No
Was this plan covered by a fidelity bond	2023-12-31	Yes
Value of fidelity bond cover	2023-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2023-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2023-12-31	No
Contributions received from participants	2023-12-31	$636,342
Participant contributions at end of year	2023-12-31	$114,057
Participant contributions at beginning of year	2023-12-31	$17,109
Participant contributions at beginning of year	2023-12-31	$13,207
Income. Received or receivable in cash from other sources (including rollovers)	2023-12-31	$141,532
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2023-12-31	No
Value of net income/loss	2023-12-31	$3,038,887
Value of net assets at end of year (total assets less liabilities)	2023-12-31	$16,174,291
Value of net assets at beginning of year (total assets less liabilities)	2023-12-31	$13,135,404
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2023-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2023-12-31	No
Were any leases to which the plan was party in default or uncollectible	2023-12-31	No
Investment advisory and management fees	2023-12-31	$34,692
Value of interest in registered invesment companies (eg mutual funds) at end of year	2023-12-31	$15,085,328
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2023-12-31	$12,167,402
Income. Interest from loans (other than to participants)	2023-12-31	$4,637
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2023-12-31	$603,800
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2023-12-31	$664,065
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2023-12-31	$2,165,448
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2023-12-31	No
Was there a failure to transmit to the plan any participant contributions	2023-12-31	No
Has the plan failed to provide any benefit when due under the plan	2023-12-31	No
Contributions received in cash from employer	2023-12-31	$674,318
Employer contributions (assets) at end of year	2023-12-31	$371,106
Employer contributions (assets) at beginning of year	2023-12-31	$273,621
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2023-12-31	$548,698
Did the plan have assets held for investment	2023-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2023-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2023-12-31	No
Opinion of an independent qualified public accountant for this plan	2023-12-31	Unqualified
Accountancy firm name	2023-12-31	THE BONADIO GROUP
Accountancy firm EIN	2023-12-31	131131146

Form 5500 Responses for ALBANY ENT & ALLERGY SERVICES, PC PROFIT SHARING PLAN

2023: ALBANY ENT & ALLERGY SERVICES, PC PROFIT SHARING PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Submission has been amended	No
2023-01-01	This submission is the final filing	No
2023-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2023-01-01	Plan is a collectively bargained plan	No
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan funding arrangement – Trust	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

FIRST GREAT WEST LIFE INSURANCE & ANNUITY CO (National Association of Insurance Commissioners NAIC id number: 60214 )

Policy contract number

1268004-01

Policy instance

Insurance contract or identification number	1268004-01
Number of Individuals Covered	50
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	ALBANY ENT & ALLERGY SERVICES, PC
Employer identification number (EIN):	141604510
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)