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SOUTHERN PEDIATRIC CLINIC, LLC SELF FUNDED MEDICAL REIMBURSEMENT PLAN 401k Plan overview

Plan NameSOUTHERN PEDIATRIC CLINIC, LLC SELF FUNDED MEDICAL REIMBURSEMENT PLAN
Plan identification number 502

SOUTHERN PEDIATRIC CLINIC, LLC SELF FUNDED MEDICAL REIMBURSEMENT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

SOUTHERN PEDIATRIC CLINIC, LLC has sponsored the creation of one or more 401k plans.

Company Name:SOUTHERN PEDIATRIC CLINIC, LLC
Employer identification number (EIN):202561935
NAIC Classification:111100
NAIC Description:Oilseed and Grain Farming

Additional information about SOUTHERN PEDIATRIC CLINIC, LLC

Jurisdiction of Incorporation: Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number: 346731

More information about SOUTHERN PEDIATRIC CLINIC, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SOUTHERN PEDIATRIC CLINIC, LLC SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022017-05-01CHARLENE BLACHE
5022016-05-01CHARLENE BLACHE

Plan Statistics for SOUTHERN PEDIATRIC CLINIC, LLC SELF FUNDED MEDICAL REIMBURSEMENT PLAN

401k plan membership statisitcs for SOUTHERN PEDIATRIC CLINIC, LLC SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Measure Date Value
2017: SOUTHERN PEDIATRIC CLINIC, LLC SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-05-0114
Total number of active participants reported on line 7a of the Form 55002017-05-0112
Number of retired or separated participants receiving benefits2017-05-010
Number of other retired or separated participants entitled to future benefits2017-05-010
Total of all active and inactive participants2017-05-0112
2016: SOUTHERN PEDIATRIC CLINIC, LLC SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-05-0114
Total number of active participants reported on line 7a of the Form 55002016-05-0114
Number of retired or separated participants receiving benefits2016-05-010
Number of other retired or separated participants entitled to future benefits2016-05-010
Total of all active and inactive participants2016-05-0114

Financial Data on SOUTHERN PEDIATRIC CLINIC, LLC SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Measure Date Value
2018 : SOUTHERN PEDIATRIC CLINIC, LLC SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2018 401k financial data
Total income from all sources2018-04-30$57,343
Expenses. Total of all expenses incurred2018-04-30$75,998
Benefits paid (including direct rollovers)2018-04-30$60,675
Total plan assets at end of year2018-04-30$1,469
Total plan assets at beginning of year2018-04-30$20,124
Other income received2018-04-30$185
Net income (gross income less expenses)2018-04-30$-18,655
Net plan assets at end of year (total assets less liabilities)2018-04-30$1,469
Net plan assets at beginning of year (total assets less liabilities)2018-04-30$20,124
Total contributions received or receivable from employer(s)2018-04-30$57,158
Expenses. Administrative service providers (salaries,fees and commissions)2018-04-30$15,323
2017 : SOUTHERN PEDIATRIC CLINIC, LLC SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2017 401k financial data
Total income from all sources2017-04-30$49,414
Expenses. Total of all expenses incurred2017-04-30$29,290
Benefits paid (including direct rollovers)2017-04-30$16,524
Total plan assets at end of year2017-04-30$20,124
Total plan assets at beginning of year2017-04-30$0
Value of fidelity bond covering the plan2017-04-30$100,000
Total contributions received or receivable from participants2017-04-30$22,170
Other income received2017-04-30$44
Net income (gross income less expenses)2017-04-30$20,124
Net plan assets at end of year (total assets less liabilities)2017-04-30$20,124
Net plan assets at beginning of year (total assets less liabilities)2017-04-30$0
Total contributions received or receivable from employer(s)2017-04-30$27,200
Expenses. Administrative service providers (salaries,fees and commissions)2017-04-30$12,766

Form 5500 Responses for SOUTHERN PEDIATRIC CLINIC, LLC SELF FUNDED MEDICAL REIMBURSEMENT PLAN

2017: SOUTHERN PEDIATRIC CLINIC, LLC SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01Plan funding arrangement – TrustYes
2017-05-01Plan benefit arrangement - TrustYes
2016: SOUTHERN PEDIATRIC CLINIC, LLC SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01First time form 5500 has been submittedYes
2016-05-01Plan funding arrangement – TrustYes
2016-05-01Plan benefit arrangement - TrustYes

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