FOOT & ANKLE CTR OF MIDDLE GA LLC DEFINED BENEFIT PENSION PLAN 401k Plan overview

FOOT & ANKLE CTR OF MIDDLE GA LLC DEFINED BENEFIT PENSION PLAN Benefits

401k Sponsoring company profile

Company Name:	PEACH STATE SURGERY CENTER
Employer identification number (EIN):	208311494
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2018-01-01
001	2017-01-01
001	2016-01-01
001	2015-01-01	SARVEPALLI JOKHAI MD	2016-07-28
001	2014-01-01	LISA S. CROSS	2015-07-23
001	2013-01-01	SARVEPALLI JOKHAI, MD	2014-04-28
001	2012-01-01	SARVEPALLI JOKHAI, MD	2014-04-28
001	2011-01-01	SARVEPALLI JOKHAI, MD	2012-06-20
001	2010-01-01	SARVEPALLI JOKHAI, MD	2011-10-15
001	2009-01-01	SARVEPALLI JOKHAI, MD

Plan Statistics for FOOT & ANKLE CTR OF MIDDLE GA LLC DEFINED BENEFIT PENSION PLAN

Measure	Date	Value
2017: FOOT & ANKLE CTR OF MIDDLE GA LLC DEFINED BENEFIT PENSION PLAN 2017 401k membership
Market value of plan assets	2017-12-31	1,737,274
Acturial value of plan assets	2017-12-31	1,737,274
Funding target for retired participants and beneficiaries receiving payment	2017-12-31	0
Number of terminated vested participants	2017-12-31	2
Fundng target for terminated vested participants	2017-12-31	289,832
Active participant vested funding target	2017-12-31	1,618,292
Number of active participants	2017-12-31	6
Total funding liabilities for active participants	2017-12-31	1,655,350
Total participant count	2017-12-31	8
Total funding target for all participants	2017-12-31	1,945,182
Balance at beginning of prior year after applicable adjustments	2017-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2017-12-31	215,917
Carryover balanced portion elected for use to offset prior years funding requirement	2017-12-31	0
Prefunding balanced used to offset prior years funding requirement	2017-12-31	215,917
Amount remaining of carryover balance	2017-12-31	0
Amount remaining of prefunding balance	2017-12-31	0
Present value of excess contributions	2017-12-31	64,819
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2017-12-31	66,841
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2017-12-31	0
Reductions in caryover balances due to elections or deemed elections	2017-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2017-12-31	0
Balance of carryovers at beginning of current year	2017-12-31	0
Balance of prefunding at beginning of current year	2017-12-31	0
Total employer contributions	2017-12-31	302,691
Total employee contributions	2017-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2017-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2017-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2017-12-31	272,695
Liquidity shortfalls end of Q1	2017-12-31	0
Liquidity shortfalls end of Q2	2017-12-31	0
Liquidity shortfalls end of Q3	2017-12-31	0
Liquidity shortfalls end of Q4	2017-12-31	0
Unpaid minimum required contributions for all prior years	2017-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2017-12-31	0
Remaining amount of unpaid minimum required contributions	2017-12-31	0
Minimum required contributions for current year target normal cost	2017-12-31	233,112
Net shortfall amortization installment of oustanding balance	2017-12-31	207,908
Waiver amortization installment	2017-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2017-12-31	271,501
Carryover balance elected to use to offset funding requirement	2017-12-31	0
Prefunding balance elected to use to offset funding requirement	2017-12-31	0
Additional cash requirement	2017-12-31	271,501
Contributions allocatedtoward minimum required contributions for current year	2017-12-31	272,695
Unpaid minimum required contributions for current year	2017-12-31	0
Unpaid minimum required contributions for all years	2017-12-31	0
2016: FOOT & ANKLE CTR OF MIDDLE GA LLC DEFINED BENEFIT PENSION PLAN 2016 401k membership
Market value of plan assets	2016-12-31	1,592,901
Acturial value of plan assets	2016-12-31	1,592,901
Funding target for retired participants and beneficiaries receiving payment	2016-12-31	0
Number of terminated vested participants	2016-12-31	1
Fundng target for terminated vested participants	2016-12-31	1,385
Active participant vested funding target	2016-12-31	1,552,979
Number of active participants	2016-12-31	9
Total funding liabilities for active participants	2016-12-31	1,594,202
Total participant count	2016-12-31	10
Total funding target for all participants	2016-12-31	1,595,587
Balance at beginning of prior year after applicable adjustments	2016-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2016-12-31	220,661
Carryover balanced portion elected for use to offset prior years funding requirement	2016-12-31	0
Prefunding balanced used to offset prior years funding requirement	2016-12-31	0
Amount remaining of carryover balance	2016-12-31	0
Amount remaining of prefunding balance	2016-12-31	220,661
Present value of excess contributions	2016-12-31	13,316
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2016-12-31	14,135
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2016-12-31	0
Reductions in caryover balances due to elections or deemed elections	2016-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2016-12-31	0
Balance of carryovers at beginning of current year	2016-12-31	0
Balance of prefunding at beginning of current year	2016-12-31	215,917
Total employer contributions	2016-12-31	111,018
Total employee contributions	2016-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2016-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2016-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2016-12-31	104,025
Unpaid minimum required contributions for all prior years	2016-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2016-12-31	0
Remaining amount of unpaid minimum required contributions	2016-12-31	0
Minimum required contributions for current year target normal cost	2016-12-31	219,005
Net shortfall amortization installment of oustanding balance	2016-12-31	218,603
Waiver amortization installment	2016-12-31	0
Waived amount of outstanding balance	2016-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2016-12-31	255,123
Carryover balance elected to use to offset funding requirement	2016-12-31	0
Prefunding balance elected to use to offset funding requirement	2016-12-31	215,917
Additional cash requirement	2016-12-31	39,206
Contributions allocatedtoward minimum required contributions for current year	2016-12-31	104,025
Unpaid minimum required contributions for current year	2016-12-31	0
Unpaid minimum required contributions for all years	2016-12-31	0
2009: FOOT & ANKLE CTR OF MIDDLE GA LLC DEFINED BENEFIT PENSION PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	3
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	1
Total of all active and inactive participants	2009-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	1

Financial Data on FOOT & ANKLE CTR OF MIDDLE GA LLC DEFINED BENEFIT PENSION PLAN

Form 5500 Responses for FOOT & ANKLE CTR OF MIDDLE GA LLC DEFINED BENEFIT PENSION PLAN

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