401k Plan data: EVERGREEN EAR, NOSE & THROAT SURGERY, P.C. CASH BALANCE PLAN plan

EVERGREEN EAR, NOSE & THROAT SURGERY, P.C. CASH BALANCE PLAN 401k Plan overview

Plan Name	EVERGREEN EAR, NOSE & THROAT SURGERY, P.C. CASH BALANCE PLAN
Plan identification number	002

EVERGREEN EAR, NOSE & THROAT SURGERY, P.C. CASH BALANCE PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Cash balance or similar plan - Plan has a "cash balance" formula. For this purpose, a "cash balance" formula is a benefit formula in a defined benefit plan by whatever name (for example, personal account plan, pension equity plan, life cycle plan, cash account plan, etc.) that rather than, or in addition to, expressing the accrued benefit as a life annuity commencing at normal retirement age, defines benefits for each employee in terms more common to a defined contribution plan such as a single sum distribution amount (for example, 10 percent of final average pay times years of service, or the amount of the employee's hypothetical account balance).
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

EVERGREEN EAR, NOSE & THROAT SURGERY, P.C. has sponsored the creation of one or more 401k plans.

Company Name: EVERGREEN EAR, NOSE & THROAT SURGERY, P.C.

Employer identification number (EIN): 260069513

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

Additional information about EVERGREEN EAR, NOSE & THROAT SURGERY, P.C.

Jurisdiction of Incorporation: New York Department of State

Incorporation Date: 2003-08-28

Company Identification Number: 2948299

Legal Registered Office Address: 480 E BAY DR
Nassau
LONG BEACH
United States of America (USA)
11561

More information about EVERGREEN EAR, NOSE & THROAT SURGERY, P.C.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EVERGREEN EAR, NOSE & THROAT SURGERY, P.C. CASH BALANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01 SHEFALI I. SHAH 2023-07-30
002 2021-01-01 SHEFALI I. SHAH 2022-10-15
002 2020-01-01 SHEFALI I. SHAH 2021-10-09
002 2019-01-01 SHEFALI I. SHAH 2020-04-14
002 2018-01-01 SHEFALI I. SHAH 2019-10-09
002 2017-01-01 SHEFALI I. SHAH 2018-10-08

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2022-01-01	SHEFALI I. SHAH	2023-07-30
002	2021-01-01	SHEFALI I. SHAH	2022-10-15
002	2020-01-01	SHEFALI I. SHAH	2021-10-09
002	2019-01-01	SHEFALI I. SHAH	2020-04-14
002	2018-01-01	SHEFALI I. SHAH	2019-10-09
002	2017-01-01	SHEFALI I. SHAH	2018-10-08

Plan Statistics for EVERGREEN EAR, NOSE & THROAT SURGERY, P.C. CASH BALANCE PLAN

401k plan membership statisitcs for EVERGREEN EAR, NOSE & THROAT SURGERY, P.C. CASH BALANCE PLAN

Measure Date Value
2022: EVERGREEN EAR, NOSE & THROAT SURGERY, P.C. CASH BALANCE PLAN 2022 401k membership
Market value of plan assets 2022-12-31 410,045
Acturial value of plan assets 2022-12-31 410,045
Funding target for retired participants and beneficiaries receiving payment 2022-12-31 0
Number of terminated vested participants 2022-12-31 5
Fundng target for terminated vested participants 2022-12-31 22,860
Active participant vested funding target 2022-12-31 371,076
Number of active participants 2022-12-31 1
Total funding liabilities for active participants 2022-12-31 371,076
Total participant count 2022-12-31 6
Total funding target for all participants 2022-12-31 393,936
Balance at beginning of prior year after applicable adjustments 2022-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2022-12-31 55,345
Carryover balanced portion elected for use to offset prior years funding requirement 2022-12-31 0
Prefunding balanced used to offset prior years funding requirement 2022-12-31 0
Amount remaining of carryover balance 2022-12-31 0
Amount remaining of prefunding balance 2022-12-31 55,345
Present value of excess contributions 2022-12-31 82,354
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2022-12-31 82,354
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2022-12-31 0
Reductions in caryover balances due to elections or deemed elections 2022-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2022-12-31 0
Balance of carryovers at beginning of current year 2022-12-31 0
Balance of prefunding at beginning of current year 2022-12-31 65,838
Total employer contributions 2022-12-31 40,000
Total employee contributions 2022-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2022-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2022-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2022-12-31 39,846
Unpaid minimum required contributions for all prior years 2022-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2022-12-31 0
Remaining amount of unpaid minimum required contributions 2022-12-31 0
Minimum required contributions for current year target normal cost 2022-12-31 16,017
Net shortfall amortization installment of oustanding balance 2022-12-31 0
Waiver amortization installment 2022-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2022-12-31 16,017
Carryover balance elected to use to offset funding requirement 2022-12-31 0
Prefunding balance elected to use to offset funding requirement 2022-12-31 0
Additional cash requirement 2022-12-31 16,017
Contributions allocatedtoward minimum required contributions for current year 2022-12-31 39,846
Unpaid minimum required contributions for current year 2022-12-31 0
Unpaid minimum required contributions for all years 2022-12-31 0
2021: EVERGREEN EAR, NOSE & THROAT SURGERY, P.C. CASH BALANCE PLAN 2021 401k membership
Market value of plan assets 2021-12-31 451,111
Acturial value of plan assets 2021-12-31 451,111
Funding target for retired participants and beneficiaries receiving payment 2021-12-31 0
Number of terminated vested participants 2021-12-31 2
Fundng target for terminated vested participants 2021-12-31 1,865
Active participant vested funding target 2021-12-31 279,820
Number of active participants 2021-12-31 6
Total funding liabilities for active participants 2021-12-31 280,956
Total participant count 2021-12-31 8
Total funding target for all participants 2021-12-31 282,821
Balance at beginning of prior year after applicable adjustments 2021-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2021-12-31 42,847
Carryover balanced portion elected for use to offset prior years funding requirement 2021-12-31 0
Prefunding balanced used to offset prior years funding requirement 2021-12-31 0
Amount remaining of carryover balance 2021-12-31 0
Amount remaining of prefunding balance 2021-12-31 42,847
Present value of excess contributions 2021-12-31 78,008
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2021-12-31 78,008
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2021-12-31 0
Reductions in caryover balances due to elections or deemed elections 2021-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2021-12-31 0
Balance of carryovers at beginning of current year 2021-12-31 0
Balance of prefunding at beginning of current year 2021-12-31 55,345
Total employer contributions 2021-12-31 81,697
Total employee contributions 2021-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2021-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2021-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2021-12-31 82,354
Unpaid minimum required contributions for all prior years 2021-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2021-12-31 0
Remaining amount of unpaid minimum required contributions 2021-12-31 0
Minimum required contributions for current year target normal cost 2021-12-31 75,778
Net shortfall amortization installment of oustanding balance 2021-12-31 0
Waiver amortization installment 2021-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2021-12-31 0
Carryover balance elected to use to offset funding requirement 2021-12-31 0
Prefunding balance elected to use to offset funding requirement 2021-12-31 0
Additional cash requirement 2021-12-31 0
Contributions allocatedtoward minimum required contributions for current year 2021-12-31 82,354
Unpaid minimum required contributions for current year 2021-12-31 0
Unpaid minimum required contributions for all years 2021-12-31 0
2020: EVERGREEN EAR, NOSE & THROAT SURGERY, P.C. CASH BALANCE PLAN 2020 401k membership
Market value of plan assets 2020-12-31 296,408
Acturial value of plan assets 2020-12-31 296,408
Funding target for retired participants and beneficiaries receiving payment 2020-12-31 0
Number of terminated vested participants 2020-12-31 2
Fundng target for terminated vested participants 2020-12-31 1,658
Active participant vested funding target 2020-12-31 184,912
Number of active participants 2020-12-31 5
Total funding liabilities for active participants 2020-12-31 184,912
Total participant count 2020-12-31 7
Total funding target for all participants 2020-12-31 186,570
Balance at beginning of prior year after applicable adjustments 2020-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2020-12-31 35,063
Carryover balanced portion elected for use to offset prior years funding requirement 2020-12-31 0
Prefunding balanced used to offset prior years funding requirement 2020-12-31 0
Amount remaining of carryover balance 2020-12-31 0
Amount remaining of prefunding balance 2020-12-31 35,063
Present value of excess contributions 2020-12-31 10,634
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2020-12-31 10,634
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2020-12-31 0
Reductions in caryover balances due to elections or deemed elections 2020-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2020-12-31 0
Balance of carryovers at beginning of current year 2020-12-31 0
Balance of prefunding at beginning of current year 2020-12-31 42,847
Total employer contributions 2020-12-31 81,662
Total employee contributions 2020-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2020-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2020-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2020-12-31 81,803
Unpaid minimum required contributions for all prior years 2020-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2020-12-31 0
Remaining amount of unpaid minimum required contributions 2020-12-31 0
Minimum required contributions for current year target normal cost 2020-12-31 68,155
Net shortfall amortization installment of oustanding balance 2020-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2020-12-31 3,795
Additional cash requirement 2020-12-31 3,795
Contributions allocatedtoward minimum required contributions for current year 2020-12-31 81,803
Unpaid minimum required contributions for current year 2020-12-31 0
Unpaid minimum required contributions for all years 2020-12-31 0
2019: EVERGREEN EAR, NOSE & THROAT SURGERY, P.C. CASH BALANCE PLAN 2019 401k membership
Market value of plan assets 2019-12-31 160,643
Acturial value of plan assets 2019-12-31 160,643
Funding target for retired participants and beneficiaries receiving payment 2019-12-31 0
Number of terminated vested participants 2019-12-31 2
Fundng target for terminated vested participants 2019-12-31 1,658
Active participant vested funding target 2019-12-31 121,502
Number of active participants 2019-12-31 1
Total funding liabilities for active participants 2019-12-31 121,502
Total participant count 2019-12-31 3
Total funding target for all participants 2019-12-31 123,160
Balance at beginning of prior year after applicable adjustments 2019-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2019-12-31 20,727
Carryover balanced portion elected for use to offset prior years funding requirement 2019-12-31 0
Prefunding balanced used to offset prior years funding requirement 2019-12-31 0
Amount remaining of carryover balance 2019-12-31 0
Amount remaining of prefunding balance 2019-12-31 20,727
Present value of excess contributions 2019-12-31 17,055
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2019-12-31 17,055
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2019-12-31 17,055
Reductions in caryover balances due to elections or deemed elections 2019-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2019-12-31 0
Balance of carryovers at beginning of current year 2019-12-31 0
Balance of prefunding at beginning of current year 2019-12-31 35,063
Total employer contributions 2019-12-31 70,280
Total employee contributions 2019-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2019-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2019-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2019-12-31 68,338
Unpaid minimum required contributions for all prior years 2019-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2019-12-31 0
Remaining amount of unpaid minimum required contributions 2019-12-31 0
Minimum required contributions for current year target normal cost 2019-12-31 58,013
Net shortfall amortization installment of oustanding balance 2019-12-31 0
Waiver amortization installment 2019-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2019-12-31 57,704
Additional cash requirement 2019-12-31 57,704
Contributions allocatedtoward minimum required contributions for current year 2019-12-31 68,338
Unpaid minimum required contributions for current year 2019-12-31 0
Unpaid minimum required contributions for all years 2019-12-31 0
2018: EVERGREEN EAR, NOSE & THROAT SURGERY, P.C. CASH BALANCE PLAN 2018 401k membership
Market value of plan assets 2018-12-31 63,151
Acturial value of plan assets 2018-12-31 63,151
Funding target for retired participants and beneficiaries receiving payment 2018-12-31 0
Number of terminated vested participants 2018-12-31 2
Fundng target for terminated vested participants 2018-12-31 1,462
Active participant vested funding target 2018-12-31 55,026
Number of active participants 2018-12-31 1
Total funding liabilities for active participants 2018-12-31 55,026
Total participant count 2018-12-31 3
Total funding target for all participants 2018-12-31 56,488
Balance at beginning of prior year after applicable adjustments 2018-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2018-12-31 0
Carryover balanced portion elected for use to offset prior years funding requirement 2018-12-31 0
Prefunding balanced used to offset prior years funding requirement 2018-12-31 0
Amount remaining of carryover balance 2018-12-31 0
Amount remaining of prefunding balance 2018-12-31 0
Present value of excess contributions 2018-12-31 20,727
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2018-12-31 20,727
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2018-12-31 20,727
Reductions in caryover balances due to elections or deemed elections 2018-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2018-12-31 0
Balance of carryovers at beginning of current year 2018-12-31 0
Balance of prefunding at beginning of current year 2018-12-31 20,727
Total employer contributions 2018-12-31 71,373
Total employee contributions 2018-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2018-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2018-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2018-12-31 70,432
Unpaid minimum required contributions for all prior years 2018-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2018-12-31 0
Remaining amount of unpaid minimum required contributions 2018-12-31 0
Minimum required contributions for current year target normal cost 2018-12-31 53,377
Net shortfall amortization installment of oustanding balance 2018-12-31 0
Waiver amortization installment 2018-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2018-12-31 53,377
Carryover balance elected to use to offset funding requirement 2018-12-31 0
Prefunding balance elected to use to offset funding requirement 2018-12-31 0
Additional cash requirement 2018-12-31 53,377
Contributions allocatedtoward minimum required contributions for current year 2018-12-31 70,432
Unpaid minimum required contributions for current year 2018-12-31 0
Unpaid minimum required contributions for all years 2018-12-31 0
2017: EVERGREEN EAR, NOSE & THROAT SURGERY, P.C. CASH BALANCE PLAN 2017 401k membership
Market value of plan assets 2017-12-31 0
Acturial value of plan assets 2017-12-31 0
Funding target for retired participants and beneficiaries receiving payment 2017-12-31 0
Number of terminated vested participants 2017-12-31 0
Fundng target for terminated vested participants 2017-12-31 0
Active participant vested funding target 2017-12-31 0
Number of active participants 2017-12-31 3
Total funding liabilities for active participants 2017-12-31 0
Total participant count 2017-12-31 3
Total funding target for all participants 2017-12-31 0
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 0
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 0
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 0
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2017-12-31 0
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 69,914
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 68,710
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 47,983
Net shortfall amortization installment of oustanding balance 2017-12-31 0
Waiver amortization installment 2017-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2017-12-31 47,983
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 47,983
Contributions allocatedtoward minimum required contributions for current year 2017-12-31 68,710
Unpaid minimum required contributions for current year 2017-12-31 0
Unpaid minimum required contributions for all years 2017-12-31 0

Measure	Date	Value
2022: EVERGREEN EAR, NOSE & THROAT SURGERY, P.C. CASH BALANCE PLAN 2022 401k membership
Market value of plan assets	2022-12-31	410,045
Acturial value of plan assets	2022-12-31	410,045
Funding target for retired participants and beneficiaries receiving payment	2022-12-31	0
Number of terminated vested participants	2022-12-31	5
Fundng target for terminated vested participants	2022-12-31	22,860
Active participant vested funding target	2022-12-31	371,076
Number of active participants	2022-12-31	1
Total funding liabilities for active participants	2022-12-31	371,076
Total participant count	2022-12-31	6
Total funding target for all participants	2022-12-31	393,936
Balance at beginning of prior year after applicable adjustments	2022-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2022-12-31	55,345
Carryover balanced portion elected for use to offset prior years funding requirement	2022-12-31	0
Prefunding balanced used to offset prior years funding requirement	2022-12-31	0
Amount remaining of carryover balance	2022-12-31	0
Amount remaining of prefunding balance	2022-12-31	55,345
Present value of excess contributions	2022-12-31	82,354
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2022-12-31	82,354
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2022-12-31	0
Reductions in caryover balances due to elections or deemed elections	2022-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2022-12-31	0
Balance of carryovers at beginning of current year	2022-12-31	0
Balance of prefunding at beginning of current year	2022-12-31	65,838
Total employer contributions	2022-12-31	40,000
Total employee contributions	2022-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2022-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2022-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2022-12-31	39,846
Unpaid minimum required contributions for all prior years	2022-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2022-12-31	0
Remaining amount of unpaid minimum required contributions	2022-12-31	0
Minimum required contributions for current year target normal cost	2022-12-31	16,017
Net shortfall amortization installment of oustanding balance	2022-12-31	0
Waiver amortization installment	2022-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2022-12-31	16,017
Carryover balance elected to use to offset funding requirement	2022-12-31	0
Prefunding balance elected to use to offset funding requirement	2022-12-31	0
Additional cash requirement	2022-12-31	16,017
Contributions allocatedtoward minimum required contributions for current year	2022-12-31	39,846
Unpaid minimum required contributions for current year	2022-12-31	0
Unpaid minimum required contributions for all years	2022-12-31	0
2021: EVERGREEN EAR, NOSE & THROAT SURGERY, P.C. CASH BALANCE PLAN 2021 401k membership
Market value of plan assets	2021-12-31	451,111
Acturial value of plan assets	2021-12-31	451,111
Funding target for retired participants and beneficiaries receiving payment	2021-12-31	0
Number of terminated vested participants	2021-12-31	2
Fundng target for terminated vested participants	2021-12-31	1,865
Active participant vested funding target	2021-12-31	279,820
Number of active participants	2021-12-31	6
Total funding liabilities for active participants	2021-12-31	280,956
Total participant count	2021-12-31	8
Total funding target for all participants	2021-12-31	282,821
Balance at beginning of prior year after applicable adjustments	2021-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2021-12-31	42,847
Carryover balanced portion elected for use to offset prior years funding requirement	2021-12-31	0
Prefunding balanced used to offset prior years funding requirement	2021-12-31	0
Amount remaining of carryover balance	2021-12-31	0
Amount remaining of prefunding balance	2021-12-31	42,847
Present value of excess contributions	2021-12-31	78,008
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2021-12-31	78,008
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2021-12-31	0
Reductions in caryover balances due to elections or deemed elections	2021-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2021-12-31	0
Balance of carryovers at beginning of current year	2021-12-31	0
Balance of prefunding at beginning of current year	2021-12-31	55,345
Total employer contributions	2021-12-31	81,697
Total employee contributions	2021-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2021-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2021-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2021-12-31	82,354
Unpaid minimum required contributions for all prior years	2021-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2021-12-31	0
Remaining amount of unpaid minimum required contributions	2021-12-31	0
Minimum required contributions for current year target normal cost	2021-12-31	75,778
Net shortfall amortization installment of oustanding balance	2021-12-31	0
Waiver amortization installment	2021-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2021-12-31	0
Carryover balance elected to use to offset funding requirement	2021-12-31	0
Prefunding balance elected to use to offset funding requirement	2021-12-31	0
Additional cash requirement	2021-12-31	0
Contributions allocatedtoward minimum required contributions for current year	2021-12-31	82,354
Unpaid minimum required contributions for current year	2021-12-31	0
Unpaid minimum required contributions for all years	2021-12-31	0
2020: EVERGREEN EAR, NOSE & THROAT SURGERY, P.C. CASH BALANCE PLAN 2020 401k membership
Market value of plan assets	2020-12-31	296,408
Acturial value of plan assets	2020-12-31	296,408
Funding target for retired participants and beneficiaries receiving payment	2020-12-31	0
Number of terminated vested participants	2020-12-31	2
Fundng target for terminated vested participants	2020-12-31	1,658
Active participant vested funding target	2020-12-31	184,912
Number of active participants	2020-12-31	5
Total funding liabilities for active participants	2020-12-31	184,912
Total participant count	2020-12-31	7
Total funding target for all participants	2020-12-31	186,570
Balance at beginning of prior year after applicable adjustments	2020-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2020-12-31	35,063
Carryover balanced portion elected for use to offset prior years funding requirement	2020-12-31	0
Prefunding balanced used to offset prior years funding requirement	2020-12-31	0
Amount remaining of carryover balance	2020-12-31	0
Amount remaining of prefunding balance	2020-12-31	35,063
Present value of excess contributions	2020-12-31	10,634
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2020-12-31	10,634
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2020-12-31	0
Reductions in caryover balances due to elections or deemed elections	2020-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2020-12-31	0
Balance of carryovers at beginning of current year	2020-12-31	0
Balance of prefunding at beginning of current year	2020-12-31	42,847
Total employer contributions	2020-12-31	81,662
Total employee contributions	2020-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2020-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2020-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2020-12-31	81,803
Unpaid minimum required contributions for all prior years	2020-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2020-12-31	0
Remaining amount of unpaid minimum required contributions	2020-12-31	0
Minimum required contributions for current year target normal cost	2020-12-31	68,155
Net shortfall amortization installment of oustanding balance	2020-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2020-12-31	3,795
Additional cash requirement	2020-12-31	3,795
Contributions allocatedtoward minimum required contributions for current year	2020-12-31	81,803
Unpaid minimum required contributions for current year	2020-12-31	0
Unpaid minimum required contributions for all years	2020-12-31	0
2019: EVERGREEN EAR, NOSE & THROAT SURGERY, P.C. CASH BALANCE PLAN 2019 401k membership
Market value of plan assets	2019-12-31	160,643
Acturial value of plan assets	2019-12-31	160,643
Funding target for retired participants and beneficiaries receiving payment	2019-12-31	0
Number of terminated vested participants	2019-12-31	2
Fundng target for terminated vested participants	2019-12-31	1,658
Active participant vested funding target	2019-12-31	121,502
Number of active participants	2019-12-31	1
Total funding liabilities for active participants	2019-12-31	121,502
Total participant count	2019-12-31	3
Total funding target for all participants	2019-12-31	123,160
Balance at beginning of prior year after applicable adjustments	2019-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2019-12-31	20,727
Carryover balanced portion elected for use to offset prior years funding requirement	2019-12-31	0
Prefunding balanced used to offset prior years funding requirement	2019-12-31	0
Amount remaining of carryover balance	2019-12-31	0
Amount remaining of prefunding balance	2019-12-31	20,727
Present value of excess contributions	2019-12-31	17,055
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2019-12-31	17,055
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2019-12-31	17,055
Reductions in caryover balances due to elections or deemed elections	2019-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2019-12-31	0
Balance of carryovers at beginning of current year	2019-12-31	0
Balance of prefunding at beginning of current year	2019-12-31	35,063
Total employer contributions	2019-12-31	70,280
Total employee contributions	2019-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2019-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2019-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2019-12-31	68,338
Unpaid minimum required contributions for all prior years	2019-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2019-12-31	0
Remaining amount of unpaid minimum required contributions	2019-12-31	0
Minimum required contributions for current year target normal cost	2019-12-31	58,013
Net shortfall amortization installment of oustanding balance	2019-12-31	0
Waiver amortization installment	2019-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2019-12-31	57,704
Additional cash requirement	2019-12-31	57,704
Contributions allocatedtoward minimum required contributions for current year	2019-12-31	68,338
Unpaid minimum required contributions for current year	2019-12-31	0
Unpaid minimum required contributions for all years	2019-12-31	0
2018: EVERGREEN EAR, NOSE & THROAT SURGERY, P.C. CASH BALANCE PLAN 2018 401k membership
Market value of plan assets	2018-12-31	63,151
Acturial value of plan assets	2018-12-31	63,151
Funding target for retired participants and beneficiaries receiving payment	2018-12-31	0
Number of terminated vested participants	2018-12-31	2
Fundng target for terminated vested participants	2018-12-31	1,462
Active participant vested funding target	2018-12-31	55,026
Number of active participants	2018-12-31	1
Total funding liabilities for active participants	2018-12-31	55,026
Total participant count	2018-12-31	3
Total funding target for all participants	2018-12-31	56,488
Balance at beginning of prior year after applicable adjustments	2018-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2018-12-31	0
Carryover balanced portion elected for use to offset prior years funding requirement	2018-12-31	0
Prefunding balanced used to offset prior years funding requirement	2018-12-31	0
Amount remaining of carryover balance	2018-12-31	0
Amount remaining of prefunding balance	2018-12-31	0
Present value of excess contributions	2018-12-31	20,727
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2018-12-31	20,727
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2018-12-31	20,727
Reductions in caryover balances due to elections or deemed elections	2018-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2018-12-31	0
Balance of carryovers at beginning of current year	2018-12-31	0
Balance of prefunding at beginning of current year	2018-12-31	20,727
Total employer contributions	2018-12-31	71,373
Total employee contributions	2018-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2018-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2018-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2018-12-31	70,432
Unpaid minimum required contributions for all prior years	2018-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2018-12-31	0
Remaining amount of unpaid minimum required contributions	2018-12-31	0
Minimum required contributions for current year target normal cost	2018-12-31	53,377
Net shortfall amortization installment of oustanding balance	2018-12-31	0
Waiver amortization installment	2018-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2018-12-31	53,377
Carryover balance elected to use to offset funding requirement	2018-12-31	0
Prefunding balance elected to use to offset funding requirement	2018-12-31	0
Additional cash requirement	2018-12-31	53,377
Contributions allocatedtoward minimum required contributions for current year	2018-12-31	70,432
Unpaid minimum required contributions for current year	2018-12-31	0
Unpaid minimum required contributions for all years	2018-12-31	0
2017: EVERGREEN EAR, NOSE & THROAT SURGERY, P.C. CASH BALANCE PLAN 2017 401k membership
Market value of plan assets	2017-12-31	0
Acturial value of plan assets	2017-12-31	0
Funding target for retired participants and beneficiaries receiving payment	2017-12-31	0
Number of terminated vested participants	2017-12-31	0
Fundng target for terminated vested participants	2017-12-31	0
Active participant vested funding target	2017-12-31	0
Number of active participants	2017-12-31	3
Total funding liabilities for active participants	2017-12-31	0
Total participant count	2017-12-31	3
Total funding target for all participants	2017-12-31	0
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	0
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	0
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	0
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2017-12-31	0
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	69,914
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	68,710
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	47,983
Net shortfall amortization installment of oustanding balance	2017-12-31	0
Waiver amortization installment	2017-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2017-12-31	47,983
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	47,983
Contributions allocatedtoward minimum required contributions for current year	2017-12-31	68,710
Unpaid minimum required contributions for current year	2017-12-31	0
Unpaid minimum required contributions for all years	2017-12-31	0

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Company Name:	EVERGREEN EAR, NOSE & THROAT SURGERY, P.C.
Employer identification number (EIN):	260069513
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Jurisdiction of Incorporation:	New York Department of State
Incorporation Date:	2003-08-28
Company Identification Number:	2948299
Legal Registered Office Address:	480 E BAY DR Nassau LONG BEACH United States of America (USA) 11561