401k Plan data: DAVID KAVTARADZE, M.D., INC. DEFINED BENEFIT PLAN plan

DAVID KAVTARADZE, M.D., INC. DEFINED BENEFIT PLAN 401k Plan overview

Plan Name	DAVID KAVTARADZE, M.D., INC. DEFINED BENEFIT PLAN
Plan identification number	001

DAVID KAVTARADZE, M.D., INC. DEFINED BENEFIT PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily pay related
Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).
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.
Life insurance
Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

DAVID KAVTARADZE, M.D., INC. has sponsored the creation of one or more 401k plans.

Company Name: DAVID KAVTARADZE, M.D., INC.

Employer identification number (EIN): 262274715

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DAVID KAVTARADZE, M.D., INC. DEFINED BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01 DAVID KAVTARADZE 2018-02-02
001 2017-01-01 DAVID KAVTARADZE 2018-01-16
001 2016-01-01 DAVID KAVTARADZE 2017-09-11
001 2015-01-01 DAVID KAVTARADZE 2016-10-11
001 2014-01-01 DAVID KAVTARADZE 2015-10-14
001 2013-01-01 DAVID KAVTARADZE 2014-10-14
001 2012-01-01 DAVID KAVTARADZE 2013-10-14
001 2011-01-01 DAVID KAVTARADZE 2012-10-09
001 2010-01-01 DAVID KAVTARADZE 2011-10-12

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2017-01-01	DAVID KAVTARADZE	2018-02-02
001	2017-01-01	DAVID KAVTARADZE	2018-01-16
001	2016-01-01	DAVID KAVTARADZE	2017-09-11
001	2015-01-01	DAVID KAVTARADZE	2016-10-11
001	2014-01-01	DAVID KAVTARADZE	2015-10-14
001	2013-01-01	DAVID KAVTARADZE	2014-10-14
001	2012-01-01	DAVID KAVTARADZE	2013-10-14
001	2011-01-01	DAVID KAVTARADZE	2012-10-09
001	2010-01-01	DAVID KAVTARADZE	2011-10-12

Plan Statistics for DAVID KAVTARADZE, M.D., INC. DEFINED BENEFIT PLAN

401k plan membership statisitcs for DAVID KAVTARADZE, M.D., INC. DEFINED BENEFIT PLAN

Measure Date Value
2017: DAVID KAVTARADZE, M.D., INC. DEFINED BENEFIT PLAN 2017 401k membership
Market value of plan assets 2017-11-21 1,068,218
Acturial value of plan assets 2017-11-21 1,068,218
Funding target for retired participants and beneficiaries receiving payment 2017-11-21 0
Number of terminated vested participants 2017-11-21 2
Fundng target for terminated vested participants 2017-11-21 30,925
Active participant vested funding target 2017-11-21 644,420
Number of active participants 2017-11-21 7
Total funding liabilities for active participants 2017-11-21 680,936
Total participant count 2017-11-21 9
Total funding target for all participants 2017-11-21 711,861
Balance at beginning of prior year after applicable adjustments 2017-11-21 0
Prefunding balance at beginning of prior year after applicable adjustments 2017-11-21 308
Carryover balanced portion elected for use to offset prior years funding requirement 2017-11-21 0
Prefunding balanced used to offset prior years funding requirement 2017-11-21 0
Amount remaining of carryover balance 2017-11-21 0
Amount remaining of prefunding balance 2017-11-21 308
Present value of excess contributions 2017-11-21 253,430
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2017-11-21 253,430
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2017-11-21 0
Reductions in caryover balances due to elections or deemed elections 2017-11-21 0
Reductions in prefunding balances due to elections or deemed elections 2017-11-21 0
Balance of carryovers at beginning of current year 2017-11-21 0
Balance of prefunding at beginning of current year 2017-11-21 334
Total employer contributions 2017-11-21 0
Total employee contributions 2017-11-21 0
Contributions allocated toward unpaid minimum require contributions from prior years 2017-11-21 0
Contributions made to avoid restrictions adjusted to valuation date 2017-11-21 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2017-11-21 0
Liquidity shortfalls end of Q1 2017-11-21 0
Liquidity shortfalls end of Q2 2017-11-21 0
Liquidity shortfalls end of Q3 2017-11-21 0
Liquidity shortfalls end of Q4 2017-11-21 0
Unpaid minimum required contributions for all prior years 2017-11-21 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2017-11-21 0
Remaining amount of unpaid minimum required contributions 2017-11-21 0
Minimum required contributions for current year target normal cost 2017-11-21 0
Net shortfall amortization installment of oustanding balance 2017-11-21 0
Waiver amortization installment 2017-11-21 0
Waived amount of outstanding balance 2017-11-21 0
Total funding amount beforereflecting carryover/prefunding balances 2017-11-21 0
Additional cash requirement 2017-11-21 0
Contributions allocatedtoward minimum required contributions for current year 2017-11-21 0
Unpaid minimum required contributions for current year 2017-11-21 0
Unpaid minimum required contributions for all years 2017-11-21 0
2016: DAVID KAVTARADZE, M.D., INC. DEFINED BENEFIT PLAN 2016 401k membership
Market value of plan assets 2016-12-31 724,522
Acturial value of plan assets 2016-12-31 724,522
Funding target for retired participants and beneficiaries receiving payment 2016-12-31 0
Number of terminated vested participants 2016-12-31 2
Fundng target for terminated vested participants 2016-12-31 271,591
Active participant vested funding target 2016-12-31 632,576
Number of active participants 2016-12-31 7
Total funding liabilities for active participants 2016-12-31 643,167
Total participant count 2016-12-31 9
Total funding target for all participants 2016-12-31 914,758
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 7,054
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 6,741
Amount remaining of carryover balance 2016-12-31 0
Amount remaining of prefunding balance 2016-12-31 313
Present value of excess contributions 2016-12-31 0
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2016-12-31 0
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 2016-12-31 308
Total employer contributions 2016-12-31 300,000
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 2016-12-31 288,001
Liquidity shortfalls end of Q1 2016-12-31 0
Liquidity shortfalls end of Q2 2016-12-31 0
Liquidity shortfalls end of Q3 2016-12-31 0
Liquidity shortfalls end of Q4 2016-12-31 0
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 0
Net shortfall amortization installment of oustanding balance 2016-12-31 190,562
Waiver amortization installment 2016-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2016-12-31 34,571
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 0
Additional cash requirement 2016-12-31 34,571
Contributions allocatedtoward minimum required contributions for current year 2016-12-31 288,001
Unpaid minimum required contributions for current year 2016-12-31 0
Unpaid minimum required contributions for all years 2016-12-31 0

Measure	Date	Value
2017: DAVID KAVTARADZE, M.D., INC. DEFINED BENEFIT PLAN 2017 401k membership
Market value of plan assets	2017-11-21	1,068,218
Acturial value of plan assets	2017-11-21	1,068,218
Funding target for retired participants and beneficiaries receiving payment	2017-11-21	0
Number of terminated vested participants	2017-11-21	2
Fundng target for terminated vested participants	2017-11-21	30,925
Active participant vested funding target	2017-11-21	644,420
Number of active participants	2017-11-21	7
Total funding liabilities for active participants	2017-11-21	680,936
Total participant count	2017-11-21	9
Total funding target for all participants	2017-11-21	711,861
Balance at beginning of prior year after applicable adjustments	2017-11-21	0
Prefunding balance at beginning of prior year after applicable adjustments	2017-11-21	308
Carryover balanced portion elected for use to offset prior years funding requirement	2017-11-21	0
Prefunding balanced used to offset prior years funding requirement	2017-11-21	0
Amount remaining of carryover balance	2017-11-21	0
Amount remaining of prefunding balance	2017-11-21	308
Present value of excess contributions	2017-11-21	253,430
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2017-11-21	253,430
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2017-11-21	0
Reductions in caryover balances due to elections or deemed elections	2017-11-21	0
Reductions in prefunding balances due to elections or deemed elections	2017-11-21	0
Balance of carryovers at beginning of current year	2017-11-21	0
Balance of prefunding at beginning of current year	2017-11-21	334
Total employer contributions	2017-11-21	0
Total employee contributions	2017-11-21	0
Contributions allocated toward unpaid minimum require contributions from prior years	2017-11-21	0
Contributions made to avoid restrictions adjusted to valuation date	2017-11-21	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2017-11-21	0
Liquidity shortfalls end of Q1	2017-11-21	0
Liquidity shortfalls end of Q2	2017-11-21	0
Liquidity shortfalls end of Q3	2017-11-21	0
Liquidity shortfalls end of Q4	2017-11-21	0
Unpaid minimum required contributions for all prior years	2017-11-21	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2017-11-21	0
Remaining amount of unpaid minimum required contributions	2017-11-21	0
Minimum required contributions for current year target normal cost	2017-11-21	0
Net shortfall amortization installment of oustanding balance	2017-11-21	0
Waiver amortization installment	2017-11-21	0
Waived amount of outstanding balance	2017-11-21	0
Total funding amount beforereflecting carryover/prefunding balances	2017-11-21	0
Additional cash requirement	2017-11-21	0
Contributions allocatedtoward minimum required contributions for current year	2017-11-21	0
Unpaid minimum required contributions for current year	2017-11-21	0
Unpaid minimum required contributions for all years	2017-11-21	0
2016: DAVID KAVTARADZE, M.D., INC. DEFINED BENEFIT PLAN 2016 401k membership
Market value of plan assets	2016-12-31	724,522
Acturial value of plan assets	2016-12-31	724,522
Funding target for retired participants and beneficiaries receiving payment	2016-12-31	0
Number of terminated vested participants	2016-12-31	2
Fundng target for terminated vested participants	2016-12-31	271,591
Active participant vested funding target	2016-12-31	632,576
Number of active participants	2016-12-31	7
Total funding liabilities for active participants	2016-12-31	643,167
Total participant count	2016-12-31	9
Total funding target for all participants	2016-12-31	914,758
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	7,054
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	6,741
Amount remaining of carryover balance	2016-12-31	0
Amount remaining of prefunding balance	2016-12-31	313
Present value of excess contributions	2016-12-31	0
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2016-12-31	0
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	308
Total employer contributions	2016-12-31	300,000
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	288,001
Liquidity shortfalls end of Q1	2016-12-31	0
Liquidity shortfalls end of Q2	2016-12-31	0
Liquidity shortfalls end of Q3	2016-12-31	0
Liquidity shortfalls end of Q4	2016-12-31	0
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	0
Net shortfall amortization installment of oustanding balance	2016-12-31	190,562
Waiver amortization installment	2016-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2016-12-31	34,571
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	0
Additional cash requirement	2016-12-31	34,571
Contributions allocatedtoward minimum required contributions for current year	2016-12-31	288,001
Unpaid minimum required contributions for current year	2016-12-31	0
Unpaid minimum required contributions for all years	2016-12-31	0

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Company Name:	DAVID KAVTARADZE, M.D., INC.
Employer identification number (EIN):	262274715
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)