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PREMIER UROLOGY ASSOCIATES, LLC 401(K) PLAN 401k Plan overview

Plan NamePREMIER UROLOGY ASSOCIATES, LLC 401(K) PLAN
Plan identification number 001

PREMIER UROLOGY ASSOCIATES, LLC 401(K) PLAN Benefits

401k Plan TypeDefined 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.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan covering Self-Employed individuals.
  • 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

PREMIER UROLOGY ASSOCIATES, LLC has sponsored the creation of one or more 401k plans.

Company Name:PREMIER UROLOGY ASSOCIATES, LLC
Employer identification number (EIN):270637936
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PREMIER UROLOGY ASSOCIATES, LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012021-01-01
0012020-01-01ALAN PLOTKIN2021-10-13 ALAN PLOTKIN2021-10-13
0012019-01-01ALAN PLOTKIN2020-10-08 ALAN PLOTKIN2020-10-08
0012018-01-01ALAN PLOTKIN2019-10-14 ALAN PLOTKIN2019-10-14
0012017-01-01
0012016-01-01
0012015-01-01
0012014-01-01
0012013-01-01
0012012-01-01GARY KARLIN2013-10-01 GARY KARLIN2013-10-01
0012011-01-01GARY KARLIN2012-09-25 GARY KARLIN2012-09-25
0012010-01-01GARY KARLIN2011-07-20 GARY KARLIN2011-07-20

Plan Statistics for PREMIER UROLOGY ASSOCIATES, LLC 401(K) PLAN

401k plan membership statisitcs for PREMIER UROLOGY ASSOCIATES, LLC 401(K) PLAN

Measure Date Value
2020: PREMIER UROLOGY ASSOCIATES, LLC 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01158
Total number of active participants reported on line 7a of the Form 55002020-01-010
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0141
Total of all active and inactive participants2020-01-0141
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-011
Total participants2020-01-0142
Number of participants with account balances2020-01-0142
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: PREMIER UROLOGY ASSOCIATES, LLC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01161
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-01157
Total of all active and inactive participants2019-01-01157
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-011
Total participants2019-01-01158
Number of participants with account balances2019-01-01158
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: PREMIER UROLOGY ASSOCIATES, LLC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01165
Total number of active participants reported on line 7a of the Form 55002018-01-01116
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0131
Total of all active and inactive participants2018-01-01147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-011
Total participants2018-01-01148
Number of participants with account balances2018-01-01148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0115
2017: PREMIER UROLOGY ASSOCIATES, LLC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01153
Total number of active participants reported on line 7a of the Form 55002017-01-01115
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0137
Total of all active and inactive participants2017-01-01152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-011
Total participants2017-01-01153
Number of participants with account balances2017-01-01153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0114
2016: PREMIER UROLOGY ASSOCIATES, LLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01143
Total number of active participants reported on line 7a of the Form 55002016-01-01113
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0123
Total of all active and inactive participants2016-01-01136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-011
Total participants2016-01-01137
Number of participants with account balances2016-01-01137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-017
2015: PREMIER UROLOGY ASSOCIATES, LLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01158
Total number of active participants reported on line 7a of the Form 55002015-01-01108
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0126
Total of all active and inactive participants2015-01-01134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-011
Total participants2015-01-01135
Number of participants with account balances2015-01-01135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-019
2014: PREMIER UROLOGY ASSOCIATES, LLC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01166
Total number of active participants reported on line 7a of the Form 55002014-01-01117
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0136
Total of all active and inactive participants2014-01-01153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-011
Total participants2014-01-01154
Number of participants with account balances2014-01-01154
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0122
2013: PREMIER UROLOGY ASSOCIATES, LLC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01124
Total number of active participants reported on line 7a of the Form 55002013-01-01115
Number of other retired or separated participants entitled to future benefits2013-01-0138
Total of all active and inactive participants2013-01-01153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-011
Total participants2013-01-01154
Number of participants with account balances2013-01-01154
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-018

Financial Data on PREMIER UROLOGY ASSOCIATES, LLC 401(K) PLAN

Measure Date Value
2020 : PREMIER UROLOGY ASSOCIATES, LLC 401(K) PLAN 2020 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$887,386
Total of all expenses incurred2020-12-31$17,476,233
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$17,421,709
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$0
Value of total assets at end of year2020-12-31$3,673,754
Value of total assets at beginning of year2020-12-31$20,262,601
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$54,524
Total interest from all sources2020-12-31$3,028
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2020-12-31$0
Was this plan covered by a fidelity bond2020-12-31No
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Participant contributions at end of year2020-12-31$0
Participant contributions at beginning of year2020-12-31$121,497
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-16,588,847
Value of net assets at end of year (total assets less liabilities)2020-12-31$3,673,754
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$20,262,601
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in pooled separate accounts at end of year2020-12-31$3,670,637
Value of interest in pooled separate accounts at beginning of year2020-12-31$19,084,502
Interest on participant loans2020-12-31$3,028
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$3,117
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$5,787
Net investment gain/loss from pooled separate accounts2020-12-31$884,358
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Employer contributions (assets) at beginning of year2020-12-31$1,050,815
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$17,421,709
Contract administrator fees2020-12-31$54,524
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31GETTRY MARCUS CPA, P.C.
Accountancy firm EIN2020-12-31133418879
2019 : PREMIER UROLOGY ASSOCIATES, LLC 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$5,066,514
Total income from all sources (including contributions)2019-12-31$5,066,514
Total loss/gain on sale of assets2019-12-31$0
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$649,668
Total of all expenses incurred2019-12-31$649,668
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$570,271
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$570,271
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,912,963
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,912,963
Value of total assets at end of year2019-12-31$20,262,601
Value of total assets at end of year2019-12-31$20,262,601
Value of total assets at beginning of year2019-12-31$15,845,755
Value of total assets at beginning of year2019-12-31$15,845,755
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$79,397
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$79,397
Total interest from all sources2019-12-31$6,445
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
Value of fidelity bond cover2019-12-31$1,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$862,148
Contributions received from participants2019-12-31$862,148
Participant contributions at end of year2019-12-31$121,497
Participant contributions at end of year2019-12-31$121,497
Participant contributions at beginning of year2019-12-31$112,411
Participant contributions at beginning of year2019-12-31$112,411
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$4,416,846
Value of net income/loss2019-12-31$4,416,846
Value of net assets at end of year (total assets less liabilities)2019-12-31$20,262,601
Value of net assets at end of year (total assets less liabilities)2019-12-31$20,262,601
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$15,845,755
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$15,845,755
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$0
Value of interest in pooled separate accounts at end of year2019-12-31$19,084,502
Value of interest in pooled separate accounts at end of year2019-12-31$19,084,502
Value of interest in pooled separate accounts at beginning of year2019-12-31$14,701,965
Value of interest in pooled separate accounts at beginning of year2019-12-31$14,701,965
Interest on participant loans2019-12-31$6,445
Interest on participant loans2019-12-31$6,445
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$5,787
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$5,787
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$10,173
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$10,173
Net investment gain/loss from pooled separate accounts2019-12-31$3,147,106
Net investment gain/loss from pooled separate accounts2019-12-31$3,147,106
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$1,050,815
Contributions received in cash from employer2019-12-31$1,050,815
Employer contributions (assets) at end of year2019-12-31$1,050,815
Employer contributions (assets) at end of year2019-12-31$1,050,815
Employer contributions (assets) at beginning of year2019-12-31$1,021,206
Employer contributions (assets) at beginning of year2019-12-31$1,021,206
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$570,271
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$570,271
Contract administrator fees2019-12-31$79,397
Contract administrator fees2019-12-31$79,397
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31GETTRY MARCUS CPA, P.C.
Accountancy firm name2019-12-31GETTRY MARCUS CPA, P.C.
Accountancy firm EIN2019-12-31133418879
Accountancy firm EIN2019-12-31133418879
2018 : PREMIER UROLOGY ASSOCIATES, LLC 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$1,013,426
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$1,499,769
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,428,838
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,812,789
Value of total assets at end of year2018-12-31$15,845,755
Value of total assets at beginning of year2018-12-31$16,332,098
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$70,931
Total interest from all sources2018-12-31$7,495
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$4,058
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$791,583
Participant contributions at end of year2018-12-31$112,411
Participant contributions at beginning of year2018-12-31$120,781
Participant contributions at beginning of year2018-12-31$2
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$0
Other income not declared elsewhere2018-12-31$-3,674
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-486,343
Value of net assets at end of year (total assets less liabilities)2018-12-31$15,845,755
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$16,332,098
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$3,052
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$1,137,741
Value of interest in pooled separate accounts at end of year2018-12-31$14,701,965
Value of interest in pooled separate accounts at beginning of year2018-12-31$14,134,222
Interest on participant loans2018-12-31$6,148
Interest earned on other investments2018-12-31$1,347
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$10,173
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$9,853
Net investment gain/loss from pooled separate accounts2018-12-31$-807,242
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$1,021,206
Employer contributions (assets) at end of year2018-12-31$1,021,206
Employer contributions (assets) at beginning of year2018-12-31$929,499
Income. Dividends from common stock2018-12-31$4,058
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$1,428,838
Contract administrator fees2018-12-31$67,879
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31GETTRY MARCUS CPA, P.C.
Accountancy firm EIN2018-12-31133418879
2017 : PREMIER UROLOGY ASSOCIATES, LLC 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$3,668,060
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$875,151
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$833,178
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,654,275
Value of total assets at end of year2017-12-31$16,332,098
Value of total assets at beginning of year2017-12-31$13,539,189
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$41,973
Total interest from all sources2017-12-31$12,342
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
If this is an individual account plan, was there a blackout period2017-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$724,776
Participant contributions at end of year2017-12-31$120,781
Participant contributions at beginning of year2017-12-31$102,435
Participant contributions at end of year2017-12-31$2
Participant contributions at beginning of year2017-12-31$432
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$0
Administrative expenses (other) incurred2017-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$2,792,909
Value of net assets at end of year (total assets less liabilities)2017-12-31$16,332,098
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$13,539,189
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$1,137,741
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$973,173
Value of interest in pooled separate accounts at end of year2017-12-31$14,134,222
Value of interest in pooled separate accounts at beginning of year2017-12-31$10,306,427
Interest on participant loans2017-12-31$3,881
Interest earned on other investments2017-12-31$8,461
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$9,853
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$1,186,513
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$660,569
Net investment gain/loss from pooled separate accounts2017-12-31$1,340,874
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31Yes
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$929,499
Employer contributions (assets) at end of year2017-12-31$929,499
Employer contributions (assets) at beginning of year2017-12-31$970,209
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$833,178
Contract administrator fees2017-12-31$41,973
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31Yes
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31GETTRY MARCUS CPA, P.C.
Accountancy firm EIN2017-12-31133418879
2016 : PREMIER UROLOGY ASSOCIATES, LLC 401(K) PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-12-31$2,469,813
Total of all expenses incurred2016-12-31$342,642
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$339,992
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,634,719
Value of total assets at end of year2016-12-31$13,539,189
Value of total assets at beginning of year2016-12-31$11,412,018
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$2,650
Total interest from all sources2016-12-31$25,255
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$663,157
Participant contributions at end of year2016-12-31$102,435
Participant contributions at beginning of year2016-12-31$124,388
Participant contributions at end of year2016-12-31$432
Participant contributions at beginning of year2016-12-31$9,923
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$1,353
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$2,127,171
Value of net assets at end of year (total assets less liabilities)2016-12-31$13,539,189
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$11,412,018
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$973,173
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$551,277
Value of interest in pooled separate accounts at end of year2016-12-31$10,306,427
Value of interest in pooled separate accounts at beginning of year2016-12-31$8,756,440
Interest on participant loans2016-12-31$4,631
Interest earned on other investments2016-12-31$20,624
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$1,186,513
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$1,052,879
Net investment gain/loss from pooled separate accounts2016-12-31$809,839
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31Yes
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$970,209
Employer contributions (assets) at end of year2016-12-31$970,209
Employer contributions (assets) at beginning of year2016-12-31$917,111
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$339,992
Contract administrator fees2016-12-31$2,650
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31GETTRY MARCUS CPA, P.C.
Accountancy firm EIN2016-12-31133418879
2015 : PREMIER UROLOGY ASSOCIATES, LLC 401(K) PLAN 2015 401k financial data
Total income from all sources (including contributions)2015-12-31$1,434,190
Total of all expenses incurred2015-12-31$699,801
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$696,523
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,568,708
Value of total assets at end of year2015-12-31$11,412,018
Value of total assets at beginning of year2015-12-31$10,677,629
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$3,278
Total interest from all sources2015-12-31$18,628
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$645,730
Participant contributions at end of year2015-12-31$124,388
Participant contributions at beginning of year2015-12-31$105,096
Participant contributions at end of year2015-12-31$9,923
Participant contributions at beginning of year2015-12-31$12,513
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$5,867
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$734,389
Value of net assets at end of year (total assets less liabilities)2015-12-31$11,412,018
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$10,677,629
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$551,277
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$476,911
Value of interest in pooled separate accounts at end of year2015-12-31$8,756,440
Value of interest in pooled separate accounts at beginning of year2015-12-31$8,483,799
Interest on participant loans2015-12-31$4,629
Interest earned on other investments2015-12-31$13,999
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$1,052,879
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$670,378
Net investment gain/loss from pooled separate accounts2015-12-31$-153,146
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31Yes
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$917,111
Employer contributions (assets) at end of year2015-12-31$917,111
Employer contributions (assets) at beginning of year2015-12-31$928,932
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$696,523
Contract administrator fees2015-12-31$3,278
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31GETTRY MARCUS CPA, P.C.
Accountancy firm EIN2015-12-31133418879
2014 : PREMIER UROLOGY ASSOCIATES, LLC 401(K) PLAN 2014 401k financial data
Total income from all sources (including contributions)2014-12-31$2,187,591
Total of all expenses incurred2014-12-31$207,323
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$191,233
Value of total corrective distributions2014-12-31$2,830
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,745,645
Value of total assets at end of year2014-12-31$10,677,629
Value of total assets at beginning of year2014-12-31$8,697,361
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$13,260
Total interest from all sources2014-12-31$16,681
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$642,035
Participant contributions at end of year2014-12-31$105,096
Participant contributions at beginning of year2014-12-31$53,885
Participant contributions at end of year2014-12-31$12,513
Participant contributions at beginning of year2014-12-31$3,874
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$174,678
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$1,980,268
Value of net assets at end of year (total assets less liabilities)2014-12-31$10,677,629
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$8,697,361
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$476,911
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$255,008
Value of interest in pooled separate accounts at end of year2014-12-31$8,483,799
Value of interest in pooled separate accounts at beginning of year2014-12-31$6,815,790
Interest on participant loans2014-12-31$3,677
Interest earned on other investments2014-12-31$13,004
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$670,378
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$585,803
Net investment gain/loss from pooled separate accounts2014-12-31$425,265
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31Yes
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$928,932
Employer contributions (assets) at end of year2014-12-31$928,932
Employer contributions (assets) at beginning of year2014-12-31$983,001
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$191,233
Contract administrator fees2014-12-31$13,260
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31GETTRY MARCUS CPA, P.C.
Accountancy firm EIN2014-12-31133418879
2013 : PREMIER UROLOGY ASSOCIATES, LLC 401(K) PLAN 2013 401k financial data
Total income from all sources (including contributions)2013-12-31$3,825,762
Total of all expenses incurred2013-12-31$439,333
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$437,752
Value of total corrective distributions2013-12-31$1,061
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$2,888,828
Value of total assets at end of year2013-12-31$8,697,361
Value of total assets at beginning of year2013-12-31$5,310,932
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$520
Total interest from all sources2013-12-31$8,709
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$624,641
Participant contributions at end of year2013-12-31$53,885
Participant contributions at beginning of year2013-12-31$67,147
Participant contributions at end of year2013-12-31$3,874
Participant contributions at beginning of year2013-12-31$78,058
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$1,281,186
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$494
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$3,386,429
Value of net assets at end of year (total assets less liabilities)2013-12-31$8,697,361
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$5,310,932
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$255,008
Value of interest in pooled separate accounts at end of year2013-12-31$6,815,791
Value of interest in pooled separate accounts at beginning of year2013-12-31$4,288,015
Interest on participant loans2013-12-31$2,928
Interest earned on other investments2013-12-31$5,781
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$585,802
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$54,138
Net investment gain/loss from pooled separate accounts2013-12-31$928,225
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31Yes
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$983,001
Employer contributions (assets) at end of year2013-12-31$983,001
Employer contributions (assets) at beginning of year2013-12-31$823,080
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$437,752
Contract administrator fees2013-12-31$520
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31GETTRY MARCUS CPA, P.C.
Accountancy firm EIN2013-12-31133418879

Form 5500 Responses for PREMIER UROLOGY ASSOCIATES, LLC 401(K) PLAN

2020: PREMIER UROLOGY ASSOCIATES, LLC 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: PREMIER UROLOGY ASSOCIATES, LLC 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: PREMIER UROLOGY ASSOCIATES, LLC 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: PREMIER UROLOGY ASSOCIATES, LLC 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: PREMIER UROLOGY ASSOCIATES, LLC 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: PREMIER UROLOGY ASSOCIATES, LLC 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: PREMIER UROLOGY ASSOCIATES, LLC 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: PREMIER UROLOGY ASSOCIATES, LLC 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number129420
Policy instance 1
Insurance contract or identification number129420
Number of Individuals Covered54
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $5,673
Total amount of fees paid to insurance companyUSD $28,075
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,673
Insurance broker organization code?3
Amount paid for insurance broker fees17089
Additional information about fees paid to insurance brokerTPA FEES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number129420
Policy instance 1
Insurance contract or identification number129420
Number of Individuals Covered158
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $8,615
Total amount of fees paid to insurance companyUSD $14,208
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,338
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number129420
Policy instance 1
Insurance contract or identification number129420
Number of Individuals Covered147
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $14,313
Total amount of fees paid to insurance companyUSD $1,154
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,313
Insurance broker organization code?3
Amount paid for insurance broker fees1154
Additional information about fees paid to insurance brokerFEES
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM 85914 - 1
Policy instance 1
Insurance contract or identification numberRM 85914 - 1
Number of Individuals Covered0
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $11,330
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $9,809
Insurance broker organization code?3
Insurance broker nameMICHAEL A BOOK
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number129420
Policy instance 2
Insurance contract or identification number129420
Number of Individuals Covered139
Insurance policy start date2017-05-15
Insurance policy end date2017-12-31
Commission paid to Insurance BrokerUSD $76,892
Insurance broker organization code?3
Insurance broker nameMML INSURANCE AGENCY, LLC
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM 85914 - 1
Policy instance 1
Insurance contract or identification numberRM 85914 - 1
Number of Individuals Covered135
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $38,323
Total amount of fees paid to insurance companyUSD $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
Commission paid to Insurance BrokerUSD $34,892
Insurance broker organization code?3
Insurance broker nameMICHAEL A BOOK
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM 85914 - 1
Policy instance 1
Insurance contract or identification numberRM 85914 - 1
Number of Individuals Covered154
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $55,245
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $49,890
Insurance broker organization code?3
Insurance broker nameMICHAEL A BOOK
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM 85914 - 1
Policy instance 1
Insurance contract or identification numberRM 85914 - 1
Number of Individuals Covered154
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $95,577
Total amount of fees paid to insurance companyUSD $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
Commission paid to Insurance BrokerUSD $83,440
Insurance broker organization code?3
Insurance broker nameMICHAEL A BOOK
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B2-DB8T
Policy instance 2
Insurance contract or identification numberGAP-B2-DB8T
Number of Individuals Covered0
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $121
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $121
Insurance broker organization code?3
Insurance broker nameMML INVESTORS SERVICES, LLC

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