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| Plan Name | SCRIPPS OPTOMETRIC GROUP PROFIT SHARING PLAN & TRUST |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | SCRIPPS OPTOMETRIC GROUP |
| Employer identification number (EIN): | 330917488 |
| NAIC Classification: | 621320 |
| NAIC Description: | Offices of Optometrists |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2022-01-01 | JAY MASHOUF | 2023-03-14 | JAY MASHOUF | 2023-03-14 |
| 001 | 2021-01-01 | JAY MASHOUF | 2022-03-29 | JAY MASHOUF | 2022-03-29 |
| 001 | 2020-01-01 | JAY MASHOUF | 2021-10-15 | JAY MASHOUF | 2021-10-15 |
| 001 | 2019-01-01 | JAY MASHOUF | 2020-09-03 | JAY MASHOUF | 2020-09-03 |
| 001 | 2018-01-01 | JAY MASHOUF | 2019-07-15 | JAY MASHOUF | 2019-07-15 |
| 001 | 2017-01-01 | JAY MASHOUF | 2018-05-24 | JAY MASHOUF | 2018-05-24 |
| 001 | 2016-01-01 | JAY MASHOUF | 2017-07-12 | JAY MASHOUF | 2017-07-12 |
| 001 | 2015-01-01 | JAY MASHOUF | 2016-07-14 | JAY MASHOUF | 2016-07-14 |
| 001 | 2014-01-01 | JAY MASHOUF | 2015-05-04 | JAY MASHOUF | 2015-05-04 |
| 001 | 2013-01-01 | JAY MASHOUF | 2014-01-17 | JAY MASHOUF | 2014-01-17 |
| 001 | 2012-01-01 | JAY MASHOUF | JAY MASHOUF | 2013-01-29 |
| Measure | Date | Value |
|---|---|---|
| 2012: SCRIPPS OPTOMETRIC GROUP PROFIT SHARING PLAN & TRUST 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-01-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 6 |
| Number of retired or separated participants receiving benefits | 2012-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2012-01-01 | 0 |
| Total of all active and inactive participants | 2012-01-01 | 6 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2012-01-01 | 0 |
| Total participants | 2012-01-01 | 6 |
| Number of participants with account balances | 2012-01-01 | 6 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2012-01-01 | 0 |
| Measure | Date | Value |
|---|---|---|
| 2012 : SCRIPPS OPTOMETRIC GROUP PROFIT SHARING PLAN & TRUST 2012 401k financial data | ||
| Total income from all sources | 2012-12-31 | $114,707 |
| Total plan assets at end of year | 2012-12-31 | $114,707 |
| Other income received | 2012-12-31 | $3,029 |
| Net income (gross income less expenses) | 2012-12-31 | $114,707 |
| Net plan assets at end of year (total assets less liabilities) | 2012-12-31 | $114,707 |
| Total contributions received or receivable from employer(s) | 2012-12-31 | $111,678 |
| 2012: SCRIPPS OPTOMETRIC GROUP PROFIT SHARING PLAN & TRUST 2012 form 5500 responses | ||
|---|---|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | First time form 5500 has been submitted | Yes |
| 2012-01-01 | Plan funding arrangement – Trust | Yes |
| 2012-01-01 | Plan benefit arrangement - Trust | Yes |
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