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THE MIDLANDS CLINIC, P.C. 401(K) PLAN AND TRUST 401k Plan overview

Plan NameTHE MIDLANDS CLINIC, P.C. 401(K) PLAN AND TRUST
Plan identification number 001

THE MIDLANDS CLINIC, P.C. 401(K) PLAN AND TRUST Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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.
  • 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.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • 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

MIDLANDS CLINIC PC has sponsored the creation of one or more 401k plans.

Company Name:MIDLANDS CLINIC PC
Employer identification number (EIN):421439495
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE MIDLANDS CLINIC, P.C. 401(K) PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012023-01-01
0012023-01-01MELANIE BROWN
0012022-01-01
0012022-01-01MELANIE BROWN
0012021-01-01
0012021-01-01MELANIE BROWN
0012020-01-01
0012019-01-01STACY HARMELINK2020-10-01
0012018-01-01
0012017-01-01
0012016-01-01
0012015-01-01
0012014-01-01ROBERT E. ANDERSON MD2015-07-10
0012013-01-01JESSICA CARMONA2014-05-01
0012012-01-01RUBY BOLLIN2013-04-30
0012011-01-01RUBY BOLLIN2012-05-16
0012010-01-01RUBY BOLLIN
0012009-01-01RUBY BOLLIN

Financial Data on THE MIDLANDS CLINIC, P.C. 401(K) PLAN AND TRUST

Measure Date Value
2023 : THE MIDLANDS CLINIC, P.C. 401(K) PLAN AND TRUST 2023 401k financial data
Total income from all sources2023-11-30$815,095
Expenses. Total of all expenses incurred2023-11-30$17,765,997
Benefits paid (including direct rollovers)2023-11-30$17,726,315
Total plan assets at end of year2023-11-30$0
Total plan assets at beginning of year2023-11-30$16,950,902
Value of fidelity bond covering the plan2023-11-30$500,000
Other income received2023-11-30$815,095
Net income (gross income less expenses)2023-11-30$-16,950,902
Net plan assets at end of year (total assets less liabilities)2023-11-30$0
Net plan assets at beginning of year (total assets less liabilities)2023-11-30$16,950,902
Expenses. Administrative service providers (salaries,fees and commissions)2023-11-30$39,682
2022 : THE MIDLANDS CLINIC, P.C. 401(K) PLAN AND TRUST 2022 401k financial data
Total income from all sources2022-12-31$-1,780,738
Expenses. Total of all expenses incurred2022-12-31$2,719,941
Benefits paid (including direct rollovers)2022-12-31$2,678,456
Total plan assets at end of year2022-12-31$16,950,902
Total plan assets at beginning of year2022-12-31$21,451,581
Value of fidelity bond covering the plan2022-12-31$500,000
Total contributions received or receivable from participants2022-12-31$408,352
Contributions received from other sources (not participants or employers)2022-12-31$8,196
Other income received2022-12-31$-2,766,003
Net income (gross income less expenses)2022-12-31$-4,500,679
Net plan assets at end of year (total assets less liabilities)2022-12-31$16,950,902
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$21,451,581
Total contributions received or receivable from employer(s)2022-12-31$568,717
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$41,485
2021 : THE MIDLANDS CLINIC, P.C. 401(K) PLAN AND TRUST 2021 401k financial data
Total income from all sources (including contributions)2021-12-31$3,679,681
Total of all expenses incurred2021-12-31$2,537,258
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$2,374,506
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,025,921
Value of total assets at end of year2021-12-31$21,451,581
Value of total assets at beginning of year2021-12-31$20,309,158
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$162,752
Total interest from all sources2021-12-31$155,738
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$814,159
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$814,159
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$470,512
Participant contributions at end of year2021-12-31$4,921
Participant contributions at beginning of year2021-12-31$16,200
Assets. Other investments not covered elsewhere at end of year2021-12-31$538,421
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$514,089
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$1,142,423
Value of net assets at end of year (total assets less liabilities)2021-12-31$21,451,581
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$20,309,158
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$162,752
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$1,531,763
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$20,838,620
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$412,789
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$412,789
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$155,738
Asset value of US Government securities at beginning of year2021-12-31$1,507,362
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$1,683,863
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$555,409
Employer contributions (assets) at end of year2021-12-31$69,619
Employer contributions (assets) at beginning of year2021-12-31$56,389
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$2,374,506
Assets. Corporate common stocks other than exployer securities at beginning of year2021-12-31$16,270,566
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31HENJES CONNER AND WILLIAMS PC
Accountancy firm EIN2021-12-31481292483
2020 : THE MIDLANDS CLINIC, P.C. 401(K) PLAN AND TRUST 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$3,473,618
Total of all expenses incurred2020-12-31$2,768,014
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$2,610,719
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$973,774
Value of total assets at end of year2020-12-31$20,309,158
Value of total assets at beginning of year2020-12-31$19,603,554
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$157,295
Total interest from all sources2020-12-31$145,261
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$248,551
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$248,551
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$587,504
Participant contributions at end of year2020-12-31$16,200
Participant contributions at beginning of year2020-12-31$6,102
Assets. Other investments not covered elsewhere at end of year2020-12-31$514,089
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$487,054
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$38,004
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$705,604
Value of net assets at end of year (total assets less liabilities)2020-12-31$20,309,158
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$19,603,554
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
Investment advisory and management fees2020-12-31$157,295
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$1,531,763
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$1,364,056
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$412,789
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$716,256
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$716,256
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$145,261
Asset value of US Government securities at end of year2020-12-31$1,507,362
Asset value of US Government securities at beginning of year2020-12-31$2,020,600
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$2,106,032
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
Contributions received in cash from employer2020-12-31$348,266
Employer contributions (assets) at end of year2020-12-31$56,389
Employer contributions (assets) at beginning of year2020-12-31$107,747
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$2,610,719
Assets. Corporate common stocks other than exployer securities at end of year2020-12-31$16,270,566
Assets. Corporate common stocks other than exployer securities at beginning of year2020-12-31$14,901,739
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 name2020-12-31HENJES CONNER AND WILLIAMS PC
Accountancy firm EIN2020-12-31481292483
2010 : THE MIDLANDS CLINIC, P.C. 401(K) PLAN AND TRUST 2010 401k financial data
Transfers to/from the plan2010-12-31$1,319,553
Total plan liabilities at end of year2010-12-31$5,021
Total plan liabilities at beginning of year2010-12-31$1,803
Total income from all sources2010-12-31$1,511,489
Expenses. Total of all expenses incurred2010-12-31$63,658
Benefits paid (including direct rollovers)2010-12-31$346
Total plan assets at end of year2010-12-31$7,402,974
Total plan assets at beginning of year2010-12-31$4,632,372
Value of fidelity bond covering the plan2010-12-31$500,000
Total contributions received or receivable from participants2010-12-31$260,271
Expenses. Other expenses not covered elsewhere2010-12-31$20,693
Contributions received from other sources (not participants or employers)2010-12-31$27,375
Other income received2010-12-31$796,328
Net income (gross income less expenses)2010-12-31$1,447,831
Net plan assets at end of year (total assets less liabilities)2010-12-31$7,397,953
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$4,630,569
Total contributions received or receivable from employer(s)2010-12-31$427,515
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$42,619
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0

Form 5500 Responses for THE MIDLANDS CLINIC, P.C. 401(K) PLAN AND TRUST

2023: THE MIDLANDS CLINIC, P.C. 401(K) PLAN AND TRUST 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01This submission is the final filingYes
2023-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement - TrustYes
2022: THE MIDLANDS CLINIC, P.C. 401(K) PLAN AND TRUST 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: THE MIDLANDS CLINIC, P.C. 401(K) PLAN AND TRUST 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: THE MIDLANDS CLINIC, P.C. 401(K) PLAN AND TRUST 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2010: THE MIDLANDS CLINIC, P.C. 401(K) PLAN AND TRUST 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: THE MIDLANDS CLINIC, P.C. 401(K) PLAN AND TRUST 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number72053810
Policy instance 1
Insurance contract or identification number72053810
Insurance policy start date2023-01-01
Insurance policy end date2023-11-30
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number72053810
Policy instance 1
Insurance contract or identification number72053810
Number of Individuals Covered1
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number72053810
Policy instance 1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number72053810
Policy instance 1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number01L68N
Policy instance 1

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