401k Plan data: FAYETTE PHYSICIAN NETWORK, INC. 401(K) PLAN plan

FAYETTE PHYSICIAN NETWORK, INC. 401(K) PLAN 401k Plan overview

Plan Name	FAYETTE PHYSICIAN NETWORK, INC. 401(K) PLAN
Plan identification number	001

FAYETTE PHYSICIAN NETWORK, INC. 401(K) PLAN Benefits

401k Plan Type

Defined 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.
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.
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

FAYETTE PHYSICIAN NETWORK, INC. has sponsored the creation of one or more 401k plans.

Company Name: FAYETTE PHYSICIAN NETWORK, INC.

Employer identification number (EIN): 455440305

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FAYETTE PHYSICIAN NETWORK, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2019-07-01
001 2018-07-01
001 2017-07-01
001 2016-07-01
001 2015-07-01
001 2014-07-01
001 2013-07-01
001 2012-07-01 STEVEN HANDY STEVEN HANDY 2014-04-14

Plan Statistics for FAYETTE PHYSICIAN NETWORK, INC. 401(K) PLAN

401k plan membership statisitcs for FAYETTE PHYSICIAN NETWORK, INC. 401(K) PLAN

Measure Date Value
2012: FAYETTE PHYSICIAN NETWORK, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 170
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 56
Number of other retired or separated participants entitled to future benefits 2012-07-01 36
Total of all active and inactive participants 2012-07-01 92
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-07-01 0
Total participants 2012-07-01 92
Number of participants with account balances 2012-07-01 92
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-07-01 0

Measure	Date	Value
2012: FAYETTE PHYSICIAN NETWORK, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	170
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	56
Number of other retired or separated participants entitled to future benefits	2012-07-01	36
Total of all active and inactive participants	2012-07-01	92
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-01	0
Total participants	2012-07-01	92
Number of participants with account balances	2012-07-01	92
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-01	0

Financial Data on FAYETTE PHYSICIAN NETWORK, INC. 401(K) PLAN

Measure	Date	Value
2013 : FAYETTE PHYSICIAN NETWORK, INC. 401(K) PLAN 2013 401k financial data
Total income from all sources (including contributions)	2013-06-30	$1,369,080
Total of all expenses incurred	2013-06-30	$1,011,687
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-06-30	$961,200
Value of total corrective distributions	2013-06-30	$12,080
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-06-30	$737,192
Value of total assets at end of year	2013-06-30	$4,765,804
Value of total assets at beginning of year	2013-06-30	$4,408,411
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-06-30	$38,407
Total interest from all sources	2013-06-30	$247
Total dividends received (eg from common stock, registered investment company shares)	2013-06-30	$99,507
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-06-30	$99,507
Was this plan covered by a fidelity bond	2013-06-30	Yes
Value of fidelity bond cover	2013-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2013-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2013-06-30	No
Contributions received from participants	2013-06-30	$353,263
Participant contributions at end of year	2013-06-30	$23,445
Income. Received or receivable in cash from other sources (including rollovers)	2013-06-30	$40,166
Other income not declared elsewhere	2013-06-30	$1,788
Administrative expenses (other) incurred	2013-06-30	$38,407
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-06-30	No
Value of net income/loss	2013-06-30	$357,393
Value of net assets at end of year (total assets less liabilities)	2013-06-30	$4,765,804
Value of net assets at beginning of year (total assets less liabilities)	2013-06-30	$4,408,411
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-06-30	No
Were any leases to which the plan was party in default or uncollectible	2013-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-06-30	$4,606,197
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-06-30	$4,129,976
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-06-30	$247
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-06-30	$530,346
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-06-30	No
Was there a failure to transmit to the plan any participant contributions	2013-06-30	Yes
Has the plan failed to provide any benefit when due under the plan	2013-06-30	No
Contributions received in cash from employer	2013-06-30	$343,763
Employer contributions (assets) at end of year	2013-06-30	$136,162
Employer contributions (assets) at beginning of year	2013-06-30	$278,435
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-06-30	$961,200
Did the plan have assets held for investment	2013-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2013-06-30	Disclaimer
Accountancy firm name	2013-06-30	BKD, LLP
Accountancy firm EIN	2013-06-30	440160260

Form 5500 Responses for FAYETTE PHYSICIAN NETWORK, INC. 401(K) PLAN

2012: FAYETTE PHYSICIAN NETWORK, INC. 401(K) PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Trust	Yes
2012-07-01	Plan benefit arrangement - Trust	Yes

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Company Name:	FAYETTE PHYSICIAN NETWORK, INC.
Employer identification number (EIN):	455440305
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2019-07-01
001	2018-07-01
001	2017-07-01
001	2016-07-01
001	2015-07-01
001	2014-07-01
001	2013-07-01
001	2012-07-01	STEVEN HANDY	STEVEN HANDY	2014-04-14