401k Plan data: BLOOM REPRODUCTIVE INSTITUTE P 401 K PROFIT SHARING PLAN TRUST plan

BLOOM REPRODUCTIVE INSTITUTE P 401 K PROFIT SHARING PLAN TRUST 401k Plan overview

Plan Name	BLOOM REPRODUCTIVE INSTITUTE P 401 K PROFIT SHARING PLAN TRUST
Plan identification number	001

BLOOM REPRODUCTIVE INSTITUTE P 401 K PROFIT SHARING PLAN TRUST Benefits

401k Plan Type

Defined 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.
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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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

BLOOM REPRODUCTIVE INSTITUTE P has sponsored the creation of one or more 401k plans.

Company Name: BLOOM REPRODUCTIVE INSTITUTE P

Employer identification number (EIN): 471080241

NAIC Classification: 812990
NAIC Description: All Other Personal Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLOOM REPRODUCTIVE INSTITUTE P 401 K PROFIT SHARING PLAN TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2023-01-01 EDWARD ROJAS 2024-07-16
001 2022-01-01 EDWARD ROJAS 2023-07-10
001 2021-01-01 EDWARD ROJAS 2022-06-24
001 2020-01-01 EDWARD ROJAS 2021-05-25
001 2019-01-01
001 2018-01-01
001 2017-01-01
001 2016-01-01 SANJIV BEHERA 2017-06-02
001 2015-01-01 SANJIV BEHERA 2016-07-12

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2023-01-01	EDWARD ROJAS	2024-07-16
001	2022-01-01	EDWARD ROJAS	2023-07-10
001	2021-01-01	EDWARD ROJAS	2022-06-24
001	2020-01-01	EDWARD ROJAS	2021-05-25
001	2019-01-01
001	2018-01-01
001	2017-01-01
001	2016-01-01	SANJIV BEHERA	2017-06-02
001	2015-01-01	SANJIV BEHERA	2016-07-12

Plan Statistics for BLOOM REPRODUCTIVE INSTITUTE P 401 K PROFIT SHARING PLAN TRUST

401k plan membership statisitcs for BLOOM REPRODUCTIVE INSTITUTE P 401 K PROFIT SHARING PLAN TRUST

Measure Date Value
2019: BLOOM REPRODUCTIVE INSTITUTE P 401 K PROFIT SHARING PLAN TRUST 2019 401k membership
Total participants, beginning-of-year 2019-01-01 20
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 22
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 11
Total of all active and inactive participants 2019-01-01 33
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 33
Number of participants with account balances 2019-01-01 33
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 2

Measure	Date	Value
2019: BLOOM REPRODUCTIVE INSTITUTE P 401 K PROFIT SHARING PLAN TRUST 2019 401k membership
Total participants, beginning-of-year	2019-01-01	20
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	22
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	11
Total of all active and inactive participants	2019-01-01	33
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	33
Number of participants with account balances	2019-01-01	33
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	2

Financial Data on BLOOM REPRODUCTIVE INSTITUTE P 401 K PROFIT SHARING PLAN TRUST

Measure	Date	Value
2019 : BLOOM REPRODUCTIVE INSTITUTE P 401 K PROFIT SHARING PLAN TRUST 2019 401k financial data
Transfers to/from the plan	2019-12-31	$0
Total plan liabilities at end of year	2019-12-31	$0
Total plan liabilities at beginning of year	2019-12-31	$0
Total income from all sources	2019-12-31	$567,788
Expenses. Total of all expenses incurred	2019-12-31	$1,249
Benefits paid (including direct rollovers)	2019-12-31	$450
Total plan assets at end of year	2019-12-31	$566,539
Total plan assets at beginning of year	2019-12-31	$0
Value of fidelity bond covering the plan	2019-12-31	$0
Total contributions received or receivable from participants	2019-12-31	$63,577
Expenses. Other expenses not covered elsewhere	2019-12-31	$0
Contributions received from other sources (not participants or employers)	2019-12-31	$0
Other income received	2019-12-31	$481,340
Net income (gross income less expenses)	2019-12-31	$566,539
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$566,539
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$0
Assets. Value of participant loans	2019-12-31	$15,592
Total contributions received or receivable from employer(s)	2019-12-31	$22,871
Value of certain deemed distributions of participant loans	2019-12-31	$0
Value of corrective distributions	2019-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$799
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2019-12-31	$0
Minimum employer required contribution for this plan year	2019-12-31	$0
Amount contributed by the employer to the plan for this plan year	2019-12-31	$0

Form 5500 Responses for BLOOM REPRODUCTIVE INSTITUTE P 401 K PROFIT SHARING PLAN TRUST

2019: BLOOM REPRODUCTIVE INSTITUTE P 401 K PROFIT SHARING PLAN TRUST 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	BLOOM REPRODUCTIVE INSTITUTE P
Employer identification number (EIN):	471080241
NAIC Classification:	812990
NAIC Description:	All Other Personal Services