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SAMY METYAS, M.D., INC. 401(K) PLAN 401k Plan overview

Plan NameSAMY METYAS, M.D., INC. 401(K) PLAN
Plan identification number 003

SAMY METYAS, M.D., INC. 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.
  • Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of 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.
  • 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

SAMY METYAS, M.D., INC. has sponsored the creation of one or more 401k plans.

Company Name:SAMY METYAS, M.D., INC.
Employer identification number (EIN):542109211
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SAMY METYAS, M.D., INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0032022-01-01SAMY METYAS MD2023-10-07
0032021-01-01SAMY METYAS MD2022-04-12
0032020-01-01SAMY METYAS MD2021-06-06
0032019-01-01SAMY METYAS, M.D.2020-05-24
0032018-01-01
0032017-01-01
0032016-01-01
0032015-01-01
0032014-01-01

Plan Statistics for SAMY METYAS, M.D., INC. 401(K) PLAN

401k plan membership statisitcs for SAMY METYAS, M.D., INC. 401(K) PLAN

Measure Date Value
2022: SAMY METYAS, M.D., INC. 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0123
Total number of active participants reported on line 7a of the Form 55002022-01-0116
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-013
Total of all active and inactive participants2022-01-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0119
Number of participants with account balances2022-01-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-012
2021: SAMY METYAS, M.D., INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0121
Total number of active participants reported on line 7a of the Form 55002021-01-0119
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-012
Total of all active and inactive participants2021-01-0121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0121
Number of participants with account balances2021-01-0121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-012
2020: SAMY METYAS, M.D., INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0120
Total number of active participants reported on line 7a of the Form 55002020-01-0117
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-012
Total of all active and inactive participants2020-01-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0119
Number of participants with account balances2020-01-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: SAMY METYAS, M.D., INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0117
Total number of active participants reported on line 7a of the Form 55002019-01-0116
Number of other retired or separated participants entitled to future benefits2019-01-012
Total of all active and inactive participants2019-01-0118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0118
Number of participants with account balances2019-01-0118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-011
2018: SAMY METYAS, M.D., INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0114
Total number of active participants reported on line 7a of the Form 55002018-01-0111
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-012
Total of all active and inactive participants2018-01-0113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0113
Number of participants with account balances2018-01-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-012
2017: SAMY METYAS, M.D., INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0113
Total number of active participants reported on line 7a of the Form 55002017-01-0112
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0112
Number of participants with account balances2017-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: SAMY METYAS, M.D., INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-014
Total number of active participants reported on line 7a of the Form 55002016-01-0113
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-0113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0113
Number of participants with account balances2016-01-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: SAMY METYAS, M.D., INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-013
Total number of active participants reported on line 7a of the Form 55002015-01-013
Total of all active and inactive participants2015-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-013
Number of participants with account balances2015-01-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010

Financial Data on SAMY METYAS, M.D., INC. 401(K) PLAN

Measure Date Value
2022 : SAMY METYAS, M.D., INC. 401(K) PLAN 2022 401k financial data
Total income from all sources2022-12-31$215,375
Expenses. Total of all expenses incurred2022-12-31$67,198
Benefits paid (including direct rollovers)2022-12-31$41,093
Total plan assets at end of year2022-12-31$3,518,251
Total plan assets at beginning of year2022-12-31$3,370,074
Value of fidelity bond covering the plan2022-12-31$525,000
Total contributions received or receivable from participants2022-12-31$130,239
Contributions received from other sources (not participants or employers)2022-12-31$0
Other income received2022-12-31$-124,369
Net income (gross income less expenses)2022-12-31$148,177
Net plan assets at end of year (total assets less liabilities)2022-12-31$3,518,251
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$3,370,074
Assets. Value of participant loans2022-12-31$59,030
Assets. Value of assets in partnership/joint-venture interests2022-12-31$38,775
Assets. Value of real-estate (other than employer real property)2022-12-31$600,000
Total contributions received or receivable from employer(s)2022-12-31$209,505
Value of certain deemed distributions of participant loans2022-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$26,105
2021 : SAMY METYAS, M.D., INC. 401(K) PLAN 2021 401k financial data
Total income from all sources2021-12-31$597,257
Expenses. Total of all expenses incurred2021-12-31$20,492
Benefits paid (including direct rollovers)2021-12-31$7,154
Total plan assets at end of year2021-12-31$3,370,074
Total plan assets at beginning of year2021-12-31$2,793,309
Value of fidelity bond covering the plan2021-12-31$525,000
Total contributions received or receivable from participants2021-12-31$125,928
Contributions received from other sources (not participants or employers)2021-12-31$0
Other income received2021-12-31$266,105
Net income (gross income less expenses)2021-12-31$576,765
Net plan assets at end of year (total assets less liabilities)2021-12-31$3,370,074
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$2,793,309
Assets. Value of participant loans2021-12-31$78,528
Assets. Value of assets in partnership/joint-venture interests2021-12-31$50,000
Assets. Value of real-estate (other than employer real property)2021-12-31$565,000
Total contributions received or receivable from employer(s)2021-12-31$205,224
Value of certain deemed distributions of participant loans2021-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$13,338
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
2020 : SAMY METYAS, M.D., INC. 401(K) PLAN 2020 401k financial data
Total income from all sources2020-12-31$359,034
Expenses. Total of all expenses incurred2020-12-31$28,824
Benefits paid (including direct rollovers)2020-12-31$17,119
Total plan assets at end of year2020-12-31$2,793,309
Total plan assets at beginning of year2020-12-31$2,463,099
Value of fidelity bond covering the plan2020-12-31$525,000
Total contributions received or receivable from participants2020-12-31$108,492
Contributions received from other sources (not participants or employers)2020-12-31$0
Other income received2020-12-31$108,036
Net income (gross income less expenses)2020-12-31$330,210
Net plan assets at end of year (total assets less liabilities)2020-12-31$2,793,309
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$2,463,099
Assets. Value of participant loans2020-12-31$95,496
Assets. Value of assets in partnership/joint-venture interests2020-12-31$50,000
Assets. Value of real-estate (other than employer real property)2020-12-31$475,000
Total contributions received or receivable from employer(s)2020-12-31$142,506
Value of certain deemed distributions of participant loans2020-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$11,705
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
2019 : SAMY METYAS, M.D., INC. 401(K) PLAN 2019 401k financial data
Total income from all sources2019-12-31$534,117
Expenses. Total of all expenses incurred2019-12-31$19,373
Benefits paid (including direct rollovers)2019-12-31$4,616
Total plan assets at end of year2019-12-31$2,463,099
Total plan assets at beginning of year2019-12-31$1,948,355
Value of fidelity bond covering the plan2019-12-31$525,000
Total contributions received or receivable from participants2019-12-31$110,036
Other income received2019-12-31$303,499
Net income (gross income less expenses)2019-12-31$514,744
Net plan assets at end of year (total assets less liabilities)2019-12-31$2,463,099
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$1,948,355
Assets. Value of real-estate (other than employer real property)2019-12-31$475,000
Total contributions received or receivable from employer(s)2019-12-31$120,582
Value of certain deemed distributions of participant loans2019-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$14,757
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : SAMY METYAS, M.D., INC. 401(K) PLAN 2018 401k financial data
Total income from all sources2018-12-31$141,457
Expenses. Total of all expenses incurred2018-12-31$36,433
Benefits paid (including direct rollovers)2018-12-31$23,148
Total plan assets at end of year2018-12-31$1,948,355
Total plan assets at beginning of year2018-12-31$1,843,331
Value of fidelity bond covering the plan2018-12-31$525,000
Total contributions received or receivable from participants2018-12-31$63,197
Contributions received from other sources (not participants or employers)2018-12-31$6,140
Other income received2018-12-31$-6,148
Net income (gross income less expenses)2018-12-31$105,024
Net plan assets at end of year (total assets less liabilities)2018-12-31$1,948,355
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$1,843,331
Assets. Value of participant loans2018-12-31$1,376
Assets. Value of real-estate (other than employer real property)2018-12-31$440,000
Total contributions received or receivable from employer(s)2018-12-31$78,268
Value of certain deemed distributions of participant loans2018-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$13,285
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : SAMY METYAS, M.D., INC. 401(K) PLAN 2017 401k financial data
Total plan liabilities at beginning of year2017-12-31$0
Total income from all sources2017-12-31$215,426
Expenses. Total of all expenses incurred2017-12-31$16,918
Benefits paid (including direct rollovers)2017-12-31$742
Total plan assets at end of year2017-12-31$1,843,331
Total plan assets at beginning of year2017-12-31$1,644,823
Value of fidelity bond covering the plan2017-12-31$525,000
Total contributions received or receivable from participants2017-12-31$61,206
Contributions received from other sources (not participants or employers)2017-12-31$0
Other income received2017-12-31$131,816
Net income (gross income less expenses)2017-12-31$198,508
Net plan assets at end of year (total assets less liabilities)2017-12-31$1,843,331
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$1,644,823
Assets. Value of participant loans2017-12-31$9,404
Assets. Value of real-estate (other than employer real property)2017-12-31$395,000
Total contributions received or receivable from employer(s)2017-12-31$22,404
Value of certain deemed distributions of participant loans2017-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$16,176
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : SAMY METYAS, M.D., INC. 401(K) PLAN 2016 401k financial data
Total plan liabilities at end of year2016-12-31$0
Total plan liabilities at beginning of year2016-12-31$0
Total income from all sources2016-12-31$281,443
Expenses. Total of all expenses incurred2016-12-31$18,488
Benefits paid (including direct rollovers)2016-12-31$4,626
Total plan assets at end of year2016-12-31$1,644,823
Total plan assets at beginning of year2016-12-31$1,381,868
Value of fidelity bond covering the plan2016-12-31$525,000
Total contributions received or receivable from participants2016-12-31$60,987
Contributions received from other sources (not participants or employers)2016-12-31$11,380
Other income received2016-12-31$187,200
Net income (gross income less expenses)2016-12-31$262,955
Net plan assets at end of year (total assets less liabilities)2016-12-31$1,644,823
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$1,381,868
Assets. Value of participant loans2016-12-31$27,794
Assets. Value of real-estate (other than employer real property)2016-12-31$400,000
Total contributions received or receivable from employer(s)2016-12-31$21,876
Value of certain deemed distributions of participant loans2016-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$13,862
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : SAMY METYAS, M.D., INC. 401(K) PLAN 2015 401k financial data
Total plan liabilities at end of year2015-12-31$0
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$979,140
Expenses. Total of all expenses incurred2015-12-31$6,905
Benefits paid (including direct rollovers)2015-12-31$0
Total plan assets at end of year2015-12-31$1,381,868
Total plan assets at beginning of year2015-12-31$409,633
Value of fidelity bond covering the plan2015-12-31$50,000
Total contributions received or receivable from participants2015-12-31$42,000
Contributions received from other sources (not participants or employers)2015-12-31$957,219
Other income received2015-12-31$-66,799
Net income (gross income less expenses)2015-12-31$972,235
Net plan assets at end of year (total assets less liabilities)2015-12-31$1,381,868
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$409,633
Assets. Value of participant loans2015-12-31$45,643
Assets. Value of real-estate (other than employer real property)2015-12-31$380,000
Total contributions received or receivable from employer(s)2015-12-31$46,720
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$6,905
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0

Form 5500 Responses for SAMY METYAS, M.D., INC. 401(K) PLAN

2022: SAMY METYAS, M.D., INC. 401(K) PLAN 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 – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: SAMY METYAS, M.D., INC. 401(K) PLAN 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 – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: SAMY METYAS, M.D., INC. 401(K) PLAN 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 – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: SAMY METYAS, M.D., INC. 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
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: SAMY METYAS, M.D., INC. 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
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: SAMY METYAS, M.D., INC. 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
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: SAMY METYAS, M.D., INC. 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: SAMY METYAS, M.D., INC. 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberGA-838637
Policy instance 1
Insurance contract or identification numberGA-838637
Number of Individuals Covered0
Insurance policy start date2022-01-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number7568551
Policy instance 2
Insurance contract or identification number7568551
Number of Individuals Covered19
Insurance policy start date2022-04-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
Other information about contractGROUP ANNUITY CONTRACT
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberGA-838637
Policy instance 1
Insurance contract or identification numberGA-838637
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $592
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $592
Amount paid for insurance broker fees0
Insurance broker organization code?3
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberGA-838637
Policy instance 1
Insurance contract or identification numberGA-838637
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $2,004
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,004
Amount paid for insurance broker fees0
Insurance broker organization code?3
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberGA-838637
Policy instance 1
Insurance contract or identification numberGA-838637
Number of Individuals Covered18
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $970
Total amount of fees paid to insurance companyUSD $0
Commission paid to Insurance BrokerUSD $970
Amount paid for insurance broker fees0
Insurance broker organization code?3
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberGA-838637
Policy instance 1
Insurance contract or identification numberGA-838637
Number of Individuals Covered7
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $827
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $827
Insurance broker organization code?3
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberGA-838637
Policy instance 1
Insurance contract or identification numberGA-838637
Number of Individuals Covered7
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $596
Commission paid to Insurance BrokerUSD $596
Insurance broker organization code?3
Insurance broker nameARETE INSURANCE AGENCY LLC

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