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MILTON HALL SURGICAL ASSOCIATES 401(K) PLAN 401k Plan overview

Plan NameMILTON HALL SURGICAL ASSOCIATES 401(K) PLAN
Plan identification number 001

MILTON HALL SURGICAL ASSOCIATES 401(K) PLAN 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.
  • 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.
  • 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

MILTON HALL SURGICAL ASSOCIATES has sponsored the creation of one or more 401k plans.

Company Name:MILTON HALL SURGICAL ASSOCIATES
Employer identification number (EIN):582383570
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MILTON HALL SURGICAL ASSOCIATES 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01JEFFREY GALLUPS2023-06-29
0012021-01-01JEFFREY GALLUPS2022-09-28
0012020-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01JEFFREY GALLUPS
0012016-01-01JEFFREY GALLUPS
0012015-01-01JEFFREY M. GALLUPS, M.D.2016-09-01 JEFFREY M. GALLUPS, M.D.2016-09-01

Plan Statistics for MILTON HALL SURGICAL ASSOCIATES 401(K) PLAN

401k plan membership statisitcs for MILTON HALL SURGICAL ASSOCIATES 401(K) PLAN

Measure Date Value
2020: MILTON HALL SURGICAL ASSOCIATES 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01128
Total number of active participants reported on line 7a of the Form 55002020-01-0147
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0128
Total of all active and inactive participants2020-01-0175
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0175
Number of participants with account balances2020-01-0158
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-018
2019: MILTON HALL SURGICAL ASSOCIATES 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01117
Total number of active participants reported on line 7a of the Form 55002019-01-0171
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0136
Total of all active and inactive participants2019-01-01107
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01107
Number of participants with account balances2019-01-0166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-013
2018: MILTON HALL SURGICAL ASSOCIATES 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01117
Total number of active participants reported on line 7a of the Form 55002018-01-0158
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0133
Total of all active and inactive participants2018-01-0191
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0191
Number of participants with account balances2018-01-0161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-015
2017: MILTON HALL SURGICAL ASSOCIATES 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01117
Total number of active participants reported on line 7a of the Form 55002017-01-0170
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0126
Total of all active and inactive participants2017-01-0196
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0196
Number of participants with account balances2017-01-0164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-016
2016: MILTON HALL SURGICAL ASSOCIATES 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01127
Total number of active participants reported on line 7a of the Form 55002016-01-0179
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0121
Total of all active and inactive participants2016-01-01100
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01100
Number of participants with account balances2016-01-0166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0110

Financial Data on MILTON HALL SURGICAL ASSOCIATES 401(K) PLAN

Measure Date Value
2020 : MILTON HALL SURGICAL ASSOCIATES 401(K) PLAN 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$556,363
Total of all expenses incurred2020-12-31$577,842
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$509,043
Expenses. Certain deemed distributions of participant loans2020-12-31$6,987
Value of total corrective distributions2020-12-31$53,478
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$219,485
Value of total assets at end of year2020-12-31$2,077,062
Value of total assets at beginning of year2020-12-31$2,098,541
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$8,334
Total interest from all sources2020-12-31$946
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$8,334
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$206,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$179,281
Participant contributions at end of year2020-12-31$11,790
Participant contributions at beginning of year2020-12-31$12,209
Other income not declared elsewhere2020-12-31$330
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-21,479
Value of net assets at end of year (total assets less liabilities)2020-12-31$2,077,062
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$2,098,541
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
Value of interest in pooled separate accounts at end of year2020-12-31$2,053,561
Value of interest in pooled separate accounts at beginning of year2020-12-31$2,076,787
Interest on participant loans2020-12-31$946
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$11,711
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$9,545
Net investment gain/loss from pooled separate accounts2020-12-31$335,602
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 contributions2020-12-31Yes
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$40,204
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$509,043
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 plan2020-12-31Unqualified
Accountancy firm name2020-12-31HANCOCK ASKEW & CO., LLP
Accountancy firm EIN2020-12-31580662558
2019 : MILTON HALL SURGICAL ASSOCIATES 401(K) PLAN 2019 401k financial data
Total income from all sources (including contributions)2019-12-31$643,634
Total income from all sources (including contributions)2019-12-31$643,634
Total of all expenses incurred2019-12-31$165,926
Total of all expenses incurred2019-12-31$165,926
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$129,855
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$129,855
Value of total corrective distributions2019-12-31$27,527
Value of total corrective distributions2019-12-31$27,527
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$229,960
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$229,960
Value of total assets at end of year2019-12-31$2,098,541
Value of total assets at end of year2019-12-31$2,098,541
Value of total assets at beginning of year2019-12-31$1,620,833
Value of total assets at beginning of year2019-12-31$1,620,833
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$8,544
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$8,544
Total interest from all sources2019-12-31$423
Total interest from all sources2019-12-31$423
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$8,544
Administrative expenses professional fees incurred2019-12-31$8,544
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$206,200
Value of fidelity bond cover2019-12-31$206,200
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$216,290
Contributions received from participants2019-12-31$216,290
Participant contributions at end of year2019-12-31$12,209
Participant contributions at end of year2019-12-31$12,209
Participant contributions at beginning of year2019-12-31$7,595
Participant contributions at beginning of year2019-12-31$7,595
Other income not declared elsewhere2019-12-31$602
Other income not declared elsewhere2019-12-31$602
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$477,708
Value of net income/loss2019-12-31$477,708
Value of net assets at end of year (total assets less liabilities)2019-12-31$2,098,541
Value of net assets at end of year (total assets less liabilities)2019-12-31$2,098,541
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,620,833
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,620,833
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in pooled separate accounts at end of year2019-12-31$2,076,787
Value of interest in pooled separate accounts at end of year2019-12-31$2,076,787
Value of interest in pooled separate accounts at beginning of year2019-12-31$1,592,273
Value of interest in pooled separate accounts at beginning of year2019-12-31$1,592,273
Interest on participant loans2019-12-31$423
Interest on participant loans2019-12-31$423
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$9,545
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$9,545
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$20,965
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$20,965
Net investment gain/loss from pooled separate accounts2019-12-31$412,649
Net investment gain/loss from pooled separate accounts2019-12-31$412,649
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31Yes
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$13,670
Contributions received in cash from employer2019-12-31$13,670
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$129,855
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$129,855
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31ROSS LANE AND COMPANY LLC
Accountancy firm name2019-12-31ROSS LANE AND COMPANY LLC
Accountancy firm EIN2019-12-31581686745
Accountancy firm EIN2019-12-31581686745
2018 : MILTON HALL SURGICAL ASSOCIATES 401(K) PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-12-31$125,839
Total of all expenses incurred2018-12-31$349,318
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$320,371
Value of total corrective distributions2018-12-31$21,141
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$257,546
Value of total assets at end of year2018-12-31$1,620,833
Value of total assets at beginning of year2018-12-31$1,844,312
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$7,806
Total interest from all sources2018-12-31$553
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$7,806
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$200,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$195,577
Participant contributions at end of year2018-12-31$7,595
Participant contributions at beginning of year2018-12-31$13,256
Other income not declared elsewhere2018-12-31$1,746
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-223,479
Value of net assets at end of year (total assets less liabilities)2018-12-31$1,620,833
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$1,844,312
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in pooled separate accounts at end of year2018-12-31$1,592,273
Value of interest in pooled separate accounts at beginning of year2018-12-31$1,787,590
Interest on participant loans2018-12-31$553
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$20,965
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$43,466
Net investment gain/loss from pooled separate accounts2018-12-31$-134,006
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31Yes
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$61,969
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$320,371
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31ROSS LANE AND COMPANY LLC
Accountancy firm EIN2018-12-31581686745
2017 : MILTON HALL SURGICAL ASSOCIATES 401(K) PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-12-31$511,605
Total of all expenses incurred2017-12-31$261,268
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$239,996
Expenses. Certain deemed distributions of participant loans2017-12-31$6,280
Value of total corrective distributions2017-12-31$6,879
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$204,175
Value of total assets at end of year2017-12-31$1,844,312
Value of total assets at beginning of year2017-12-31$1,593,975
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$8,113
Total interest from all sources2017-12-31$622
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$8,113
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$200,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$154,765
Participant contributions at end of year2017-12-31$13,256
Participant contributions at beginning of year2017-12-31$16,550
Other income not declared elsewhere2017-12-31$1,164
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$250,337
Value of net assets at end of year (total assets less liabilities)2017-12-31$1,844,312
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$1,593,975
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in pooled separate accounts at end of year2017-12-31$1,787,590
Value of interest in pooled separate accounts at beginning of year2017-12-31$1,540,966
Interest on participant loans2017-12-31$622
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$43,466
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$36,459
Net investment gain/loss from pooled separate accounts2017-12-31$305,644
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31Yes
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$49,410
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$239,996
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31ROSS LANE AND COMPANY LLC
Accountancy firm EIN2017-12-31581686745
2016 : MILTON HALL SURGICAL ASSOCIATES 401(K) PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-12-31$393,027
Total of all expenses incurred2016-12-31$560,814
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$529,707
Expenses. Certain deemed distributions of participant loans2016-12-31$7,309
Value of total corrective distributions2016-12-31$14,481
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$287,033
Value of total assets at end of year2016-12-31$1,593,975
Value of total assets at beginning of year2016-12-31$1,761,762
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$9,317
Total interest from all sources2016-12-31$1,003
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$9,317
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$200,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$192,468
Participant contributions at end of year2016-12-31$16,550
Participant contributions at beginning of year2016-12-31$22,183
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$12,265
Other income not declared elsewhere2016-12-31$2,920
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-167,787
Value of net assets at end of year (total assets less liabilities)2016-12-31$1,593,975
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$1,761,762
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in pooled separate accounts at end of year2016-12-31$1,540,966
Value of interest in pooled separate accounts at beginning of year2016-12-31$1,631,095
Interest on participant loans2016-12-31$1,003
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$36,459
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$108,484
Net investment gain/loss from pooled separate accounts2016-12-31$102,071
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31Yes
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$82,300
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$529,707
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31ROSS LANE AND COMPANY LLC
Accountancy firm EIN2016-12-31581686745

Form 5500 Responses for MILTON HALL SURGICAL ASSOCIATES 401(K) PLAN

2020: MILTON HALL SURGICAL ASSOCIATES 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedYes
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: MILTON HALL SURGICAL ASSOCIATES 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: MILTON HALL SURGICAL ASSOCIATES 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: MILTON HALL SURGICAL ASSOCIATES 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: MILTON HALL SURGICAL ASSOCIATES 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM 85591-1
Policy instance 1
Insurance contract or identification numberRM 85591-1
Number of Individuals Covered58
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $13,821
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,515
Insurance broker organization code?3
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM 85591-1
Policy instance 1
Insurance contract or identification numberRM 85591-1
Number of Individuals Covered66
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $12,218
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,535
Insurance broker organization code?3
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM 85591-1
Policy instance 1
Insurance contract or identification numberRM 85591-1
Number of Individuals Covered61
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $10,687
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,844
Insurance broker organization code?3
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM 85591-1
Policy instance 1
Insurance contract or identification numberRM 85591-1
Number of Individuals Covered64
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $10,874
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,776
Insurance broker organization code?3
Insurance broker nameROBERT TIMOTHY SINKS

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