401k Plan data: SC MEDICAL ENDOSCOPY, LLC 401(K) PLAN plan

SC MEDICAL ENDOSCOPY, LLC 401(K) PLAN 401k Plan overview

Plan Name	SC MEDICAL ENDOSCOPY, LLC 401(K) PLAN
Plan identification number	001

SC MEDICAL ENDOSCOPY, LLC 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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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

SOUTH CAROLINA MEDICAL ENDOSCOPY LLC has sponsored the creation of one or more 401k plans.

Company Name: SOUTH CAROLINA MEDICAL ENDOSCOPY LLC

Employer identification number (EIN): 582449734

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SC MEDICAL ENDOSCOPY, LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2023-01-01 KIM PATTON 2023-08-02
001 2022-01-01 KIM PATTON 2023-07-28
001 2021-01-01 KIM PATTON 2022-02-14
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01
001 2016-01-01
001 2015-01-01
001 2014-01-01
001 2014-01-01 LINDA HILTON 2015-10-15
001 2014-01-01 LINDA HILTON 2015-10-15
001 2014-01-01 STEPHEN LLOYD 2015-10-30
001 2013-01-01 STEPHEN LLOYD 2015-10-30
001 2012-01-01 STEPHEN LLOYD 2015-10-30
001 2011-01-01 KIM PATTON 2012-09-06
001 2010-01-01 KIM PATTON 2012-06-29

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2023-01-01	KIM PATTON	2023-08-02
001	2022-01-01	KIM PATTON	2023-07-28
001	2021-01-01	KIM PATTON	2022-02-14
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01
001	2016-01-01
001	2015-01-01
001	2014-01-01
001	2014-01-01	LINDA HILTON	2015-10-15
001	2014-01-01	LINDA HILTON	2015-10-15
001	2014-01-01	STEPHEN LLOYD	2015-10-30
001	2013-01-01	STEPHEN LLOYD	2015-10-30
001	2012-01-01	STEPHEN LLOYD	2015-10-30
001	2011-01-01	KIM PATTON	2012-09-06
001	2010-01-01	KIM PATTON	2012-06-29

Plan Statistics for SC MEDICAL ENDOSCOPY, LLC 401(K) PLAN

401k plan membership statisitcs for SC MEDICAL ENDOSCOPY, LLC 401(K) PLAN

Measure Date Value
2016: SC MEDICAL ENDOSCOPY, LLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 29
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 13
Number of retired or separated participants receiving benefits 2016-01-01 10
Number of other retired or separated participants entitled to future benefits 2016-01-01 3
Total of all active and inactive participants 2016-01-01 26
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 26
Number of participants with account balances 2016-01-01 19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 1
2015: SC MEDICAL ENDOSCOPY, LLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 32
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 21
Number of retired or separated participants receiving benefits 2015-01-01 2
Number of other retired or separated participants entitled to future benefits 2015-01-01 6
Total of all active and inactive participants 2015-01-01 29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 29
Number of participants with account balances 2015-01-01 18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 2
2014: SC MEDICAL ENDOSCOPY, LLC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 18
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 11
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 6
Total of all active and inactive participants 2014-01-01 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 17
Number of participants with account balances 2014-01-01 17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0

Measure	Date	Value
2016: SC MEDICAL ENDOSCOPY, LLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	29
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	13
Number of retired or separated participants receiving benefits	2016-01-01	10
Number of other retired or separated participants entitled to future benefits	2016-01-01	3
Total of all active and inactive participants	2016-01-01	26
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	26
Number of participants with account balances	2016-01-01	19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	1
2015: SC MEDICAL ENDOSCOPY, LLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	32
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	21
Number of retired or separated participants receiving benefits	2015-01-01	2
Number of other retired or separated participants entitled to future benefits	2015-01-01	6
Total of all active and inactive participants	2015-01-01	29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	29
Number of participants with account balances	2015-01-01	18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	2
2014: SC MEDICAL ENDOSCOPY, LLC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	18
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	11
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	6
Total of all active and inactive participants	2014-01-01	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	17
Number of participants with account balances	2014-01-01	17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0

Financial Data on SC MEDICAL ENDOSCOPY, LLC 401(K) PLAN

Measure	Date	Value
2016 : SC MEDICAL ENDOSCOPY, LLC 401(K) PLAN 2016 401k financial data
Total plan liabilities at end of year	2016-12-31	$0
Total plan liabilities at beginning of year	2016-12-31	$0
Total income from all sources	2016-12-31	$50,616
Expenses. Total of all expenses incurred	2016-12-31	$66,733
Benefits paid (including direct rollovers)	2016-12-31	$59,991
Total plan assets at end of year	2016-12-31	$826,693
Total plan assets at beginning of year	2016-12-31	$842,810
Total contributions received or receivable from participants	2016-12-31	$7,599
Expenses. Other expenses not covered elsewhere	2016-12-31	$6,364
Other income received	2016-12-31	$38,681
Net income (gross income less expenses)	2016-12-31	$-16,117
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$826,693
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$842,810
Assets. Value of participant loans	2016-12-31	$221
Assets. Value of assets in partnership/joint-venture interests	2016-12-31	$682,009
Total contributions received or receivable from employer(s)	2016-12-31	$4,336
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$378
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
2015 : SC MEDICAL ENDOSCOPY, LLC 401(K) PLAN 2015 401k financial data
Transfers to/from the plan	2015-12-31	$0
Total income from all sources	2015-12-31	$29,921
Expenses. Total of all expenses incurred	2015-12-31	$21,698
Benefits paid (including direct rollovers)	2015-12-31	$19,616
Total plan assets at end of year	2015-12-31	$842,810
Total plan assets at beginning of year	2015-12-31	$834,587
Total contributions received or receivable from participants	2015-12-31	$18,761
Expenses. Other expenses not covered elsewhere	2015-12-31	$0
Contributions received from other sources (not participants or employers)	2015-12-31	$0
Other income received	2015-12-31	$5,192
Noncash contributions received	2015-12-31	$0
Net income (gross income less expenses)	2015-12-31	$8,223
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$842,810
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$834,587
Assets. Value of participant loans	2015-12-31	$1,276
Assets. Value of assets in partnership/joint-venture interests	2015-12-31	$680,580
Total contributions received or receivable from employer(s)	2015-12-31	$5,968
Value of certain deemed distributions of participant loans	2015-12-31	$0
Value of corrective distributions	2015-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$2,082
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : SC MEDICAL ENDOSCOPY, LLC 401(K) PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$76,793
Expenses. Total of all expenses incurred	2014-12-31	$4,114
Benefits paid (including direct rollovers)	2014-12-31	$2,782
Total plan assets at end of year	2014-12-31	$834,587
Total plan assets at beginning of year	2014-12-31	$761,908
Total contributions received or receivable from participants	2014-12-31	$53,148
Expenses. Other expenses not covered elsewhere	2014-12-31	$1,152
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$-5,305
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$72,679
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$834,587
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$761,908
Assets. Value of participant loans	2014-12-31	$2,266
Assets. Value of assets in partnership/joint-venture interests	2014-12-31	$680,580
Total contributions received or receivable from employer(s)	2014-12-31	$28,950
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$180
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0

Form 5500 Responses for SC MEDICAL ENDOSCOPY, LLC 401(K) PLAN

2016: SC MEDICAL ENDOSCOPY, LLC 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: SC MEDICAL ENDOSCOPY, LLC 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: SC MEDICAL ENDOSCOPY, LLC 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	Yes
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )

Policy contract number

64085

Policy instance

Insurance contract or identification number	64085
Number of Individuals Covered	18
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $345
Total amount of fees paid to insurance company	USD $30
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $345
Amount paid for insurance broker fees	30
Additional information about fees paid to insurance broker	SALES/BASE COMMISSIONS / FEES WERE NON MONETARY COMP TO REP
Insurance broker organization code?	4
Insurance broker name	RAYMOND JAMES FINANCIAL SERVICES

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )

Policy contract number

64085

Policy instance

Insurance contract or identification number	64085
Number of Individuals Covered	17
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $213
Total amount of fees paid to insurance company	USD $79
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $213
Amount paid for insurance broker fees	36
Additional information about fees paid to insurance broker	SALES/BASE COMMISSIONS / FEES WERE NON MONETARY COMP TO REP
Insurance broker organization code?	4
Insurance broker name	3G RETIREMENT SERVICES, LLC

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Company Name:	SOUTH CAROLINA MEDICAL ENDOSCOPY LLC
Employer identification number (EIN):	582449734
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)