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JOHN L. BUKER, M.D., DBA BLUEGRASS DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameJOHN L. BUKER, M.D., DBA BLUEGRASS DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN
Plan identification number 001

JOHN L. BUKER, M.D., DBA BLUEGRASS DERMATOLOGY, P.C. 401(K) PROFIT SHARING 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.
  • 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.

401k Sponsoring company profile

JOHN L. BUKER, M.D.,DBA BLUEGRASS DERMATOLOGY, P.C has sponsored the creation of one or more 401k plans.

Company Name:JOHN L. BUKER, M.D.,DBA BLUEGRASS DERMATOLOGY, P.C
Employer identification number (EIN):611370851
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JOHN L. BUKER, M.D., DBA BLUEGRASS DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01PATRICIA BUKER
0012017-01-01PATRICIA BUKER
0012016-01-01PAT BUKER, M.D.2017-10-11
0012015-01-01PAT BUKER, M.D.2016-10-06
0012014-01-01PAT BUKER, M.D.2015-07-28
0012013-01-01PAT BUKER, M.D.2014-06-17
0012012-01-01PAT BUKER, M.D.2013-10-01
0012011-01-01PAT BUKER, M.D.2012-10-12
0012010-01-01PAT BUKER2011-07-14

Plan Statistics for JOHN L. BUKER, M.D., DBA BLUEGRASS DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for JOHN L. BUKER, M.D., DBA BLUEGRASS DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN

Measure Date Value
2022: JOHN L. BUKER, M.D., DBA BLUEGRASS DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0131
Total number of active participants reported on line 7a of the Form 55002022-01-0129
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-015
Total of all active and inactive participants2022-01-0134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0134
Number of participants with account balances2022-01-0134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-011
2021: JOHN L. BUKER, M.D., DBA BLUEGRASS DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0131
Total number of active participants reported on line 7a of the Form 55002021-01-0128
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-013
Total of all active and inactive participants2021-01-0131
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0131
Number of participants with account balances2021-01-0131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: JOHN L. BUKER, M.D., DBA BLUEGRASS DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0133
Total number of active participants reported on line 7a of the Form 55002020-01-0129
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 participants2020-01-0131
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0131
Number of participants with account balances2020-01-0131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: JOHN L. BUKER, M.D., DBA BLUEGRASS DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0129
Total number of active participants reported on line 7a of the Form 55002019-01-0131
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-012
Total of all active and inactive participants2019-01-0133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0133
Number of participants with account balances2019-01-0131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-011
2018: JOHN L. BUKER, M.D., DBA BLUEGRASS DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0128
Total number of active participants reported on line 7a of the Form 55002018-01-0128
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-011
Total of all active and inactive participants2018-01-0129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0129
Number of participants with account balances2018-01-0129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: JOHN L. BUKER, M.D., DBA BLUEGRASS DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0131
Total number of active participants reported on line 7a of the Form 55002017-01-0122
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-016
Total of all active and inactive participants2017-01-0128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0128
Number of participants with account balances2017-01-0127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010

Financial Data on JOHN L. BUKER, M.D., DBA BLUEGRASS DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN

Measure Date Value
2022 : JOHN L. BUKER, M.D., DBA BLUEGRASS DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN 2022 401k financial data
Transfers to/from the plan2022-12-31$0
Total plan liabilities at end of year2022-12-31$0
Total plan liabilities at beginning of year2022-12-31$0
Total income from all sources2022-12-31$-448,896
Expenses. Total of all expenses incurred2022-12-31$79,921
Benefits paid (including direct rollovers)2022-12-31$52,904
Total plan assets at end of year2022-12-31$4,027,081
Total plan assets at beginning of year2022-12-31$4,555,898
Value of fidelity bond covering the plan2022-12-31$380,000
Total contributions received or receivable from participants2022-12-31$155,837
Expenses. Other expenses not covered elsewhere2022-12-31$0
Contributions received from other sources (not participants or employers)2022-12-31$0
Other income received2022-12-31$-759,947
Noncash contributions received2022-12-31$0
Net income (gross income less expenses)2022-12-31$-528,817
Net plan assets at end of year (total assets less liabilities)2022-12-31$4,027,081
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$4,555,898
Assets. Value of participant loans2022-12-31$1,200
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022022-12-31$0
Total contributions received or receivable from employer(s)2022-12-31$155,214
Value of certain deemed distributions of participant loans2022-12-31$0
Value of corrective distributions2022-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$27,017
2021 : JOHN L. BUKER, M.D., DBA BLUEGRASS DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN 2021 401k financial data
Transfers to/from the plan2021-12-31$0
Total plan liabilities at end of year2021-12-31$0
Total plan liabilities at beginning of year2021-12-31$0
Total income from all sources2021-12-31$822,515
Expenses. Total of all expenses incurred2021-12-31$60,121
Benefits paid (including direct rollovers)2021-12-31$33,746
Total plan assets at end of year2021-12-31$4,555,898
Total plan assets at beginning of year2021-12-31$3,793,504
Value of fidelity bond covering the plan2021-12-31$380,000
Total contributions received or receivable from participants2021-12-31$131,546
Expenses. Other expenses not covered elsewhere2021-12-31$0
Contributions received from other sources (not participants or employers)2021-12-31$116,536
Other income received2021-12-31$444,495
Noncash contributions received2021-12-31$0
Net income (gross income less expenses)2021-12-31$762,394
Net plan assets at end of year (total assets less liabilities)2021-12-31$4,555,898
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$3,793,504
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022021-12-31$0
Total contributions received or receivable from employer(s)2021-12-31$129,938
Value of certain deemed distributions of participant loans2021-12-31$0
Value of corrective distributions2021-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$26,375
2020 : JOHN L. BUKER, M.D., DBA BLUEGRASS DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN 2020 401k financial data
Transfers to/from the plan2020-12-31$0
Total plan liabilities at end of year2020-12-31$0
Total plan liabilities at beginning of year2020-12-31$0
Total income from all sources2020-12-31$742,088
Expenses. Total of all expenses incurred2020-12-31$75,067
Benefits paid (including direct rollovers)2020-12-31$52,366
Total plan assets at end of year2020-12-31$3,793,504
Total plan assets at beginning of year2020-12-31$3,126,483
Value of fidelity bond covering the plan2020-12-31$350,000
Total contributions received or receivable from participants2020-12-31$132,674
Expenses. Other expenses not covered elsewhere2020-12-31$0
Contributions received from other sources (not participants or employers)2020-12-31$0
Other income received2020-12-31$475,954
Noncash contributions received2020-12-31$0
Net income (gross income less expenses)2020-12-31$667,021
Net plan assets at end of year (total assets less liabilities)2020-12-31$3,793,504
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$3,126,483
Total contributions received or receivable from employer(s)2020-12-31$133,460
Value of certain deemed distributions of participant loans2020-12-31$0
Value of corrective distributions2020-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$22,701
2019 : JOHN L. BUKER, M.D., DBA BLUEGRASS DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN 2019 401k financial data
Transfers to/from the plan2019-12-31$0
Total plan liabilities at end of year2019-12-31$0
Total plan liabilities at beginning of year2019-12-31$0
Total income from all sources2019-12-31$742,712
Expenses. Total of all expenses incurred2019-12-31$43,654
Benefits paid (including direct rollovers)2019-12-31$22,107
Total plan assets at end of year2019-12-31$3,126,483
Total plan assets at beginning of year2019-12-31$2,427,425
Value of fidelity bond covering the plan2019-12-31$350,000
Total contributions received or receivable from participants2019-12-31$112,493
Expenses. Other expenses not covered elsewhere2019-12-31$0
Contributions received from other sources (not participants or employers)2019-12-31$1,032
Other income received2019-12-31$508,237
Noncash contributions received2019-12-31$0
Net income (gross income less expenses)2019-12-31$699,058
Net plan assets at end of year (total assets less liabilities)2019-12-31$3,126,483
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$2,427,425
Assets. Value of participant loans2019-12-31$0
Total contributions received or receivable from employer(s)2019-12-31$120,950
Value of certain deemed distributions of participant loans2019-12-31$0
Value of corrective distributions2019-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$21,547
2018 : JOHN L. BUKER, M.D., DBA BLUEGRASS DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN 2018 401k financial data
Transfers to/from the plan2018-12-31$0
Total plan liabilities at end of year2018-12-31$0
Total plan liabilities at beginning of year2018-12-31$0
Total income from all sources2018-12-31$108,262
Expenses. Total of all expenses incurred2018-12-31$21,363
Benefits paid (including direct rollovers)2018-12-31$3,650
Total plan assets at end of year2018-12-31$2,427,425
Total plan assets at beginning of year2018-12-31$2,340,526
Value of fidelity bond covering the plan2018-12-31$350,000
Total contributions received or receivable from participants2018-12-31$112,842
Expenses. Other expenses not covered elsewhere2018-12-31$0
Contributions received from other sources (not participants or employers)2018-12-31$0
Other income received2018-12-31$-134,697
Noncash contributions received2018-12-31$0
Net income (gross income less expenses)2018-12-31$86,899
Net plan assets at end of year (total assets less liabilities)2018-12-31$2,427,425
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$2,340,526
Assets. Value of participant loans2018-12-31$1,641
Total contributions received or receivable from employer(s)2018-12-31$130,117
Value of certain deemed distributions of participant loans2018-12-31$0
Value of corrective distributions2018-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$17,713
2017 : JOHN L. BUKER, M.D., DBA BLUEGRASS DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN 2017 401k financial data
Transfers to/from the plan2017-12-31$0
Total plan liabilities at end of year2017-12-31$0
Total plan liabilities at beginning of year2017-12-31$0
Total income from all sources2017-12-31$477,546
Expenses. Total of all expenses incurred2017-12-31$25,377
Benefits paid (including direct rollovers)2017-12-31$25,173
Total plan assets at end of year2017-12-31$2,340,526
Total plan assets at beginning of year2017-12-31$1,888,357
Value of fidelity bond covering the plan2017-12-31$350,000
Total contributions received or receivable from participants2017-12-31$107,666
Expenses. Other expenses not covered elsewhere2017-12-31$0
Contributions received from other sources (not participants or employers)2017-12-31$12,951
Other income received2017-12-31$239,085
Noncash contributions received2017-12-31$0
Net income (gross income less expenses)2017-12-31$452,169
Net plan assets at end of year (total assets less liabilities)2017-12-31$2,340,526
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$1,888,357
Assets. Value of participant loans2017-12-31$4,517
Total contributions received or receivable from employer(s)2017-12-31$117,844
Value of certain deemed distributions of participant loans2017-12-31$0
Value of corrective distributions2017-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$204

Form 5500 Responses for JOHN L. BUKER, M.D., DBA BLUEGRASS DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN

2022: JOHN L. BUKER, M.D., DBA BLUEGRASS DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: JOHN L. BUKER, M.D., DBA BLUEGRASS DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01This submission is the final filingNo
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: JOHN L. BUKER, M.D., DBA BLUEGRASS DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01This submission is the final filingNo
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: JOHN L. BUKER, M.D., DBA BLUEGRASS DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: JOHN L. BUKER, M.D., DBA BLUEGRASS DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: JOHN L. BUKER, M.D., DBA BLUEGRASS DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-813525
Policy instance 1
Insurance contract or identification numberGA-813525
Number of Individuals Covered0
Insurance policy start date2017-01-01
Insurance policy end date2017-11-30
Total amount of commissions paid to insurance brokerUSD $2,842
Total amount of fees paid to insurance companyUSD $1,193
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 BrokerUSD $2,842
Amount paid for insurance broker fees0
Insurance broker nameACUFF & ASSOCIATES INC

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