401k Plan data: POMERANCE EYE CENTER RETIREMENT PLAN plan

POMERANCE EYE CENTER RETIREMENT PLAN 401k Plan overview

Plan Name	POMERANCE EYE CENTER RETIREMENT PLAN
Plan identification number	002

POMERANCE EYE CENTER RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan covering Self-Employed individuals.
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

POMERANCE EYE CENTER, P.C. has sponsored the creation of one or more 401k plans.

Company Name: POMERANCE EYE CENTER, P.C.

Employer identification number (EIN): 621205557

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan POMERANCE EYE CENTER RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01 GLENN N. POMERANCE, MD 2023-09-20
002 2021-01-01
002 2020-01-01 GLENN POMERANCE 2021-06-04
002 2019-01-01 GLENN POMERANCE 2020-02-26
002 2018-01-01
002 2017-01-01
002 2016-01-01
002 2016-01-01
002 2015-01-01 TOMMY HORST 2016-10-13
002 2014-01-01 TOMMY HORST 2015-10-15
002 2013-01-01 GLENN N. POMERANCE, MD 2014-07-29 POMERANCE EYE CENTER, PC 2014-07-29
002 2012-01-01 GLENN N. POMERANCE, M.D. 2013-07-23 GLENN N. POMERANCE, M.D. 2013-07-23
002 2011-01-01 GLENN N POMERANCE 2012-07-09
002 2010-01-01 GLENN N. POMERANCE
002 2009-01-01 GLENN N. POMERANCE

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2022-01-01	GLENN N. POMERANCE, MD	2023-09-20
002	2021-01-01
002	2020-01-01	GLENN POMERANCE	2021-06-04
002	2019-01-01	GLENN POMERANCE	2020-02-26
002	2018-01-01
002	2017-01-01
002	2016-01-01
002	2016-01-01
002	2015-01-01	TOMMY HORST	2016-10-13
002	2014-01-01	TOMMY HORST	2015-10-15
002	2013-01-01	GLENN N. POMERANCE, MD	2014-07-29	POMERANCE EYE CENTER, PC	2014-07-29
002	2012-01-01	GLENN N. POMERANCE, M.D.	2013-07-23	GLENN N. POMERANCE, M.D.	2013-07-23
002	2011-01-01	GLENN N POMERANCE	2012-07-09
002	2010-01-01	GLENN N. POMERANCE
002	2009-01-01	GLENN N. POMERANCE

Plan Statistics for POMERANCE EYE CENTER RETIREMENT PLAN

401k plan membership statisitcs for POMERANCE EYE CENTER RETIREMENT PLAN

Measure Date Value
2010: POMERANCE EYE CENTER RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 13
Number of other retired or separated participants entitled to future benefits 2010-01-01 3
Total of all active and inactive participants 2010-01-01 16
Total participants 2010-01-01 16
Number of participants with account balances 2010-01-01 16
2009: POMERANCE EYE CENTER RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 13
Number of other retired or separated participants entitled to future benefits 2009-01-01 4
Total of all active and inactive participants 2009-01-01 17
Total participants 2009-01-01 17
Number of participants with account balances 2009-01-01 17

Measure	Date	Value
2010: POMERANCE EYE CENTER RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	13
Number of other retired or separated participants entitled to future benefits	2010-01-01	3
Total of all active and inactive participants	2010-01-01	16
Total participants	2010-01-01	16
Number of participants with account balances	2010-01-01	16
2009: POMERANCE EYE CENTER RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	13
Number of other retired or separated participants entitled to future benefits	2009-01-01	4
Total of all active and inactive participants	2009-01-01	17
Total participants	2009-01-01	17
Number of participants with account balances	2009-01-01	17

Financial Data on POMERANCE EYE CENTER RETIREMENT PLAN

Measure	Date	Value
2010 : POMERANCE EYE CENTER RETIREMENT PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$148,701
Expenses. Total of all expenses incurred	2010-12-31	$4,128
Benefits paid (including direct rollovers)	2010-12-31	$4,078
Total plan assets at end of year	2010-12-31	$666,362
Total plan assets at beginning of year	2010-12-31	$521,789
Value of fidelity bond covering the plan	2010-12-31	$265,000
Total contributions received or receivable from participants	2010-12-31	$54,982
Other income received	2010-12-31	$62,152
Net income (gross income less expenses)	2010-12-31	$144,573
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$666,362
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$521,789
Total contributions received or receivable from employer(s)	2010-12-31	$31,567
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$50

Form 5500 Responses for POMERANCE EYE CENTER RETIREMENT PLAN

2010: POMERANCE EYE CENTER RETIREMENT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: POMERANCE EYE CENTER RETIREMENT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

91671964

Policy instance

Insurance contract or identification number	91671964
Number of Individuals Covered	16
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $1,369
Total amount of fees paid to insurance company	USD $0
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 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 Broker	USD $821
Insurance broker organization code?	3
Insurance broker name	ROBERT L. WHITE

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Company Name:	POMERANCE EYE CENTER, P.C.
Employer identification number (EIN):	621205557
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)