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FIVE RIVERS OBSTETRICS & GYNECOLOGY 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameFIVE RIVERS OBSTETRICS & GYNECOLOGY 401(K) PROFIT SHARING PLAN
Plan identification number 002

FIVE RIVERS OBSTETRICS & GYNECOLOGY 401(K) PROFIT SHARING 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.
  • 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.
  • 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.

401k Sponsoring company profile

FIVE RIVERS OBSTETRICS & GYNECOLOGY has sponsored the creation of one or more 401k plans.

Company Name:FIVE RIVERS OBSTETRICS & GYNECOLOGY
Employer identification number (EIN):621754883
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FIVE RIVERS OBSTETRICS & GYNECOLOGY 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022023-01-01
0022022-01-01
0022021-01-01
0022020-01-01
0022019-01-01
0022018-01-01
0022017-01-01
0022016-01-01TOMMY HORST2017-07-17
0022015-01-01TOMMY HORST
0022014-01-01HARRY ZAIN
0022013-01-01HARRY ZAIN
0022012-01-01HARRY ZAIN
0022011-01-01HARRY ZAIN
0022010-01-01HARRY ZAIN HARRY ZAIN2011-09-14
0022009-01-01HARRY ZAIN HARRY ZAIN2010-07-27

Plan Statistics for FIVE RIVERS OBSTETRICS & GYNECOLOGY 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for FIVE RIVERS OBSTETRICS & GYNECOLOGY 401(K) PROFIT SHARING PLAN

Measure Date Value
2022: FIVE RIVERS OBSTETRICS & GYNECOLOGY 401(K) PROFIT SHARING PLAN 2022 401k membership
Total number of particpants at beginning of year2022-05-035
Total number of particpants at end of year2022-05-034
Number of Participants With Account Balances2022-05-034
2015: FIVE RIVERS OBSTETRICS & GYNECOLOGY 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-015
Total number of active participants reported on line 7a of the Form 55002015-01-012
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-013
Total of all active and inactive participants2015-01-015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-015
Number of participants with account balances2015-01-015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: FIVE RIVERS OBSTETRICS & GYNECOLOGY 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-015
Total number of active participants reported on line 7a of the Form 55002014-01-014
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-011
Total of all active and inactive participants2014-01-015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-015
Number of participants with account balances2014-01-015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: FIVE RIVERS OBSTETRICS & GYNECOLOGY 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-014
Total number of active participants reported on line 7a of the Form 55002013-01-014
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-011
Total of all active and inactive participants2013-01-015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-015
Number of participants with account balances2013-01-013
2012: FIVE RIVERS OBSTETRICS & GYNECOLOGY 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-014
Total number of active participants reported on line 7a of the Form 55002012-01-013
Number of other retired or separated participants entitled to future benefits2012-01-011
Total of all active and inactive participants2012-01-014
Total participants2012-01-014
Number of participants with account balances2012-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-011
2011: FIVE RIVERS OBSTETRICS & GYNECOLOGY 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-015
Total number of active participants reported on line 7a of the Form 55002011-01-013
Number of other retired or separated participants entitled to future benefits2011-01-011
Total of all active and inactive participants2011-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-014
Number of participants with account balances2011-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-011
2010: FIVE RIVERS OBSTETRICS & GYNECOLOGY 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-013
Total number of active participants reported on line 7a of the Form 55002010-01-012
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-011
Total of all active and inactive participants2010-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-013
Number of participants with account balances2010-01-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: FIVE RIVERS OBSTETRICS & GYNECOLOGY 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-014
Total number of active participants reported on line 7a of the Form 55002009-01-012
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-011
Total of all active and inactive participants2009-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-013
Number of participants with account balances2009-01-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-011

Financial Data on FIVE RIVERS OBSTETRICS & GYNECOLOGY 401(K) PROFIT SHARING PLAN

Measure Date Value
2022 : FIVE RIVERS OBSTETRICS & GYNECOLOGY 401(K) PROFIT SHARING PLAN 2022 401k financial data
Total transfers to/from plan in this plan year2022-05-030
Total liabilities as of the end of the plan year2022-05-030
Total liabilities as of the beginning of the plan year2022-05-030
Total expenses incurred by plan in this plan year2022-05-034854
Net assets as of the end of the plan year2022-05-031394688
Total assets as of the beginning of the plan year2022-05-031232373
Value of plan covered by a fidelity bond2022-05-03150000
Participant contributions to plan in this plan year2022-05-03523
Other expenses paid from plan in this plan year2022-05-030
Other contributions to plan in this plan year2022-05-030
Other income to plan in this plan year2022-05-03166123
Plan net income in this plan year2022-05-03162315
Net assets as of the end of the plan year2022-05-031394688
Net assets as of the beginning of the plan year2022-05-031232373
Employer contributions to plan in this plan year2022-05-03523
Expensese paid to adminstrative service provicers from plan in this plan year2022-05-031653
2015 : FIVE RIVERS OBSTETRICS & GYNECOLOGY 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources2015-12-31$1,320
Expenses. Total of all expenses incurred2015-12-31$52
Total plan assets at end of year2015-12-31$874,606
Total plan assets at beginning of year2015-12-31$873,338
Value of fidelity bond covering the plan2015-12-31$25,000
Total contributions received or receivable from participants2015-12-31$24,000
Other income received2015-12-31$-39,532
Net income (gross income less expenses)2015-12-31$1,268
Net plan assets at end of year (total assets less liabilities)2015-12-31$874,606
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$873,338
Assets. Value of assets in partnership/joint-venture interests2015-12-31$21,000
Total contributions received or receivable from employer(s)2015-12-31$16,852
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$52
2014 : FIVE RIVERS OBSTETRICS & GYNECOLOGY 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources2014-12-31$100,588
Expenses. Total of all expenses incurred2014-12-31$3,826
Total plan assets at end of year2014-12-31$873,338
Total plan assets at beginning of year2014-12-31$776,576
Value of fidelity bond covering the plan2014-12-31$25,000
Total contributions received or receivable from participants2014-12-31$23,000
Other income received2014-12-31$36,770
Net income (gross income less expenses)2014-12-31$96,762
Net plan assets at end of year (total assets less liabilities)2014-12-31$873,338
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$776,576
Assets. Value of employer real property2014-12-31$29,000
Total contributions received or receivable from employer(s)2014-12-31$40,818
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$3,826
2013 : FIVE RIVERS OBSTETRICS & GYNECOLOGY 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources2013-12-31$92,105
Expenses. Total of all expenses incurred2013-12-31$6,515
Total plan assets at end of year2013-12-31$776,576
Total plan assets at beginning of year2013-12-31$690,986
Value of fidelity bond covering the plan2013-12-31$25,000
Total contributions received or receivable from participants2013-12-31$23,000
Other income received2013-12-31$61,037
Net income (gross income less expenses)2013-12-31$85,590
Net plan assets at end of year (total assets less liabilities)2013-12-31$776,576
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$690,986
Assets. Value of employer real property2013-12-31$33,450
Total contributions received or receivable from employer(s)2013-12-31$8,068
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$6,515
2012 : FIVE RIVERS OBSTETRICS & GYNECOLOGY 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources2012-12-31$12,151
Expenses. Total of all expenses incurred2012-12-31$7,705
Benefits paid (including direct rollovers)2012-12-31$2,050
Total plan assets at end of year2012-12-31$690,986
Total plan assets at beginning of year2012-12-31$686,540
Value of fidelity bond covering the plan2012-12-31$25,000
Total contributions received or receivable from participants2012-12-31$22,500
Other income received2012-12-31$-20,349
Net income (gross income less expenses)2012-12-31$4,446
Net plan assets at end of year (total assets less liabilities)2012-12-31$690,986
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$686,540
Total contributions received or receivable from employer(s)2012-12-31$10,000
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$5,655
2011 : FIVE RIVERS OBSTETRICS & GYNECOLOGY 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources2011-12-31$47,302
Expenses. Total of all expenses incurred2011-12-31$1,588
Total plan assets at end of year2011-12-31$686,540
Total plan assets at beginning of year2011-12-31$640,826
Value of fidelity bond covering the plan2011-12-31$25,000
Total contributions received or receivable from participants2011-12-31$22,000
Other income received2011-12-31$-11,988
Net income (gross income less expenses)2011-12-31$45,714
Net plan assets at end of year (total assets less liabilities)2011-12-31$686,540
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$640,826
Total contributions received or receivable from employer(s)2011-12-31$37,290
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$1,588
2010 : FIVE RIVERS OBSTETRICS & GYNECOLOGY 401(K) PROFIT SHARING PLAN 2010 401k financial data
Transfers to/from the plan2010-12-31$0
Total plan liabilities at beginning of year2010-12-31$0
Total income from all sources2010-12-31$109,728
Expenses. Total of all expenses incurred2010-12-31$200
Benefits paid (including direct rollovers)2010-12-31$0
Total plan assets at end of year2010-12-31$640,826
Total plan assets at beginning of year2010-12-31$531,298
Value of fidelity bond covering the plan2010-12-31$25,000
Total contributions received or receivable from participants2010-12-31$22,000
Expenses. Other expenses not covered elsewhere2010-12-31$0
Contributions received from other sources (not participants or employers)2010-12-31$0
Other income received2010-12-31$54,040
Noncash contributions received2010-12-31$0
Net income (gross income less expenses)2010-12-31$109,528
Net plan assets at end of year (total assets less liabilities)2010-12-31$640,826
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$531,298
Total contributions received or receivable from employer(s)2010-12-31$33,688
Value of certain deemed distributions of participant loans2010-12-31$0
Value of corrective distributions2010-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$200
2009 : FIVE RIVERS OBSTETRICS & GYNECOLOGY 401(K) PROFIT SHARING PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for FIVE RIVERS OBSTETRICS & GYNECOLOGY 401(K) PROFIT SHARING PLAN

2015: FIVE RIVERS OBSTETRICS & GYNECOLOGY 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: FIVE RIVERS OBSTETRICS & GYNECOLOGY 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: FIVE RIVERS OBSTETRICS & GYNECOLOGY 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: FIVE RIVERS OBSTETRICS & GYNECOLOGY 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: FIVE RIVERS OBSTETRICS & GYNECOLOGY 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2010: FIVE RIVERS OBSTETRICS & GYNECOLOGY 401(K) PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: FIVE RIVERS OBSTETRICS & GYNECOLOGY 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberE0870429
Policy instance 1

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