401k Plan data: OSCAR L. HERNANDEZ M.D., P.A. plan

OSCAR L. HERNANDEZ M.D., P.A. 401k Plan overview

Plan Name	OSCAR L. HERNANDEZ M.D., P.A.
Plan identification number	001

OSCAR L. HERNANDEZ M.D., P.A. 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.
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

OSCAR L. HERNANDEZ M.D., P.A. has sponsored the creation of one or more 401k plans.

Company Name: OSCAR L. HERNANDEZ M.D., P.A.

Employer identification number (EIN): 650248238

NAIC Classification: 541990
NAIC Description: All Other Professional, Scientific, and Technical Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OSCAR L. HERNANDEZ M.D., P.A.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2019-01-01 OSCAR HERNANDEZ 2020-05-06
001 2018-01-01 OSCAR HERNANDEZ 2019-07-11
001 2017-01-01 OSCAR HERNANDEZ 2018-07-26
001 2016-01-01 OSCAR HERNANDEZ 2017-07-12
001 2015-01-01 OSCAR HERNANDEZ 2016-07-26
001 2014-01-01 OSCAR HERNANDEZ 2015-09-14
001 2013-01-01 OSCAR HERNANDEZ 2014-10-14
001 2012-01-01 OSCAR HERNANDEZ 2013-10-15
001 2011-01-01 OSCAR HERNANDEZ 2013-01-22
001 2010-01-01 OSCAR HERNANDEZ 2011-10-17 OSCAR HERNANDEZ 2011-10-17

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2019-01-01	OSCAR HERNANDEZ	2020-05-06
001	2018-01-01	OSCAR HERNANDEZ	2019-07-11
001	2017-01-01	OSCAR HERNANDEZ	2018-07-26
001	2016-01-01	OSCAR HERNANDEZ	2017-07-12
001	2015-01-01	OSCAR HERNANDEZ	2016-07-26
001	2014-01-01	OSCAR HERNANDEZ	2015-09-14
001	2013-01-01	OSCAR HERNANDEZ	2014-10-14
001	2012-01-01	OSCAR HERNANDEZ	2013-10-15
001	2011-01-01	OSCAR HERNANDEZ	2013-01-22
001	2010-01-01	OSCAR HERNANDEZ	2011-10-17	OSCAR HERNANDEZ	2011-10-17

Financial Data on OSCAR L. HERNANDEZ M.D., P.A.

Measure	Date	Value
2007 : OSCAR L. HERNANDEZ M.D., P.A. 2007 401k financial data
Transfers to/from the plan	2007-12-31	$0
Total plan liabilities at end of year	2007-12-31	$0
Total plan liabilities at beginning of year	2007-12-31	$0
Total income from all sources	2007-12-31	$67,768
Expenses. Total of all expenses incurred	2007-12-31	$5,806
Benefits paid (including direct rollovers)	2007-12-31	$0
Total plan assets at end of year	2007-12-31	$81,855
Total plan assets at beginning of year	2007-12-31	$19,893
Total contributions received or receivable from participants	2007-12-31	$14,450
Expenses. Other expenses not covered elsewhere	2007-12-31	$0
Contributions received from other sources (not participants or employers)	2007-12-31	$0
Other income received	2007-12-31	$3,318
Noncash contributions received	2007-12-31	$0
Net income (gross income less expenses)	2007-12-31	$61,962
Net plan assets at end of year (total assets less liabilities)	2007-12-31	$81,855
Net plan assets at beginning of year (total assets less liabilities)	2007-12-31	$19,893
Total contributions received or receivable from employer(s)	2007-12-31	$50,000
Value of certain deemed distributions of participant loans	2007-12-31	$0
Value of corrective distributions	2007-12-31	$4,935
Expenses. Administrative service providers (salaries,fees and commissions)	2007-12-31	$871

Insurance Providers Used on plan

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

Policy contract number

91640321

Policy instance

Insurance contract or identification number	91640321
Number of Individuals Covered	8
Insurance policy start date	2007-01-01
Insurance policy end date	2007-12-31
Total amount of commissions paid to insurance broker	USD $591
Total amount of fees paid to insurance company	USD $0
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

Potentially related plans

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Company Name:	OSCAR L. HERNANDEZ M.D., P.A.
Employer identification number (EIN):	650248238
NAIC Classification:	541990
NAIC Description:	All Other Professional, Scientific, and Technical Services