401k Plan data: ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN plan

ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN 401k Plan overview

Plan Name	ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN
Plan identification number	001

ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
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

ALEXANDER CITY DERMATOLOGY, P. C. has sponsored the creation of one or more 401k plans.

Company Name: ALEXANDER CITY DERMATOLOGY, P. C.

Employer identification number (EIN): 721355996

NAIC Classification: 621399
NAIC Description: Offices of All Other Miscellaneous Health Practitioners

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01
001 2016-01-01 STEVEN L. MACKEY, M.D. STEVEN L. MACKEY, M.D. 2017-10-11
001 2016-01-01 STEVEN L. MACKEY, M.D. STEVEN L. MACKEY, M.D. 2018-05-09
001 2015-01-01 STEVEN L. MACKEY, M.D. STEVEN L. MACKEY, M.D. 2016-10-17
001 2014-01-01 STEVEN L. MACKEY, M.D. STEVEN L. MACKEY, M.D. 2015-10-15
001 2013-01-01 STEVEN L. MACKEY, M.D. STEVEN L. MACKEY, M.D. 2014-10-15
001 2012-01-01 STEVEN L. MACKEY, M.D. STEVEN L. MACKEY, M.D. 2013-10-15
001 2011-01-01 STEVEN L. MACKEY, M.D. STEVEN L. MACKEY, M.D. 2012-10-15
001 2009-01-01 STEVEN L. MACKEY, M.D. STEVEN L. MACKEY, M.D. 2010-10-08

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01
001	2021-01-01
001	2021-01-01
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01
001	2016-01-01	STEVEN L. MACKEY, M.D.	STEVEN L. MACKEY, M.D.	2017-10-11
001	2016-01-01	STEVEN L. MACKEY, M.D.	STEVEN L. MACKEY, M.D.	2018-05-09
001	2015-01-01	STEVEN L. MACKEY, M.D.	STEVEN L. MACKEY, M.D.	2016-10-17
001	2014-01-01	STEVEN L. MACKEY, M.D.	STEVEN L. MACKEY, M.D.	2015-10-15
001	2013-01-01	STEVEN L. MACKEY, M.D.	STEVEN L. MACKEY, M.D.	2014-10-15
001	2012-01-01	STEVEN L. MACKEY, M.D.	STEVEN L. MACKEY, M.D.	2013-10-15
001	2011-01-01	STEVEN L. MACKEY, M.D.	STEVEN L. MACKEY, M.D.	2012-10-15
001	2009-01-01	STEVEN L. MACKEY, M.D.	STEVEN L. MACKEY, M.D.	2010-10-08

Plan Statistics for ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN

401k plan membership statisitcs for ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN

Measure Date Value
2016: ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 17
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 17
Number of participants with account balances 2016-01-01 17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 15
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 15
Number of participants with account balances 2015-01-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 13
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 0
Total of all active and inactive participants 2014-01-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 13
Number of participants with account balances 2014-01-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 16
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 16
Number of participants with account balances 2013-01-01 14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 13
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 13
Number of participants with account balances 2012-01-01 13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 12
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 12
Number of participants with account balances 2011-01-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 11
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 11
Number of participants with account balances 2009-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 2

Measure	Date	Value
2016: ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	17
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	17
Number of participants with account balances	2016-01-01	17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	15
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	15
Number of participants with account balances	2015-01-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	13
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	0
Total of all active and inactive participants	2014-01-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	13
Number of participants with account balances	2014-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	16
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	16
Number of participants with account balances	2013-01-01	14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	13
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	13
Number of participants with account balances	2012-01-01	13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	12
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	12
Number of participants with account balances	2011-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	11
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	11
Number of participants with account balances	2009-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	2

Financial Data on ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN

Measure	Date	Value
2016 : ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$163,611
Total plan assets at end of year	2016-12-31	$996,277
Total plan assets at beginning of year	2016-12-31	$832,666
Value of fidelity bond covering the plan	2016-12-31	$100,000
Total contributions received or receivable from participants	2016-12-31	$42,134
Other income received	2016-12-31	$59,576
Net income (gross income less expenses)	2016-12-31	$163,611
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$996,277
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$832,666
Total contributions received or receivable from employer(s)	2016-12-31	$61,901
2015 : ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$119,974
Expenses. Total of all expenses incurred	2015-12-31	$591,931
Benefits paid (including direct rollovers)	2015-12-31	$591,931
Total plan assets at end of year	2015-12-31	$832,666
Total plan assets at beginning of year	2015-12-31	$1,304,623
Value of fidelity bond covering the plan	2015-12-31	$100,000
Total contributions received or receivable from participants	2015-12-31	$37,978
Other income received	2015-12-31	$26,700
Net income (gross income less expenses)	2015-12-31	$-471,957
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$832,666
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,304,623
Total contributions received or receivable from employer(s)	2015-12-31	$55,296
2014 : ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$158,308
Expenses. Total of all expenses incurred	2014-12-31	$234,889
Benefits paid (including direct rollovers)	2014-12-31	$234,789
Total plan assets at end of year	2014-12-31	$1,304,623
Total plan assets at beginning of year	2014-12-31	$1,381,204
Value of fidelity bond covering the plan	2014-12-31	$100,000
Total contributions received or receivable from participants	2014-12-31	$33,598
Other income received	2014-12-31	$82,507
Net income (gross income less expenses)	2014-12-31	$-76,581
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,304,623
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,381,204
Total contributions received or receivable from employer(s)	2014-12-31	$42,203
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$100
2013 : ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$286,596
Total plan assets at end of year	2013-12-31	$1,381,204
Total plan assets at beginning of year	2013-12-31	$1,094,608
Value of fidelity bond covering the plan	2013-12-31	$100,000
Total contributions received or receivable from participants	2013-12-31	$34,272
Other income received	2013-12-31	$185,916
Net income (gross income less expenses)	2013-12-31	$286,596
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,381,204
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,094,608
Total contributions received or receivable from employer(s)	2013-12-31	$66,408
2012 : ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$189,078
Total plan assets at end of year	2012-12-31	$1,094,608
Total plan assets at beginning of year	2012-12-31	$905,530
Value of fidelity bond covering the plan	2012-12-31	$100,000
Total contributions received or receivable from participants	2012-12-31	$32,588
Other income received	2012-12-31	$100,151
Net income (gross income less expenses)	2012-12-31	$189,078
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,094,608
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$905,530
Total contributions received or receivable from employer(s)	2012-12-31	$56,339
2011 : ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$58,702
Expenses. Total of all expenses incurred	2011-12-31	$14,449
Benefits paid (including direct rollovers)	2011-12-31	$10,532
Total plan assets at end of year	2011-12-31	$905,530
Total plan assets at beginning of year	2011-12-31	$861,277
Value of fidelity bond covering the plan	2011-12-31	$100,000
Total contributions received or receivable from participants	2011-12-31	$36,264
Other income received	2011-12-31	$-35,495
Net income (gross income less expenses)	2011-12-31	$44,253
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$905,530
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$861,277
Total contributions received or receivable from employer(s)	2011-12-31	$57,933
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$3,917
2010 : ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$165,148
Expenses. Total of all expenses incurred	2010-12-31	$2,998
Benefits paid (including direct rollovers)	2010-12-31	$286
Total plan assets at end of year	2010-12-31	$861,277
Total plan assets at beginning of year	2010-12-31	$699,127
Value of fidelity bond covering the plan	2010-12-31	$100,000
Total contributions received or receivable from participants	2010-12-31	$29,573
Other income received	2010-12-31	$81,236
Net income (gross income less expenses)	2010-12-31	$162,150
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$861,277
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$699,127
Total contributions received or receivable from employer(s)	2010-12-31	$54,339
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$2,712

Form 5500 Responses for ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN

2016: ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: ALEXANDER CITY DERMATOLOGY, P.C. PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

E1012785

Policy instance

Insurance contract or identification number	E1012785
Number of Individuals Covered	1
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

E1012785

Policy instance

Insurance contract or identification number	E1012785
Number of Individuals Covered	1
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of fees paid to insurance company	USD $482
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	2
Additional information about fees paid to insurance broker	FIXED EXPENSE
Insurance broker organization code?	3
Insurance broker name	ROYAL ALLIANCE ASSOCIATES

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

E1012785

Policy instance

Insurance contract or identification number	E1012785
Number of Individuals Covered	1
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

E1012785

Policy instance

Insurance contract or identification number	E1012785
Number of Individuals Covered	1
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

ALEXANDER CITY DENTAL CARE, PLLC 401(K) PLAN [EIN = 822805059]

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Company Name:	ALEXANDER CITY DERMATOLOGY, P. C.
Employer identification number (EIN):	721355996
NAIC Classification:	621399
NAIC Description:	Offices of All Other Miscellaneous Health Practitioners