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OPHTHALMIC ANESTHESIA SERVICES, PC 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameOPHTHALMIC ANESTHESIA SERVICES, PC 401(K) PROFIT SHARING PLAN
Plan identification number 001

OPHTHALMIC ANESTHESIA SERVICES, PC 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.
  • 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

OPHTHALMIC ANESTHESIA SERVICES, P.C. has sponsored the creation of one or more 401k plans.

Company Name:OPHTHALMIC ANESTHESIA SERVICES, P.C.
Employer identification number (EIN):753004877
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OPHTHALMIC ANESTHESIA SERVICES, PC 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01TRICIA HEISCH2023-04-27 TRICIA HEISCH2023-04-27
0012021-01-01TRICIA HEISCH2022-06-18 TRICIA HEISCH2022-06-18
0012020-01-01TRICIA HEISCH2021-08-01 TRICIA HEISCH2021-08-01
0012019-01-01TRICIA HEISCH2020-06-15 TRICIA HEISCH2020-06-15
0012018-01-01JON FARLEY2019-05-22 JON FARLEY2019-05-22
0012017-01-01JON FARLEY2018-02-14 JON FARLEY2018-02-14
0012016-01-01JON FARLEY2017-09-14 JON FARLEY2017-09-14
0012015-01-01JON FARLEY2016-07-07 JON FARLEY2016-07-07
0012014-01-01JON FARLEY
0012013-01-01JON FARLEY
0012012-01-01JON FARLEY JON FARLEY2013-07-22
0012011-01-01JON FARLEY
0012010-01-01JON FARLEY2011-05-05 JON FARLEY2011-05-05

Plan Statistics for OPHTHALMIC ANESTHESIA SERVICES, PC 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for OPHTHALMIC ANESTHESIA SERVICES, PC 401(K) PROFIT SHARING PLAN

Measure Date Value
2014: OPHTHALMIC ANESTHESIA SERVICES, PC 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-017
Total number of active participants reported on line 7a of the Form 55002014-01-017
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 participants2014-01-018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-018
Number of participants with account balances2014-01-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: OPHTHALMIC ANESTHESIA SERVICES, PC 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-017
Total number of active participants reported on line 7a of the Form 55002013-01-017
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-017
Number of participants with account balances2013-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: OPHTHALMIC ANESTHESIA SERVICES, PC 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-017
Total number of active participants reported on line 7a of the Form 55002012-01-017
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-017
Number of participants with account balances2012-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: OPHTHALMIC ANESTHESIA SERVICES, PC 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-017
Total number of active participants reported on line 7a of the Form 55002011-01-017
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-017
Number of participants with account balances2011-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010

Financial Data on OPHTHALMIC ANESTHESIA SERVICES, PC 401(K) PROFIT SHARING PLAN

Measure Date Value
2014 : OPHTHALMIC ANESTHESIA SERVICES, PC 401(K) PROFIT SHARING PLAN 2014 401k financial data
Transfers to/from the plan2014-12-31$0
Total plan liabilities at end of year2014-12-31$0
Total plan liabilities at beginning of year2014-12-31$0
Total income from all sources2014-12-31$467,732
Expenses. Total of all expenses incurred2014-12-31$3,217,873
Benefits paid (including direct rollovers)2014-12-31$3,217,748
Total plan assets at end of year2014-12-31$1,394,154
Total plan assets at beginning of year2014-12-31$4,144,295
Value of fidelity bond covering the plan2014-12-31$600,000
Total contributions received or receivable from participants2014-12-31$110,442
Expenses. Other expenses not covered elsewhere2014-12-31$0
Contributions received from other sources (not participants or employers)2014-12-31$0
Other income received2014-12-31$211,531
Noncash contributions received2014-12-31$0
Net income (gross income less expenses)2014-12-31$-2,750,141
Net plan assets at end of year (total assets less liabilities)2014-12-31$1,394,154
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$4,144,295
Assets. Value of participant loans2014-12-31$11,587
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022014-12-31$0
Total contributions received or receivable from employer(s)2014-12-31$145,759
Value of certain deemed distributions of participant loans2014-12-31$0
Value of corrective distributions2014-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$125
2013 : OPHTHALMIC ANESTHESIA SERVICES, PC 401(K) PROFIT SHARING PLAN 2013 401k financial data
Transfers to/from the plan2013-12-31$0
Total plan liabilities at end of year2013-12-31$0
Total income from all sources2013-12-31$881,960
Expenses. Total of all expenses incurred2013-12-31$125
Benefits paid (including direct rollovers)2013-12-31$0
Total plan assets at end of year2013-12-31$4,144,295
Total plan assets at beginning of year2013-12-31$3,262,460
Value of fidelity bond covering the plan2013-12-31$212,500
Total contributions received or receivable from participants2013-12-31$107,065
Expenses. Other expenses not covered elsewhere2013-12-31$0
Contributions received from other sources (not participants or employers)2013-12-31$0
Other income received2013-12-31$623,413
Noncash contributions received2013-12-31$0
Net income (gross income less expenses)2013-12-31$881,835
Net plan assets at end of year (total assets less liabilities)2013-12-31$4,144,295
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$3,262,460
Assets. Value of participant loans2013-12-31$17,626
Total contributions received or receivable from employer(s)2013-12-31$151,482
Value of certain deemed distributions of participant loans2013-12-31$0
Value of corrective distributions2013-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$125
2012 : OPHTHALMIC ANESTHESIA SERVICES, PC 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources2012-12-31$608,332
Expenses. Total of all expenses incurred2012-12-31$125
Total plan assets at end of year2012-12-31$3,262,460
Total plan assets at beginning of year2012-12-31$2,654,253
Value of fidelity bond covering the plan2012-12-31$275,000
Total contributions received or receivable from participants2012-12-31$105,060
Other income received2012-12-31$353,290
Net income (gross income less expenses)2012-12-31$608,207
Net plan assets at end of year (total assets less liabilities)2012-12-31$3,262,460
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$2,654,253
Assets. Value of participant loans2012-12-31$23,413
Total contributions received or receivable from employer(s)2012-12-31$149,982
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$125
2011 : OPHTHALMIC ANESTHESIA SERVICES, PC 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources2011-12-31$206,773
Expenses. Total of all expenses incurred2011-12-31$54,627
Benefits paid (including direct rollovers)2011-12-31$54,421
Total plan assets at end of year2011-12-31$2,654,253
Total plan assets at beginning of year2011-12-31$2,502,107
Value of fidelity bond covering the plan2011-12-31$275,000
Total contributions received or receivable from participants2011-12-31$93,686
Other income received2011-12-31$16,587
Net income (gross income less expenses)2011-12-31$152,146
Net plan assets at end of year (total assets less liabilities)2011-12-31$2,654,253
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$2,502,107
Assets. Value of participant loans2011-12-31$28,960
Total contributions received or receivable from employer(s)2011-12-31$96,500
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$206

Form 5500 Responses for OPHTHALMIC ANESTHESIA SERVICES, PC 401(K) PROFIT SHARING PLAN

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

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberFQ7046505
Policy instance 1
Insurance contract or identification numberFQ7046505
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 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
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberFQ7046505
Policy instance 1
Insurance contract or identification numberFQ7046505
Number of Individuals Covered1
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
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 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?Yes
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
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberFQ7046505
Policy instance 1
Insurance contract or identification numberFQ7046505
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberFQ7046505
Policy instance 1
Insurance contract or identification numberFQ7046505
Number of Individuals Covered1
Insurance policy start date2010-04-22
Insurance policy end date2011-04-22
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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

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