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SANJAY GROVER, M.D., INC. 401(K) PLAN 401k Plan overview

Plan NameSANJAY GROVER, M.D., INC. 401(K) PLAN
Plan identification number 002

SANJAY GROVER, M.D., INC. 401(K) PLAN Benefits

401k Plan TypeDefined 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.
  • 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

SANJAY GROVER M.D., INC. has sponsored the creation of one or more 401k plans.

Company Name:SANJAY GROVER M.D., INC.
Employer identification number (EIN):770519119
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Additional information about SANJAY GROVER M.D., INC.

Jurisdiction of Incorporation: California Department of State
Incorporation Date: 1999-06-29
Company Identification Number: C2168403
Legal Registered Office Address: 360 San Miguel Dr #507

Newport Beach
United States of America (USA)
92660

More information about SANJAY GROVER M.D., INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SANJAY GROVER, M.D., INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022023-01-01SANJAY GROVER, M.D., F.A.C.S.2024-10-04
0022022-01-01SANJAY GROVER, M.D., F.A.C.S.2023-07-26
0022021-01-01SANJAY GROVER, M.D., F.A.C.S.2022-07-27
0022020-01-01SANJAY GROVER, M.D., F.A.C.S.2021-10-14
0022019-01-01
0022018-01-01
0022017-01-01SANJAY GROVER M.D., F.A.C.S.
0022017-01-01SANJAY GROVER M.D., F.A.C.S.
0022016-01-01SANJAY GROVER M.D., F.A.C.S.
0022016-01-01
0022015-01-01SANJAY GROVER M.D., F.A.C.S.
0022014-01-01SANJAY GROVER M.D., F.A.C.S.
0022013-01-01SANJAY GROVER2014-09-19
0022012-01-01SANJAY GROVER2013-07-09
0022011-01-01SANJAY GROVER2012-06-22
0022010-01-01SANJAY GROVER2011-09-22

Plan Statistics for SANJAY GROVER, M.D., INC. 401(K) PLAN

401k plan membership statisitcs for SANJAY GROVER, M.D., INC. 401(K) PLAN

Measure Date Value
2019: SANJAY GROVER, M.D., INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-016
Total number of active participants reported on line 7a of the Form 55002019-01-014
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-013
Total of all active and inactive participants2019-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-017
Number of participants with account balances2019-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-012
2018: SANJAY GROVER, M.D., INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-016
Total number of active participants reported on line 7a of the Form 55002018-01-013
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-011
Total of all active and inactive participants2018-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-014
Number of participants with account balances2018-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-011
2017: SANJAY GROVER, M.D., INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-015
Total number of active participants reported on line 7a of the Form 55002017-01-013
Number of retired or separated participants receiving benefits2017-01-013
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-016
Number of participants with account balances2017-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-011
2016: SANJAY GROVER, M.D., INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-014
Total number of active participants reported on line 7a of the Form 55002016-01-012
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-012
Total of all active and inactive participants2016-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-014
Number of participants with account balances2016-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-011
2015: SANJAY GROVER, M.D., INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-014
Total number of active participants reported on line 7a of the Form 55002015-01-013
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-011
Total of all active and inactive participants2015-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-014
Number of participants with account balances2015-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: SANJAY GROVER, M.D., INC. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-013
Total number of active participants reported on line 7a of the Form 55002014-01-012
Number of other retired or separated participants entitled to future benefits2014-01-012
Total of all active and inactive participants2014-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-014
Number of participants with account balances2014-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-011

Financial Data on SANJAY GROVER, M.D., INC. 401(K) PLAN

Measure Date Value
2019 : SANJAY GROVER, M.D., INC. 401(K) PLAN 2019 401k financial data
Total plan liabilities at beginning of year2019-12-31$0
Total income from all sources2019-12-31$389,038
Expenses. Total of all expenses incurred2019-12-31$3,650
Benefits paid (including direct rollovers)2019-12-31$385
Total plan assets at end of year2019-12-31$1,655,110
Total plan assets at beginning of year2019-12-31$1,269,722
Value of fidelity bond covering the plan2019-12-31$500,000
Total contributions received or receivable from participants2019-12-31$45,800
Other income received2019-12-31$304,855
Net income (gross income less expenses)2019-12-31$385,388
Net plan assets at end of year (total assets less liabilities)2019-12-31$1,655,110
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$1,269,722
Total contributions received or receivable from employer(s)2019-12-31$38,383
Value of certain deemed distributions of participant loans2019-12-31$0
Value of corrective distributions2019-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$3,265
2018 : SANJAY GROVER, M.D., INC. 401(K) PLAN 2018 401k financial data
Total plan liabilities at end of year2018-12-31$0
Total plan liabilities at beginning of year2018-12-31$0
Total income from all sources2018-12-31$-15,706
Expenses. Total of all expenses incurred2018-12-31$2,891
Benefits paid (including direct rollovers)2018-12-31$0
Total plan assets at end of year2018-12-31$1,269,722
Total plan assets at beginning of year2018-12-31$1,288,319
Value of fidelity bond covering the plan2018-12-31$500,000
Total contributions received or receivable from participants2018-12-31$43,000
Expenses. Other expenses not covered elsewhere2018-12-31$0
Contributions received from other sources (not participants or employers)2018-12-31$0
Other income received2018-12-31$-90,815
Noncash contributions received2018-12-31$0
Net income (gross income less expenses)2018-12-31$-18,597
Net plan assets at end of year (total assets less liabilities)2018-12-31$1,269,722
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$1,288,319
Total contributions received or receivable from employer(s)2018-12-31$32,109
Value of certain deemed distributions of participant loans2018-12-31$0
Value of corrective distributions2018-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$2,891
2017 : SANJAY GROVER, M.D., INC. 401(K) PLAN 2017 401k financial data
Total income from all sources2017-12-31$253,006
Expenses. Total of all expenses incurred2017-12-31$2,482
Total plan assets at end of year2017-12-31$1,538,319
Total plan assets at beginning of year2017-12-31$1,287,795
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$43,000
Other income received2017-12-31$169,896
Net income (gross income less expenses)2017-12-31$250,524
Net plan assets at end of year (total assets less liabilities)2017-12-31$1,538,319
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$1,287,795
Assets. Value of assets in partnership/joint-venture interests2017-12-31$250,000
Total contributions received or receivable from employer(s)2017-12-31$40,110
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$2,482
2016 : SANJAY GROVER, M.D., INC. 401(K) PLAN 2016 401k financial data
Transfers to/from the plan2016-12-31$0
Total income from all sources2016-12-31$131,903
Expenses. Total of all expenses incurred2016-12-31$3,097
Benefits paid (including direct rollovers)2016-12-31$1,000
Total plan assets at end of year2016-12-31$1,287,795
Total plan assets at beginning of year2016-12-31$1,158,989
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$36,900
Expenses. Other expenses not covered elsewhere2016-12-31$0
Contributions received from other sources (not participants or employers)2016-12-31$0
Other income received2016-12-31$74,350
Noncash contributions received2016-12-31$0
Net income (gross income less expenses)2016-12-31$128,806
Net plan assets at end of year (total assets less liabilities)2016-12-31$1,287,795
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$1,158,989
Assets. Value of assets in partnership/joint-venture interests2016-12-31$250,000
Total contributions received or receivable from employer(s)2016-12-31$20,653
Value of certain deemed distributions of participant loans2016-12-31$0
Value of corrective distributions2016-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$2,097
2015 : SANJAY GROVER, M.D., INC. 401(K) PLAN 2015 401k financial data
Total income from all sources2015-12-31$93,466
Expenses. Total of all expenses incurred2015-12-31$2,977
Benefits paid (including direct rollovers)2015-12-31$1,101
Total plan assets at end of year2015-12-31$1,158,989
Total plan assets at beginning of year2015-12-31$1,068,500
Value of fidelity bond covering the plan2015-12-31$350,000
Total contributions received or receivable from participants2015-12-31$36,650
Expenses. Other expenses not covered elsewhere2015-12-31$40
Other income received2015-12-31$-11,848
Net income (gross income less expenses)2015-12-31$90,489
Net plan assets at end of year (total assets less liabilities)2015-12-31$1,158,989
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$1,068,500
Assets. Value of assets in partnership/joint-venture interests2015-12-31$250,002
Total contributions received or receivable from employer(s)2015-12-31$68,664
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$1,836
2014 : SANJAY GROVER, M.D., INC. 401(K) PLAN 2014 401k financial data
Total income from all sources2014-12-31$145,260
Expenses. Total of all expenses incurred2014-12-31$1,530
Total plan assets at end of year2014-12-31$1,068,500
Total plan assets at beginning of year2014-12-31$924,770
Value of fidelity bond covering the plan2014-12-31$350,000
Total contributions received or receivable from participants2014-12-31$35,000
Other income received2014-12-31$35,883
Net income (gross income less expenses)2014-12-31$143,730
Net plan assets at end of year (total assets less liabilities)2014-12-31$1,068,500
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$924,770
Assets. Value of assets in partnership/joint-venture interests2014-12-31$250,002
Total contributions received or receivable from employer(s)2014-12-31$74,377
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$1,530
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0

Form 5500 Responses for SANJAY GROVER, M.D., INC. 401(K) PLAN

2019: SANJAY GROVER, M.D., INC. 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: SANJAY GROVER, M.D., INC. 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: SANJAY GROVER, M.D., INC. 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: SANJAY GROVER, M.D., INC. 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: SANJAY GROVER, M.D., INC. 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: SANJAY GROVER, M.D., INC. 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered6
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $3,003
Total amount of fees paid to insurance companyUSD $300
Commission paid to Insurance BrokerUSD $3,003
Insurance broker organization code?3
Amount paid for insurance broker fees160
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number714508
Policy instance 2
Insurance contract or identification number714508
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered6
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $9
Total amount of fees paid to insurance companyUSD $1
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 BrokerUSD $2,750
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerREFERRAL/SERVICE FEE
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number714508
Policy instance 2
Insurance contract or identification number714508
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $2,750
Total amount of fees paid to insurance companyUSD $275
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,750
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerREFERRAL/SERVICE FEE
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered5
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $45
Total amount of fees paid to insurance companyUSD $5
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 BrokerUSD $45
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerREFERRAL SERVICE FEE
Insurance broker namePOLYCOMP ADMINISTRATIVE SERVICES IN
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number714508
Policy instance 2
Insurance contract or identification number714508
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $2,254
Total amount of fees paid to insurance companyUSD $225
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,254
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerREFERRAL SERVICE FEE
Insurance broker namePOLYCOMP ADMINISTRATIVE SERVICES IN
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered4
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $175
Total amount of fees paid to insurance companyUSD $18
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $175
Insurance broker organization code?3
Amount paid for insurance broker fees18
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker namePOLYCOMP ADMINISTRATIVE SRVS., INC.
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered3
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes

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