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UNIVERSITY AT BUFFALO SURGEONS, INC. 403(B) PLAN 401k Plan overview

Plan NameUNIVERSITY AT BUFFALO SURGEONS, INC. 403(B) PLAN
Plan identification number 003

UNIVERSITY AT BUFFALO SURGEONS, INC. 403(B) 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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • 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

UNIVERSITY AT BUFFALO SURGEONS, INC. has sponsored the creation of one or more 401k plans.

Company Name:UNIVERSITY AT BUFFALO SURGEONS, INC.
Employer identification number (EIN):800033443
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UNIVERSITY AT BUFFALO SURGEONS, INC. 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0032023-01-01JACKIE AYERS2024-09-26
0032022-01-01
0032022-01-01RICHARD ORTIZ
0032021-01-01
0032021-01-01KRISTA MINEWEASER
0032020-01-01
0032019-01-01DR STEVEN SCHWAITZBERG2020-09-10 STEEVEN SCHWAITZBERG2020-09-10
0032019-01-01KRISTA MINEWEASER2020-10-09
0032019-01-01KRISTA MINEWEASER2021-08-10
0032018-01-01STEVEN D. SCHWAITZBERG, MD2019-09-26
0032017-01-01STEVEN SCHWAITZBERG2018-09-10
0032016-01-01STEVEN SCHWAITZBERG2017-04-27
0032015-01-01STEVEN SCHWAITZBERG2016-05-16 STEVEN SCHWAITZBERG2016-05-16
0032013-01-01WILLIAM FLYNN M.D.2014-10-14 WILLIAM FLYNN M.D.2014-10-14
0032012-01-01WILLIAM FLYNN M.D.2013-10-10 WILLIAM FLYNN M.D.2013-10-10
0032011-01-01MERRIL T. DAYTON, MD2012-10-12
0032010-01-01MERRIL T. DAYTON, MD2011-10-11

Plan Statistics for UNIVERSITY AT BUFFALO SURGEONS, INC. 403(B) PLAN

401k plan membership statisitcs for UNIVERSITY AT BUFFALO SURGEONS, INC. 403(B) PLAN

Measure Date Value
2025: UNIVERSITY AT BUFFALO SURGEONS, INC. 403(B) PLAN 2025 401k membership
Total number of particpants at beginning of year2025-09-24150
Total number of particpants at end of year2025-09-24181
Number of Participants With Account Balances2025-09-2491
2024: UNIVERSITY AT BUFFALO SURGEONS, INC. 403(B) PLAN 2024 401k membership
Total number of particpants at beginning of year2024-09-26140
Total number of particpants at end of year2024-09-26149
Number of Participants With Account Balances2024-09-2679
2022: UNIVERSITY AT BUFFALO SURGEONS, INC. 403(B) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01143
Total number of active participants reported on line 7a of the Form 55002022-01-01133
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-019
Total of all active and inactive participants2022-01-01142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01142
Number of participants with account balances2022-01-0169
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: UNIVERSITY AT BUFFALO SURGEONS, INC. 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01129
Total number of active participants reported on line 7a of the Form 55002021-01-01126
Number of retired or separated participants receiving benefits2021-01-013
Number of other retired or separated participants entitled to future benefits2021-01-0114
Total of all active and inactive participants2021-01-01143
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01143
Number of participants with account balances2021-01-0164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: UNIVERSITY AT BUFFALO SURGEONS, INC. 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01124
Total number of active participants reported on line 7a of the Form 55002020-01-01117
Number of retired or separated participants receiving benefits2020-01-012
Number of other retired or separated participants entitled to future benefits2020-01-019
Total of all active and inactive participants2020-01-01128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01128
Number of participants with account balances2020-01-0165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010

Financial Data on UNIVERSITY AT BUFFALO SURGEONS, INC. 403(B) PLAN

Measure Date Value
2025 : UNIVERSITY AT BUFFALO SURGEONS, INC. 403(B) PLAN 2025 401k financial data
Total liabilities as of the end of the plan year2025-09-240
Total liabilities as of the beginning of the plan year2025-09-240
Total expenses incurred by plan in this plan year2025-09-24908864
Net assets as of the end of the plan year2025-09-2410389186
Total assets as of the beginning of the plan year2025-09-248202269
Value of plan covered by a fidelity bond2025-09-241000000
Participant contributions to plan in this plan year2025-09-241467628
Value of participant loans at end of plan year2025-09-2456720
Other expenses paid from plan in this plan year2025-09-240
Other contributions to plan in this plan year2025-09-24424227
Other income to plan in this plan year2025-09-241203926
Plan net income in this plan year2025-09-242186917
Net assets as of the end of the plan year2025-09-2410389186
Net assets as of the beginning of the plan year2025-09-248202269
Employer contributions to plan in this plan year2025-09-240
Expensese paid to adminstrative service provicers from plan in this plan year2025-09-2435961
2024 : UNIVERSITY AT BUFFALO SURGEONS, INC. 403(B) PLAN 2024 401k financial data
Total expenses incurred by plan in this plan year2024-09-2629693
Net assets as of the end of the plan year2024-09-268202269
Total assets as of the beginning of the plan year2024-09-266193587
Value of plan covered by a fidelity bond2024-09-26500000
Participant contributions to plan in this plan year2024-09-26821669
Value of participant loans at end of plan year2024-09-2667432
Other expenses paid from plan in this plan year2024-09-2629010
Other contributions to plan in this plan year2024-09-266153
Other income to plan in this plan year2024-09-261210553
Plan net income in this plan year2024-09-262008682
Net assets as of the end of the plan year2024-09-268202269
Net assets as of the beginning of the plan year2024-09-266193587
2022 : UNIVERSITY AT BUFFALO SURGEONS, INC. 403(B) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$2,167
Total income from all sources (including contributions)2022-12-31$-382,626
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$136,523
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$99,052
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$711,820
Value of total assets at end of year2022-12-31$6,193,587
Value of total assets at beginning of year2022-12-31$6,714,903
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$37,471
Total interest from all sources2022-12-31$789
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$117,280
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$117,280
Administrative expenses professional fees incurred2022-12-31$8,293
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$708,952
Participant contributions at end of year2022-12-31$15,562
Participant contributions at beginning of year2022-12-31$20,326
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$2,868
Other income not declared elsewhere2022-12-31$0
Liabilities. Value of operating payables at end of year2022-12-31$0
Liabilities. Value of operating payables at beginning of year2022-12-31$2,167
Total non interest bearing cash at end of year2022-12-31$0
Total non interest bearing cash at beginning of year2022-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-519,149
Value of net assets at end of year (total assets less liabilities)2022-12-31$6,193,587
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$6,712,736
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$10,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$5,959,388
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$6,482,897
Value of interest in pooled separate accounts at end of year2022-12-31$45,932
Value of interest in pooled separate accounts at beginning of year2022-12-31$4,685
Interest on participant loans2022-12-31$789
Interest earned on other investments2022-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$11,093
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$42,060
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$42,060
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$161,612
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$164,935
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-1,212,515
Net investment gain/loss from pooled separate accounts2022-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31Yes
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$0
Employer contributions (assets) at end of year2022-12-31$0
Employer contributions (assets) at beginning of year2022-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$99,052
Contract administrator fees2022-12-31$19,178
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31CHIAMPOU TRAVIS BESAW & KERSHNER LL
Accountancy firm EIN2022-12-31161468002
Total unrealized appreciation/depreciation of assets2022-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$2,167
Total income from all sources (including contributions)2022-01-01$-382,626
Total loss/gain on sale of assets2022-01-01$0
Total of all expenses incurred2022-01-01$136,523
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-01$99,052
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-01$711,820
Value of total assets at end of year2022-01-01$6,193,587
Value of total assets at beginning of year2022-01-01$6,714,903
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-01$37,471
Total interest from all sources2022-01-01$789
Total dividends received (eg from common stock, registered investment company shares)2022-01-01$117,280
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-01-01No
Total dividends received from registered investment company shares (eg mutual funds)2022-01-01$117,280
Administrative expenses professional fees incurred2022-01-01$8,293
Was this plan covered by a fidelity bond2022-01-01Yes
Value of fidelity bond cover2022-01-01$500,000
If this is an individual account plan, was there a blackout period2022-01-01No
Were there any nonexempt tranactions with any party-in-interest2022-01-01No
Contributions received from participants2022-01-01$708,952
Participant contributions at end of year2022-01-01$15,562
Participant contributions at beginning of year2022-01-01$20,326
Income. Received or receivable in cash from other sources (including rollovers)2022-01-01$2,868
Other income not declared elsewhere2022-01-01$0
Liabilities. Value of operating payables at end of year2022-01-01$0
Liabilities. Value of operating payables at beginning of year2022-01-01$2,167
Total non interest bearing cash at end of year2022-01-01$0
Total non interest bearing cash at beginning of year2022-01-01$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Value of net income/loss2022-01-01$-519,149
Value of net assets at end of year (total assets less liabilities)2022-01-01$6,193,587
Value of net assets at beginning of year (total assets less liabilities)2022-01-01$6,712,736
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-01-01No
Were any leases to which the plan was party in default or uncollectible2022-01-01No
Investment advisory and management fees2022-01-01$10,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-01-01$5,959,388
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-01-01$6,482,897
Value of interest in pooled separate accounts at end of year2022-01-01$45,932
Value of interest in pooled separate accounts at beginning of year2022-01-01$4,685
Interest on participant loans2022-01-01$789
Interest earned on other investments2022-01-01$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-01-01$11,093
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-01-01$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-01-01$161,612
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-01-01$164,935
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-01-01$-1,212,515
Net investment gain/loss from pooled separate accounts2022-01-01$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-01-01No
Was there a failure to transmit to the plan any participant contributions2022-01-01Yes
Has the plan failed to provide any benefit when due under the plan2022-01-01No
Contributions received in cash from employer2022-01-01$0
Employer contributions (assets) at end of year2022-01-01$0
Employer contributions (assets) at beginning of year2022-01-01$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-01-01$99,052
Contract administrator fees2022-01-01$19,178
Did the plan have assets held for investment2022-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-01-01No
Opinion of an independent qualified public accountant for this plan2022-01-011
Accountancy firm name2022-01-01CHIAMPOU TRAVIS BESAW & KERSHNER LL
Accountancy firm EIN2022-01-01161468002
2021 : UNIVERSITY AT BUFFALO SURGEONS, INC. 403(B) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$2,167
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$1,474,716
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$264,366
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$230,056
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$640,142
Value of total assets at end of year2021-12-31$6,714,903
Value of total assets at beginning of year2021-12-31$5,502,386
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$34,310
Total interest from all sources2021-12-31$721
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$96,468
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$96,468
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$640,142
Participant contributions at end of year2021-12-31$20,326
Participant contributions at beginning of year2021-12-31$0
Participant contributions at end of year2021-12-31$0
Participant contributions at beginning of year2021-12-31$6,500
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$0
Other income not declared elsewhere2021-12-31$0
Administrative expenses (other) incurred2021-12-31$10,018
Liabilities. Value of operating payables at end of year2021-12-31$2,167
Liabilities. Value of operating payables at beginning of year2021-12-31$0
Total non interest bearing cash at end of year2021-12-31$0
Total non interest bearing cash at beginning of year2021-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$1,210,350
Value of net assets at end of year (total assets less liabilities)2021-12-31$6,712,736
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$5,502,386
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$16,073
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$6,482,897
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$5,297,157
Value of interest in pooled separate accounts at end of year2021-12-31$4,685
Value of interest in pooled separate accounts at beginning of year2021-12-31$5,684
Interest on participant loans2021-12-31$721
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$42,060
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$36,898
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$36,898
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$164,935
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$156,147
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$737,385
Net investment gain/loss from pooled separate accounts2021-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31Yes
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$0
Employer contributions (assets) at end of year2021-12-31$0
Employer contributions (assets) at beginning of year2021-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$230,056
Contract administrator fees2021-12-31$8,219
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31CHIAMPOU TRAVIS BESAW & KERSHNER LL
Accountancy firm EIN2021-12-31161468002
2020 : UNIVERSITY AT BUFFALO SURGEONS, INC. 403(B) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$1,255,322
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$572,225
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$552,653
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$637,260
Value of total assets at end of year2020-12-31$5,502,386
Value of total assets at beginning of year2020-12-31$4,819,289
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$19,572
Total interest from all sources2020-12-31$246
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$193,945
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$193,945
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$300,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$603,692
Participant contributions at end of year2020-12-31$6,500
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$33,568
Administrative expenses (other) incurred2020-12-31$887
Total non interest bearing cash at end of year2020-12-31$0
Total non interest bearing cash at beginning of year2020-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$683,097
Value of net assets at end of year (total assets less liabilities)2020-12-31$5,502,386
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$4,819,289
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$11,931
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$5,297,157
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$4,819,165
Value of interest in pooled separate accounts at end of year2020-12-31$5,684
Value of interest in pooled separate accounts at beginning of year2020-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$36,898
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$124
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$124
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$246
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$156,147
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$423,956
Net investment gain/loss from pooled separate accounts2020-12-31$-85
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31Yes
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Employer contributions (assets) at end of year2020-12-31$0
Employer contributions (assets) at beginning of year2020-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$552,653
Contract administrator fees2020-12-31$6,754
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31CTBK
Accountancy firm EIN2020-12-31161468002

Form 5500 Responses for UNIVERSITY AT BUFFALO SURGEONS, INC. 403(B) PLAN

2022: UNIVERSITY AT BUFFALO SURGEONS, INC. 403(B) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: UNIVERSITY AT BUFFALO SURGEONS, INC. 403(B) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: UNIVERSITY AT BUFFALO SURGEONS, INC. 403(B) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number331736
Policy instance 1
Insurance contract or identification number331736
Number of Individuals Covered4
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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?Yes
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
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number331736
Policy instance 1
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number331736
Policy instance 1

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