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| Plan Name | GUILLERMO VALENZUELA, M.D., P.A. CASH BALANCE PLAN |
| Plan identification number | 003 |
| 401k Plan Type | Defined Benefit Pension |
| Plan Features/Benefits |
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| Company Name: | GUILLERMO VALENZUELA, M.D., P.A. |
| Employer identification number (EIN): | 800808192 |
| NAIC Classification: | 621399 |
| NAIC Description: | Offices of All Other Miscellaneous Health Practitioners |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 003 | 2023-01-01 | ||||
| 003 | 2022-01-01 | ||||
| 003 | 2021-01-01 | ||||
| 003 | 2020-01-01 | ||||
| 003 | 2019-01-01 | ||||
| 003 | 2019-01-01 | ||||
| 003 | 2018-01-01 | ||||
| 003 | 2017-01-01 | ||||
| 003 | 2016-01-01 | ||||
| 003 | 2015-01-01 | ||||
| 003 | 2012-01-01 | GUILLERMO VALENZUELA |
| Measure | Date | Value |
|---|---|---|
| 2012: GUILLERMO VALENZUELA, M.D., P.A. CASH BALANCE PLAN 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-01-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 7 |
| 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 | 7 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2012-01-01 | 0 |
| Total participants | 2012-01-01 | 7 |
| Measure | Date | Value |
|---|---|---|
| 2012 : GUILLERMO VALENZUELA, M.D., P.A. CASH BALANCE PLAN 2012 401k financial data | ||
| Total plan liabilities at end of year | 2012-12-31 | $0 |
| Total plan liabilities at beginning of year | 2012-12-31 | $0 |
| Total income from all sources | 2012-12-31 | $189,566 |
| Expenses. Total of all expenses incurred | 2012-12-31 | $43,302 |
| Benefits paid (including direct rollovers) | 2012-12-31 | $0 |
| Total plan assets at end of year | 2012-12-31 | $146,264 |
| Total plan assets at beginning of year | 2012-12-31 | $0 |
| Total contributions received or receivable from participants | 2012-12-31 | $0 |
| Expenses. Other expenses not covered elsewhere | 2012-12-31 | $43,302 |
| Contributions received from other sources (not participants or employers) | 2012-12-31 | $0 |
| Other income received | 2012-12-31 | $0 |
| Noncash contributions received | 2012-12-31 | $0 |
| Net income (gross income less expenses) | 2012-12-31 | $146,264 |
| Net plan assets at end of year (total assets less liabilities) | 2012-12-31 | $146,264 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-12-31 | $0 |
| Total contributions received or receivable from employer(s) | 2012-12-31 | $189,566 |
| Value of certain deemed distributions of participant loans | 2012-12-31 | $0 |
| Value of corrective distributions | 2012-12-31 | $0 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2012-12-31 | $0 |
| 2012: GUILLERMO VALENZUELA, M.D., P.A. CASH BALANCE PLAN 2012 form 5500 responses | ||
|---|---|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | First time form 5500 has been submitted | Yes |
| 2012-01-01 | Submission has been amended | No |
| 2012-01-01 | This submission is the final filing | No |
| 2012-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-01-01 | Plan is a collectively bargained plan | No |
| 2012-01-01 | Plan funding arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2012-01-01 | Plan benefit arrangement – Section 412(e)(3) insurance Contracts | Yes |
| THE LAFAYETTE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65242 ) | |||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | VARIOUS | ||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||
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