401k Plan data: PULMONARY ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN plan

PULMONARY ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	PULMONARY ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN
Plan identification number	002

PULMONARY ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined 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
Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of 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.
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

PULMONARY ASSOCIATES, P.A. has sponsored the creation of one or more 401k plans.

Company Name: PULMONARY ASSOCIATES, P.A.

Employer identification number (EIN): 860220398

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Additional information about PULMONARY ASSOCIATES, P.A.

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 0832669

More information about PULMONARY ASSOCIATES, P.A.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PULMONARY ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01 TAMMIE KATZENMEIER 2023-08-09
002 2021-01-01 TAMMIE KATZENMEIER 2022-09-02 TAMMIE KATZENMEIER 2022-09-02
002 2020-01-01 TAMMIE KATZENMEIER 2021-05-28
002 2019-01-01 TAMMIE KATZENMEIER 2020-07-27
002 2018-01-01 TAMMIE KATZENMEIER 2019-08-28 TAMMIE KATZENMEIER 2019-08-28
002 2017-01-01 TAMMIE KATZENMEIER 2018-05-07
002 2016-01-01 TAMMIE KATZENMEIER 2017-05-24
002 2015-01-01 TAMMIE KATZENMEIER
002 2014-01-01 TAMMIE KATZENMEIER
002 2013-01-01 TAMMIE KATZENMEIER TAMMIE KATZENMEIER 2014-06-23
002 2012-01-01 TAMMIE KATZENMEIER
002 2011-01-01 TAMMIE KATZENMEIER 2012-05-30
002 2010-01-01 TAMMIE KATZENMEIER 2011-07-06

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2022-01-01	TAMMIE KATZENMEIER	2023-08-09
002	2021-01-01	TAMMIE KATZENMEIER	2022-09-02	TAMMIE KATZENMEIER	2022-09-02
002	2020-01-01	TAMMIE KATZENMEIER	2021-05-28
002	2019-01-01	TAMMIE KATZENMEIER	2020-07-27
002	2018-01-01	TAMMIE KATZENMEIER	2019-08-28	TAMMIE KATZENMEIER	2019-08-28
002	2017-01-01	TAMMIE KATZENMEIER	2018-05-07
002	2016-01-01	TAMMIE KATZENMEIER	2017-05-24
002	2015-01-01	TAMMIE KATZENMEIER
002	2014-01-01	TAMMIE KATZENMEIER
002	2013-01-01	TAMMIE KATZENMEIER		TAMMIE KATZENMEIER	2014-06-23
002	2012-01-01	TAMMIE KATZENMEIER
002	2011-01-01	TAMMIE KATZENMEIER	2012-05-30
002	2010-01-01	TAMMIE KATZENMEIER	2011-07-06

Plan Statistics for PULMONARY ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for PULMONARY ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN

Measure Date Value
2015: PULMONARY ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 66
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 54
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 13
Total of all active and inactive participants 2015-01-01 67
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 67
Number of participants with account balances 2015-01-01 67
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 1
2014: PULMONARY ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 68
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 51
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 13
Total of all active and inactive participants 2014-01-01 64
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 64
Number of participants with account balances 2014-01-01 64
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: PULMONARY ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 74
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 57
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 10
Total of all active and inactive participants 2013-01-01 67
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 67
Number of participants with account balances 2013-01-01 67
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 1
2012: PULMONARY ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 69
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 60
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 12
Total of all active and inactive participants 2012-01-01 72
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 72
Number of participants with account balances 2012-01-01 72
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 1

Measure	Date	Value
2015: PULMONARY ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	66
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	54
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	13
Total of all active and inactive participants	2015-01-01	67
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	67
Number of participants with account balances	2015-01-01	67
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	1
2014: PULMONARY ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	68
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	51
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	13
Total of all active and inactive participants	2014-01-01	64
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	64
Number of participants with account balances	2014-01-01	64
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: PULMONARY ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	74
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	57
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	10
Total of all active and inactive participants	2013-01-01	67
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	67
Number of participants with account balances	2013-01-01	67
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	1
2012: PULMONARY ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	69
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	60
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	12
Total of all active and inactive participants	2012-01-01	72
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	72
Number of participants with account balances	2012-01-01	72
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	1

Financial Data on PULMONARY ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2015 : PULMONARY ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total plan liabilities at end of year	2015-12-31	$0
Total plan liabilities at beginning of year	2015-12-31	$1,513
Total income from all sources	2015-12-31	$833,894
Expenses. Total of all expenses incurred	2015-12-31	$195,502
Benefits paid (including direct rollovers)	2015-12-31	$187,056
Total plan assets at end of year	2015-12-31	$19,019,616
Total plan assets at beginning of year	2015-12-31	$18,382,737
Value of fidelity bond covering the plan	2015-12-31	$500,000
Total contributions received or receivable from participants	2015-12-31	$123,266
Other income received	2015-12-31	$-33,156
Net income (gross income less expenses)	2015-12-31	$638,392
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$19,019,616
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$18,381,224
Assets. Value of participant loans	2015-12-31	$102,121
Total contributions received or receivable from employer(s)	2015-12-31	$743,784
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$8,446
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : PULMONARY ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total plan liabilities at end of year	2014-12-31	$1,513
Total plan liabilities at beginning of year	2014-12-31	$5,957
Total income from all sources	2014-12-31	$2,233,057
Expenses. Total of all expenses incurred	2014-12-31	$197,433
Benefits paid (including direct rollovers)	2014-12-31	$190,094
Total plan assets at end of year	2014-12-31	$18,382,737
Total plan assets at beginning of year	2014-12-31	$16,351,557
Value of fidelity bond covering the plan	2014-12-31	$500,000
Total contributions received or receivable from participants	2014-12-31	$128,680
Other income received	2014-12-31	$1,426,457
Net income (gross income less expenses)	2014-12-31	$2,035,624
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$18,381,224
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$16,345,600
Assets. Value of participant loans	2014-12-31	$105,721
Total contributions received or receivable from employer(s)	2014-12-31	$677,920
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$7,339
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : PULMONARY ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total plan liabilities at end of year	2013-12-31	$5,957
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$2,794,709
Expenses. Total of all expenses incurred	2013-12-31	$246,675
Benefits paid (including direct rollovers)	2013-12-31	$240,893
Total plan assets at end of year	2013-12-31	$16,351,557
Total plan assets at beginning of year	2013-12-31	$13,797,566
Value of fidelity bond covering the plan	2013-12-31	$500,000
Total contributions received or receivable from participants	2013-12-31	$138,099
Contributions received from other sources (not participants or employers)	2013-12-31	$72,217
Other income received	2013-12-31	$1,898,366
Net income (gross income less expenses)	2013-12-31	$2,548,034
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$16,345,600
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$13,797,566
Assets. Value of participant loans	2013-12-31	$96,276
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2013-12-31	$300
Total contributions received or receivable from employer(s)	2013-12-31	$686,027
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$5,782
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : PULMONARY ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at beginning of year	2012-12-31	$29
Total income from all sources	2012-12-31	$2,387,681
Expenses. Total of all expenses incurred	2012-12-31	$822,009
Benefits paid (including direct rollovers)	2012-12-31	$817,014
Total plan assets at end of year	2012-12-31	$13,797,566
Total plan assets at beginning of year	2012-12-31	$12,231,923
Value of fidelity bond covering the plan	2012-12-31	$500,000
Total contributions received or receivable from participants	2012-12-31	$120,707
Contributions received from other sources (not participants or employers)	2012-12-31	$194,495
Other income received	2012-12-31	$1,375,493
Net income (gross income less expenses)	2012-12-31	$1,565,672
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$13,797,566
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$12,231,894
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2012-12-31	$300
Total contributions received or receivable from employer(s)	2012-12-31	$696,986
Value of certain deemed distributions of participant loans	2012-12-31	$179
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$4,816
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0

Form 5500 Responses for PULMONARY ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN

2015: PULMONARY ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: PULMONARY ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: PULMONARY ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: PULMONARY ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
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 – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )

Policy contract number

60063480

Policy instance

Insurance contract or identification number	60063480
Number of Individuals Covered	1
Insurance policy start date	2014-08-01
Insurance policy end date	2015-07-31
Are there contracts with allocated funds for individual policies?	Yes
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )

Policy contract number

60063480

Policy instance

Insurance contract or identification number	60063480
Number of Individuals Covered	1
Insurance policy start date	2013-08-01
Insurance policy end date	2014-07-31
Are there contracts with allocated funds for individual policies?	Yes
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

60063480

Policy instance

Insurance contract or identification number	60063480
Number of Individuals Covered	1
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Are there contracts with allocated funds for individual policies?	Yes
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

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Company Name:	PULMONARY ASSOCIATES, P.A.
Employer identification number (EIN):	860220398
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	0832669