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THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 401k Plan overview

Plan NameTHE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC
Plan identification number 001

THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 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.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan covering Self-Employed individuals.
  • 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

PHYSICIAN'S ENDOSCOPY, LLC has sponsored the creation of one or more 401k plans.

Company Name:PHYSICIAN'S ENDOSCOPY, LLC
Employer identification number (EIN):911882702
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Additional information about PHYSICIAN'S ENDOSCOPY, LLC

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division
Incorporation Date: 1998-01-08
Company Identification Number: 601843947
Legal Registered Office Address: 1700 SEVENTH AVENUE STE 1900

SEATTLE
United States of America (USA)
981010000

More information about PHYSICIAN'S ENDOSCOPY, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012023-01-01DAVID E. STRAUSS2024-09-12
0012022-01-01DAVID E. STRAUSS2023-10-10
0012021-01-01TARA HAMBURGER2022-10-11 TARA HAMBURGER2022-10-11
0012020-01-01TARA HAMBURGER2021-10-13 TARA HAMBURGER2021-10-13
0012019-01-01TARA HAMBURGER2020-10-13
0012018-01-01TARA HAMBURGER2019-09-05
0012017-01-01
0012016-01-01
0012015-01-01TARA HAMBURGER
0012014-01-01TARA HAMBURGER
0012013-01-01KAREN SABLYAK
0012012-01-01KAREN SABLYAK KAREN SABLYAK2013-09-09
0012011-01-01KAREN SABLYAK
0012010-01-01KAREN SABLYAK
0012009-01-01KAREN SABLYAK

Plan Statistics for THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC

401k plan membership statisitcs for THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC

Measure Date Value
2023: THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2023 401k membership
Total participants, beginning-of-year2023-01-011,079
Total number of active participants reported on line 7a of the Form 55002023-01-011,488
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-01207
Total of all active and inactive participants2023-01-011,695
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2023-01-010
Total participants2023-01-011,695
Number of participants with account balances2023-01-011,220
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2023-01-0179
2022: THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2022 401k membership
Total participants, beginning-of-year2022-01-011,083
Total number of active participants reported on line 7a of the Form 55002022-01-01851
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-01228
Total of all active and inactive participants2022-01-011,079
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-011,079
Number of participants with account balances2022-01-011,051
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0175
2021: THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2021 401k membership
Total participants, beginning-of-year2021-01-011,006
Total number of active participants reported on line 7a of the Form 55002021-01-01823
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-01160
Total of all active and inactive participants2021-01-01983
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01983
Number of participants with account balances2021-01-01947
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0152
2020: THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2020 401k membership
Total participants, beginning-of-year2020-01-01927
Total number of active participants reported on line 7a of the Form 55002020-01-01726
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-01203
Total of all active and inactive participants2020-01-01929
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01929
Number of participants with account balances2020-01-01929
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0158
2019: THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2019 401k membership
Total participants, beginning-of-year2019-01-01940
Total number of active participants reported on line 7a of the Form 55002019-01-01711
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-01174
Total of all active and inactive participants2019-01-01885
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01885
Number of participants with account balances2019-01-01881
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0120
2018: THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2018 401k membership
Total participants, beginning-of-year2018-01-01804
Total number of active participants reported on line 7a of the Form 55002018-01-01672
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-01151
Total of all active and inactive participants2018-01-01823
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-012
Total participants2018-01-01825
Number of participants with account balances2018-01-01823
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0166
2017: THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2017 401k membership
Total participants, beginning-of-year2017-01-01672
Total number of active participants reported on line 7a of the Form 55002017-01-01655
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-01110
Total of all active and inactive participants2017-01-01765
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-014
Total participants2017-01-01769
Number of participants with account balances2017-01-01752
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0130
2016: THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2016 401k membership
Total participants, beginning-of-year2016-01-01687
Total number of active participants reported on line 7a of the Form 55002016-01-01528
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0178
Total of all active and inactive participants2016-01-01606
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-011
Total participants2016-01-01607
Number of participants with account balances2016-01-01598
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0133
2015: THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2015 401k membership
Total participants, beginning-of-year2015-01-01605
Total number of active participants reported on line 7a of the Form 55002015-01-01528
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0196
Total of all active and inactive participants2015-01-01624
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-012
Total participants2015-01-01626
Number of participants with account balances2015-01-01616
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-0128
2014: THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2014 401k membership
Total participants, beginning-of-year2014-01-01557
Total number of active participants reported on line 7a of the Form 55002014-01-01472
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-01102
Total of all active and inactive participants2014-01-01574
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01574
Number of participants with account balances2014-01-01567
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0129
2013: THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2013 401k membership
Total participants, beginning-of-year2013-01-01446
Total number of active participants reported on line 7a of the Form 55002013-01-01405
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0186
Total of all active and inactive participants2013-01-01491
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01491
Number of participants with account balances2013-01-01486
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0127
2012: THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2012 401k membership
Total participants, beginning-of-year2012-01-01415
Total number of active participants reported on line 7a of the Form 55002012-01-01349
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0174
Total of all active and inactive participants2012-01-01423
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01423
Number of participants with account balances2012-01-01420
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-0125
2011: THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2011 401k membership
Total participants, beginning-of-year2011-01-01394
Total number of active participants reported on line 7a of the Form 55002011-01-01325
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0172
Total of all active and inactive participants2011-01-01397
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01397
Number of participants with account balances2011-01-01393
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-0127
2010: THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2010 401k membership
Total participants, beginning-of-year2010-01-01360
Total number of active participants reported on line 7a of the Form 55002010-01-01300
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-0169
Total of all active and inactive participants2010-01-01369
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-01369
Number of participants with account balances2010-01-01367
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-0123
2009: THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2009 401k membership
Total participants, beginning-of-year2009-01-01342
Total number of active participants reported on line 7a of the Form 55002009-01-01314
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0139
Total of all active and inactive participants2009-01-01353
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01353
Number of participants with account balances2009-01-01351
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-0115

Financial Data on THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC

Measure Date Value
2023 : THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total income from all sources (including contributions)2023-12-31$15,319,850
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$4,631,206
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$4,421,714
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$8,667,812
Value of total assets at end of year2023-12-31$54,800,686
Value of total assets at beginning of year2023-12-31$44,112,042
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$209,492
Total interest from all sources2023-12-31$221
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$661,308
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2023-12-31$661,308
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$500,000
If this is an individual account plan, was there a blackout period2023-12-31Yes
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$4,822,568
Participant contributions at end of year2023-12-31$0
Participant contributions at beginning of year2023-12-31$4,168
Participant contributions at end of year2023-12-31$170,508
Participant contributions at beginning of year2023-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2023-12-31$811,257
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$10,688,644
Value of net assets at end of year (total assets less liabilities)2023-12-31$54,800,686
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$44,112,042
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Investment advisory and management fees2023-12-31$46,900
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-12-31$195,022
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$32,938,322
Value of interest in pooled separate accounts at end of year2023-12-31$0
Value of interest in pooled separate accounts at beginning of year2023-12-31$10,550,347
Interest on participant loans2023-12-31$8
Value of interest in common/collective trusts at end of year2023-12-31$53,592,835
Value of interest in common/collective trusts at beginning of year2023-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-12-31$213
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$2,425,995
Net investment gain/loss from pooled separate accounts2023-12-31$1,328,564
Net investment gain or loss from common/collective trusts2023-12-31$2,235,950
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31Yes
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$3,033,987
Employer contributions (assets) at end of year2023-12-31$842,321
Employer contributions (assets) at beginning of year2023-12-31$619,205
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$4,421,714
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32023-12-31Yes
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31BAKER TILLY US, LLP
Accountancy firm EIN2023-12-31301413443
2022 : THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 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$0
Total income from all sources (including contributions)2022-12-31$620,266
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$5,345,426
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$5,171,732
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$7,160,473
Value of total assets at end of year2022-12-31$44,112,042
Value of total assets at beginning of year2022-12-31$48,837,202
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$173,694
Total interest from all sources2022-12-31$331
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$600,592
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$600,592
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$4,150,776
Participant contributions at end of year2022-12-31$4,168
Participant contributions at beginning of year2022-12-31$9,972
Participant contributions at end of year2022-12-31$0
Participant contributions at beginning of year2022-12-31$1,722
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$423,915
Administrative expenses (other) incurred2022-12-31$173,694
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-4,725,160
Value of net assets at end of year (total assets less liabilities)2022-12-31$44,112,042
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$48,837,202
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$32,938,322
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$36,860,772
Value of interest in pooled separate accounts at end of year2022-12-31$10,550,347
Value of interest in pooled separate accounts at beginning of year2022-12-31$11,447,565
Interest on participant loans2022-12-31$331
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-5,548,527
Net investment gain/loss from pooled separate accounts2022-12-31$-1,592,603
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$2,585,782
Employer contributions (assets) at end of year2022-12-31$619,205
Employer contributions (assets) at beginning of year2022-12-31$517,171
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$5,171,732
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 name2022-12-31BAKER TILLY US, LLP
Accountancy firm EIN2022-12-31390859910
2021 : THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2021 401k financial data
Unrealized appreciation/depreciation of real estate assets2021-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$0
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total transfer of assets to this plan2021-12-31$0
Total transfer of assets from this plan2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Expenses. Interest paid2021-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022021-12-31$0
Total income from all sources (including contributions)2021-12-31$11,712,565
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$5,190,183
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$5,034,119
Expenses. Certain deemed distributions of participant loans2021-12-31$0
Value of total corrective distributions2021-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$6,675,363
Value of total assets at end of year2021-12-31$48,837,202
Value of total assets at beginning of year2021-12-31$42,314,820
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$156,064
Total income from rents2021-12-31$0
Total interest from all sources2021-12-31$816
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$508,979
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$508,979
Assets. Real estate other than employer real property at end of year2021-12-31$0
Assets. Real estate other than employer real property at beginning of year2021-12-31$0
Administrative expenses professional fees incurred2021-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2021-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2021-12-31$0
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
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$3,742,371
Participant contributions at end of year2021-12-31$9,972
Participant contributions at beginning of year2021-12-31$34,269
Participant contributions at end of year2021-12-31$1,722
Participant contributions at beginning of year2021-12-31$619
Assets. Other investments not covered elsewhere at end of year2021-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$718,195
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$0
Assets. Loans (other than to participants) at end of year2021-12-31$0
Assets. Loans (other than to participants) at beginning of year2021-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$0
Other income not declared elsewhere2021-12-31$189
Administrative expenses (other) incurred2021-12-31$156,064
Liabilities. Value of operating payables at end of year2021-12-31$0
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
Income. Non cash contributions2021-12-31$0
Value of net income/loss2021-12-31$6,522,382
Value of net assets at end of year (total assets less liabilities)2021-12-31$48,837,202
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$42,314,820
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
Assets. partnership/joint venture interests at end of year2021-12-31$0
Assets. partnership/joint venture interests at beginning of year2021-12-31$0
Investment advisory and management fees2021-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$36,860,772
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$31,645,570
Value of interest in pooled separate accounts at end of year2021-12-31$11,447,565
Value of interest in pooled separate accounts at beginning of year2021-12-31$10,240,517
Interest on participant loans2021-12-31$816
Income. Interest from loans (other than to participants)2021-12-31$0
Interest earned on other investments2021-12-31$0
Income. Interest from US Government securities2021-12-31$0
Income. Interest from corporate debt instruments2021-12-31$0
Value of interest in master investment trust accounts at end of year2021-12-31$0
Value of interest in master investment trust accounts at beginning of year2021-12-31$0
Value of interest in common/collective trusts at end of year2021-12-31$0
Value of interest in common/collective trusts at beginning of year2021-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$0
Assets. Value of investments in 103.12 investment entities at end of year2021-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2021-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$0
Asset value of US Government securities at end of year2021-12-31$0
Asset value of US Government securities at beginning of year2021-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$2,766,256
Net investment gain/loss from pooled separate accounts2021-12-31$1,760,962
Net investment gain or loss from common/collective trusts2021-12-31$0
Net gain/loss from 103.12 investment entities2021-12-31$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
Assets. Invements in employer securities at end of year2021-12-31$0
Assets. Invements in employer securities at beginning of year2021-12-31$0
Assets. Value of employer real property at end of year2021-12-31$0
Assets. Value of employer real property at beginning of year2021-12-31$0
Contributions received in cash from employer2021-12-31$2,214,797
Employer contributions (assets) at end of year2021-12-31$517,171
Employer contributions (assets) at beginning of year2021-12-31$393,845
Income. Dividends from preferred stock2021-12-31$0
Income. Dividends from common stock2021-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$5,034,119
Asset. Corporate debt instrument preferred debt at end of year2021-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2021-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2021-12-31$0
Contract administrator fees2021-12-31$0
Assets. Corporate common stocks other than exployer securities at end of year2021-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2021-12-31$0
Liabilities. Value of benefit claims payable at end of year2021-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2021-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-12-31$0
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
Aggregate proceeds on sale of assets2021-12-31$0
Aggregate carrying amount (costs) on sale of assets2021-12-31$0
Liabilities. Value of acquisition indebtedness at end of year2021-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2021-12-31$0
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31KRONICK KALADA BERDY & CO., P.C.
Accountancy firm EIN2021-12-31232667890
2020 : THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total transfer of assets to this plan2020-12-31$17,130
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$283
Total income from all sources (including contributions)2020-12-31$9,686,173
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$5,703,947
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$5,532,929
Value of total corrective distributions2020-12-31$3,158
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$5,197,114
Value of total assets at end of year2020-12-31$42,314,820
Value of total assets at beginning of year2020-12-31$38,315,747
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$167,860
Total interest from all sources2020-12-31$2,188
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$539,217
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$539,217
Administrative expenses professional fees incurred2020-12-31$147,591
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$3,082,355
Participant contributions at end of year2020-12-31$34,269
Participant contributions at beginning of year2020-12-31$66,167
Participant contributions at end of year2020-12-31$619
Participant contributions at beginning of year2020-12-31$92
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$199,134
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$283
Other income not declared elsewhere2020-12-31$282
Administrative expenses (other) incurred2020-12-31$1,057
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$3,982,226
Value of net assets at end of year (total assets less liabilities)2020-12-31$42,314,820
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$38,315,464
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$19,212
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$31,645,570
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$26,539,830
Value of interest in pooled separate accounts at end of year2020-12-31$10,240,517
Value of interest in pooled separate accounts at beginning of year2020-12-31$11,279,738
Interest on participant loans2020-12-31$2,188
Value of interest in common/collective trusts at end of year2020-12-31$0
Value of interest in common/collective trusts at beginning of year2020-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$0
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$3,947,372
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
Contributions received in cash from employer2020-12-31$1,915,625
Employer contributions (assets) at end of year2020-12-31$393,845
Employer contributions (assets) at beginning of year2020-12-31$429,920
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$5,532,929
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 plan2020-12-31Unqualified
Accountancy firm name2020-12-31KRONICK KALADA BERDY & CO., P.C.
Accountancy firm EIN2020-12-31232667890
2019 : THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total transfer of assets to this plan2019-12-31$1,702,051
Total transfer of assets to this plan2019-12-31$1,702,051
Total transfer of assets from this plan2019-12-31$1,823,489
Total transfer of assets from this plan2019-12-31$1,823,489
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$283
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$283
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$4,422
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$4,422
Total income from all sources (including contributions)2019-12-31$11,859,414
Total income from all sources (including contributions)2019-12-31$11,859,414
Total loss/gain on sale of assets2019-12-31$496
Total loss/gain on sale of assets2019-12-31$496
Total of all expenses incurred2019-12-31$5,278,921
Total of all expenses incurred2019-12-31$5,278,921
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$5,072,171
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$5,072,171
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$6,102,279
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$6,102,279
Value of total assets at end of year2019-12-31$38,315,747
Value of total assets at end of year2019-12-31$38,315,747
Value of total assets at beginning of year2019-12-31$31,860,831
Value of total assets at beginning of year2019-12-31$31,860,831
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$206,750
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$206,750
Total interest from all sources2019-12-31$4,176
Total interest from all sources2019-12-31$4,176
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$587,348
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$587,348
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$587,348
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
Value of fidelity bond cover2019-12-31$1,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$3,330,793
Contributions received from participants2019-12-31$3,330,793
Participant contributions at end of year2019-12-31$66,167
Participant contributions at end of year2019-12-31$66,167
Participant contributions at beginning of year2019-12-31$33,992
Participant contributions at beginning of year2019-12-31$33,992
Participant contributions at end of year2019-12-31$92
Participant contributions at end of year2019-12-31$92
Participant contributions at beginning of year2019-12-31$78
Participant contributions at beginning of year2019-12-31$78
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$706,434
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$706,434
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$283
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$283
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$4,422
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$4,422
Administrative expenses (other) incurred2019-12-31$206,750
Administrative expenses (other) incurred2019-12-31$206,750
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$6,580,493
Value of net income/loss2019-12-31$6,580,493
Value of net assets at end of year (total assets less liabilities)2019-12-31$38,315,464
Value of net assets at end of year (total assets less liabilities)2019-12-31$38,315,464
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$31,856,409
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$31,856,409
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$26,539,830
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$26,539,830
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$17,524,823
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$17,524,823
Value of interest in pooled separate accounts at end of year2019-12-31$11,279,738
Value of interest in pooled separate accounts at end of year2019-12-31$11,279,738
Value of interest in pooled separate accounts at beginning of year2019-12-31$5,862,539
Value of interest in pooled separate accounts at beginning of year2019-12-31$5,862,539
Interest on participant loans2019-12-31$4,176
Interest on participant loans2019-12-31$4,176
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$8,057,965
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$8,057,965
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$5,165,115
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$5,165,115
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$2,065,052
Contributions received in cash from employer2019-12-31$2,065,052
Employer contributions (assets) at end of year2019-12-31$429,920
Employer contributions (assets) at end of year2019-12-31$429,920
Employer contributions (assets) at beginning of year2019-12-31$381,434
Employer contributions (assets) at beginning of year2019-12-31$381,434
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$5,072,171
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$5,072,171
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$496
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31KRONICK KALADA BERDY & CO., P.C.
Accountancy firm name2019-12-31KRONICK KALADA BERDY & CO., P.C.
Accountancy firm EIN2019-12-31232667890
Accountancy firm EIN2019-12-31232667890
2018 : THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total transfer of assets from this plan2018-12-31$3,610,856
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$4,422
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$3,665,586
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$2,153,126
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$2,016,179
Value of total corrective distributions2018-12-31$3,250
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$4,937,854
Value of total assets at end of year2018-12-31$31,860,831
Value of total assets at beginning of year2018-12-31$33,954,805
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$133,697
Total interest from all sources2018-12-31$122,264
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$402,175
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$402,175
Administrative expenses professional fees incurred2018-12-31$3,582
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$2,991,749
Participant contributions at end of year2018-12-31$33,992
Participant contributions at beginning of year2018-12-31$85,329
Participant contributions at end of year2018-12-31$78
Participant contributions at beginning of year2018-12-31$70
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$106,457
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$6,580
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$4,422
Other income not declared elsewhere2018-12-31$3,461
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$1,512,460
Value of net assets at end of year (total assets less liabilities)2018-12-31$31,856,409
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$33,954,805
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$48,968
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$17,524,823
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$13,740,754
Value of interest in pooled separate accounts at end of year2018-12-31$5,862,539
Value of interest in pooled separate accounts at beginning of year2018-12-31$12,099,585
Interest on participant loans2018-12-31$2,482
Interest earned on other investments2018-12-31$119,782
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$8,057,965
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$7,614,144
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-1,140,256
Net investment gain/loss from pooled separate accounts2018-12-31$-659,912
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$1,839,648
Employer contributions (assets) at end of year2018-12-31$381,434
Employer contributions (assets) at beginning of year2018-12-31$408,343
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$2,016,179
Contract administrator fees2018-12-31$81,147
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31KRONICK KALADA BERDY & CO., P.C.
Accountancy firm EIN2018-12-31232667890
2017 : THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total transfer of assets to this plan2017-12-31$2,210,981
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$8,747,518
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$2,246,038
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$2,206,010
Value of total corrective distributions2017-12-31$5,430
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$4,883,624
Value of total assets at end of year2017-12-31$33,954,805
Value of total assets at beginning of year2017-12-31$25,242,344
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$34,598
Total interest from all sources2017-12-31$79,708
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$121,731
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$121,731
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$2,682,786
Participant contributions at end of year2017-12-31$85,329
Participant contributions at end of year2017-12-31$70
Participant contributions at beginning of year2017-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$537,348
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$6,580
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$89
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$6,501,480
Value of net assets at end of year (total assets less liabilities)2017-12-31$33,954,805
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$25,242,344
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$13,740,754
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$9,807,475
Value of interest in pooled separate accounts at end of year2017-12-31$12,099,585
Value of interest in pooled separate accounts at beginning of year2017-12-31$8,988,769
Interest on participant loans2017-12-31$4,197
Interest earned on other investments2017-12-31$75,511
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$7,614,144
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$5,877,524
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$2,548,993
Net investment gain/loss from pooled separate accounts2017-12-31$1,113,462
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31Yes
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$1,663,490
Employer contributions (assets) at end of year2017-12-31$408,343
Employer contributions (assets) at beginning of year2017-12-31$568,487
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$2,206,010
Contract administrator fees2017-12-31$34,598
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31KRONICK KALADA BERDY & CO., P.C.
Accountancy firm EIN2017-12-31232667890
2016 : THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total transfer of assets from this plan2016-12-31$8,243,537
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$6,692,743
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$2,589,813
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$2,567,999
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$5,103,144
Value of total assets at end of year2016-12-31$25,242,344
Value of total assets at beginning of year2016-12-31$29,382,951
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$21,814
Total interest from all sources2016-12-31$31,245
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$99,895
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$99,895
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
If this is an individual account plan, was there a blackout period2016-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$2,346,658
Participant contributions at end of year2016-12-31$0
Participant contributions at beginning of year2016-12-31$4,558
Assets. Other investments not covered elsewhere at end of year2016-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$1,156,684
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$1,068,258
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$89
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$0
Other income not declared elsewhere2016-12-31$1,413
Administrative expenses (other) incurred2016-12-31$21,814
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$4,102,930
Value of net assets at end of year (total assets less liabilities)2016-12-31$25,242,344
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$29,382,951
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$9,807,475
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$27,158,512
Value of interest in pooled separate accounts at end of year2016-12-31$8,988,769
Interest earned on other investments2016-12-31$31,258
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$26,124
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$26,124
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$-13
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$5,877,524
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$1,176,928
Net investment gain/loss from pooled separate accounts2016-12-31$280,118
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$1,688,228
Employer contributions (assets) at end of year2016-12-31$568,487
Employer contributions (assets) at beginning of year2016-12-31$1,037,073
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$2,567,999
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31Yes
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31KRONICK KALADA BERDY & CO., PC
Accountancy firm EIN2016-12-31232667890
2015 : THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$4,490,363
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$2,498,542
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$2,466,938
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$4,648,896
Value of total assets at end of year2015-12-31$29,382,951
Value of total assets at beginning of year2015-12-31$27,391,130
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$31,604
Total interest from all sources2015-12-31$15
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$38,147
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$38,147
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$2,190,007
Participant contributions at end of year2015-12-31$4,558
Participant contributions at beginning of year2015-12-31$28
Assets. Other investments not covered elsewhere at end of year2015-12-31$1,156,684
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$1,183,099
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$327,812
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$0
Administrative expenses (other) incurred2015-12-31$31,604
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$1,991,821
Value of net assets at end of year (total assets less liabilities)2015-12-31$29,382,951
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$27,391,130
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$27,158,512
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$25,233,506
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$26,124
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$27,382
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$27,382
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$15
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-196,695
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$2,131,077
Employer contributions (assets) at end of year2015-12-31$1,037,073
Employer contributions (assets) at beginning of year2015-12-31$947,115
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$2,466,938
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31KRONICK KALADA BERDY &CO., PC
Accountancy firm EIN2015-12-31232667890
2014 : THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$5,107,203
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$1,523,819
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,495,422
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$3,923,962
Value of total assets at end of year2014-12-31$27,391,130
Value of total assets at beginning of year2014-12-31$23,807,746
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$28,397
Total interest from all sources2014-12-31$16
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$43,672
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$43,672
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$1,862,538
Participant contributions at end of year2014-12-31$28
Participant contributions at beginning of year2014-12-31$15,015
Assets. Other investments not covered elsewhere at end of year2014-12-31$1,183,099
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$1,053,353
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$146,965
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$0
Administrative expenses (other) incurred2014-12-31$28,397
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$3,583,384
Value of net assets at end of year (total assets less liabilities)2014-12-31$27,391,130
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$23,807,746
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$25,233,506
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$21,901,883
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$27,382
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$35,585
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$35,585
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$16
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$1,139,553
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$1,914,459
Employer contributions (assets) at end of year2014-12-31$947,115
Employer contributions (assets) at beginning of year2014-12-31$801,910
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$1,495,422
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31KRONICK KALADA BERDY & CO., PC
Accountancy firm EIN2014-12-31232667890
2013 : THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$6,772,064
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$1,567,682
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,537,693
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$3,486,716
Value of total assets at end of year2013-12-31$23,807,746
Value of total assets at beginning of year2013-12-31$18,603,364
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$29,989
Total interest from all sources2013-12-31$3,166
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$22,022
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$22,022
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$1,601,110
Participant contributions at end of year2013-12-31$15,015
Participant contributions at beginning of year2013-12-31$4,750
Assets. Other investments not covered elsewhere at end of year2013-12-31$1,053,353
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$1,184,242
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$260,199
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$0
Other income not declared elsewhere2013-12-31$74,430
Administrative expenses (other) incurred2013-12-31$29,989
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$5,204,382
Value of net assets at end of year (total assets less liabilities)2013-12-31$23,807,746
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$18,603,364
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$21,901,883
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$16,694,348
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$35,585
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$25,987
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$25,987
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$3,166
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$3,185,730
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$1,625,407
Employer contributions (assets) at end of year2013-12-31$801,910
Employer contributions (assets) at beginning of year2013-12-31$694,037
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$1,537,693
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31KRONICK KALADA BERDY & CO., P.C.
Accountancy firm EIN2013-12-31232667890
2012 : THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$4,643,553
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$1,184,811
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$1,151,995
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$2,875,485
Value of total assets at end of year2012-12-31$18,603,364
Value of total assets at beginning of year2012-12-31$15,144,622
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$32,816
Total interest from all sources2012-12-31$8,004
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$20,042
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$20,042
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$1,364,620
Participant contributions at end of year2012-12-31$4,750
Participant contributions at beginning of year2012-12-31$0
Assets. Other investments not covered elsewhere at end of year2012-12-31$1,184,242
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$2,012,088
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$113,148
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$0
Other income not declared elsewhere2012-12-31$80,301
Administrative expenses (other) incurred2012-12-31$32,816
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$3,458,742
Value of net assets at end of year (total assets less liabilities)2012-12-31$18,603,364
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$15,144,622
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$16,694,348
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$12,425,791
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$25,987
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$25,484
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$25,484
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$8,004
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$1,659,721
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$1,397,717
Employer contributions (assets) at end of year2012-12-31$694,037
Employer contributions (assets) at beginning of year2012-12-31$681,259
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$1,151,995
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31KRONICK KALADA BERDY & CO., P.C.
Accountancy firm EIN2012-12-31232667890
2011 : THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$2,122,496
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$966,531
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$929,606
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$2,537,372
Value of total assets at end of year2011-12-31$15,144,622
Value of total assets at beginning of year2011-12-31$13,988,657
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$36,925
Total interest from all sources2011-12-31$8,007
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$41,982
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$41,982
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$1,182,145
Participant contributions at end of year2011-12-31$0
Participant contributions at beginning of year2011-12-31$0
Assets. Other investments not covered elsewhere at end of year2011-12-31$2,012,088
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$1,982,516
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$31,103
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$1,435
Other income not declared elsewhere2011-12-31$-23,581
Administrative expenses (other) incurred2011-12-31$36,925
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$1,155,965
Value of net assets at end of year (total assets less liabilities)2011-12-31$15,144,622
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$13,988,657
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$12,425,791
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$11,333,694
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$25,484
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$15,421
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$15,421
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$8,007
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-441,284
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$1,324,124
Employer contributions (assets) at end of year2011-12-31$681,259
Employer contributions (assets) at beginning of year2011-12-31$655,591
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$929,606
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31KRONICK KALADA BERDY & CO., P.C.
Accountancy firm EIN2011-12-31232667890
2010 : THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$3,780,934
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$710,907
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$677,197
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$2,490,067
Value of total assets at end of year2010-12-31$13,988,657
Value of total assets at beginning of year2010-12-31$10,918,630
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$33,710
Total interest from all sources2010-12-31$4,632
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$42,789
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$42,789
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$1,180,074
Participant contributions at end of year2010-12-31$0
Participant contributions at beginning of year2010-12-31$2,621
Assets. Other investments not covered elsewhere at end of year2010-12-31$1,982,516
Assets. Other investments not covered elsewhere at beginning of year2010-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$40,616
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$1,435
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$1,435
Other income not declared elsewhere2010-12-31$131,842
Administrative expenses (other) incurred2010-12-31$33,710
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$3,070,027
Value of net assets at end of year (total assets less liabilities)2010-12-31$13,988,657
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$10,918,630
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$11,333,694
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$10,221,388
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$15,421
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$20,935
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$20,935
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$4,632
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$1,111,604
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$1,269,377
Employer contributions (assets) at end of year2010-12-31$655,591
Employer contributions (assets) at beginning of year2010-12-31$672,251
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$677,197
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31KRONICK KALADA BERDY & CO., P.C.
Accountancy firm EIN2010-12-31232667890
2009 : THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC

2023: THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 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: THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 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: THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 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
2019: THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 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: THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 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: THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 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: THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 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
2010: THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: THE 401K PLAN AND TRUST OF PHYSICIAN'S ENDOSCOPY, LLC 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number717568
Policy instance 1
Insurance contract or identification number717568
Number of Individuals Covered0
Insurance policy start date2023-01-01
Insurance policy end date2023-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $5,657
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?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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number717568
Policy instance 1
Insurance contract or identification number717568
Number of Individuals Covered1079
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 $5,217
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?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
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees5217
Additional information about fees paid to insurance brokerREFERRAL/SERVICE FEE
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number717568
Policy instance 1
Insurance contract or identification number717568
Number of Individuals Covered983
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $5,317
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?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
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees5317
Additional information about fees paid to insurance brokerREFERRAL/SERVICE FEE
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number717568
Policy instance 1
Insurance contract or identification number717568
Number of Individuals Covered942
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $5,252
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?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
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees3842
Additional information about fees paid to insurance brokerREFERRAL/SERVICE FEE
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number717568
Policy instance 2
Insurance contract or identification number717568
Number of Individuals Covered897
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $3,763
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?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
Amount paid for insurance broker fees3763
Additional information about fees paid to insurance brokerREFERRAL/SERVICE FEE
Insurance broker organization code?3
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 Covered897
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $3,106
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?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
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees3106
Additional information about fees paid to insurance brokerREFERRAL/SERVICE FEE
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number717568
Policy instance 2
Insurance contract or identification number717568
Number of Individuals Covered828
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $14,484
Total amount of fees paid to insurance companyUSD $6,789
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?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
Commission paid to Insurance BrokerUSD $14,484
Insurance broker organization code?3
Amount paid for insurance broker fees4478
Additional information about fees paid to insurance brokerSERVICE 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 Covered828
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $9,377
Total amount of fees paid to insurance companyUSD $5,281
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?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
Commission paid to Insurance BrokerUSD $9,377
Insurance broker organization code?3
Amount paid for insurance broker fees3789
Additional information about fees paid to insurance brokerSERVICE FEE
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number717568
Policy instance 2
Insurance contract or identification number717568
Number of Individuals Covered779
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $21,830
Total amount of fees paid to insurance companyUSD $9,462
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?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
Commission paid to Insurance BrokerUSD $21,830
Insurance broker organization code?3
Amount paid for insurance broker fees5257
Additional information about fees paid to insurance brokerSERVICE FEE
Insurance broker nameMERRILL LYNCH PIERCE FENNER & SMITH
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 Covered779
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $7,475
Total amount of fees paid to insurance companyUSD $6,149
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?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
Commission paid to Insurance BrokerUSD $7,475
Insurance broker organization code?3
Amount paid for insurance broker fees3416
Additional information about fees paid to insurance brokerSERVICE FEE
Insurance broker nameMERRILL LYNCH PIERCE FENNER & SMITH
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B3-ZD00
Policy instance 1
Insurance contract or identification numberGAP-B3-ZD00
Number of Individuals Covered52
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $2,506
Total amount of fees paid to insurance companyUSD $0
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?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
Commission paid to Insurance BrokerUSD $2,506
Insurance broker organization code?3
Insurance broker nameMERRILL LYNCH, PIERCE, FENNER
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B3-ZD00
Policy instance 1
Insurance contract or identification numberGAP-B3-ZD00
Number of Individuals Covered50
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $2,503
Total amount of fees paid to insurance companyUSD $0
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?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
Commission paid to Insurance BrokerUSD $2,503
Insurance broker organization code?3
Insurance broker nameMERRILL LYNCH, PIERCE, FENNER
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number80217
Policy instance 1
Insurance contract or identification number80217
Number of Individuals Covered54
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $4,496
Total amount of fees paid to insurance companyUSD $0
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?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
Commission paid to Insurance BrokerUSD $4,496
Insurance broker organization code?3
Insurance broker nameMERRILL LYNCH, PIERCE, FENNER
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number80217
Policy instance 1
Insurance contract or identification number80217
Number of Individuals Covered54
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $4,081
Total amount of fees paid to insurance companyUSD $0
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?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
Commission paid to Insurance BrokerUSD $4,081
Insurance broker organization code?3
Insurance broker nameMERRILL LYNCH, PIERCE, FENNER
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number80217
Policy instance 1
Insurance contract or identification number80217
Number of Individuals Covered59
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $4,401
Total amount of fees paid to insurance companyUSD $0
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?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
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number80217
Policy instance 1
Insurance contract or identification number80217
Number of Individuals Covered64
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $4,891
Total amount of fees paid to insurance companyUSD $0
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?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
Commission paid to Insurance BrokerUSD $4,891
Insurance broker organization code?3
Insurance broker nameMERRILL LYNCH, PIERCE, FENNER

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