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RETINA NORTHWEST, P.C. RETIREMENT PLAN AND TRUST 401k Plan overview

Plan NameRETINA NORTHWEST, P.C. RETIREMENT PLAN AND TRUST
Plan identification number 004

RETINA NORTHWEST, P.C. RETIREMENT PLAN AND TRUST 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.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

RETINA NORTHWEST, P.C. has sponsored the creation of one or more 401k plans.

Company Name:RETINA NORTHWEST, P.C.
Employer identification number (EIN):930727712
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RETINA NORTHWEST, P.C. RETIREMENT PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0042023-01-01
0042022-01-01
0042021-01-01
0042020-01-01
0042019-01-01
0042018-01-01MICHAEL S. LEE MD2019-08-23
0042017-01-01
0042016-01-01
0042015-01-01
0042014-01-01RICHARD F. DREYER MD2015-10-14
0042013-01-01RICHARD DREYER, M.D.2015-08-18
0042012-01-01RICHARD DREYER, M.D.2014-04-30
0042011-01-01RICHARD DREYER, M.D.2012-10-08
0042010-01-01PENSION PLANNERS NORTHWEST2011-10-05

Plan Statistics for RETINA NORTHWEST, P.C. RETIREMENT PLAN AND TRUST

401k plan membership statisitcs for RETINA NORTHWEST, P.C. RETIREMENT PLAN AND TRUST

Measure Date Value
2018: RETINA NORTHWEST, P.C. RETIREMENT PLAN AND TRUST 2018 401k membership
Total participants, beginning-of-year2018-01-01117
Total number of active participants reported on line 7a of the Form 55002018-01-0167
Number of retired or separated participants receiving benefits2018-01-015
Number of other retired or separated participants entitled to future benefits2018-01-0120
Total of all active and inactive participants2018-01-0192
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-011
Total participants2018-01-0193
Number of participants with account balances2018-01-0193
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: RETINA NORTHWEST, P.C. RETIREMENT PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-01121
Total number of active participants reported on line 7a of the Form 55002017-01-0168
Number of retired or separated participants receiving benefits2017-01-0113
Number of other retired or separated participants entitled to future benefits2017-01-0135
Total of all active and inactive participants2017-01-01116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01116
Number of participants with account balances2017-01-01116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010

Financial Data on RETINA NORTHWEST, P.C. RETIREMENT PLAN AND TRUST

Measure Date Value
2018 : RETINA NORTHWEST, P.C. RETIREMENT PLAN AND TRUST 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$70
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$224,107
Total loss/gain on sale of assets2018-12-31$65,421
Total of all expenses incurred2018-12-31$580,231
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$514,268
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$636,647
Value of total assets at end of year2018-12-31$9,323,838
Value of total assets at beginning of year2018-12-31$9,679,892
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$65,963
Total interest from all sources2018-12-31$25,800
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$284,430
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$54,484
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
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$258,641
Participant contributions at end of year2018-12-31$0
Participant contributions at beginning of year2018-12-31$24,000
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$28,568
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$1,975
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$1,596
Assets. Loans (other than to participants) at end of year2018-12-31$52,687
Assets. Loans (other than to participants) at beginning of year2018-12-31$78,068
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$70
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$0
Other income not declared elsewhere2018-12-31$862
Administrative expenses (other) incurred2018-12-31$3,452
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-356,124
Value of net assets at end of year (total assets less liabilities)2018-12-31$9,323,768
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$9,679,892
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
Assets. partnership/joint venture interests at end of year2018-12-31$0
Assets. partnership/joint venture interests at beginning of year2018-12-31$0
Investment advisory and management fees2018-12-31$8,027
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$5,527,326
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$5,209,750
Interest on participant loans2018-12-31$2,766
Income. Interest from US Government securities2018-12-31$8,713
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$1,115,596
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$1,029,814
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$1,029,814
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$14,321
Asset value of US Government securities at end of year2018-12-31$500,019
Asset value of US Government securities at beginning of year2018-12-31$330,419
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-789,053
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 contributions2018-12-31Yes
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$349,438
Employer contributions (assets) at end of year2018-12-31$343,147
Employer contributions (assets) at beginning of year2018-12-31$339,489
Income. Dividends from common stock2018-12-31$284,430
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$514,268
Asset. Corporate debt instrument debt (other) at end of year2018-12-31$80,444
Asset. Corporate debt instrument debt (other) at beginning of year2018-12-31$145,826
Assets. Corporate common stocks other than exployer securities at end of year2018-12-31$1,702,644
Assets. Corporate common stocks other than exployer securities at beginning of year2018-12-31$2,520,930
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
Aggregate proceeds on sale of assets2018-12-31$2,908,506
Aggregate carrying amount (costs) on sale of assets2018-12-31$2,843,085
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 name2018-12-31MOSS ADAMS LLP
Accountancy firm EIN2018-12-31910189318
2017 : RETINA NORTHWEST, P.C. RETIREMENT PLAN AND TRUST 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$793,368
Total unrealized appreciation/depreciation of assets2017-12-31$793,368
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$1,757,733
Total loss/gain on sale of assets2017-12-31$85,126
Total of all expenses incurred2017-12-31$307,251
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$246,183
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$592,468
Value of total assets at end of year2017-12-31$9,679,892
Value of total assets at beginning of year2017-12-31$8,229,410
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$61,068
Total interest from all sources2017-12-31$15,339
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$267,377
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$267,377
Administrative expenses professional fees incurred2017-12-31$50,773
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
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$233,814
Participant contributions at end of year2017-12-31$24,000
Participant contributions at beginning of year2017-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$19,165
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$1,596
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$2,092
Assets. Loans (other than to participants) at end of year2017-12-31$78,068
Assets. Loans (other than to participants) at beginning of year2017-12-31$37,061
Other income not declared elsewhere2017-12-31$4,055
Administrative expenses (other) incurred2017-12-31$3,404
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$1,450,482
Value of net assets at end of year (total assets less liabilities)2017-12-31$9,679,892
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$8,229,410
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
Assets. partnership/joint venture interests at end of year2017-12-31$0
Assets. partnership/joint venture interests at beginning of year2017-12-31$67,636
Investment advisory and management fees2017-12-31$6,891
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$5,209,750
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$3,822,158
Interest on participant loans2017-12-31$1,491
Income. Interest from corporate debt instruments2017-12-31$9,861
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$1,029,814
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$1,708,579
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$1,708,579
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$3,987
Asset value of US Government securities at end of year2017-12-31$330,419
Asset value of US Government securities at beginning of year2017-12-31$157,338
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$339,489
Employer contributions (assets) at end of year2017-12-31$339,489
Employer contributions (assets) at beginning of year2017-12-31$181,888
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$246,183
Asset. Corporate debt instrument debt (other) at end of year2017-12-31$145,826
Asset. Corporate debt instrument debt (other) at beginning of year2017-12-31$136,376
Assets. Corporate common stocks other than exployer securities at end of year2017-12-31$2,520,930
Assets. Corporate common stocks other than exployer securities at beginning of year2017-12-31$2,116,282
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
Aggregate proceeds on sale of assets2017-12-31$1,761,295
Aggregate carrying amount (costs) on sale of assets2017-12-31$1,676,169
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 name2017-12-31MOSS ADAMS LLP
Accountancy firm EIN2017-12-31910189318

Form 5500 Responses for RETINA NORTHWEST, P.C. RETIREMENT PLAN AND TRUST

2018: RETINA NORTHWEST, P.C. RETIREMENT PLAN AND TRUST 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 – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: RETINA NORTHWEST, P.C. RETIREMENT PLAN AND TRUST 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 – TrustYes
2017-01-01Plan benefit arrangement - TrustYes

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