401k Plan data: MARDI R. KARIN, M.D. & ROM R. KARIN, M.D. RETIREMENT PLAN plan

MARDI R. KARIN, M.D. & ROM R. KARIN, M.D. RETIREMENT PLAN 401k Plan overview

Plan Name	MARDI R. KARIN, M.D. & ROM R. KARIN, M.D. RETIREMENT PLAN
Plan identification number	003

MARDI R. KARIN, M.D. & ROM R. KARIN, M.D. RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
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.
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

ROM R. KARIN, M.D. has sponsored the creation of one or more 401k plans.

Company Name: ROM R. KARIN, M.D.

Employer identification number (EIN): 931026749

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MARDI R. KARIN, M.D. & ROM R. KARIN, M.D. RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2021-01-01 ROM KARIN 2021-07-27 ROM KARIN 2021-07-27
003 2020-01-01 ROM KARIN 2021-07-27 ROM KARIN 2021-07-27
003 2019-01-01 ROM R KARIN 2020-10-09 ROM R KARIN 2020-10-09
003 2018-01-01
003 2017-01-01 ROM KARIN 2018-10-12 ROM KARIN 2018-10-12
003 2016-01-01 ROM KARIN 2017-07-28 ROM KARIN 2017-07-28
003 2015-01-01 ROM KARIN 2016-07-12 ROM KARIN 2016-07-12
003 2014-01-01 ROM KARIN 2015-10-14 ROM KARIN 2015-10-14
003 2013-01-01 ROM KARIN 2014-09-30 ROM KARIN 2014-09-30
003 2012-01-01 ROM KARIN 2013-09-27 ROM KARIN 2013-09-27
003 2011-01-01 ROM KARIN 2012-07-16 ROM KARIN 2012-07-16
003 2010-01-01 ROM KARIN 2011-05-23 ROM KARIN 2011-05-23

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
003	2021-01-01	ROM KARIN	2021-07-27	ROM KARIN	2021-07-27
003	2020-01-01	ROM KARIN	2021-07-27	ROM KARIN	2021-07-27
003	2019-01-01	ROM R KARIN	2020-10-09	ROM R KARIN	2020-10-09
003	2018-01-01
003	2017-01-01	ROM KARIN	2018-10-12	ROM KARIN	2018-10-12
003	2016-01-01	ROM KARIN	2017-07-28	ROM KARIN	2017-07-28
003	2015-01-01	ROM KARIN	2016-07-12	ROM KARIN	2016-07-12
003	2014-01-01	ROM KARIN	2015-10-14	ROM KARIN	2015-10-14
003	2013-01-01	ROM KARIN	2014-09-30	ROM KARIN	2014-09-30
003	2012-01-01	ROM KARIN	2013-09-27	ROM KARIN	2013-09-27
003	2011-01-01	ROM KARIN	2012-07-16	ROM KARIN	2012-07-16
003	2010-01-01	ROM KARIN	2011-05-23	ROM KARIN	2011-05-23

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Company Name:	ROM R. KARIN, M.D.
Employer identification number (EIN):	931026749
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)