401k Plan data: DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN plan

DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN 401k Plan overview

Plan Name	DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN
Plan identification number	001

DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.
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.

401k Sponsoring company profile

DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP has sponsored the creation of one or more 401k plans.

Company Name: DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP

Employer identification number (EIN): 931276533

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01
001 2016-01-01
001 2015-01-01
001 2014-01-01 DOUGLAS NAVERSEN
001 2013-01-01 DOUGLAS NAVERSEN
001 2012-01-01 DOUGLAS NAVERSEN
001 2011-01-01 DOUGLAS NAVERSEN
001 2010-01-01 DOUGLAS NAVERSEN
001 2009-01-01 DOUGLAS NAVERSEN

Plan Statistics for DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN

401k plan membership statisitcs for DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN

Measure Date Value
2017: DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 49
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 38
Number of retired or separated participants receiving benefits 2017-01-01 27
Number of other retired or separated participants entitled to future benefits 2017-01-01 14
Total of all active and inactive participants 2017-01-01 79
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 79
Number of participants with account balances 2017-01-01 78
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 1
2016: DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 29
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 21
Number of retired or separated participants receiving benefits 2016-01-01 17
Number of other retired or separated participants entitled to future benefits 2016-01-01 11
Total of all active and inactive participants 2016-01-01 49
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 49
Number of participants with account balances 2016-01-01 49
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 5
2015: DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 30
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 25
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 4
Total of all active and inactive participants 2015-01-01 29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 29
Number of participants with account balances 2015-01-01 29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 2
2014: DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 31
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 26
Number of retired or separated participants receiving benefits 2014-01-01 1
Number of other retired or separated participants entitled to future benefits 2014-01-01 3
Total of all active and inactive participants 2014-01-01 30
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 30
Number of participants with account balances 2014-01-01 30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 2
2013: DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 30
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 27
Number of retired or separated participants receiving benefits 2013-01-01 2
Number of other retired or separated participants entitled to future benefits 2013-01-01 2
Total of all active and inactive participants 2013-01-01 31
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 31
Number of participants with account balances 2013-01-01 31
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 2
2012: DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 29
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 29
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 1
Total of all active and inactive participants 2012-01-01 30
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 30
Number of participants with account balances 2012-01-01 30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 1
2011: DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 30
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 24
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 5
Total of all active and inactive participants 2011-01-01 29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 29
Number of participants with account balances 2011-01-01 29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 1
2010: DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 30
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 27
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 3
Total of all active and inactive participants 2010-01-01 30
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 30
Number of participants with account balances 2010-01-01 30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 1
2009: DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 27
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 27
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 3
Total of all active and inactive participants 2009-01-01 30
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 30
Number of participants with account balances 2009-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 2

Measure	Date	Value
2017: DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	49
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	38
Number of retired or separated participants receiving benefits	2017-01-01	27
Number of other retired or separated participants entitled to future benefits	2017-01-01	14
Total of all active and inactive participants	2017-01-01	79
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	79
Number of participants with account balances	2017-01-01	78
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	1
2016: DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	29
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	21
Number of retired or separated participants receiving benefits	2016-01-01	17
Number of other retired or separated participants entitled to future benefits	2016-01-01	11
Total of all active and inactive participants	2016-01-01	49
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	49
Number of participants with account balances	2016-01-01	49
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	5
2015: DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	30
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	25
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	4
Total of all active and inactive participants	2015-01-01	29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	29
Number of participants with account balances	2015-01-01	29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	2
2014: DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	31
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	26
Number of retired or separated participants receiving benefits	2014-01-01	1
Number of other retired or separated participants entitled to future benefits	2014-01-01	3
Total of all active and inactive participants	2014-01-01	30
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	30
Number of participants with account balances	2014-01-01	30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	2
2013: DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	30
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	27
Number of retired or separated participants receiving benefits	2013-01-01	2
Number of other retired or separated participants entitled to future benefits	2013-01-01	2
Total of all active and inactive participants	2013-01-01	31
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	31
Number of participants with account balances	2013-01-01	31
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	2
2012: DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	29
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	29
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	1
Total of all active and inactive participants	2012-01-01	30
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	30
Number of participants with account balances	2012-01-01	30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	1
2011: DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	30
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	24
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	5
Total of all active and inactive participants	2011-01-01	29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	29
Number of participants with account balances	2011-01-01	29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	1
2010: DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	30
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	27
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	3
Total of all active and inactive participants	2010-01-01	30
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	30
Number of participants with account balances	2010-01-01	30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	1
2009: DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	27
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	27
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	3
Total of all active and inactive participants	2009-01-01	30
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	30
Number of participants with account balances	2009-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	2

Financial Data on DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN

Measure	Date	Value
2017 : DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN 2017 401k financial data
Total plan liabilities at end of year	2017-12-31	$0
Total plan liabilities at beginning of year	2017-12-31	$0
Total income from all sources	2017-12-31	$1,334,965
Expenses. Total of all expenses incurred	2017-12-31	$4,056,263
Benefits paid (including direct rollovers)	2017-12-31	$4,045,634
Total plan assets at end of year	2017-12-31	$6,715,081
Total plan assets at beginning of year	2017-12-31	$9,436,379
Value of fidelity bond covering the plan	2017-12-31	$900,000
Total contributions received or receivable from participants	2017-12-31	$207,902
Assets. Value of loans (other than to participants)	2017-12-31	$0
Expenses. Other expenses not covered elsewhere	2017-12-31	$7,769
Contributions received from other sources (not participants or employers)	2017-12-31	$210,238
Other income received	2017-12-31	$640,857
Net income (gross income less expenses)	2017-12-31	$-2,721,298
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$6,715,081
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$9,436,379
Assets. Value of real-estate (other than employer real property)	2017-12-31	$0
Total contributions received or receivable from employer(s)	2017-12-31	$275,968
Value of certain deemed distributions of participant loans	2017-12-31	$0
Value of corrective distributions	2017-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$2,860
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
2016 : DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN 2016 401k financial data
Total plan liabilities at end of year	2016-12-31	$0
Total plan liabilities at beginning of year	2016-12-31	$721
Total income from all sources	2016-12-31	$1,441,582
Expenses. Total of all expenses incurred	2016-12-31	$885,815
Benefits paid (including direct rollovers)	2016-12-31	$855,410
Total plan assets at end of year	2016-12-31	$9,436,379
Total plan assets at beginning of year	2016-12-31	$8,881,333
Value of fidelity bond covering the plan	2016-12-31	$5,490,000
Total contributions received or receivable from participants	2016-12-31	$153,416
Assets. Value of loans (other than to participants)	2016-12-31	$4,508,297
Expenses. Other expenses not covered elsewhere	2016-12-31	$30,405
Contributions received from other sources (not participants or employers)	2016-12-31	$63,155
Other income received	2016-12-31	$979,080
Net income (gross income less expenses)	2016-12-31	$555,767
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$9,436,379
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$8,880,612
Assets. Value of real-estate (other than employer real property)	2016-12-31	$140,750
Total contributions received or receivable from employer(s)	2016-12-31	$245,931
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
2015 : DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN 2015 401k financial data
Total plan liabilities at end of year	2015-12-31	$721
Total plan liabilities at beginning of year	2015-12-31	$6,276
Total income from all sources	2015-12-31	$713,972
Expenses. Total of all expenses incurred	2015-12-31	$7,999
Benefits paid (including direct rollovers)	2015-12-31	$7,596
Total plan assets at end of year	2015-12-31	$8,881,333
Total plan assets at beginning of year	2015-12-31	$8,180,915
Value of fidelity bond covering the plan	2015-12-31	$3,950,000
Total contributions received or receivable from participants	2015-12-31	$166,088
Assets. Value of loans (other than to participants)	2015-12-31	$4,963,556
Expenses. Other expenses not covered elsewhere	2015-12-31	$403
Other income received	2015-12-31	$303,927
Net income (gross income less expenses)	2015-12-31	$705,973
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$8,880,612
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$8,174,639
Assets. Value of real-estate (other than employer real property)	2015-12-31	$504,000
Total contributions received or receivable from employer(s)	2015-12-31	$243,957
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN 2014 401k financial data
Total plan liabilities at end of year	2014-12-31	$6,276
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$814,285
Expenses. Total of all expenses incurred	2014-12-31	$3,030
Benefits paid (including direct rollovers)	2014-12-31	$2,631
Total plan assets at end of year	2014-12-31	$8,180,915
Total plan assets at beginning of year	2014-12-31	$7,363,384
Value of fidelity bond covering the plan	2014-12-31	$3,950,000
Total contributions received or receivable from participants	2014-12-31	$138,441
Assets. Value of loans (other than to participants)	2014-12-31	$3,444,150
Other income received	2014-12-31	$443,173
Net income (gross income less expenses)	2014-12-31	$811,255
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$8,174,639
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$7,363,384
Assets. Value of real-estate (other than employer real property)	2014-12-31	$482,406
Total contributions received or receivable from employer(s)	2014-12-31	$232,671
Value of corrective distributions	2014-12-31	$399
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN 2013 401k financial data
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$1,129,796
Expenses. Total of all expenses incurred	2013-12-31	$67,399
Benefits paid (including direct rollovers)	2013-12-31	$66,722
Total plan assets at end of year	2013-12-31	$7,363,384
Total plan assets at beginning of year	2013-12-31	$6,300,987
Value of fidelity bond covering the plan	2013-12-31	$2,077,051
Total contributions received or receivable from participants	2013-12-31	$138,394
Assets. Value of loans (other than to participants)	2013-12-31	$2,712,883
Other income received	2013-12-31	$775,904
Net income (gross income less expenses)	2013-12-31	$1,062,397
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$7,363,384
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$6,300,987
Assets. Value of real-estate (other than employer real property)	2013-12-31	$458,167
Total contributions received or receivable from employer(s)	2013-12-31	$215,498
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$677
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN 2012 401k financial data
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$9,945
Total income from all sources	2012-12-31	$966,997
Expenses. Total of all expenses incurred	2012-12-31	$196,200
Benefits paid (including direct rollovers)	2012-12-31	$192,143
Total plan assets at end of year	2012-12-31	$6,300,987
Total plan assets at beginning of year	2012-12-31	$5,540,135
Value of fidelity bond covering the plan	2012-12-31	$1,230,000
Total contributions received or receivable from participants	2012-12-31	$135,831
Assets. Value of loans (other than to participants)	2012-12-31	$1,719,151
Expenses. Other expenses not covered elsewhere	2012-12-31	$282
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$623,850
Noncash contributions received	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$770,797
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$6,300,987
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$5,530,190
Assets. Value of real-estate (other than employer real property)	2012-12-31	$357,900
Total contributions received or receivable from employer(s)	2012-12-31	$207,316
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$3,775
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total plan liabilities at end of year	2011-12-31	$9,945
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$264,063
Expenses. Total of all expenses incurred	2011-12-31	$64,003
Benefits paid (including direct rollovers)	2011-12-31	$64,003
Total plan assets at end of year	2011-12-31	$5,540,135
Total plan assets at beginning of year	2011-12-31	$5,330,130
Value of fidelity bond covering the plan	2011-12-31	$720,000
Total contributions received or receivable from participants	2011-12-31	$135,720
Assets. Value of loans (other than to participants)	2011-12-31	$862,942
Expenses. Other expenses not covered elsewhere	2011-12-31	$0
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-74,168
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$200,060
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$5,530,190
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$5,330,130
Assets. Value of real-estate (other than employer real property)	2011-12-31	$357,900
Total contributions received or receivable from employer(s)	2011-12-31	$202,511
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$1,050,271
Expenses. Total of all expenses incurred	2010-12-31	$28,371
Benefits paid (including direct rollovers)	2010-12-31	$28,371
Total plan assets at end of year	2010-12-31	$5,330,130
Total plan assets at beginning of year	2010-12-31	$4,308,230
Value of fidelity bond covering the plan	2010-12-31	$720,000
Total contributions received or receivable from participants	2010-12-31	$137,281
Assets. Value of loans (other than to participants)	2010-12-31	$164,000
Expenses. Other expenses not covered elsewhere	2010-12-31	$0
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$701,774
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$1,021,900
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$5,330,130
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$4,308,230
Assets. Value of real-estate (other than employer real property)	2010-12-31	$523,000
Total contributions received or receivable from employer(s)	2010-12-31	$211,216
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0

Form 5500 Responses for DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN

2017: DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP 401K PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	DERMATOLOGY AND LASER ASSOC. OF MEDFORD, LLP
Employer identification number (EIN):	931276533
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Plan id#	Filing Submission Date	Name of Administrator
001	2022-01-01
001	2021-01-01
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01
001	2016-01-01
001	2015-01-01
001	2014-01-01	DOUGLAS NAVERSEN
001	2013-01-01	DOUGLAS NAVERSEN
001	2012-01-01	DOUGLAS NAVERSEN
001	2011-01-01	DOUGLAS NAVERSEN
001	2010-01-01	DOUGLAS NAVERSEN
001	2009-01-01	DOUGLAS NAVERSEN