401k Plan data: DOMINIC K. HO PROFIT SHARING PLAN plan

DOMINIC K. HO PROFIT SHARING PLAN 401k Plan overview

Plan Name	DOMINIC K. HO PROFIT SHARING PLAN
Plan identification number	002

DOMINIC K. HO PROFIT SHARING PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing 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

DOMINIC K. HO has sponsored the creation of one or more 401k plans.

Company Name: DOMINIC K. HO

Employer identification number (EIN): 943039208

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DOMINIC K. HO PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2023-01-01
002 2023-01-01 DOMINIC HO
002 2022-01-01
002 2022-01-01 DOMINIC HO
002 2021-01-01
002 2021-01-01 DOMINIC HO
002 2020-01-01
002 2020-01-01
002 2019-01-01
002 2018-01-01
002 2018-01-01
002 2017-01-01
002 2017-01-01
002 2016-01-01
002 2016-01-01 DOMINIC HO 2018-12-05
002 2015-01-01 DOMINIC HO
002 2014-01-01 DOMINIC HO
002 2013-01-01 WEI GUO YU
002 2012-01-01 WEI GUO YU
002 2011-01-01 WEI GUO YU
002 2009-01-01 WEI GUO YU

Financial Data on DOMINIC K. HO PROFIT SHARING PLAN

Measure	Date	Value
2025 : DOMINIC K. HO PROFIT SHARING PLAN 2025 401k financial data
Total expenses incurred by plan in this plan year	2025-07-28	39998
Net assets as of the end of the plan year	2025-07-28	1156653
Total assets as of the beginning of the plan year	2025-07-28	1196651
Other expenses paid from plan in this plan year	2025-07-28	39998
Plan net income in this plan year	2025-07-28	-39998
Net assets as of the end of the plan year	2025-07-28	1156653
Net assets as of the beginning of the plan year	2025-07-28	1196651
2023 : DOMINIC K. HO PROFIT SHARING PLAN 2023 401k financial data
Transfers to/from the plan	2023-12-31	$-1,196,651
Total income from all sources	2023-12-31	$26,744
Expenses. Total of all expenses incurred	2023-12-31	$0
Total plan assets at end of year	2023-12-31	$0
Total plan assets at beginning of year	2023-12-31	$1,169,907
Other income received	2023-12-31	$26,744
Net income (gross income less expenses)	2023-12-31	$26,744
Net plan assets at end of year (total assets less liabilities)	2023-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2023-12-31	$1,169,907
2022 : DOMINIC K. HO PROFIT SHARING PLAN 2022 401k financial data
Total income from all sources	2022-12-31	$-11,085
Expenses. Total of all expenses incurred	2022-12-31	$15,787
Benefits paid (including direct rollovers)	2022-12-31	$15,787
Total plan assets at end of year	2022-12-31	$1,169,907
Total plan assets at beginning of year	2022-12-31	$1,196,779
Other income received	2022-12-31	$-14,493
Net income (gross income less expenses)	2022-12-31	$-26,872
Net plan assets at end of year (total assets less liabilities)	2022-12-31	$1,169,907
Net plan assets at beginning of year (total assets less liabilities)	2022-12-31	$1,196,779
Total contributions received or receivable from employer(s)	2022-12-31	$3,408
2021 : DOMINIC K. HO PROFIT SHARING PLAN 2021 401k financial data
Total income from all sources	2021-12-31	$55,540
Expenses. Total of all expenses incurred	2021-12-31	$15,000
Benefits paid (including direct rollovers)	2021-12-31	$15,000
Total plan assets at end of year	2021-12-31	$1,196,779
Total plan assets at beginning of year	2021-12-31	$1,156,239
Other income received	2021-12-31	$52,240
Net income (gross income less expenses)	2021-12-31	$40,540
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$1,196,779
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$1,156,239
Total contributions received or receivable from employer(s)	2021-12-31	$3,300
2020 : DOMINIC K. HO PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources	2020-12-31	$12,254
Expenses. Total of all expenses incurred	2020-12-31	$48,352
Benefits paid (including direct rollovers)	2020-12-31	$48,352
Total plan assets at end of year	2020-12-31	$1,156,239
Total plan assets at beginning of year	2020-12-31	$1,192,337
Other income received	2020-12-31	$9,278
Net income (gross income less expenses)	2020-12-31	$-36,098
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$1,156,239
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$1,192,337
Total contributions received or receivable from employer(s)	2020-12-31	$2,976
2019 : DOMINIC K. HO PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources	2019-12-31	$31,644
Expenses. Total of all expenses incurred	2019-12-31	$59,171
Benefits paid (including direct rollovers)	2019-12-31	$59,171
Total plan assets at end of year	2019-12-31	$1,192,337
Total plan assets at beginning of year	2019-12-31	$1,219,864
Other income received	2019-12-31	$28,788
Net income (gross income less expenses)	2019-12-31	$-27,527
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$1,192,337
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$1,219,864
Total contributions received or receivable from employer(s)	2019-12-31	$2,856
2018 : DOMINIC K. HO PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$2,616
Expenses. Total of all expenses incurred	2018-12-31	$197,343
Total plan assets at end of year	2018-12-31	$1,219,864
Total plan assets at beginning of year	2018-12-31	$1,414,591
Expenses. Other expenses not covered elsewhere	2018-12-31	$197,343
Net income (gross income less expenses)	2018-12-31	$-194,727
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$1,219,864
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$1,414,591
Total contributions received or receivable from employer(s)	2018-12-31	$2,616
2017 : DOMINIC K. HO PROFIT SHARING PLAN 2017 401k financial data
Transfers to/from the plan	2017-12-31	$0
Total plan liabilities at beginning of year	2017-12-31	$0
Total income from all sources	2017-12-31	$205,908
Expenses. Total of all expenses incurred	2017-12-31	$0
Benefits paid (including direct rollovers)	2017-12-31	$0
Total plan assets at end of year	2017-12-31	$1,414,591
Total plan assets at beginning of year	2017-12-31	$1,208,683
Total contributions received or receivable from participants	2017-12-31	$0
Expenses. Other expenses not covered elsewhere	2017-12-31	$0
Contributions received from other sources (not participants or employers)	2017-12-31	$0
Other income received	2017-12-31	$163,292
Noncash contributions received	2017-12-31	$0
Net income (gross income less expenses)	2017-12-31	$205,908
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$1,414,591
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$1,208,683
Total contributions received or receivable from employer(s)	2017-12-31	$42,616
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	$0
2016 : DOMINIC K. HO PROFIT SHARING 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	$0
Total income from all sources	2016-12-31	$123,011
Expenses. Total of all expenses incurred	2016-12-31	$0
Benefits paid (including direct rollovers)	2016-12-31	$0
Total plan assets at end of year	2016-12-31	$1,217,068
Total plan assets at beginning of year	2016-12-31	$1,094,057
Total contributions received or receivable from participants	2016-12-31	$0
Expenses. Other expenses not covered elsewhere	2016-12-31	$0
Contributions received from other sources (not participants or employers)	2016-12-31	$0
Other income received	2016-12-31	$80,515
Noncash contributions received	2016-12-31	$0
Net income (gross income less expenses)	2016-12-31	$123,011
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$1,217,068
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$1,094,057
Total contributions received or receivable from employer(s)	2016-12-31	$42,496
Value of certain deemed distributions of participant loans	2016-12-31	$0
Value of corrective distributions	2016-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$0
2015 : DOMINIC K. HO PROFIT SHARING PLAN 2015 401k financial data
Transfers to/from the plan	2015-12-31	$0
Total plan liabilities at end of year	2015-12-31	$0
Total plan liabilities at beginning of year	2015-12-31	$0
Total income from all sources	2015-12-31	$-17,677
Expenses. Total of all expenses incurred	2015-12-31	$0
Benefits paid (including direct rollovers)	2015-12-31	$0
Total plan assets at end of year	2015-12-31	$1,094,057
Total plan assets at beginning of year	2015-12-31	$1,111,734
Total contributions received or receivable from participants	2015-12-31	$0
Expenses. Other expenses not covered elsewhere	2015-12-31	$0
Contributions received from other sources (not participants or employers)	2015-12-31	$0
Other income received	2015-12-31	$-60,370
Noncash contributions received	2015-12-31	$0
Net income (gross income less expenses)	2015-12-31	$-17,677
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,094,057
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,111,734
Total contributions received or receivable from employer(s)	2015-12-31	$42,693
Value of certain deemed distributions of participant loans	2015-12-31	$0
Value of corrective distributions	2015-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$0
2014 : DOMINIC K. HO PROFIT SHARING PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
Total plan liabilities at end of year	2014-12-31	$0
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$62,973
Expenses. Total of all expenses incurred	2014-12-31	$0
Benefits paid (including direct rollovers)	2014-12-31	$0
Total plan assets at end of year	2014-12-31	$1,111,734
Total plan assets at beginning of year	2014-12-31	$1,048,761
Total contributions received or receivable from participants	2014-12-31	$0
Expenses. Other expenses not covered elsewhere	2014-12-31	$0
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$24,094
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$62,973
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,111,734
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,048,761
Total contributions received or receivable from employer(s)	2014-12-31	$38,879
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$0
2013 : DOMINIC K. HO PROFIT SHARING PLAN 2013 401k financial data
Total plan liabilities at end of year	2013-12-31	$0
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$120,354
Expenses. Total of all expenses incurred	2013-12-31	$0
Benefits paid (including direct rollovers)	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$1,039,766
Total plan assets at beginning of year	2013-12-31	$919,412
Total contributions received or receivable from participants	2013-12-31	$0
Expenses. Other expenses not covered elsewhere	2013-12-31	$0
Other income received	2013-12-31	$98,428
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$120,354
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,039,766
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$919,412
Total contributions received or receivable from employer(s)	2013-12-31	$21,926
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$0
2012 : DOMINIC K. HO PROFIT SHARING PLAN 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$0
Expenses. Total of all expenses incurred	2012-12-31	$0
Benefits paid (including direct rollovers)	2012-12-31	$0
Total plan assets at end of year	2012-12-31	$865,737
Total plan assets at beginning of year	2012-12-31	$865,737
Total contributions received or receivable from participants	2012-12-31	$0
Expenses. Other expenses not covered elsewhere	2012-12-31	$0
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$0
Noncash contributions received	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$0
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$865,737
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$865,737
Total contributions received or receivable from employer(s)	2012-12-31	$0
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	$0
2011 : DOMINIC K. HO PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$26,955
Expenses. Total of all expenses incurred	2011-12-31	$0
Benefits paid (including direct rollovers)	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$865,737
Total plan assets at beginning of year	2011-12-31	$838,782
Total contributions received or receivable from participants	2011-12-31	$0
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	$3,110
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$26,955
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$865,737
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$838,782
Total contributions received or receivable from employer(s)	2011-12-31	$23,845
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$0
2010 : DOMINIC K. HO PROFIT SHARING 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	$20,984
Expenses. Total of all expenses incurred	2010-12-31	$0
Benefits paid (including direct rollovers)	2010-12-31	$0
Total plan assets at end of year	2010-12-31	$838,782
Total plan assets at beginning of year	2010-12-31	$817,798
Total contributions received or receivable from participants	2010-12-31	$0
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	$13,608
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$20,984
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$838,782
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$817,798
Total contributions received or receivable from employer(s)	2010-12-31	$7,376
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

Form 5500 Responses for DOMINIC K. HO PROFIT SHARING PLAN

2023: DOMINIC K. HO PROFIT SHARING PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Submission has been amended	No
2023-01-01	This submission is the final filing	Yes
2023-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2023-01-01	Plan is a collectively bargained plan	No
2023-01-01	Plan funding arrangement – Trust	Yes
2023-01-01	Plan benefit arrangement - Trust	Yes
2022: DOMINIC K. HO PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: DOMINIC K. HO PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: DOMINIC K. HO PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: DOMINIC K. HO PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: DOMINIC K. HO PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: DOMINIC K. HO PROFIT SHARING 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: DOMINIC K. HO PROFIT SHARING 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: DOMINIC K. HO PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: DOMINIC K. HO PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: DOMINIC K. HO PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	Yes
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: DOMINIC K. HO PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: DOMINIC K. HO PROFIT SHARING 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
2009: DOMINIC K. HO PROFIT SHARING 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

Insurance Providers Used on plan

ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )

Policy contract number

Policy instance

Number of Individuals Covered	2
Insurance policy start date	1992-01-01
Insurance policy end date	2023-12-31
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

AMERICAN NATIONAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60739 )

Policy contract number

Policy instance

Number of Individuals Covered	1
Insurance policy start date	2019-10-25
Insurance policy end date	2023-12-31
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )

Policy contract number

Policy instance

Number of Individuals Covered	2
Insurance policy start date	1992-01-01
Insurance policy end date	2022-12-31
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

AMERICAN NATIONAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60739 )

Policy contract number

Policy instance

Number of Individuals Covered	1
Insurance policy start date	2019-10-25
Insurance policy end date	2022-12-31
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )

Policy contract number

Policy instance

ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )

Policy contract number

Policy instance

ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )

Policy contract number

Policy instance

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Company Name:	DOMINIC K. HO
Employer identification number (EIN):	943039208
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2023-01-01
002	2023-01-01	DOMINIC HO
002	2022-01-01
002	2022-01-01	DOMINIC HO
002	2021-01-01
002	2021-01-01	DOMINIC HO
002	2020-01-01
002	2020-01-01
002	2019-01-01
002	2018-01-01
002	2018-01-01
002	2017-01-01
002	2017-01-01
002	2016-01-01
002	2016-01-01	DOMINIC HO	2018-12-05
002	2015-01-01	DOMINIC HO
002	2014-01-01	DOMINIC HO
002	2013-01-01	WEI GUO YU
002	2012-01-01	WEI GUO YU
002	2011-01-01	WEI GUO YU
002	2009-01-01	WEI GUO YU