401k Plan data: EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) PLAN plan

EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) PLAN 401k Plan overview

Plan Name	EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) PLAN
Plan identification number	002

EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) 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
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of 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.
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

EAR NOSE THROAT OF NEW JERSEY, P.A. has sponsored the creation of one or more 401k plans.

Company Name: EAR NOSE THROAT OF NEW JERSEY, P.A.

Employer identification number (EIN): 010725131

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01 WAYNE FOSTER 2023-07-13 WAYNE FOSTER 2023-07-13
002 2021-01-01 WAYNE FOSTER 2022-07-05 WAYNE FOSTER 2022-07-05
002 2020-01-01 WAYNE FOSTER 2021-09-30 WAYNE FOSTER 2021-09-30
002 2019-01-01 WAYNE FOSTER 2020-04-14 WAYNE FOSTER 2020-04-14
002 2018-01-01 WAYNE FOSTER 2019-09-09 WAYNE FOSTER 2019-09-09
002 2017-01-01
002 2016-01-01

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2022-01-01	WAYNE FOSTER	2023-07-13	WAYNE FOSTER	2023-07-13
002	2021-01-01	WAYNE FOSTER	2022-07-05	WAYNE FOSTER	2022-07-05
002	2020-01-01	WAYNE FOSTER	2021-09-30	WAYNE FOSTER	2021-09-30
002	2019-01-01	WAYNE FOSTER	2020-04-14	WAYNE FOSTER	2020-04-14
002	2018-01-01	WAYNE FOSTER	2019-09-09	WAYNE FOSTER	2019-09-09
002	2017-01-01
002	2016-01-01

Plan Statistics for EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) PLAN

401k plan membership statisitcs for EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) PLAN

Measure Date Value
2022: EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 7
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 2
Total of all active and inactive participants 2022-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 9
Number of participants with account balances 2022-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 1
2021: EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 6
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 3
Total of all active and inactive participants 2021-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 9
Number of participants with account balances 2021-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 1
2020: EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 6
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 4
Total of all active and inactive participants 2020-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 10
Number of participants with account balances 2020-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 1
2019: EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 9
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 1
Total of all active and inactive participants 2019-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 10
Number of participants with account balances 2019-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 7
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 2
Total of all active and inactive participants 2018-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 9
Number of participants with account balances 2018-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 1
2017: EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 7
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 3
Total of all active and inactive participants 2017-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 10
Number of participants with account balances 2017-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 7
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 2
Total of all active and inactive participants 2016-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 9
Number of participants with account balances 2016-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0

Measure	Date	Value
2022: EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	7
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	2
Total of all active and inactive participants	2022-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	9
Number of participants with account balances	2022-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	1
2021: EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	6
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	3
Total of all active and inactive participants	2021-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	9
Number of participants with account balances	2021-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	1
2020: EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	6
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	4
Total of all active and inactive participants	2020-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	10
Number of participants with account balances	2020-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	1
2019: EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	9
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	1
Total of all active and inactive participants	2019-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	10
Number of participants with account balances	2019-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	7
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	2
Total of all active and inactive participants	2018-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	9
Number of participants with account balances	2018-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	1
2017: EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	7
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	3
Total of all active and inactive participants	2017-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	10
Number of participants with account balances	2017-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	7
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	2
Total of all active and inactive participants	2016-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	9
Number of participants with account balances	2016-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0

Financial Data on EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) PLAN

Measure	Date	Value
2022 : EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) PLAN 2022 401k financial data
Transfers to/from the plan	2022-12-31	$0
Total plan liabilities at end of year	2022-12-31	$0
Total plan liabilities at beginning of year	2022-12-31	$0
Total income from all sources	2022-12-31	$-43,879
Expenses. Total of all expenses incurred	2022-12-31	$75,662
Benefits paid (including direct rollovers)	2022-12-31	$70,328
Total plan assets at end of year	2022-12-31	$950,743
Total plan assets at beginning of year	2022-12-31	$1,070,284
Value of fidelity bond covering the plan	2022-12-31	$100,000
Total contributions received or receivable from participants	2022-12-31	$61,811
Expenses. Other expenses not covered elsewhere	2022-12-31	$5,334
Contributions received from other sources (not participants or employers)	2022-12-31	$0
Other income received	2022-12-31	$-197,237
Noncash contributions received	2022-12-31	$0
Net income (gross income less expenses)	2022-12-31	$-119,541
Net plan assets at end of year (total assets less liabilities)	2022-12-31	$950,743
Net plan assets at beginning of year (total assets less liabilities)	2022-12-31	$1,070,284
Assets. Value of participant loans	2022-12-31	$12,724
Total contributions received or receivable from employer(s)	2022-12-31	$91,547
Value of certain deemed distributions of participant loans	2022-12-31	$0
Value of corrective distributions	2022-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2022-12-31	$0
2021 : EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) PLAN 2021 401k financial data
Transfers to/from the plan	2021-12-31	$0
Total plan liabilities at end of year	2021-12-31	$0
Total plan liabilities at beginning of year	2021-12-31	$0
Total income from all sources	2021-12-31	$239,042
Expenses. Total of all expenses incurred	2021-12-31	$75,280
Benefits paid (including direct rollovers)	2021-12-31	$71,052
Total plan assets at end of year	2021-12-31	$1,070,284
Total plan assets at beginning of year	2021-12-31	$906,522
Value of fidelity bond covering the plan	2021-12-31	$40,000
Total contributions received or receivable from participants	2021-12-31	$41,691
Expenses. Other expenses not covered elsewhere	2021-12-31	$4,228
Contributions received from other sources (not participants or employers)	2021-12-31	$0
Other income received	2021-12-31	$129,067
Noncash contributions received	2021-12-31	$0
Net income (gross income less expenses)	2021-12-31	$163,762
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$1,070,284
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$906,522
Assets. Value of participant loans	2021-12-31	$0
Total contributions received or receivable from employer(s)	2021-12-31	$68,284
Value of certain deemed distributions of participant loans	2021-12-31	$0
Value of corrective distributions	2021-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
2020 : EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) PLAN 2020 401k financial data
Total income from all sources	2020-12-31	$195,185
Expenses. Total of all expenses incurred	2020-12-31	$0
Benefits paid (including direct rollovers)	2020-12-31	$0
Total plan assets at end of year	2020-12-31	$906,522
Total plan assets at beginning of year	2020-12-31	$711,337
Value of fidelity bond covering the plan	2020-12-31	$40,000
Total contributions received or receivable from participants	2020-12-31	$51,937
Expenses. Other expenses not covered elsewhere	2020-12-31	$0
Contributions received from other sources (not participants or employers)	2020-12-31	$0
Other income received	2020-12-31	$85,085
Net income (gross income less expenses)	2020-12-31	$195,185
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$906,522
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$711,337
Assets. Value of participant loans	2020-12-31	$1,005
Total contributions received or receivable from employer(s)	2020-12-31	$58,163
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
2019 : EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) PLAN 2019 401k financial data
Total income from all sources	2019-12-31	$233,354
Expenses. Total of all expenses incurred	2019-12-31	$822
Benefits paid (including direct rollovers)	2019-12-31	$822
Total plan assets at end of year	2019-12-31	$711,337
Total plan assets at beginning of year	2019-12-31	$478,805
Value of fidelity bond covering the plan	2019-12-31	$40,000
Total contributions received or receivable from participants	2019-12-31	$57,584
Expenses. Other expenses not covered elsewhere	2019-12-31	$0
Contributions received from other sources (not participants or employers)	2019-12-31	$0
Other income received	2019-12-31	$111,770
Net income (gross income less expenses)	2019-12-31	$232,532
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$711,337
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$478,805
Assets. Value of participant loans	2019-12-31	$10,910
Total contributions received or receivable from employer(s)	2019-12-31	$64,000
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
2018 : EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$96,773
Expenses. Total of all expenses incurred	2018-12-31	$5,176
Benefits paid (including direct rollovers)	2018-12-31	$2,906
Total plan assets at end of year	2018-12-31	$478,805
Total plan assets at beginning of year	2018-12-31	$387,208
Value of fidelity bond covering the plan	2018-12-31	$40,000
Total contributions received or receivable from participants	2018-12-31	$55,736
Assets. Value of loans (other than to participants)	2018-12-31	$20,427
Expenses. Other expenses not covered elsewhere	2018-12-31	$0
Contributions received from other sources (not participants or employers)	2018-12-31	$0
Other income received	2018-12-31	$-54,493
Net income (gross income less expenses)	2018-12-31	$91,597
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$478,805
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$387,208
Total contributions received or receivable from employer(s)	2018-12-31	$95,530
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$2,270
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
2017 : EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$167,417
Expenses. Total of all expenses incurred	2017-12-31	$0
Total plan assets at end of year	2017-12-31	$387,208
Total plan assets at beginning of year	2017-12-31	$219,791
Value of fidelity bond covering the plan	2017-12-31	$40,000
Total contributions received or receivable from participants	2017-12-31	$51,706
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	$21,571
Net income (gross income less expenses)	2017-12-31	$167,417
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$387,208
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$219,791
Assets. Value of participant loans	2017-12-31	$33,652
Total contributions received or receivable from employer(s)	2017-12-31	$94,140
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
2016 : EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) PLAN 2016 401k financial data
Total plan liabilities at beginning of year	2016-12-31	$0
Total income from all sources	2016-12-31	$65,697
Expenses. Total of all expenses incurred	2016-12-31	$71,733
Benefits paid (including direct rollovers)	2016-12-31	$71,733
Total plan assets at end of year	2016-12-31	$219,791
Total plan assets at beginning of year	2016-12-31	$225,827
Value of fidelity bond covering the plan	2016-12-31	$40,000
Total contributions received or receivable from participants	2016-12-31	$19,538
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	$23,296
Net income (gross income less expenses)	2016-12-31	$-6,036
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$219,791
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$225,827
Assets. Value of participant loans	2016-12-31	$45,718
Total contributions received or receivable from employer(s)	2016-12-31	$22,863
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0

Form 5500 Responses for EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) PLAN

2022: EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) 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 – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) 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 – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) 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 – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) 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 – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) 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 – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) 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 – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: EAR NOSE THROAT OF NEW JERSEY, P.A. 401(K) 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 – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

PHS355

Policy instance

Insurance contract or identification number	PHS355
Number of Individuals Covered	10
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $3,598
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	3598
Insurance broker organization code?	3

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

157410

Policy instance

Insurance contract or identification number	157410
Number of Individuals Covered	6
Insurance policy start date	2022-10-06
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $1,677
Are there contracts with allocated funds for types other than group deferred annuity or individual?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Other information about contract	GROUP PENSION FUNDING
Amount paid for insurance broker fees	1677
Insurance broker organization code?	5

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

PHS355

Policy instance

Insurance contract or identification number	PHS355
Number of Individuals Covered	9
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $4,110
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $548
Insurance broker organization code?	3

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

PHS355

Policy instance

Insurance contract or identification number	PHS355
Number of Individuals Covered	9
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $2,358
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,358
Insurance broker organization code?	3

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

PHS355

Policy instance

Insurance contract or identification number	PHS355
Number of Individuals Covered	7
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $2,525
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,525
Insurance broker organization code?	3

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

PHS355

Policy instance

Insurance contract or identification number	PHS355
Number of Individuals Covered	6
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $748
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $748
Insurance broker organization code?	3
Insurance broker name	LINCOLN INVESTMENT PLANNING INC

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Company Name:	EAR NOSE THROAT OF NEW JERSEY, P.A.
Employer identification number (EIN):	010725131
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)