401k Plan data: PEDIATRIC ASSOCIATES OF GREATER SALEM, INC. 401(K) PROFIT SHARING PLAN plan

PEDIATRIC ASSOCIATES OF GREATER SALEM, INC. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	PEDIATRIC ASSOCIATES OF GREATER SALEM, INC. 401(K) PROFIT SHARING PLAN
Plan identification number	001

PEDIATRIC ASSOCIATES OF GREATER SALEM, INC. 401(K) PROFIT SHARING 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.
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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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

PEDIATRIC ASSOCIATES OF GREATER SALEM, INC. has sponsored the creation of one or more 401k plans.

Company Name: PEDIATRIC ASSOCIATES OF GREATER SALEM, INC.

Employer identification number (EIN): 042740173

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PEDIATRIC ASSOCIATES OF GREATER SALEM, INC. 401(K) PROFIT SHARING 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 MARK MCKENNA 2022-07-27
001 2020-01-01 MARK MCKENNA 2021-07-01
001 2019-01-01 MARK MCKENNA 2020-07-06
001 2018-01-01 MARK MCKENNA 2019-07-26
001 2017-01-01 MARK MCKENNA 2018-07-16
001 2016-01-01 MARK MCKENNA 2017-09-29
001 2015-01-01 MARK MCKENNA 2016-09-08 MARK MCKENNA 2016-09-08
001 2014-01-01 MARK MCKENNA
001 2013-01-01 MARK MCKENNA MARK MCKENNA 2014-10-14
001 2012-01-01 MARK MCKENNA
001 2011-01-01 MARK MCKENNA
001 2010-01-01 MARK MCKENNA 2011-06-24 MARK MCKENNA 2011-06-24

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	MARK MCKENNA	2022-07-27
001	2020-01-01	MARK MCKENNA	2021-07-01
001	2019-01-01	MARK MCKENNA	2020-07-06
001	2018-01-01	MARK MCKENNA	2019-07-26
001	2017-01-01	MARK MCKENNA	2018-07-16
001	2016-01-01	MARK MCKENNA	2017-09-29
001	2015-01-01	MARK MCKENNA	2016-09-08	MARK MCKENNA	2016-09-08
001	2014-01-01	MARK MCKENNA
001	2013-01-01	MARK MCKENNA		MARK MCKENNA	2014-10-14
001	2012-01-01	MARK MCKENNA
001	2011-01-01	MARK MCKENNA
001	2010-01-01	MARK MCKENNA	2011-06-24	MARK MCKENNA	2011-06-24

Plan Statistics for PEDIATRIC ASSOCIATES OF GREATER SALEM, INC. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for PEDIATRIC ASSOCIATES OF GREATER SALEM, INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2022: PEDIATRIC ASSOCIATES OF GREATER SALEM, INC. 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 123
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 88
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 28
Total of all active and inactive participants 2022-01-01 116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 116
Number of participants with account balances 2022-01-01 110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 27
2014: PEDIATRIC ASSOCIATES OF GREATER SALEM, INC. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 67
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 52
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 21
Total of all active and inactive participants 2014-01-01 73
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 73
Number of participants with account balances 2014-01-01 71
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 1
2013: PEDIATRIC ASSOCIATES OF GREATER SALEM, INC. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 67
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 50
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 17
Total of all active and inactive participants 2013-01-01 67
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 67
Number of participants with account balances 2013-01-01 67
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: PEDIATRIC ASSOCIATES OF GREATER SALEM, INC. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 61
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 52
Number of retired or separated participants receiving benefits 2012-01-01 1
Number of other retired or separated participants entitled to future benefits 2012-01-01 13
Total of all active and inactive participants 2012-01-01 66
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 66
Number of participants with account balances 2012-01-01 62
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 3
2011: PEDIATRIC ASSOCIATES OF GREATER SALEM, INC. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 62
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 51
Number of retired or separated participants receiving benefits 2011-01-01 1
Number of other retired or separated participants entitled to future benefits 2011-01-01 12
Total of all active and inactive participants 2011-01-01 64
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 64
Number of participants with account balances 2011-01-01 63
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2022: PEDIATRIC ASSOCIATES OF GREATER SALEM, INC. 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	123
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	88
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	28
Total of all active and inactive participants	2022-01-01	116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	116
Number of participants with account balances	2022-01-01	110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	27
2014: PEDIATRIC ASSOCIATES OF GREATER SALEM, INC. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	67
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	52
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	21
Total of all active and inactive participants	2014-01-01	73
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	73
Number of participants with account balances	2014-01-01	71
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	1
2013: PEDIATRIC ASSOCIATES OF GREATER SALEM, INC. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	67
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	50
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	17
Total of all active and inactive participants	2013-01-01	67
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	67
Number of participants with account balances	2013-01-01	67
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: PEDIATRIC ASSOCIATES OF GREATER SALEM, INC. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	61
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	52
Number of retired or separated participants receiving benefits	2012-01-01	1
Number of other retired or separated participants entitled to future benefits	2012-01-01	13
Total of all active and inactive participants	2012-01-01	66
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	66
Number of participants with account balances	2012-01-01	62
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	3
2011: PEDIATRIC ASSOCIATES OF GREATER SALEM, INC. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	62
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	51
Number of retired or separated participants receiving benefits	2011-01-01	1
Number of other retired or separated participants entitled to future benefits	2011-01-01	12
Total of all active and inactive participants	2011-01-01	64
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	64
Number of participants with account balances	2011-01-01	63
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on PEDIATRIC ASSOCIATES OF GREATER SALEM, INC. 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2022 : PEDIATRIC ASSOCIATES OF GREATER SALEM, INC. 401(K) PROFIT SHARING PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$-660,551
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$236,433
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$186,894
Expenses. Certain deemed distributions of participant loans	2022-12-31	$13,981
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$625,468
Value of total assets at end of year	2022-12-31	$8,401,620
Value of total assets at beginning of year	2022-12-31	$9,298,604
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$35,558
Total interest from all sources	2022-12-31	$2,843
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$298,371
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$298,371
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$328,169
Assets. Loans (other than to participants) at end of year	2022-12-31	$59,413
Assets. Loans (other than to participants) at beginning of year	2022-12-31	$87,258
Other income not declared elsewhere	2022-12-31	$7
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-896,984
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$8,401,620
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$9,298,604
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Investment advisory and management fees	2022-12-31	$25,186
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$8,342,207
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$9,211,346
Interest on participant loans	2022-12-31	$2,843
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-1,587,240
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$297,299
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$186,894
Contract administrator fees	2022-12-31	$10,372
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	STOWE & DEGON, LLC
Accountancy firm EIN	2022-12-31	043379904
2014 : PEDIATRIC ASSOCIATES OF GREATER SALEM, INC. 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$848,231
Expenses. Total of all expenses incurred	2014-12-31	$710,483
Benefits paid (including direct rollovers)	2014-12-31	$710,233
Total plan assets at end of year	2014-12-31	$8,104,164
Total plan assets at beginning of year	2014-12-31	$7,966,416
Value of fidelity bond covering the plan	2014-12-31	$500,000
Total contributions received or receivable from participants	2014-12-31	$229,593
Expenses. Other expenses not covered elsewhere	2014-12-31	$250
Other income received	2014-12-31	$359,686
Net income (gross income less expenses)	2014-12-31	$137,748
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$8,104,164
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$7,966,416
Assets. Value of participant loans	2014-12-31	$33,248
Total contributions received or receivable from employer(s)	2014-12-31	$258,952
2013 : PEDIATRIC ASSOCIATES OF GREATER SALEM, INC. 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$1,484,830
Expenses. Total of all expenses incurred	2013-12-31	$94,177
Benefits paid (including direct rollovers)	2013-12-31	$94,027
Total plan assets at end of year	2013-12-31	$7,966,416
Total plan assets at beginning of year	2013-12-31	$6,575,763
Value of fidelity bond covering the plan	2013-12-31	$500,000
Total contributions received or receivable from participants	2013-12-31	$234,888
Other income received	2013-12-31	$1,006,952
Net income (gross income less expenses)	2013-12-31	$1,390,653
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$7,966,416
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$6,575,763
Assets. Value of participant loans	2013-12-31	$11,125
Total contributions received or receivable from employer(s)	2013-12-31	$242,990
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$150
2012 : PEDIATRIC ASSOCIATES OF GREATER SALEM, INC. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$1,058,577
Expenses. Total of all expenses incurred	2012-12-31	$117,830
Benefits paid (including direct rollovers)	2012-12-31	$117,555
Total plan assets at end of year	2012-12-31	$6,575,763
Total plan assets at beginning of year	2012-12-31	$5,635,016
Value of fidelity bond covering the plan	2012-12-31	$500,000
Total contributions received or receivable from participants	2012-12-31	$242,341
Other income received	2012-12-31	$605,168
Net income (gross income less expenses)	2012-12-31	$940,747
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$6,575,763
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$5,635,016
Assets. Value of participant loans	2012-12-31	$13,662
Total contributions received or receivable from employer(s)	2012-12-31	$211,068
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$275
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : PEDIATRIC ASSOCIATES OF GREATER SALEM, INC. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$486,074
Expenses. Total of all expenses incurred	2011-12-31	$138,526
Benefits paid (including direct rollovers)	2011-12-31	$138,314
Total plan assets at end of year	2011-12-31	$5,635,016
Total plan assets at beginning of year	2011-12-31	$5,287,468
Value of fidelity bond covering the plan	2011-12-31	$500,000
Total contributions received or receivable from participants	2011-12-31	$270,017
Expenses. Other expenses not covered elsewhere	2011-12-31	$212
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-39,531
Net income (gross income less expenses)	2011-12-31	$347,548
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$5,635,016
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$5,287,468
Assets. Value of participant loans	2011-12-31	$37,775
Total contributions received or receivable from employer(s)	2011-12-31	$255,588
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0

Form 5500 Responses for PEDIATRIC ASSOCIATES OF GREATER SALEM, INC. 401(K) PROFIT SHARING PLAN

2022: PEDIATRIC ASSOCIATES OF GREATER SALEM, INC. 401(K) 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
2014: PEDIATRIC ASSOCIATES OF GREATER SALEM, INC. 401(K) 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: PEDIATRIC ASSOCIATES OF GREATER SALEM, INC. 401(K) PROFIT SHARING 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: PEDIATRIC ASSOCIATES OF GREATER SALEM, INC. 401(K) 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: PEDIATRIC ASSOCIATES OF GREATER SALEM, INC. 401(K) 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 – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	PEDIATRIC ASSOCIATES OF GREATER SALEM, INC.
Employer identification number (EIN):	042740173
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)