401k Plan data: EVERGREEN FAMILY MEDICAL SERVICES P.C DEFINED BENEFIT PENSION PLAN plan

EVERGREEN FAMILY MEDICAL SERVICES P.C DEFINED BENEFIT PENSION PLAN 401k Plan overview

Plan Name	EVERGREEN FAMILY MEDICAL SERVICES P.C DEFINED BENEFIT PENSION PLAN
Plan identification number	001

EVERGREEN FAMILY MEDICAL SERVICES P.C DEFINED BENEFIT PENSION PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily pay related
Cash balance or similar plan - Plan has a "cash balance" formula. For this purpose, a "cash balance" formula is a benefit formula in a defined benefit plan by whatever name (for example, personal account plan, pension equity plan, life cycle plan, cash account plan, etc.) that rather than, or in addition to, expressing the accrued benefit as a life annuity commencing at normal retirement age, defines benefits for each employee in terms more common to a defined contribution plan such as a single sum distribution amount (for example, 10 percent of final average pay times years of service, or the amount of the employee's hypothetical account balance).
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

EVERGREEN FAMILY MEDICAL SERVICES P.C has sponsored the creation of one or more 401k plans.

Company Name: EVERGREEN FAMILY MEDICAL SERVICES P.C

Employer identification number (EIN): 134315515

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EVERGREEN FAMILY MEDICAL SERVICES P.C DEFINED BENEFIT PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-12-31
001 2015-12-31
001 2014-12-31
001 2013-12-31
001 2012-12-31 RAYMOND CHAN 2014-08-22 RAYMOND CHAN 2014-08-22
001 2011-12-31 RAYMOND CHAN 2013-10-01 RAYMOND CHAN 2013-10-01
001 2010-12-31 RAYMOND CHAN 2013-10-01 RAYMOND CHAN 2013-10-01

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2021-12-31
001	2015-12-31
001	2014-12-31
001	2013-12-31
001	2012-12-31	RAYMOND CHAN	2014-08-22	RAYMOND CHAN	2014-08-22
001	2011-12-31	RAYMOND CHAN	2013-10-01	RAYMOND CHAN	2013-10-01
001	2010-12-31	RAYMOND CHAN	2013-10-01	RAYMOND CHAN	2013-10-01

Plan Statistics for EVERGREEN FAMILY MEDICAL SERVICES P.C DEFINED BENEFIT PENSION PLAN

401k plan membership statisitcs for EVERGREEN FAMILY MEDICAL SERVICES P.C DEFINED BENEFIT PENSION PLAN

Measure Date Value
2022: EVERGREEN FAMILY MEDICAL SERVICES P.C DEFINED BENEFIT PENSION PLAN 2022 401k membership
Market value of plan assets 2022-12-30 4,268,622
Acturial value of plan assets 2022-12-30 4,268,622
Funding target for retired participants and beneficiaries receiving payment 2022-12-30 0
Number of terminated vested participants 2022-12-30 0
Fundng target for terminated vested participants 2022-12-30 0
Active participant vested funding target 2022-12-30 3,086,257
Number of active participants 2022-12-30 4
Total funding liabilities for active participants 2022-12-30 3,086,257
Total participant count 2022-12-30 4
Total funding target for all participants 2022-12-30 3,086,257
Balance at beginning of prior year after applicable adjustments 2022-12-30 0
Prefunding balance at beginning of prior year after applicable adjustments 2022-12-30 45,154
Carryover balanced portion elected for use to offset prior years funding requirement 2022-12-30 0
Prefunding balanced used to offset prior years funding requirement 2022-12-30 0
Amount remaining of carryover balance 2022-12-30 0
Amount remaining of prefunding balance 2022-12-30 45,154
Present value of excess contributions 2022-12-30 229,521
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2022-12-30 242,145
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2022-12-30 0
Reductions in caryover balances due to elections or deemed elections 2022-12-30 0
Reductions in prefunding balances due to elections or deemed elections 2022-12-30 0
Balance of carryovers at beginning of current year 2022-12-30 0
Balance of prefunding at beginning of current year 2022-12-30 53,259
Total employer contributions 2022-12-30 141,291
Total employee contributions 2022-12-30 0
Contributions allocated toward unpaid minimum require contributions from prior years 2022-12-30 0
Contributions made to avoid restrictions adjusted to valuation date 2022-12-30 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2022-12-30 130,524
Unpaid minimum required contributions for all prior years 2022-12-30 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2022-12-30 0
Remaining amount of unpaid minimum required contributions 2022-12-30 0
Minimum required contributions for current year target normal cost 2022-12-30 698,674
Net shortfall amortization installment of oustanding balance 2022-12-30 0
Waiver amortization installment 2022-12-30 0
Total funding amount beforereflecting carryover/prefunding balances 2022-12-30 0
Carryover balance elected to use to offset funding requirement 2022-12-30 0
Prefunding balance elected to use to offset funding requirement 2022-12-30 0
Additional cash requirement 2022-12-30 0
Contributions allocatedtoward minimum required contributions for current year 2022-12-30 130,524
Unpaid minimum required contributions for current year 2022-12-30 0
Unpaid minimum required contributions for all years 2022-12-30 0

Measure	Date	Value
2022: EVERGREEN FAMILY MEDICAL SERVICES P.C DEFINED BENEFIT PENSION PLAN 2022 401k membership
Market value of plan assets	2022-12-30	4,268,622
Acturial value of plan assets	2022-12-30	4,268,622
Funding target for retired participants and beneficiaries receiving payment	2022-12-30	0
Number of terminated vested participants	2022-12-30	0
Fundng target for terminated vested participants	2022-12-30	0
Active participant vested funding target	2022-12-30	3,086,257
Number of active participants	2022-12-30	4
Total funding liabilities for active participants	2022-12-30	3,086,257
Total participant count	2022-12-30	4
Total funding target for all participants	2022-12-30	3,086,257
Balance at beginning of prior year after applicable adjustments	2022-12-30	0
Prefunding balance at beginning of prior year after applicable adjustments	2022-12-30	45,154
Carryover balanced portion elected for use to offset prior years funding requirement	2022-12-30	0
Prefunding balanced used to offset prior years funding requirement	2022-12-30	0
Amount remaining of carryover balance	2022-12-30	0
Amount remaining of prefunding balance	2022-12-30	45,154
Present value of excess contributions	2022-12-30	229,521
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2022-12-30	242,145
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2022-12-30	0
Reductions in caryover balances due to elections or deemed elections	2022-12-30	0
Reductions in prefunding balances due to elections or deemed elections	2022-12-30	0
Balance of carryovers at beginning of current year	2022-12-30	0
Balance of prefunding at beginning of current year	2022-12-30	53,259
Total employer contributions	2022-12-30	141,291
Total employee contributions	2022-12-30	0
Contributions allocated toward unpaid minimum require contributions from prior years	2022-12-30	0
Contributions made to avoid restrictions adjusted to valuation date	2022-12-30	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2022-12-30	130,524
Unpaid minimum required contributions for all prior years	2022-12-30	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2022-12-30	0
Remaining amount of unpaid minimum required contributions	2022-12-30	0
Minimum required contributions for current year target normal cost	2022-12-30	698,674
Net shortfall amortization installment of oustanding balance	2022-12-30	0
Waiver amortization installment	2022-12-30	0
Total funding amount beforereflecting carryover/prefunding balances	2022-12-30	0
Carryover balance elected to use to offset funding requirement	2022-12-30	0
Prefunding balance elected to use to offset funding requirement	2022-12-30	0
Additional cash requirement	2022-12-30	0
Contributions allocatedtoward minimum required contributions for current year	2022-12-30	130,524
Unpaid minimum required contributions for current year	2022-12-30	0
Unpaid minimum required contributions for all years	2022-12-30	0

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Company Name:	EVERGREEN FAMILY MEDICAL SERVICES P.C
Employer identification number (EIN):	134315515
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)