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CLEAR LAKE SPECIALTIES, P.A. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameCLEAR LAKE SPECIALTIES, P.A. 401(K) PROFIT SHARING PLAN
Plan identification number 001

CLEAR LAKE SPECIALTIES, P.A. 401(K) PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
    SELECT distinct(Description) AS Description FROM 401k_benefit_codes LEFT JOIN 401k_benefit_code_description ON BenefitCode=Code COLLATE utf8_unicode_ci WHERE EIN='202798379' AND PlanID='001'

401k Sponsoring company profile

CLS HEALTH PLLC has sponsored the creation of one or more 401k plans.

Company Name:CLS HEALTH PLLC
Employer identification number (EIN):202798379
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CLEAR LAKE SPECIALTIES, P.A. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012024-01-01MEGAN OWEN
0012023-01-01JEANNE FRAZIER2024-07-16
0012022-01-01
0012022-01-01JEANNE FRAZIER
0012021-01-01
0012021-01-01JEANNE FRAZIER
0012020-01-01
0012019-01-01M.J. BABA, M.D.2020-06-10
0012018-01-01M.J. BABA, M.D.2019-06-07
0012017-01-01M.J. BABA, M.D.2018-10-10
0012016-01-01
0012015-01-01
0012015-01-01
0012014-01-01M. J. BABA, M.D.2015-10-08
0012013-01-01M. J. BABA, M.D.2014-08-29
0012012-01-01M. J. BABA, M.D.2013-10-04
0012011-01-01M. J. BABA, M.D.2012-10-12
0012010-01-01M. J. BABA, M.D.2011-10-10

Financial Data on CLEAR LAKE SPECIALTIES, P.A. 401(K) PROFIT SHARING PLAN

Measure Date Value
2024 : CLEAR LAKE SPECIALTIES, P.A. 401(K) PROFIT SHARING PLAN 2024 401k financial data
Total expenses incurred by plan in this plan year2024-07-16438980
Net assets as of the end of the plan year2024-07-167931359
Total assets as of the beginning of the plan year2024-07-165991806
Value of plan covered by a fidelity bond2024-07-16600000
Participant contributions to plan in this plan year2024-07-16712233
Value of participant loans at end of plan year2024-07-1611902
Other contributions to plan in this plan year2024-07-16100000
Other income to plan in this plan year2024-07-161279536
Plan net income in this plan year2024-07-161939553
Net assets as of the end of the plan year2024-07-167931359
Net assets as of the beginning of the plan year2024-07-165991806
Employer contributions to plan in this plan year2024-07-16286764
Fees paid to broker by Benefit Provider2024-07-1648004
Expensese paid to adminstrative service provicers from plan in this plan year2024-07-161542
2022 : CLEAR LAKE SPECIALTIES, P.A. 401(K) PROFIT SHARING PLAN 2022 401k financial data
Total income from all sources (including contributions)2022-12-31$-611,364
Total of all expenses incurred2022-12-31$633,523
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$628,941
Expenses. Certain deemed distributions of participant loans2022-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$810,042
Value of total assets at end of year2022-12-31$5,991,806
Value of total assets at beginning of year2022-12-31$7,236,693
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$4,582
Total interest from all sources2022-12-31$1,507
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$0
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$600,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$533,330
Participant contributions at end of year2022-12-31$16,107
Participant contributions at beginning of year2022-12-31$93,942
Participant contributions at end of year2022-12-31$0
Participant contributions at beginning of year2022-12-31$0
Assets. Other investments not covered elsewhere at end of year2022-12-31$4
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-1,244,887
Value of net assets at end of year (total assets less liabilities)2022-12-31$5,991,806
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$7,236,693
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$4,038,852
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$5,043,451
Interest on participant loans2022-12-31$1,507
Value of interest in common/collective trusts at end of year2022-12-31$1,808,735
Value of interest in common/collective trusts at beginning of year2022-12-31$1,940,037
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$63,813
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$64,912
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-1,422,913
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31Yes
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$276,712
Employer contributions (assets) at end of year2022-12-31$64,295
Employer contributions (assets) at beginning of year2022-12-31$94,351
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$628,941
Contract administrator fees2022-12-31$4,582
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31HAYNIE & COMPANY
Accountancy firm EIN2022-12-31870325228
Total income from all sources (including contributions)2022-01-01$-611,364
Total of all expenses incurred2022-01-01$633,523
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-01$628,941
Expenses. Certain deemed distributions of participant loans2022-01-01$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-01$810,042
Value of total assets at end of year2022-01-01$5,991,806
Value of total assets at beginning of year2022-01-01$7,236,693
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-01$4,582
Total interest from all sources2022-01-01$1,507
Total dividends received (eg from common stock, registered investment company shares)2022-01-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-01-01No
Total dividends received from registered investment company shares (eg mutual funds)2022-01-01$0
Was this plan covered by a fidelity bond2022-01-01Yes
Value of fidelity bond cover2022-01-01$600,000
If this is an individual account plan, was there a blackout period2022-01-01No
Were there any nonexempt tranactions with any party-in-interest2022-01-01No
Contributions received from participants2022-01-01$533,330
Participant contributions at end of year2022-01-01$16,107
Participant contributions at beginning of year2022-01-01$93,942
Participant contributions at end of year2022-01-01$0
Participant contributions at beginning of year2022-01-01$0
Assets. Other investments not covered elsewhere at end of year2022-01-01$4
Income. Received or receivable in cash from other sources (including rollovers)2022-01-01$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-01-01$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-01-01$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Value of net income/loss2022-01-01$-1,244,887
Value of net assets at end of year (total assets less liabilities)2022-01-01$5,991,806
Value of net assets at beginning of year (total assets less liabilities)2022-01-01$7,236,693
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-01-01No
Were any leases to which the plan was party in default or uncollectible2022-01-01No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-01-01$4,038,852
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-01-01$5,043,451
Interest on participant loans2022-01-01$1,507
Value of interest in common/collective trusts at end of year2022-01-01$1,808,735
Value of interest in common/collective trusts at beginning of year2022-01-01$1,940,037
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-01-01$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-01-01$63,813
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-01-01$64,912
Expenses. Payments to insurance carriers foe the provision of benefits2022-01-01$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-01-01$-1,422,913
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-01-01No
Was there a failure to transmit to the plan any participant contributions2022-01-01Yes
Has the plan failed to provide any benefit when due under the plan2022-01-01No
Contributions received in cash from employer2022-01-01$276,712
Employer contributions (assets) at end of year2022-01-01$64,295
Employer contributions (assets) at beginning of year2022-01-01$94,351
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-01-01$628,941
Contract administrator fees2022-01-01$4,582
Did the plan have assets held for investment2022-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-01-01No
Opinion of an independent qualified public accountant for this plan2022-01-011
Accountancy firm name2022-01-01HAYNIE & COMPANY
Accountancy firm EIN2022-01-01870325228
2021 : CLEAR LAKE SPECIALTIES, P.A. 401(K) PROFIT SHARING PLAN 2021 401k financial data
Total income from all sources (including contributions)2021-12-31$2,315,218
Total of all expenses incurred2021-12-31$179,082
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$176,844
Expenses. Certain deemed distributions of participant loans2021-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,281,204
Value of total assets at end of year2021-12-31$7,236,693
Value of total assets at beginning of year2021-12-31$5,100,557
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$2,238
Total interest from all sources2021-12-31$5,566
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$0
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$600,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$876,788
Participant contributions at end of year2021-12-31$93,942
Participant contributions at beginning of year2021-12-31$111,292
Participant contributions at end of year2021-12-31$0
Participant contributions at beginning of year2021-12-31$31,134
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$2,136,136
Value of net assets at end of year (total assets less liabilities)2021-12-31$7,236,693
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$5,100,557
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$5,043,451
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$2,957,848
Interest on participant loans2021-12-31$5,566
Value of interest in common/collective trusts at end of year2021-12-31$1,940,037
Value of interest in common/collective trusts at beginning of year2021-12-31$1,824,164
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$64,912
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$154,576
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$1,028,448
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31Yes
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$404,416
Employer contributions (assets) at end of year2021-12-31$94,351
Employer contributions (assets) at beginning of year2021-12-31$21,543
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$176,844
Contract administrator fees2021-12-31$2,238
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31HAYNIE & COMPANY
Accountancy firm EIN2021-12-31870325228
2020 : CLEAR LAKE SPECIALTIES, P.A. 401(K) PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$1,766,314
Total of all expenses incurred2020-12-31$389,431
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$387,860
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,158,877
Value of total assets at end of year2020-12-31$5,100,557
Value of total assets at beginning of year2020-12-31$3,723,674
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$1,571
Total interest from all sources2020-12-31$2,549
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$600,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$728,175
Participant contributions at end of year2020-12-31$111,292
Participant contributions at beginning of year2020-12-31$0
Participant contributions at end of year2020-12-31$31,134
Participant contributions at beginning of year2020-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$8,272
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$1,376,883
Value of net assets at end of year (total assets less liabilities)2020-12-31$5,100,557
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$3,723,674
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$2,957,848
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$2,201,775
Interest on participant loans2020-12-31$2,493
Interest earned on other investments2020-12-31$56
Value of interest in common/collective trusts at end of year2020-12-31$1,824,164
Value of interest in common/collective trusts at beginning of year2020-12-31$1,409,750
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$154,576
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$112,149
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$604,888
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31Yes
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$422,430
Employer contributions (assets) at end of year2020-12-31$21,543
Employer contributions (assets) at beginning of year2020-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$387,860
Contract administrator fees2020-12-31$1,571
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31HAYNIE & COMPANY
Accountancy firm EIN2020-12-31870325228

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberGA841776
Policy instance 1
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number758550-01
Policy instance 2
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberGA841776
Policy instance 1
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberGA841776
Policy instance 1

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