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FAMILY MEDICINE OF SAYEBROOK RETIREMENT PLAN 401k Plan overview

Plan NameFAMILY MEDICINE OF SAYEBROOK RETIREMENT PLAN
Plan identification number 001

FAMILY MEDICINE OF SAYEBROOK RETIREMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan covering Self-Employed individuals.
  • 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

FAMILY MEDICINE OF SAYEBROOK, LLC has sponsored the creation of one or more 401k plans.

Company Name:FAMILY MEDICINE OF SAYEBROOK, LLC
Employer identification number (EIN):205491533
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FAMILY MEDICINE OF SAYEBROOK RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-03-01

Plan Statistics for FAMILY MEDICINE OF SAYEBROOK RETIREMENT PLAN

401k plan membership statisitcs for FAMILY MEDICINE OF SAYEBROOK RETIREMENT PLAN

Measure Date Value
2022: FAMILY MEDICINE OF SAYEBROOK RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0122
Total number of active participants reported on line 7a of the Form 55002022-01-0122
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0122
Number of participants with account balances2022-01-0117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: FAMILY MEDICINE OF SAYEBROOK RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year2021-03-0119
Total number of active participants reported on line 7a of the Form 55002021-03-0121
Number of retired or separated participants receiving benefits2021-03-010
Number of other retired or separated participants entitled to future benefits2021-03-011
Total of all active and inactive participants2021-03-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-03-010
Total participants2021-03-0122
Number of participants with account balances2021-03-0118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-03-010

Financial Data on FAMILY MEDICINE OF SAYEBROOK RETIREMENT PLAN

Measure Date Value
2022 : FAMILY MEDICINE OF SAYEBROOK RETIREMENT PLAN 2022 401k financial data
Transfers to/from the plan2022-12-31$0
Total plan liabilities at end of year2022-12-31$0
Total plan liabilities at beginning of year2022-12-31$0
Total income from all sources2022-12-31$-157,816
Expenses. Total of all expenses incurred2022-12-31$14,727
Benefits paid (including direct rollovers)2022-12-31$7,017
Total plan assets at end of year2022-12-31$1,482,422
Total plan assets at beginning of year2022-12-31$1,654,965
Value of fidelity bond covering the plan2022-12-31$170,000
Assets. Value of tangible personal property2022-12-31$0
Total contributions received or receivable from participants2022-12-31$92,136
Assets. Value of loans (other than to participants)2022-12-31$0
Expenses. Other expenses not covered elsewhere2022-12-31$0
Contributions received from other sources (not participants or employers)2022-12-31$0
Other income received2022-12-31$-303,585
Noncash contributions received2022-12-31$0
Net income (gross income less expenses)2022-12-31$-172,543
Net plan assets at end of year (total assets less liabilities)2022-12-31$1,482,422
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$1,654,965
Assets. Value of participant loans2022-12-31$857
Assets. Value of assets in partnership/joint-venture interests2022-12-31$0
Assets. Value of real-estate (other than employer real property)2022-12-31$0
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022022-12-31$0
Assets. Value of employer securities2022-12-31$0
Assets. Value of employer real property2022-12-31$0
Total contributions received or receivable from employer(s)2022-12-31$53,633
Value of certain deemed distributions of participant loans2022-12-31$0
Value of corrective distributions2022-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$7,710
2021 : FAMILY MEDICINE OF SAYEBROOK RETIREMENT PLAN 2021 401k financial data
Transfers to/from the plan2021-12-31$0
Total plan liabilities at end of year2021-12-31$0
Total plan liabilities at beginning of year2021-12-31$0
Total income from all sources2021-12-31$1,663,878
Expenses. Total of all expenses incurred2021-12-31$8,913
Benefits paid (including direct rollovers)2021-12-31$6,000
Total plan assets at end of year2021-12-31$1,654,965
Total plan assets at beginning of year2021-12-31$0
Assets. Value of tangible personal property2021-12-31$0
Total contributions received or receivable from participants2021-12-31$75,670
Assets. Value of loans (other than to participants)2021-12-31$0
Expenses. Other expenses not covered elsewhere2021-12-31$0
Contributions received from other sources (not participants or employers)2021-12-31$1,512,952
Other income received2021-12-31$60,032
Noncash contributions received2021-12-31$0
Net income (gross income less expenses)2021-12-31$1,654,965
Net plan assets at end of year (total assets less liabilities)2021-12-31$1,654,965
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$0
Assets. Value of participant loans2021-12-31$0
Assets. Value of assets in partnership/joint-venture interests2021-12-31$0
Assets. Value of real-estate (other than employer real property)2021-12-31$0
Assets. Value of employer securities2021-12-31$0
Assets. Value of employer real property2021-12-31$0
Total contributions received or receivable from employer(s)2021-12-31$15,224
Value of certain deemed distributions of participant loans2021-12-31$0
Value of corrective distributions2021-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$2,913

Form 5500 Responses for FAMILY MEDICINE OF SAYEBROOK RETIREMENT PLAN

2022: FAMILY MEDICINE OF SAYEBROOK RETIREMENT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01This submission is the final filingNo
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: FAMILY MEDICINE OF SAYEBROOK RETIREMENT PLAN 2021 form 5500 responses
2021-03-01Type of plan entitySingle employer plan
2021-03-01First time form 5500 has been submittedYes
2021-03-01Submission has been amendedNo
2021-03-01This submission is the final filingNo
2021-03-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-03-01Plan is a collectively bargained planNo
2021-03-01Plan funding arrangement – TrustYes
2021-03-01Plan benefit arrangement - TrustYes

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