LONG ISLAND KIDNEY CARE DEFINED BENEFIT PLAN 401k Plan overview

LONG ISLAND KIDNEY CARE DEFINED BENEFIT PLAN Benefits

401k Sponsoring company profile

Company Name:	LONG ISLAND KIDNEY CARE
Employer identification number (EIN):	260315154
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2018-02-01
001	2017-02-01
001	2016-02-01
001	2015-02-01
001	2014-02-01
001	2013-02-01
001	2012-02-01	MOHSEN PAHLAVAN	2013-09-09	MOHSEN PAHLAVAN	2013-09-09

Plan Statistics for LONG ISLAND KIDNEY CARE DEFINED BENEFIT PLAN

Measure	Date	Value
2019: LONG ISLAND KIDNEY CARE DEFINED BENEFIT PLAN 2019 401k membership
Market value of plan assets	2019-01-31	1,560,505
Acturial value of plan assets	2019-01-31	1,560,505
Funding target for retired participants and beneficiaries receiving payment	2019-01-31	0
Number of terminated vested participants	2019-01-31	0
Fundng target for terminated vested participants	2019-01-31	0
Active participant vested funding target	2019-01-31	1,473,894
Number of active participants	2019-01-31	2
Total funding liabilities for active participants	2019-01-31	1,473,894
Total participant count	2019-01-31	2
Total funding target for all participants	2019-01-31	1,473,894
Balance at beginning of prior year after applicable adjustments	2019-01-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2019-01-31	14,646
Carryover balanced portion elected for use to offset prior years funding requirement	2019-01-31	0
Prefunding balanced used to offset prior years funding requirement	2019-01-31	0
Amount remaining of carryover balance	2019-01-31	0
Amount remaining of prefunding balance	2019-01-31	14,646
Present value of excess contributions	2019-01-31	40,243
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2019-01-31	42,698
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2019-01-31	0
Reductions in caryover balances due to elections or deemed elections	2019-01-31	0
Reductions in prefunding balances due to elections or deemed elections	2019-01-31	0
Balance of carryovers at beginning of current year	2019-01-31	0
Balance of prefunding at beginning of current year	2019-01-31	15,378
Total employer contributions	2019-01-31	200,000
Total employee contributions	2019-01-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2019-01-31	0
Contributions made to avoid restrictions adjusted to valuation date	2019-01-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2019-01-31	183,278
Unpaid minimum required contributions for all prior years	2019-01-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2019-01-31	0
Remaining amount of unpaid minimum required contributions	2019-01-31	0
Minimum required contributions for current year target normal cost	2019-01-31	226,689
Net shortfall amortization installment of oustanding balance	2019-01-31	0
Waiver amortization installment	2019-01-31	0
Total funding amount beforereflecting carryover/prefunding balances	2019-01-31	155,456
Carryover balance elected to use to offset funding requirement	2019-01-31	0
Prefunding balance elected to use to offset funding requirement	2019-01-31	0
Additional cash requirement	2019-01-31	155,456
Contributions allocatedtoward minimum required contributions for current year	2019-01-31	183,278
Unpaid minimum required contributions for current year	2019-01-31	0
Unpaid minimum required contributions for all years	2019-01-31	0
2018: LONG ISLAND KIDNEY CARE DEFINED BENEFIT PLAN 2018 401k membership
Market value of plan assets	2018-01-31	1,287,559
Acturial value of plan assets	2018-01-31	1,287,559
Funding target for retired participants and beneficiaries receiving payment	2018-01-31	0
Number of terminated vested participants	2018-01-31	0
Fundng target for terminated vested participants	2018-01-31	0
Active participant vested funding target	2018-01-31	1,075,634
Number of active participants	2018-01-31	2
Total funding liabilities for active participants	2018-01-31	1,075,634
Total participant count	2018-01-31	2
Total funding target for all participants	2018-01-31	1,075,634
Balance at beginning of prior year after applicable adjustments	2018-01-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2018-01-31	13,949
Carryover balanced portion elected for use to offset prior years funding requirement	2018-01-31	0
Prefunding balanced used to offset prior years funding requirement	2018-01-31	0
Amount remaining of carryover balance	2018-01-31	0
Amount remaining of prefunding balance	2018-01-31	13,949
Present value of excess contributions	2018-01-31	160,450
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2018-01-31	170,574
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2018-01-31	0
Reductions in caryover balances due to elections or deemed elections	2018-01-31	0
Reductions in prefunding balances due to elections or deemed elections	2018-01-31	0
Balance of carryovers at beginning of current year	2018-01-31	0
Balance of prefunding at beginning of current year	2018-01-31	14,646
Total employer contributions	2018-01-31	200,000
Total employee contributions	2018-01-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2018-01-31	0
Contributions made to avoid restrictions adjusted to valuation date	2018-01-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2018-01-31	181,745
Unpaid minimum required contributions for all prior years	2018-01-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2018-01-31	0
Remaining amount of unpaid minimum required contributions	2018-01-31	0
Minimum required contributions for current year target normal cost	2018-01-31	338,781
Net shortfall amortization installment of oustanding balance	2018-01-31	0
Waiver amortization installment	2018-01-31	0
Total funding amount beforereflecting carryover/prefunding balances	2018-01-31	141,502
Carryover balance elected to use to offset funding requirement	2018-01-31	0
Prefunding balance elected to use to offset funding requirement	2018-01-31	0
Additional cash requirement	2018-01-31	141,502
Contributions allocatedtoward minimum required contributions for current year	2018-01-31	181,745
Unpaid minimum required contributions for current year	2018-01-31	0
Unpaid minimum required contributions for all years	2018-01-31	0
2017: LONG ISLAND KIDNEY CARE DEFINED BENEFIT PLAN 2017 401k membership
Market value of plan assets	2017-01-31	1,077,320
Acturial value of plan assets	2017-01-31	1,077,320
Funding target for retired participants and beneficiaries receiving payment	2017-01-31	0
Number of terminated vested participants	2017-01-31	0
Fundng target for terminated vested participants	2017-01-31	0
Active participant vested funding target	2017-01-31	711,471
Number of active participants	2017-01-31	2
Total funding liabilities for active participants	2017-01-31	711,471
Total participant count	2017-01-31	2
Total funding target for all participants	2017-01-31	711,471
Balance at beginning of prior year after applicable adjustments	2017-01-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2017-01-31	16,248
Carryover balanced portion elected for use to offset prior years funding requirement	2017-01-31	0
Prefunding balanced used to offset prior years funding requirement	2017-01-31	0
Amount remaining of carryover balance	2017-01-31	0
Amount remaining of prefunding balance	2017-01-31	16,248
Present value of excess contributions	2017-01-31	217,776
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2017-01-31	231,910
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2017-01-31	0
Reductions in caryover balances due to elections or deemed elections	2017-01-31	0
Reductions in prefunding balances due to elections or deemed elections	2017-01-31	0
Balance of carryovers at beginning of current year	2017-01-31	0
Balance of prefunding at beginning of current year	2017-01-31	13,949
Total employer contributions	2017-01-31	170,000
Total employee contributions	2017-01-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2017-01-31	0
Contributions made to avoid restrictions adjusted to valuation date	2017-01-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2017-01-31	160,450
Unpaid minimum required contributions for all prior years	2017-01-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2017-01-31	0
Remaining amount of unpaid minimum required contributions	2017-01-31	0
Minimum required contributions for current year target normal cost	2017-01-31	88,935
Net shortfall amortization installment of oustanding balance	2017-01-31	0
Waiver amortization installment	2017-01-31	0
Waived amount of outstanding balance	2017-01-31	0
Total funding amount beforereflecting carryover/prefunding balances	2017-01-31	0
Carryover balance elected to use to offset funding requirement	2017-01-31	0
Prefunding balance elected to use to offset funding requirement	2017-01-31	0
Additional cash requirement	2017-01-31	0
Contributions allocatedtoward minimum required contributions for current year	2017-01-31	160,450
Unpaid minimum required contributions for current year	2017-01-31	0
Unpaid minimum required contributions for all years	2017-01-31	0

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• LONG ISLAND SURGICAL SPECIALISTS, P.C. PROFIT SHARING PLAN [EIN = 112538736]
• LONG ISLAND COLLEGE HOSPITAL SEVERANCE PLAN [EIN = 111018985]
• LONG ISLAND UNIVERSITY TOTAL DISABILITY PLAN [EIN = 111633516]
• LONG ISLAND UNIVERSITY VISION PLAN [EIN = 111633516]
• LONG ISLAND UNIVERSITY DENTAL PLAN [EIN = 111633516]
• LONG ISLAND UNIVERSITY BASIC AND MAJOR MEDICAL PLAN [EIN = 111633516]
• LONG ISLAND ELECTRIC UTILITY SERVCO LLC HEALTH AND WELFARE PLAN FOR RETIREES [EIN = 454652143]
• LONG ISLAND VETERINARY SPECIALISTS HEALTH PLAN [EIN = 113404371]
• LONG ISLAND ANESTHESIA PHYSICIANS, LLP 401-K PLAN #045 [EIN = 113293480]
• LONG ISLAND ABA 401(K) PLAN [EIN = 263154686]
• LONG ISLAND POWER SOLUTIONS [EIN = 271175107]
• LONG ISLAND MINORITY AIDS COALITION 403(B) PLAN [EIN = 113154369]
• LONG ISLAND HYPERTENSION AND NEPHROLOGY, PLLC 401(K) PROFIT SHARING PLAN [EIN = 113455328]
• LONG ISLAND CENTER FOR CHILD DEVELOPMENT, INC PROFIT SHARING PLAN [EIN = 113324233]
• LONG ISLAND OPTOMETRIC VISION DEVELOPMENT, PLLC PROFIT SHARING PLAN [EIN = 113512425]
• LONG ISLAND TITLE AGENCY 401(K) PLAN [EIN = 113095581]
• LONG ISLAND CONSULTATION CENTER, INC. PROFIT SHARING PLAN [EIN = 111792226]
• LONG ISLAND UNIVERSITY DOCTORAL DEGREE LOAN PROGRAM [EIN = 111633516]
• LONG ISLAND MANAGEMENT & CONSULTING CORP. DEFINED BENEFIT PLAN [EIN = 113597104]
• LONG ISLAND MECHANICAL OF NY, INC. RETIREMENT SAVINGS PLAN [EIN = 112986847]
• LONG ISLAND GOLF CENTER, INC. DBA N Y GOLF CENTER 401(K) [EIN = 112711587]
• LONG ISLAND VETERINARY SPECIALISTS HEALTH PLAN [EIN = 113404371]
• LONG ISLAND COLLEGE HOSPITAL 401(K) RETIREMENT PLAN [EIN = 111018985]
• LONG ISLAND UNIVERSITY TUITION ASSISTANCE PLAN [EIN = 111633516]
• LONG ISLAND CENTER FOR INDEPENDENT LIVING INC HEALTH INSURANCE PLAN [EIN = 112621496]
• LONG ISLAND UROLOGICAL ASSOCIATES, P.C. 401(K) PLAN [EIN = 112356637]
• LONG ISLAND SPORTS & REHABILIATION CENTER [EIN = 112868727]
• LONG ISLAND KIDNEY AND HYPERTENSION, P.C. CASH BALANCE PLAN [EIN = 272858219]
• LONG ISLAND HOUSE INSPECTIONS LLC 401K PLAN [EIN = 414794703]
• LONG ISLAND MARINE COMPANY INC 401K PLAN [EIN = 112977454]
• LONG ISLAND MINIMALLY INVASIVE SURGERY, P.C. RETIREMENT PLAN [EIN = 113638939]
• LONG ISLAND DENTAL SMILES, PLLC 401(K) PROFIT SHARING PLAN [EIN = 824877987]
• LONG ISLAND PLASTIC SURGICAL GROUP, PC WRAP BENEFIT PLAN [EIN = 112217789]
• LONG ISLAND FQHC, INC. WRAP BENEFIT PLAN [EIN = 270216316]
• LONG ISLAND AUTO FIND INC 401 K PROFIT SHARING PLAN TRUST [EIN = 204840124]
• LONG ISLAND BEAUTY BAR, INC. RETIREMENT PLAN [EIN = 852513716]
• LONG ISLAND BOOTLEGGERS INC 401(K) PROFIT SHARING PLAN & TRUST [EIN = 464225491]
• LONG ISLAND REMEDIATION AND RESTORATION SERVICES, INC. RETIREMENT PLAN [EIN = 852749392]
• LONG ISLAND CENTER FOR DIGESTIVE HEALTH RETIREMENT PLAN [EIN = 364444162]
• LONG ISLAND PEDIATRICS PLLC CASH BALANCE PLAN [EIN = 364522139]
• LONG ISLAND SPAY NEUTER PROFESSIONAL CORPORATION 401(K) PLAN [EIN = 811468092]
• LONG ISLAND DATA SOLUTIONS, INC. 401(K) [EIN = 300002690]
• LONG ISLAND HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN [EIN = 202705302]
• LONG ISLAND RESTORATION LLC. 401K PLAN [EIN = 824376170]
• LONG ISLAND GAY AND LESBIAN YOUTH, INC. 401(K) RETIREMENT SAVINGS PLAN [EIN = 113192966]
• LONG ISLAND NEUROSURGICAL ASSOCIATES PC VIP PLAN [EIN = 112287037]
• LONG ISLAND VETERINARY SPECIALIST OPTHALMOLOGY SURGERY INTERNAL MEDICINE EMERGENCY PLLC 401K PLAN [EIN = 473973641]
• LONG ISLAND ELITE LACROSSE CLUB, LLC 401(K) PLAN [EIN = 113595499]
• LONG ISLAND PROSTHODONTICS PC - 401(K) [EIN = 273512130]
• LONG ISLAND BIRD AND EXOTICS 401K PLAN [EIN = 812478781]
• LONG ISLAND MECHANICAL LLC [EIN = 853308944]
• LONG ISLAND LUNG SURGERY P.C. 401K PROFIT SHARING PLAN [EIN = 853877319]
• LONG ISLAND LUNG SURGERY P.C. DEFINED BENEFIT PENSION PLAN [EIN = 853877319]
• LONG ISLAND COMPREHENSIVE MEDICAL CARE, PLLC 401(K) PROFIT SHARING PLAN [EIN = 371654147]
• LONG ISLAND SWIM SCHOOL CORP 401K [EIN = 352208914]
• LONG ISLAND LANDSCAPE DESIGN 401(K) PLAN [EIN = 113602308]
• LONG ISLAND COMPREHENSIVE MEDICAL CARE, PLLC CASH BALANCE PENSION PLAN [EIN = 371654147]
• LONG ISLAND CREMATION COMPANY INC. 401(K) PLAN [EIN = 112536847]
• LONG ISLAND SUPERIOR CLEANING SERVICES LNC [EIN = 832361067]
• LONG ISLAND VISION & CONTACT L 401(K) PROFIT SHARING PLAN & TRUST [EIN = 862393130]
• LONG ISLAND CHAPTER, NECA 401(K) P/S PLAN [EIN = 111595598]
• LONG ISLAND METALS 401K PLAN [EIN = 852377453]
• LONG ISLAND DENTAL IMPLANT ASSOCIATES PLLC [EIN = 462007547]
• LONG ISLAND EMERGENCY INC. [EIN = 453913933]
• LONG ISLAND CENTERS FOR PERIODONTICS & IMPLANT DENTISTRY PROFIT SHARING PLAN [EIN = 113620089]
• LONG ISLAND LUMBER 401K PLAN [EIN = 203993010]

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