401k Plan data: CHESTNUT HILL PEDIATRICS 401(K) PROFIT SHARING PLAN plan

CHESTNUT HILL PEDIATRICS 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	CHESTNUT HILL PEDIATRICS 401(K) PROFIT SHARING PLAN
Plan identification number	001

CHESTNUT HILL PEDIATRICS 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.
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.
Plan sponsor(s) received services of leased employees, as defined in Code section 414(n), during the plan year.

401k Sponsoring company profile

CHESTNUT HILL PEDIATRICS, LLC has sponsored the creation of one or more 401k plans.

Company Name: CHESTNUT HILL PEDIATRICS, LLC

Employer identification number (EIN): 263489034

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHESTNUT HILL PEDIATRICS 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
001 2020-01-01 ANDREA SACHS 2021-09-09 ANDREA SACHS 2021-09-09
001 2020-01-01 ANDREA SACHS 2021-12-14 ANDREA SACHS 2021-12-14
001 2019-01-01 ANDREA SACHS 2021-01-03
001 2019-01-01 ANDREA SACHS 2021-01-03
001 2018-01-01 ANDREA SACHS 2020-12-30
001 2017-01-01 SEAN FECTEAU 2018-10-15
001 2016-01-01 SEAN FECTEAU 2017-10-13
001 2015-01-01 SEAN FECTEAU 2016-10-17
001 2015-01-01 SEAN FECTEAU 2016-10-17
001 2014-01-01 MADELINE D. GRANT
001 2013-01-01
001 2012-01-01 MADELINE GRANT
001 2011-01-01 MADELINE GRANT

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
001	2020-01-01	ANDREA SACHS	2021-09-09	ANDREA SACHS	2021-09-09
001	2020-01-01	ANDREA SACHS	2021-12-14	ANDREA SACHS	2021-12-14
001	2019-01-01	ANDREA SACHS	2021-01-03
001	2019-01-01	ANDREA SACHS	2021-01-03
001	2018-01-01	ANDREA SACHS	2020-12-30
001	2017-01-01	SEAN FECTEAU	2018-10-15
001	2016-01-01	SEAN FECTEAU	2017-10-13
001	2015-01-01	SEAN FECTEAU	2016-10-17
001	2015-01-01	SEAN FECTEAU	2016-10-17
001	2014-01-01	MADELINE D. GRANT
001	2013-01-01
001	2012-01-01	MADELINE GRANT
001	2011-01-01	MADELINE GRANT

Plan Statistics for CHESTNUT HILL PEDIATRICS 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for CHESTNUT HILL PEDIATRICS 401(K) PROFIT SHARING PLAN

Measure Date Value
2014: CHESTNUT HILL PEDIATRICS 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 6
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 2
Total of all active and inactive participants 2014-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 8
Number of participants with account balances 2014-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: CHESTNUT HILL PEDIATRICS 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 5
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 3
Total of all active and inactive participants 2013-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 8
Number of participants with account balances 2013-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: CHESTNUT HILL PEDIATRICS 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 7
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 3
Total of all active and inactive participants 2012-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 10
Number of participants with account balances 2012-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: CHESTNUT HILL PEDIATRICS 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 7
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 2
Total of all active and inactive participants 2011-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 9
Number of participants with account balances 2011-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2014: CHESTNUT HILL PEDIATRICS 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	6
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	2
Total of all active and inactive participants	2014-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	8
Number of participants with account balances	2014-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: CHESTNUT HILL PEDIATRICS 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	5
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	3
Total of all active and inactive participants	2013-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	8
Number of participants with account balances	2013-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: CHESTNUT HILL PEDIATRICS 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	7
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	3
Total of all active and inactive participants	2012-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	10
Number of participants with account balances	2012-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: CHESTNUT HILL PEDIATRICS 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	7
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	2
Total of all active and inactive participants	2011-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	9
Number of participants with account balances	2011-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on CHESTNUT HILL PEDIATRICS 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2014 : CHESTNUT HILL PEDIATRICS 401(K) PROFIT SHARING PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
Total plan liabilities at end of year	2014-12-31	$0
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$98,392
Expenses. Total of all expenses incurred	2014-12-31	$892,533
Benefits paid (including direct rollovers)	2014-12-31	$892,533
Total plan assets at end of year	2014-12-31	$392,168
Total plan assets at beginning of year	2014-12-31	$1,186,309
Value of fidelity bond covering the plan	2014-12-31	$100,000
Total contributions received or receivable from participants	2014-12-31	$71,700
Expenses. Other expenses not covered elsewhere	2014-12-31	$0
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$1,152
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$-794,141
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$392,168
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,186,309
Total contributions received or receivable from employer(s)	2014-12-31	$25,540
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : CHESTNUT HILL PEDIATRICS 401(K) PROFIT SHARING PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
Total plan liabilities at end of year	2013-12-31	$0
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$184,413
Expenses. Total of all expenses incurred	2013-12-31	$22,506
Benefits paid (including direct rollovers)	2013-12-31	$22,506
Total plan assets at end of year	2013-12-31	$1,210,853
Total plan assets at beginning of year	2013-12-31	$1,048,946
Total contributions received or receivable from participants	2013-12-31	$62,767
Expenses. Other expenses not covered elsewhere	2013-12-31	$0
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$94,388
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$161,907
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,210,853
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,048,946
Total contributions received or receivable from employer(s)	2013-12-31	$27,258
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : CHESTNUT HILL PEDIATRICS 401(K) PROFIT SHARING PLAN 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$89,703
Expenses. Total of all expenses incurred	2012-12-31	$0
Benefits paid (including direct rollovers)	2012-12-31	$0
Total plan assets at end of year	2012-12-31	$1,048,946
Total plan assets at beginning of year	2012-12-31	$959,243
Total contributions received or receivable from participants	2012-12-31	$39,000
Expenses. Other expenses not covered elsewhere	2012-12-31	$0
Contributions received from other sources (not participants or employers)	2012-12-31	$1,231
Other income received	2012-12-31	$25,781
Noncash contributions received	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$89,703
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,048,946
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$959,243
Total contributions received or receivable from employer(s)	2012-12-31	$23,691
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$0
2011 : CHESTNUT HILL PEDIATRICS 401(K) PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$46,574
Expenses. Total of all expenses incurred	2011-12-31	$5,266
Benefits paid (including direct rollovers)	2011-12-31	$5,266
Total plan assets at end of year	2011-12-31	$959,243
Total plan assets at beginning of year	2011-12-31	$917,935
Total contributions received or receivable from participants	2011-12-31	$29,650
Expenses. Other expenses not covered elsewhere	2011-12-31	$0
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-6,418
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$41,308
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$959,243
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$917,935
Total contributions received or receivable from employer(s)	2011-12-31	$23,342
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$0
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 CHESTNUT HILL PEDIATRICS 401(K) PROFIT SHARING PLAN

2014: CHESTNUT HILL PEDIATRICS 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: CHESTNUT HILL PEDIATRICS 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	Yes
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: CHESTNUT HILL PEDIATRICS 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: CHESTNUT HILL PEDIATRICS 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 – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	CHESTNUT HILL PEDIATRICS, LLC
Employer identification number (EIN):	263489034
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)