401k Plan data: GOLDEN GATE UROLOGY, INC. 401(K) PLAN plan

GOLDEN GATE UROLOGY, INC. 401(K) PLAN 401k Plan overview

Plan Name	GOLDEN GATE UROLOGY, INC. 401(K) PLAN
Plan identification number	001

GOLDEN GATE UROLOGY, INC. 401(K) 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.
Participant-directed brokerage accounts provided as an investment option under the plan.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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

GOLDEN GATE UROLOGY, INC. has sponsored the creation of one or more 401k plans.

Company Name: GOLDEN GATE UROLOGY, INC.

Employer identification number (EIN): 264439142

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GOLDEN GATE UROLOGY, INC. 401(K) 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
001 2019-01-01
001 2018-01-01
001 2017-01-01 RAUL HERNANDEZ
001 2016-01-01 RAUL HERNANDEZ 2017-10-14
001 2016-01-01 RAUL HERNANDEZ
001 2016-01-01
001 2015-01-01 RAUL HERNANDEZ 2016-09-11
001 2014-01-01 LAWRENCE WERBOFF 2015-06-03
001 2013-01-01 LAWRENCE WERBOFF 2014-06-20
001 2012-01-01 LAWRENCE WERBOFF 2013-09-27
001 2011-01-01 STUART ROSENBERG 2012-08-01
001 2010-01-01 LAWRENCE WERBOFF 2011-07-21

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2022-01-01
001	2021-01-01
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01	RAUL HERNANDEZ
001	2016-01-01	RAUL HERNANDEZ	2017-10-14
001	2016-01-01	RAUL HERNANDEZ
001	2016-01-01
001	2015-01-01	RAUL HERNANDEZ	2016-09-11
001	2014-01-01	LAWRENCE WERBOFF	2015-06-03
001	2013-01-01	LAWRENCE WERBOFF	2014-06-20
001	2012-01-01	LAWRENCE WERBOFF	2013-09-27
001	2011-01-01	STUART ROSENBERG	2012-08-01
001	2010-01-01	LAWRENCE WERBOFF	2011-07-21

Plan Statistics for GOLDEN GATE UROLOGY, INC. 401(K) PLAN

401k plan membership statisitcs for GOLDEN GATE UROLOGY, INC. 401(K) PLAN

Measure Date Value
2022: GOLDEN GATE UROLOGY, INC. 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 71
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 45
Number of retired or separated participants receiving benefits 2022-01-01 2
Number of other retired or separated participants entitled to future benefits 2022-01-01 16
Total of all active and inactive participants 2022-01-01 63
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 63
Number of participants with account balances 2022-01-01 63
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 1
2021: GOLDEN GATE UROLOGY, INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 77
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 49
Number of retired or separated participants receiving benefits 2021-01-01 1
Number of other retired or separated participants entitled to future benefits 2021-01-01 20
Total of all active and inactive participants 2021-01-01 70
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 70
Number of participants with account balances 2021-01-01 70
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 7
2020: GOLDEN GATE UROLOGY, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 72
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 55
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 18
Total of all active and inactive participants 2020-01-01 73
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 73
Number of participants with account balances 2020-01-01 72
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 2
2019: GOLDEN GATE UROLOGY, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 74
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 53
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 14
Total of all active and inactive participants 2019-01-01 67
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 67
Number of participants with account balances 2019-01-01 67
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 3
2018: GOLDEN GATE UROLOGY, INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 74
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 59
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 13
Total of all active and inactive participants 2018-01-01 72
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 72
Number of participants with account balances 2018-01-01 70
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 5
2017: GOLDEN GATE UROLOGY, INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 66
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 52
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 16
Total of all active and inactive participants 2017-01-01 68
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 68
Number of participants with account balances 2017-01-01 68
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 5
2016: GOLDEN GATE UROLOGY, INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 72
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 47
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 10
Total of all active and inactive participants 2016-01-01 57
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 57
Number of participants with account balances 2016-01-01 56
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 3

Measure	Date	Value
2022: GOLDEN GATE UROLOGY, INC. 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	71
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	45
Number of retired or separated participants receiving benefits	2022-01-01	2
Number of other retired or separated participants entitled to future benefits	2022-01-01	16
Total of all active and inactive participants	2022-01-01	63
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	63
Number of participants with account balances	2022-01-01	63
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	1
2021: GOLDEN GATE UROLOGY, INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	77
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	49
Number of retired or separated participants receiving benefits	2021-01-01	1
Number of other retired or separated participants entitled to future benefits	2021-01-01	20
Total of all active and inactive participants	2021-01-01	70
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	70
Number of participants with account balances	2021-01-01	70
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	7
2020: GOLDEN GATE UROLOGY, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	72
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	55
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	18
Total of all active and inactive participants	2020-01-01	73
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	73
Number of participants with account balances	2020-01-01	72
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	2
2019: GOLDEN GATE UROLOGY, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	74
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	53
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	14
Total of all active and inactive participants	2019-01-01	67
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	67
Number of participants with account balances	2019-01-01	67
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	3
2018: GOLDEN GATE UROLOGY, INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	74
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	59
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	13
Total of all active and inactive participants	2018-01-01	72
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	72
Number of participants with account balances	2018-01-01	70
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	5
2017: GOLDEN GATE UROLOGY, INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	66
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	52
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	16
Total of all active and inactive participants	2017-01-01	68
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	68
Number of participants with account balances	2017-01-01	68
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	5
2016: GOLDEN GATE UROLOGY, INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	72
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	47
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	10
Total of all active and inactive participants	2016-01-01	57
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	57
Number of participants with account balances	2016-01-01	56
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	3

Financial Data on GOLDEN GATE UROLOGY, INC. 401(K) PLAN

Measure	Date	Value
2022 : GOLDEN GATE UROLOGY, INC. 401(K) PLAN 2022 401k financial data
Transfers to/from the plan	2022-12-31	$0
Total plan liabilities at end of year	2022-12-31	$500
Total plan liabilities at beginning of year	2022-12-31	$0
Total income from all sources	2022-12-31	$-3,371,095
Expenses. Total of all expenses incurred	2022-12-31	$1,513,926
Benefits paid (including direct rollovers)	2022-12-31	$1,410,117
Total plan assets at end of year	2022-12-31	$22,778,440
Total plan assets at beginning of year	2022-12-31	$27,662,961
Value of fidelity bond covering the plan	2022-12-31	$500,000
Total contributions received or receivable from participants	2022-12-31	$200,272
Expenses. Other expenses not covered elsewhere	2022-12-31	$7,279
Contributions received from other sources (not participants or employers)	2022-12-31	$164,333
Other income received	2022-12-31	$-4,482,128
Noncash contributions received	2022-12-31	$0
Net income (gross income less expenses)	2022-12-31	$-4,885,021
Net plan assets at end of year (total assets less liabilities)	2022-12-31	$22,777,940
Net plan assets at beginning of year (total assets less liabilities)	2022-12-31	$27,662,961
Assets. Value of participant loans	2022-12-31	$150,577
Assets. Value of real-estate (other than employer real property)	2022-12-31	$435,100
Total contributions received or receivable from employer(s)	2022-12-31	$746,428
Value of certain deemed distributions of participant loans	2022-12-31	$0
Value of corrective distributions	2022-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2022-12-31	$96,530
2021 : GOLDEN GATE UROLOGY, INC. 401(K) PLAN 2021 401k financial data
Transfers to/from the plan	2021-12-31	$0
Total plan liabilities at end of year	2021-12-31	$0
Total plan liabilities at beginning of year	2021-12-31	$0
Total income from all sources	2021-12-31	$4,620,302
Expenses. Total of all expenses incurred	2021-12-31	$2,375,313
Benefits paid (including direct rollovers)	2021-12-31	$2,268,424
Total plan assets at end of year	2021-12-31	$27,662,961
Total plan assets at beginning of year	2021-12-31	$25,417,972
Value of fidelity bond covering the plan	2021-12-31	$500,000
Total contributions received or receivable from participants	2021-12-31	$220,031
Expenses. Other expenses not covered elsewhere	2021-12-31	$4,206
Contributions received from other sources (not participants or employers)	2021-12-31	$178,556
Other income received	2021-12-31	$3,259,894
Noncash contributions received	2021-12-31	$0
Net income (gross income less expenses)	2021-12-31	$2,244,989
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$27,662,961
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$25,417,972
Assets. Value of participant loans	2021-12-31	$74,797
Assets. Value of real-estate (other than employer real property)	2021-12-31	$458,000
Total contributions received or receivable from employer(s)	2021-12-31	$961,821
Value of certain deemed distributions of participant loans	2021-12-31	$0
Value of corrective distributions	2021-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$102,683
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
2020 : GOLDEN GATE UROLOGY, INC. 401(K) PLAN 2020 401k financial data
Transfers to/from the plan	2020-12-31	$0
Total plan liabilities at end of year	2020-12-31	$0
Total plan liabilities at beginning of year	2020-12-31	$0
Total income from all sources	2020-12-31	$3,363,037
Expenses. Total of all expenses incurred	2020-12-31	$2,117,028
Benefits paid (including direct rollovers)	2020-12-31	$2,011,501
Total plan assets at end of year	2020-12-31	$25,417,972
Total plan assets at beginning of year	2020-12-31	$24,171,963
Value of fidelity bond covering the plan	2020-12-31	$500,000
Total contributions received or receivable from participants	2020-12-31	$184,502
Expenses. Other expenses not covered elsewhere	2020-12-31	$3,609
Contributions received from other sources (not participants or employers)	2020-12-31	$1,175
Other income received	2020-12-31	$2,260,470
Noncash contributions received	2020-12-31	$0
Net income (gross income less expenses)	2020-12-31	$1,246,009
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$25,417,972
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$24,171,963
Assets. Value of participant loans	2020-12-31	$98,863
Assets. Value of real-estate (other than employer real property)	2020-12-31	$451,000
Total contributions received or receivable from employer(s)	2020-12-31	$916,890
Value of certain deemed distributions of participant loans	2020-12-31	$0
Value of corrective distributions	2020-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$101,918
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
2019 : GOLDEN GATE UROLOGY, INC. 401(K) PLAN 2019 401k financial data
Transfers to/from the plan	2019-12-31	$0
Total plan liabilities at end of year	2019-12-31	$0
Total plan liabilities at beginning of year	2019-12-31	$0
Total income from all sources	2019-12-31	$5,335,041
Expenses. Total of all expenses incurred	2019-12-31	$1,969,474
Benefits paid (including direct rollovers)	2019-12-31	$1,886,519
Total plan assets at end of year	2019-12-31	$24,171,963
Total plan assets at beginning of year	2019-12-31	$20,806,396
Value of fidelity bond covering the plan	2019-12-31	$500,000
Total contributions received or receivable from participants	2019-12-31	$164,137
Expenses. Other expenses not covered elsewhere	2019-12-31	$6,244
Contributions received from other sources (not participants or employers)	2019-12-31	$446,828
Other income received	2019-12-31	$3,974,110
Noncash contributions received	2019-12-31	$0
Net income (gross income less expenses)	2019-12-31	$3,365,567
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$24,171,963
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$20,806,396
Assets. Value of participant loans	2019-12-31	$69,322
Assets. Value of real-estate (other than employer real property)	2019-12-31	$430,425
Total contributions received or receivable from employer(s)	2019-12-31	$749,966
Value of certain deemed distributions of participant loans	2019-12-31	$0
Value of corrective distributions	2019-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$76,711
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
2018 : GOLDEN GATE UROLOGY, INC. 401(K) PLAN 2018 401k financial data
Transfers to/from the plan	2018-12-31	$0
Total plan liabilities at end of year	2018-12-31	$0
Total plan liabilities at beginning of year	2018-12-31	$0
Total income from all sources	2018-12-31	$23,642
Expenses. Total of all expenses incurred	2018-12-31	$588,178
Benefits paid (including direct rollovers)	2018-12-31	$516,278
Total plan assets at end of year	2018-12-31	$20,806,396
Total plan assets at beginning of year	2018-12-31	$21,370,932
Value of fidelity bond covering the plan	2018-12-31	$500,000
Total contributions received or receivable from participants	2018-12-31	$144,652
Expenses. Other expenses not covered elsewhere	2018-12-31	$6,231
Contributions received from other sources (not participants or employers)	2018-12-31	$0
Other income received	2018-12-31	$-994,498
Noncash contributions received	2018-12-31	$0
Net income (gross income less expenses)	2018-12-31	$-564,536
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$20,806,396
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$21,370,932
Assets. Value of participant loans	2018-12-31	$85,788
Assets. Value of assets in partnership/joint-venture interests	2018-12-31	$296,416
Assets. Value of real-estate (other than employer real property)	2018-12-31	$439,210
Total contributions received or receivable from employer(s)	2018-12-31	$873,488
Value of certain deemed distributions of participant loans	2018-12-31	$0
Value of corrective distributions	2018-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$65,669
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
2017 : GOLDEN GATE UROLOGY, INC. 401(K) PLAN 2017 401k financial data
Transfers to/from the plan	2017-12-31	$0
Total plan liabilities at end of year	2017-12-31	$0
Total plan liabilities at beginning of year	2017-12-31	$0
Total income from all sources	2017-12-31	$3,766,280
Expenses. Total of all expenses incurred	2017-12-31	$1,002,934
Benefits paid (including direct rollovers)	2017-12-31	$923,512
Total plan assets at end of year	2017-12-31	$21,370,932
Total plan assets at beginning of year	2017-12-31	$18,607,586
Value of fidelity bond covering the plan	2017-12-31	$500,000
Total contributions received or receivable from participants	2017-12-31	$146,699
Expenses. Other expenses not covered elsewhere	2017-12-31	$8,256
Contributions received from other sources (not participants or employers)	2017-12-31	$97,186
Other income received	2017-12-31	$2,539,868
Noncash contributions received	2017-12-31	$0
Net income (gross income less expenses)	2017-12-31	$2,763,346
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$21,370,932
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$18,607,586
Assets. Value of participant loans	2017-12-31	$38,978
Assets. Value of assets in partnership/joint-venture interests	2017-12-31	$179,522
Assets. Value of real-estate (other than employer real property)	2017-12-31	$426,420
Total contributions received or receivable from employer(s)	2017-12-31	$982,527
Value of certain deemed distributions of participant loans	2017-12-31	$0
Value of corrective distributions	2017-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$71,166
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
2016 : GOLDEN GATE UROLOGY, INC. 401(K) PLAN 2016 401k financial data
Transfers to/from the plan	2016-12-31	$0
Total plan liabilities at end of year	2016-12-31	$0
Total plan liabilities at beginning of year	2016-12-31	$0
Total income from all sources	2016-12-31	$2,353,045
Expenses. Total of all expenses incurred	2016-12-31	$3,417,921
Benefits paid (including direct rollovers)	2016-12-31	$3,342,080
Total plan assets at end of year	2016-12-31	$18,607,586
Total plan assets at beginning of year	2016-12-31	$19,672,462
Value of fidelity bond covering the plan	2016-12-31	$500,000
Total contributions received or receivable from participants	2016-12-31	$164,039
Expenses. Other expenses not covered elsewhere	2016-12-31	$6,117
Contributions received from other sources (not participants or employers)	2016-12-31	$0
Other income received	2016-12-31	$1,214,848
Noncash contributions received	2016-12-31	$0
Net income (gross income less expenses)	2016-12-31	$-1,064,876
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$18,607,586
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$19,672,462
Assets. Value of participant loans	2016-12-31	$99,773
Assets. Value of real-estate (other than employer real property)	2016-12-31	$414,000
Total contributions received or receivable from employer(s)	2016-12-31	$974,158
Value of certain deemed distributions of participant loans	2016-12-31	$0
Value of corrective distributions	2016-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$69,724
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0

Form 5500 Responses for GOLDEN GATE UROLOGY, INC. 401(K) PLAN

2022: GOLDEN GATE UROLOGY, INC. 401(K) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: GOLDEN GATE UROLOGY, INC. 401(K) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: GOLDEN GATE UROLOGY, INC. 401(K) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: GOLDEN GATE UROLOGY, INC. 401(K) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: GOLDEN GATE UROLOGY, INC. 401(K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: GOLDEN GATE UROLOGY, INC. 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: GOLDEN GATE UROLOGY, INC. 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	Yes
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

98375

Policy instance

Insurance contract or identification number	98375
Number of Individuals Covered	55
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $1,941
Total amount of fees paid to insurance company	USD $1,590
Commission paid to Insurance Broker	USD $1,941
Insurance broker organization code?	3
Amount paid for insurance broker fees	1590
Additional information about fees paid to insurance broker	PROCESSING LOANS AND DISTRIBUTIONS

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

98375

Policy instance

Insurance contract or identification number	98375
Number of Individuals Covered	54
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $2,108
Total amount of fees paid to insurance company	USD $1,490
Commission paid to Insurance Broker	USD $2,108
Insurance broker organization code?	3
Amount paid for insurance broker fees	1490
Additional information about fees paid to insurance broker	LOAN AND DISTRIBUTION FEES

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

98375

Policy instance

Insurance contract or identification number	98375
Number of Individuals Covered	59
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $1,556
Total amount of fees paid to insurance company	USD $645
Commission paid to Insurance Broker	USD $1,556
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	PLAN ADMINISTRATION
Insurance broker organization code?	3

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

98375

Policy instance

Insurance contract or identification number	98375
Number of Individuals Covered	53
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $1,587
Total amount of fees paid to insurance company	USD $1,465
Commission paid to Insurance Broker	USD $1,587
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	PLAN ADMINISTRATION
Insurance broker organization code?	3

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

98375

Policy instance

Insurance contract or identification number	98375
Number of Individuals Covered	43
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $1,297
Total amount of fees paid to insurance company	USD $540
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	1297
Additional information about fees paid to insurance broker	PLAN ADMINISTRATION
Insurance broker organization code?	3
Insurance broker name	CDA BENEFIT CONSULTANTS, INC.

LIFE INSURANCE COMPANY OF THE SOUTHWEST (National Association of Insurance Commissioners NAIC id number: 65528 )

Policy contract number

0355380

Policy instance

Insurance contract or identification number	0355380
Number of Individuals Covered	1
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31

Potentially related plans

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Company Name:	GOLDEN GATE UROLOGY, INC.
Employer identification number (EIN):	264439142
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)