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EAST TENNESSEE PULMONARY & SLEEP MEDICINE 401(K) PLAN 401k Plan overview

Plan NameEAST TENNESSEE PULMONARY & SLEEP MEDICINE 401(K) PLAN
Plan identification number 001

EAST TENNESSEE PULMONARY & SLEEP MEDICINE 401(K) 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.
  • 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

MANDEEP S. BAKSHI has sponsored the creation of one or more 401k plans.

Company Name:MANDEEP S. BAKSHI
Employer identification number (EIN):320150047
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EAST TENNESSEE PULMONARY & SLEEP MEDICINE 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01MANDEEPS BAKSHI2023-03-06 MANDEEPS BAKSHI2023-03-06
0012021-01-01MANDEEP BAKSHI2022-06-08 MANDEEP BAKSHI2022-06-08
0012020-01-01MANDEEP BAKSHI2021-02-08
0012019-01-01MANDEEP BAKSHI2020-02-10 MANDEEP BAKSHI2020-02-10
0012018-01-01SHIRLEY BALL2019-03-11 SHIRLEY BALL2019-03-11
0012017-01-01SHIRLEY BALL2019-02-05 SHIRLEY BALL2019-02-05
0012016-01-01MANDEEP BAKSHI2017-03-21 MANDEEP BAKSHI2017-03-21
0012015-01-01SHIRLEY BALL2016-09-22 SHIRLEY BALL2016-09-22
0012014-01-01RUSHMIE BAKSHI2015-07-22 RUSHMIE BAKSHI2015-07-22
0012013-01-01MANDEEP BAKSHI2014-11-10 MANDEEP BAKSHI2014-11-10
0012012-01-01RUSHMIE BAKSHI

Plan Statistics for EAST TENNESSEE PULMONARY & SLEEP MEDICINE 401(K) PLAN

401k plan membership statisitcs for EAST TENNESSEE PULMONARY & SLEEP MEDICINE 401(K) PLAN

Measure Date Value
2012: EAST TENNESSEE PULMONARY & SLEEP MEDICINE 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-016
Total number of active participants reported on line 7a of the Form 55002012-01-016
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-016
Number of participants with account balances2012-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010

Financial Data on EAST TENNESSEE PULMONARY & SLEEP MEDICINE 401(K) PLAN

Measure Date Value
2012 : EAST TENNESSEE PULMONARY & SLEEP MEDICINE 401(K) PLAN 2012 401k financial data
Transfers to/from the plan2012-12-31$0
Total income from all sources2012-12-31$13,049
Expenses. Total of all expenses incurred2012-12-31$0
Benefits paid (including direct rollovers)2012-12-31$0
Total plan assets at end of year2012-12-31$60,718
Total plan assets at beginning of year2012-12-31$47,669
Value of fidelity bond covering the plan2012-12-31$100,000
Total contributions received or receivable from participants2012-12-31$3,889
Expenses. Other expenses not covered elsewhere2012-12-31$0
Contributions received from other sources (not participants or employers)2012-12-31$0
Other income received2012-12-31$4,443
Net income (gross income less expenses)2012-12-31$13,049
Net plan assets at end of year (total assets less liabilities)2012-12-31$60,718
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$47,669
Assets. Value of participant loans2012-12-31$0
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022012-12-31$4,673
Total contributions received or receivable from employer(s)2012-12-31$4,717
Value of certain deemed distributions of participant loans2012-12-31$0
Value of corrective distributions2012-12-31$0

Form 5500 Responses for EAST TENNESSEE PULMONARY & SLEEP MEDICINE 401(K) PLAN

2012: EAST TENNESSEE PULMONARY & SLEEP MEDICINE 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-826186
Policy instance 1
Insurance contract or identification numberGA-826186
Number of Individuals Covered6
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $198
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $198
Insurance broker organization code?3
Insurance broker nameRAYMOND JAMES FINANCIAL SRVC

Potentially related plans

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