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EYE SURGEONS OF INDIANA, P.C. 401K PROFIT SHARING PLAN 401k Plan overview

Plan NameEYE SURGEONS OF INDIANA, P.C. 401K PROFIT SHARING PLAN
Plan identification number 001

EYE SURGEONS OF INDIANA, P.C. 401K PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • 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.
  • 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) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

EYE SURGEONS OF INDIANA, P.C. has sponsored the creation of one or more 401k plans.

Company Name:EYE SURGEONS OF INDIANA, P.C.
Employer identification number (EIN):352020403
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EYE SURGEONS OF INDIANA, P.C. 401K PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01PAUL CACCHILLO, MD2021-03-30 PAUL CACCHILLO, MD2021-03-30
0012019-01-01PAUL CACCHILLO, MD2020-04-20 PAUL CACCHILLO, MD2020-04-20
0012018-01-01PAUL CACCHILLO, MD2019-07-25 PAUL CACCHILLO, MD2019-07-25
0012017-01-01MICHAEL G. ORR, M.D.2018-04-27
0012016-01-01MICHAEL G. ORR, M.D.2017-04-28
0012015-01-01MICHAEL G. ORR, M.D.2016-08-31
0012014-01-01MICHAEL G. ORR, M.D.2015-06-25
0012013-01-01MICHAEL G. ORR, M.D.2014-06-24
0012012-01-01MICHAEL G. ORR, M.D.2013-06-17
0012011-01-01MICHAEL G. ORR, M.D.2012-10-03
0012010-01-01MICHAEL G. ORR, M.D.2011-07-13

Plan Statistics for EYE SURGEONS OF INDIANA, P.C. 401K PROFIT SHARING PLAN

401k plan membership statisitcs for EYE SURGEONS OF INDIANA, P.C. 401K PROFIT SHARING PLAN

Measure Date Value
2022: EYE SURGEONS OF INDIANA, P.C. 401K PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01126
Total number of active participants reported on line 7a of the Form 55002022-01-01125
Number of retired or separated participants receiving benefits2022-01-012
Number of other retired or separated participants entitled to future benefits2022-01-0129
Total of all active and inactive participants2022-01-01156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01156
Number of participants with account balances2022-01-01136
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: EYE SURGEONS OF INDIANA, P.C. 401K PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01125
Total number of active participants reported on line 7a of the Form 55002021-01-01107
Number of retired or separated participants receiving benefits2021-01-012
Number of other retired or separated participants entitled to future benefits2021-01-0110
Total of all active and inactive participants2021-01-01119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01119
Number of participants with account balances2021-01-0197
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010

Financial Data on EYE SURGEONS OF INDIANA, P.C. 401K PROFIT SHARING PLAN

Measure Date Value
2022 : EYE SURGEONS OF INDIANA, P.C. 401K PROFIT SHARING PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-575,532
Total loss/gain on sale of assets2022-12-31$-1,747,648
Total of all expenses incurred2022-12-31$175,903
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$101,997
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$907,326
Value of total assets at end of year2022-12-31$13,258,768
Value of total assets at beginning of year2022-12-31$14,010,203
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$73,906
Total interest from all sources2022-12-31$264,790
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Administrative expenses professional fees incurred2022-12-31$1,536
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$593,524
Participant contributions at end of year2022-12-31$16,122
Participant contributions at beginning of year2022-12-31$11,436
Assets. Other investments not covered elsewhere at end of year2022-12-31$26,894
Total non interest bearing cash at end of year2022-12-31$7,658
Total non interest bearing cash at beginning of year2022-12-31$1,830
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-751,435
Value of net assets at end of year (total assets less liabilities)2022-12-31$13,258,768
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$14,010,203
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$72,370
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$885,077
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$2,361,783
Interest on participant loans2022-12-31$704
Income. Interest from US Government securities2022-12-31$4,530
Income. Interest from corporate debt instruments2022-12-31$89,241
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$996,973
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$403,701
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$403,701
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$170,315
Asset value of US Government securities at end of year2022-12-31$1,248,030
Asset value of US Government securities at beginning of year2022-12-31$205,230
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31Yes
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$313,802
Employer contributions (assets) at end of year2022-12-31$89,306
Employer contributions (assets) at beginning of year2022-12-31$16,801
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$101,997
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$3,317,727
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$3,283,521
Assets. Corporate common stocks other than exployer securities at end of year2022-12-31$6,670,981
Assets. Corporate common stocks other than exployer securities at beginning of year2022-12-31$7,725,901
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Aggregate proceeds on sale of assets2022-12-31$-1,747,648
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31KATZ, SAPPER & MILLER, LLP
Accountancy firm EIN2022-12-31351090346
2021 : EYE SURGEONS OF INDIANA, P.C. 401K PROFIT SHARING PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$2,270,465
Total loss/gain on sale of assets2021-12-31$1,306,738
Total of all expenses incurred2021-12-31$295,571
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$222,982
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$713,484
Value of total assets at end of year2021-12-31$14,010,203
Value of total assets at beginning of year2021-12-31$12,035,309
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$72,589
Total interest from all sources2021-12-31$250,243
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Administrative expenses professional fees incurred2021-12-31$1,500
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$465,730
Participant contributions at end of year2021-12-31$11,436
Participant contributions at beginning of year2021-12-31$22,479
Total non interest bearing cash at end of year2021-12-31$1,830
Total non interest bearing cash at beginning of year2021-12-31$39,337
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$1,974,894
Value of net assets at end of year (total assets less liabilities)2021-12-31$14,010,203
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$12,035,309
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$71,089
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$2,361,783
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$1,786,520
Interest on participant loans2021-12-31$595
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$403,701
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$639,601
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$639,601
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$249,648
Asset value of US Government securities at end of year2021-12-31$205,230
Asset value of US Government securities at beginning of year2021-12-31$296,929
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31Yes
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$247,754
Employer contributions (assets) at end of year2021-12-31$16,801
Employer contributions (assets) at beginning of year2021-12-31$15,733
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$222,982
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$3,283,521
Asset. Corporate debt instrument debt (other) at beginning of year2021-12-31$2,841,637
Assets. Corporate common stocks other than exployer securities at end of year2021-12-31$7,725,901
Assets. Corporate common stocks other than exployer securities at beginning of year2021-12-31$6,393,073
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Aggregate proceeds on sale of assets2021-12-31$1,306,738
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31KATZ, SAPPER & MILLER, LLP
Accountancy firm EIN2021-12-31351090346

Form 5500 Responses for EYE SURGEONS OF INDIANA, P.C. 401K PROFIT SHARING PLAN

2022: EYE SURGEONS OF INDIANA, P.C. 401K PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: EYE SURGEONS OF INDIANA, P.C. 401K PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes

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