401k Plan data: THE CHILDREN'S HEALTH CENTER SC PROFIT SHARING AND SAVINGS PLAN & TRUST plan

THE CHILDREN'S HEALTH CENTER SC PROFIT SHARING AND SAVINGS PLAN & TRUST 401k Plan overview

Plan Name	THE CHILDREN'S HEALTH CENTER SC PROFIT SHARING AND SAVINGS PLAN & TRUST
Plan identification number	001

THE CHILDREN'S HEALTH CENTER SC PROFIT SHARING AND SAVINGS PLAN & TRUST Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
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

THE CHILDREN'S HEALTH CENTER, S.C. has sponsored the creation of one or more 401k plans.

Company Name: THE CHILDREN'S HEALTH CENTER, S.C.

Employer identification number (EIN): 362715008

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE CHILDREN'S HEALTH CENTER SC PROFIT SHARING AND SAVINGS PLAN & TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2019-01-01 NANDINI UPADHYAY 2020-07-29 NANDINI UPADHYAY 2020-07-29
001 2018-01-01 NANDINI UPADHYAY 2019-07-26 NANDINI UPADHYAY 2019-07-26
001 2017-01-01
001 2016-01-01
001 2015-01-01
001 2014-01-01
001 2013-01-01
001 2012-01-01 BARRY GOLDMAN, MD
001 2011-01-01 BARRY GOLDMAN, MD 2012-07-24
001 2010-01-01 BARRY GOLDMAN, MD 2011-07-26

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2019-01-01	NANDINI UPADHYAY	2020-07-29	NANDINI UPADHYAY	2020-07-29
001	2018-01-01	NANDINI UPADHYAY	2019-07-26	NANDINI UPADHYAY	2019-07-26
001	2017-01-01
001	2016-01-01
001	2015-01-01
001	2014-01-01
001	2013-01-01
001	2012-01-01	BARRY GOLDMAN, MD
001	2011-01-01	BARRY GOLDMAN, MD	2012-07-24
001	2010-01-01	BARRY GOLDMAN, MD	2011-07-26

Financial Data on THE CHILDREN'S HEALTH CENTER SC PROFIT SHARING AND SAVINGS PLAN & TRUST

Measure	Date	Value
2019 : THE CHILDREN'S HEALTH CENTER SC PROFIT SHARING AND SAVINGS PLAN & TRUST 2019 401k financial data
Total plan liabilities at end of year	2019-12-31	$0
Total income from all sources	2019-12-31	$540,857
Expenses. Total of all expenses incurred	2019-12-31	$3,217,319
Benefits paid (including direct rollovers)	2019-12-31	$3,210,921
Total plan assets at end of year	2019-12-31	$0
Total plan assets at beginning of year	2019-12-31	$2,676,462
Value of fidelity bond covering the plan	2019-12-31	$230,000
Other income received	2019-12-31	$540,857
Net income (gross income less expenses)	2019-12-31	$-2,676,462
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$2,676,462
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$6,398
2018 : THE CHILDREN'S HEALTH CENTER SC PROFIT SHARING AND SAVINGS PLAN & TRUST 2018 401k financial data
Total plan liabilities at end of year	2018-12-31	$0
Total income from all sources	2018-12-31	$90,610
Expenses. Total of all expenses incurred	2018-12-31	$139,913
Benefits paid (including direct rollovers)	2018-12-31	$129,837
Total plan assets at end of year	2018-12-31	$2,676,462
Total plan assets at beginning of year	2018-12-31	$2,725,765
Value of fidelity bond covering the plan	2018-12-31	$230,000
Total contributions received or receivable from participants	2018-12-31	$23,674
Other income received	2018-12-31	$-140,096
Net income (gross income less expenses)	2018-12-31	$-49,303
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$2,676,462
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$2,725,765
Assets. Value of participant loans	2018-12-31	$2,144
Total contributions received or receivable from employer(s)	2018-12-31	$207,032
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$10,076
2017 : THE CHILDREN'S HEALTH CENTER SC PROFIT SHARING AND SAVINGS PLAN & TRUST 2017 401k financial data
Total income from all sources	2017-12-31	$653,074
Expenses. Total of all expenses incurred	2017-12-31	$389,765
Benefits paid (including direct rollovers)	2017-12-31	$380,316
Total plan assets at end of year	2017-12-31	$2,725,765
Total plan assets at beginning of year	2017-12-31	$2,462,456
Value of fidelity bond covering the plan	2017-12-31	$230,000
Total contributions received or receivable from participants	2017-12-31	$105,362
Expenses. Other expenses not covered elsewhere	2017-12-31	$9,449
Contributions received from other sources (not participants or employers)	2017-12-31	$11,186
Other income received	2017-12-31	$492,446
Net income (gross income less expenses)	2017-12-31	$263,309
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$2,725,765
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$2,462,456
Assets. Value of participant loans	2017-12-31	$4,147
Total contributions received or receivable from employer(s)	2017-12-31	$44,080
2016 : THE CHILDREN'S HEALTH CENTER SC PROFIT SHARING AND SAVINGS PLAN & TRUST 2016 401k financial data
Total income from all sources	2016-12-31	$310,567
Expenses. Total of all expenses incurred	2016-12-31	$59,992
Benefits paid (including direct rollovers)	2016-12-31	$51,351
Total plan assets at end of year	2016-12-31	$2,462,456
Total plan assets at beginning of year	2016-12-31	$2,211,881
Value of fidelity bond covering the plan	2016-12-31	$230,000
Total contributions received or receivable from participants	2016-12-31	$104,330
Other income received	2016-12-31	$162,345
Net income (gross income less expenses)	2016-12-31	$250,575
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$2,462,456
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$2,211,881
Assets. Value of participant loans	2016-12-31	$5,832
Total contributions received or receivable from employer(s)	2016-12-31	$43,892
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$8,641
2015 : THE CHILDREN'S HEALTH CENTER SC PROFIT SHARING AND SAVINGS PLAN & TRUST 2015 401k financial data
Total income from all sources	2015-12-31	$147,299
Expenses. Total of all expenses incurred	2015-12-31	$32,974
Benefits paid (including direct rollovers)	2015-12-31	$32,974
Total plan assets at end of year	2015-12-31	$2,211,881
Total plan assets at beginning of year	2015-12-31	$2,097,556
Value of fidelity bond covering the plan	2015-12-31	$230,000
Total contributions received or receivable from participants	2015-12-31	$101,870
Other income received	2015-12-31	$-5,255
Net income (gross income less expenses)	2015-12-31	$114,325
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$2,211,881
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$2,097,556
Assets. Value of participant loans	2015-12-31	$8,632
Total contributions received or receivable from employer(s)	2015-12-31	$50,684
2014 : THE CHILDREN'S HEALTH CENTER SC PROFIT SHARING AND SAVINGS PLAN & TRUST 2014 401k financial data
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$268,617
Expenses. Total of all expenses incurred	2014-12-31	$1,072,247
Benefits paid (including direct rollovers)	2014-12-31	$1,070,857
Total plan assets at end of year	2014-12-31	$2,097,556
Total plan assets at beginning of year	2014-12-31	$2,901,186
Value of fidelity bond covering the plan	2014-12-31	$110,000
Total contributions received or receivable from participants	2014-12-31	$97,131
Other income received	2014-12-31	$115,470
Net income (gross income less expenses)	2014-12-31	$-803,630
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$2,097,556
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$2,901,186
Assets. Value of participant loans	2014-12-31	$17,260
Total contributions received or receivable from employer(s)	2014-12-31	$56,016
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$1,390
2013 : THE CHILDREN'S HEALTH CENTER SC PROFIT SHARING AND SAVINGS PLAN & TRUST 2013 401k financial data
Total income from all sources	2013-12-31	$469,591
Expenses. Total of all expenses incurred	2013-12-31	$52,787
Benefits paid (including direct rollovers)	2013-12-31	$48,463
Total plan assets at end of year	2013-12-31	$2,901,186
Total plan assets at beginning of year	2013-12-31	$2,484,382
Value of fidelity bond covering the plan	2013-12-31	$1,100,000
Total contributions received or receivable from participants	2013-12-31	$66,086
Other income received	2013-12-31	$281,057
Net income (gross income less expenses)	2013-12-31	$416,804
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$2,901,186
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$2,484,382
Assets. Value of participant loans	2013-12-31	$5,001
Total contributions received or receivable from employer(s)	2013-12-31	$122,448
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$4,324
2012 : THE CHILDREN'S HEALTH CENTER SC PROFIT SHARING AND SAVINGS PLAN & TRUST 2012 401k financial data
Total income from all sources	2012-12-31	$332,998
Expenses. Total of all expenses incurred	2012-12-31	$53,901
Benefits paid (including direct rollovers)	2012-12-31	$42,901
Total plan assets at end of year	2012-12-31	$2,484,382
Total plan assets at beginning of year	2012-12-31	$2,205,285
Value of fidelity bond covering the plan	2012-12-31	$1,100,000
Total contributions received or receivable from participants	2012-12-31	$118,491
Expenses. Other expenses not covered elsewhere	2012-12-31	$11,000
Other income received	2012-12-31	$150,214
Net income (gross income less expenses)	2012-12-31	$279,097
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$2,484,382
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$2,205,285
Assets. Value of participant loans	2012-12-31	$7,450
Total contributions received or receivable from employer(s)	2012-12-31	$64,293

Form 5500 Responses for THE CHILDREN'S HEALTH CENTER SC PROFIT SHARING AND SAVINGS PLAN & TRUST

2019: THE CHILDREN'S HEALTH CENTER SC PROFIT SHARING AND SAVINGS PLAN & TRUST 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	Yes
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 – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: THE CHILDREN'S HEALTH CENTER SC PROFIT SHARING AND SAVINGS PLAN & TRUST 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 – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: THE CHILDREN'S HEALTH CENTER SC PROFIT SHARING AND SAVINGS PLAN & TRUST 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 – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: THE CHILDREN'S HEALTH CENTER SC PROFIT SHARING AND SAVINGS PLAN & TRUST 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
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 – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: THE CHILDREN'S HEALTH CENTER SC PROFIT SHARING AND SAVINGS PLAN & TRUST 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: THE CHILDREN'S HEALTH CENTER SC PROFIT SHARING AND SAVINGS PLAN & TRUST 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 – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: THE CHILDREN'S HEALTH CENTER SC PROFIT SHARING AND SAVINGS PLAN & TRUST 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
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 – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: THE CHILDREN'S HEALTH CENTER SC PROFIT SHARING AND SAVINGS PLAN & TRUST 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	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	106992
Policy instance	1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number	106992
Policy instance	1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number	106992
Policy instance	1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number	106992
Policy instance	1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number	106992
Policy instance	1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number	106992
Policy instance	1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number	106992
Policy instance	1

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Company Name:	THE CHILDREN'S HEALTH CENTER, S.C.
Employer identification number (EIN):	362715008
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)