| Plan Name | LAKE SHORE ADULT AND GERIATRIC MEDICINE RETIREMENT TRUST |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | LAKE SHORE ADULT AND GERIATRIC MEDICINE |
| Employer identification number (EIN): | 364380509 |
| NAIC Classification: | 541600 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2021-01-01 | MARK VEXELMAN | 2022-08-07 | ||
| 001 | 2020-01-01 | MARK VEXELMAN | 2022-03-17 | ||
| 001 | 2019-01-01 | MARK VEXELMAN | 2020-10-04 | ||
| 001 | 2018-01-01 | MARK VEXELMAN | 2019-08-18 | ||
| 001 | 2014-01-01 | MARK VEXELMAN | 2015-10-15 | MARK VEXELMAN | 2015-10-15 |
| Measure | Date | Value |
|---|---|---|
| 2025 : LAKE SHORE ADULT AND GERIATRIC MEDICINE RETIREMENT TRUST 2025 401k financial data | ||
| Total expenses incurred by plan in this plan year | 2025-06-27 | 10378 |
| Net assets as of the end of the plan year | 2025-06-27 | 72245 |
| Total assets as of the beginning of the plan year | 2025-06-27 | 61028 |
| Value of plan covered by a fidelity bond | 2025-06-27 | 0 |
| Participant contributions to plan in this plan year | 2025-06-27 | 8493 |
| Value of participant loans at end of plan year | 2025-06-27 | 0 |
| Other contributions to plan in this plan year | 2025-06-27 | 0 |
| Other income to plan in this plan year | 2025-06-27 | 4609 |
| Plan net income in this plan year | 2025-06-27 | 11217 |
| Net assets as of the end of the plan year | 2025-06-27 | 72245 |
| Net assets as of the beginning of the plan year | 2025-06-27 | 61028 |
| Employer contributions to plan in this plan year | 2025-06-27 | 8493 |
| Expensese paid to adminstrative service provicers from plan in this plan year | 2025-06-27 | 251 |