401k Plan data: CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING PLAN TRUST plan

CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING PLAN TRUST 401k Plan overview

Plan Name	CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING PLAN TRUST
Plan identification number	001

CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING PLAN TRUST Benefits

401k Plan Type

Defined 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.
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.
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

CHILD HEALTH ASSOCIATES PC has sponsored the creation of one or more 401k plans.

Company Name: CHILD HEALTH ASSOCIATES PC

Employer identification number (EIN): 382143339

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

Additional information about CHILD HEALTH ASSOCIATES PC

Jurisdiction of Incorporation: Michigan Department of Licensing & Regulatory Affairs

Incorporation Date:

Company Identification Number: 137245

More information about CHILD HEALTH ASSOCIATES PC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING PLAN TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 DR. LEE WEINSTEIN 2023-10-13
001 2021-01-01 DR. LEE WEINSTEIN 2022-06-06
001 2020-01-01 DR. LEE WEINSTEIN 2021-06-05
001 2019-01-01
001 2018-01-01 DR. LEE WEINSTEIN
001 2017-01-01 DR. LEE WEINSTEIN
001 2016-01-01 DR. LEE WEINSTEIN
001 2015-01-01 LEE WEINSTEIN 2016-06-27
001 2014-01-01 LEE M. WEINSTEIN 2015-07-26
001 2013-01-01 LEE M WEINSTEIN 2014-04-17
001 2012-01-01 CHILD HEALTH ASSOCIATES PC 2013-07-11
001 2011-01-01 CHILD HEALTH ASSOCIATES PC
001 2010-01-01 CHILD HEALTH ASSOCIATES PC
001 2009-01-01 CHILD HEALTH ASSOCIATES PC
001 2009-01-01 CHILD HEALTH ASSOCIATES PC
001 2009-01-01 CHILD HEALTH ASSOCIATES PC

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2022-01-01	DR. LEE WEINSTEIN	2023-10-13
001	2021-01-01	DR. LEE WEINSTEIN	2022-06-06
001	2020-01-01	DR. LEE WEINSTEIN	2021-06-05
001	2019-01-01
001	2018-01-01	DR. LEE WEINSTEIN
001	2017-01-01	DR. LEE WEINSTEIN
001	2016-01-01	DR. LEE WEINSTEIN
001	2015-01-01	LEE WEINSTEIN	2016-06-27
001	2014-01-01	LEE M. WEINSTEIN	2015-07-26
001	2013-01-01	LEE M WEINSTEIN	2014-04-17
001	2012-01-01	CHILD HEALTH ASSOCIATES PC	2013-07-11
001	2011-01-01	CHILD HEALTH ASSOCIATES PC
001	2010-01-01	CHILD HEALTH ASSOCIATES PC
001	2009-01-01	CHILD HEALTH ASSOCIATES PC
001	2009-01-01	CHILD HEALTH ASSOCIATES PC
001	2009-01-01	CHILD HEALTH ASSOCIATES PC

Plan Statistics for CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING PLAN TRUST

401k plan membership statisitcs for CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING PLAN TRUST

Measure Date Value
2019: CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING PLAN TRUST 2019 401k membership
Total participants, beginning-of-year 2019-01-01 38
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 38
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 3
Total of all active and inactive participants 2019-01-01 41
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 41
Number of participants with account balances 2019-01-01 30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING PLAN TRUST 2018 401k membership
Total participants, beginning-of-year 2018-01-01 33
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 36
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 2
Total of all active and inactive participants 2018-01-01 38
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 38
Number of participants with account balances 2018-01-01 27
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING PLAN TRUST 2017 401k membership
Total participants, beginning-of-year 2017-01-01 34
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 33
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 3
Total of all active and inactive participants 2017-01-01 36
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 36
Number of participants with account balances 2017-01-01 26
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING PLAN TRUST 2016 401k membership
Total participants, beginning-of-year 2016-01-01 37
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 26
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 3
Total of all active and inactive participants 2016-01-01 29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 29
Number of participants with account balances 2016-01-01 29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2011: CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING PLAN TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 31
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 26
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 3
Total of all active and inactive participants 2011-01-01 29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 29
Number of participants with account balances 2011-01-01 18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING PLAN TRUST 2010 401k membership
Total participants, beginning-of-year 2010-01-01 31
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 27
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 4
Total of all active and inactive participants 2010-01-01 31
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 31
Number of participants with account balances 2010-01-01 18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING PLAN TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 32
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 27
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 4
Total of all active and inactive participants 2009-01-01 31
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 31
Number of participants with account balances 2009-01-01 20
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2019: CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING PLAN TRUST 2019 401k membership
Total participants, beginning-of-year	2019-01-01	38
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	38
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	3
Total of all active and inactive participants	2019-01-01	41
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	41
Number of participants with account balances	2019-01-01	30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING PLAN TRUST 2018 401k membership
Total participants, beginning-of-year	2018-01-01	33
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	36
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	2
Total of all active and inactive participants	2018-01-01	38
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	38
Number of participants with account balances	2018-01-01	27
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING PLAN TRUST 2017 401k membership
Total participants, beginning-of-year	2017-01-01	34
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	33
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	3
Total of all active and inactive participants	2017-01-01	36
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	36
Number of participants with account balances	2017-01-01	26
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING PLAN TRUST 2016 401k membership
Total participants, beginning-of-year	2016-01-01	37
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	26
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	3
Total of all active and inactive participants	2016-01-01	29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	29
Number of participants with account balances	2016-01-01	29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2011: CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING PLAN TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	31
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	26
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	3
Total of all active and inactive participants	2011-01-01	29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	29
Number of participants with account balances	2011-01-01	18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING PLAN TRUST 2010 401k membership
Total participants, beginning-of-year	2010-01-01	31
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	27
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	4
Total of all active and inactive participants	2010-01-01	31
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	31
Number of participants with account balances	2010-01-01	18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING PLAN TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	32
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	27
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	4
Total of all active and inactive participants	2009-01-01	31
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	31
Number of participants with account balances	2009-01-01	20
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING PLAN TRUST

Measure	Date	Value
2019 : CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING PLAN TRUST 2019 401k financial data
Total income from all sources	2019-12-31	$1,033,944
Expenses. Total of all expenses incurred	2019-12-31	$23,316
Benefits paid (including direct rollovers)	2019-12-31	$16,710
Total plan assets at end of year	2019-12-31	$4,229,202
Total plan assets at beginning of year	2019-12-31	$3,218,574
Value of fidelity bond covering the plan	2019-12-31	$422,921
Total contributions received or receivable from participants	2019-12-31	$216,859
Other income received	2019-12-31	$714,233
Net income (gross income less expenses)	2019-12-31	$1,010,628
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$4,229,202
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$3,218,574
Assets. Value of participant loans	2019-12-31	$45,277
Total contributions received or receivable from employer(s)	2019-12-31	$102,852
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$6,606
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
2018 : CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING PLAN TRUST 2018 401k financial data
Total income from all sources	2018-12-31	$65,403
Expenses. Total of all expenses incurred	2018-12-31	$65,106
Benefits paid (including direct rollovers)	2018-12-31	$51,393
Total plan assets at end of year	2018-12-31	$3,218,574
Total plan assets at beginning of year	2018-12-31	$3,218,277
Value of fidelity bond covering the plan	2018-12-31	$265,000
Total contributions received or receivable from participants	2018-12-31	$202,653
Other income received	2018-12-31	$-237,219
Net income (gross income less expenses)	2018-12-31	$297
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$3,218,574
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$3,218,277
Assets. Value of participant loans	2018-12-31	$11,073
Total contributions received or receivable from employer(s)	2018-12-31	$99,969
Value of certain deemed distributions of participant loans	2018-12-31	$7,549
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$6,164
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
2017 : CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING PLAN TRUST 2017 401k financial data
Total income from all sources	2017-12-31	$744,166
Expenses. Total of all expenses incurred	2017-12-31	$12,630
Benefits paid (including direct rollovers)	2017-12-31	$6,760
Total plan assets at end of year	2017-12-31	$3,218,277
Total plan assets at beginning of year	2017-12-31	$2,486,741
Value of fidelity bond covering the plan	2017-12-31	$265,000
Total contributions received or receivable from participants	2017-12-31	$179,212
Other income received	2017-12-31	$464,946
Net income (gross income less expenses)	2017-12-31	$731,536
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$3,218,277
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$2,486,741
Assets. Value of participant loans	2017-12-31	$25,030
Total contributions received or receivable from employer(s)	2017-12-31	$100,008
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$5,870
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
2016 : CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING PLAN TRUST 2016 401k financial data
Total income from all sources	2016-12-31	$446,324
Expenses. Total of all expenses incurred	2016-12-31	$195,250
Benefits paid (including direct rollovers)	2016-12-31	$195,051
Total plan assets at end of year	2016-12-31	$2,486,741
Total plan assets at beginning of year	2016-12-31	$2,235,667
Value of fidelity bond covering the plan	2016-12-31	$265,000
Total contributions received or receivable from participants	2016-12-31	$176,275
Expenses. Other expenses not covered elsewhere	2016-12-31	$0
Other income received	2016-12-31	$173,151
Net income (gross income less expenses)	2016-12-31	$251,074
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$2,486,741
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$2,235,667
Assets. Value of participant loans	2016-12-31	$33,737
Total contributions received or receivable from employer(s)	2016-12-31	$96,898
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$199
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
2011 : CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING PLAN TRUST 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$134,992
Expenses. Total of all expenses incurred	2011-12-31	$9,022
Benefits paid (including direct rollovers)	2011-12-31	$8,945
Total plan assets at end of year	2011-12-31	$1,092,578
Total plan assets at beginning of year	2011-12-31	$966,608
Value of fidelity bond covering the plan	2011-12-31	$96,661
Total contributions received or receivable from participants	2011-12-31	$105,495
Expenses. Other expenses not covered elsewhere	2011-12-31	$0
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-21,840
Net income (gross income less expenses)	2011-12-31	$125,970
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,092,578
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$966,608
Assets. Value of participant loans	2011-12-31	$16,114
Total contributions received or receivable from employer(s)	2011-12-31	$51,337
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$77
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2011-12-31	$0
Minimum employer required contribution for this plan year	2011-12-31	$0
Amount contributed by the employer to the plan for this plan year	2011-12-31	$0
2010 : CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING PLAN TRUST 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$221,947
Expenses. Total of all expenses incurred	2010-12-31	$7,877
Benefits paid (including direct rollovers)	2010-12-31	$7,837
Total plan assets at end of year	2010-12-31	$966,608
Total plan assets at beginning of year	2010-12-31	$752,538
Value of fidelity bond covering the plan	2010-12-31	$75,254
Total contributions received or receivable from participants	2010-12-31	$90,387
Expenses. Other expenses not covered elsewhere	2010-12-31	$0
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$87,257
Net income (gross income less expenses)	2010-12-31	$214,070
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$966,608
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$752,538
Assets. Value of participant loans	2010-12-31	$25,847
Total contributions received or receivable from employer(s)	2010-12-31	$44,303
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$40
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2010-12-31	$0
Minimum employer required contribution for this plan year	2010-12-31	$0
Amount contributed by the employer to the plan for this plan year	2010-12-31	$0
2009 : CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING PLAN TRUST 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2009-12-31	$0
Minimum employer required contribution for this plan year	2009-12-31	$0
Amount contributed by the employer to the plan for this plan year	2009-12-31	$0

Form 5500 Responses for CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING PLAN TRUST

2019: CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING 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	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 – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING 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: CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING 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: CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING 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
2011: CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING PLAN TRUST 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING PLAN TRUST 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: CHILD HEALTH ASSOCIATES PC 401 K PROFIT SHARING PLAN TRUST 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

30113 / FV1W

Policy instance

Insurance contract or identification number	30113 / FV1W
Number of Individuals Covered	30
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $14,535
Total amount of fees paid to insurance company	USD $1,912
Are there contracts with allocated funds for individual policies?	0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $14,535
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	BROKER COMMISSIONS
Insurance broker organization code?	7

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

30113 / FV1W

Policy instance

Insurance contract or identification number	30113 / FV1W
Number of Individuals Covered	27
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $13,191
Total amount of fees paid to insurance company	USD $1,537
Are there contracts with allocated funds for individual policies?	0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $13,191
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	BROKER COMMISSIONS
Insurance broker organization code?	7

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

30113 / FV1W

Policy instance

Insurance contract or identification number	30113 / FV1W
Number of Individuals Covered	26
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $10,862
Total amount of fees paid to insurance company	USD $1,664
Are there contracts with allocated funds for individual policies?	0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $10,862
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	BROKER COMMISSIONS
Insurance broker organization code?	7
Insurance broker name	PPG RETIREMENT PLAN SVCS LTD

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Company Name:	CHILD HEALTH ASSOCIATES PC
Employer identification number (EIN):	382143339
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Jurisdiction of Incorporation:	Michigan Department of Licensing & Regulatory Affairs
Incorporation Date:
Company Identification Number:	137245