401k Plan data: GREAT LAKES SURGICAL ASSOCIATION SAFE HARBOR 401(K) PLAN plan

GREAT LAKES SURGICAL ASSOCIATION SAFE HARBOR 401(K) PLAN 401k Plan overview

Plan Name	GREAT LAKES SURGICAL ASSOCIATION SAFE HARBOR 401(K) PLAN
Plan identification number	002

GREAT LAKES SURGICAL ASSOCIATION SAFE HARBOR 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
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.
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

GREAT LAKES SURGICAL ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name: GREAT LAKES SURGICAL ASSOCIATION

Employer identification number (EIN): 383582684

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GREAT LAKES SURGICAL ASSOCIATION SAFE HARBOR 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01 JEFFREY SMITH 2023-10-12
002 2022-01-01 JEFFREY SMITH 2024-02-02
002 2021-01-01 JEFFREY SMITH 2022-10-06
002 2020-01-01 JEFFREY SMITH 2021-08-31
002 2019-01-01 JEFFREY SMITH 2020-11-11
002 2018-01-01 JEFFREY SMITH 2020-12-07
002 2015-01-01 JEFFREY SMITH JEFFREY SMITH
002 2015-01-01 JEFFREY SMITH JEFFREY SMITH
002 2015-01-01 JEFFREY SMITH
002 2015-01-01 JEFFREY SMITH
002 2014-01-01 JEFFREY SMITH JEFFREY SMITH
002 2014-01-01 JEFFREY SMITH
002 2014-01-01 JEFFREY SMITH GREAT LAKES SURGICAL ASSOCIATION
002 2014-01-01 JEFFREY SMITH JEFFREY SMITH
002 2013-01-01 JEFFREY SMITH
002 2012-01-01 JEFFREY SMITH

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor
002	2022-01-01	JEFFREY SMITH	2023-10-12
002	2022-01-01	JEFFREY SMITH	2024-02-02
002	2021-01-01	JEFFREY SMITH	2022-10-06
002	2020-01-01	JEFFREY SMITH	2021-08-31
002	2019-01-01	JEFFREY SMITH	2020-11-11
002	2018-01-01	JEFFREY SMITH	2020-12-07
002	2015-01-01	JEFFREY SMITH		JEFFREY SMITH
002	2015-01-01	JEFFREY SMITH		JEFFREY SMITH
002	2015-01-01	JEFFREY SMITH
002	2015-01-01			JEFFREY SMITH
002	2014-01-01	JEFFREY SMITH		JEFFREY SMITH
002	2014-01-01	JEFFREY SMITH
002	2014-01-01	JEFFREY SMITH		GREAT LAKES SURGICAL ASSOCIATION
002	2014-01-01	JEFFREY SMITH		JEFFREY SMITH
002	2013-01-01	JEFFREY SMITH
002	2012-01-01	JEFFREY SMITH

Plan Statistics for GREAT LAKES SURGICAL ASSOCIATION SAFE HARBOR 401(K) PLAN

401k plan membership statisitcs for GREAT LAKES SURGICAL ASSOCIATION SAFE HARBOR 401(K) PLAN

Measure Date Value
2015: GREAT LAKES SURGICAL ASSOCIATION SAFE HARBOR 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 11
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 11
Number of participants with account balances 2015-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: GREAT LAKES SURGICAL ASSOCIATION SAFE HARBOR 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 8
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 1
Total of all active and inactive participants 2014-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 9
Number of participants with account balances 2014-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: GREAT LAKES SURGICAL ASSOCIATION SAFE HARBOR 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 9
Number of retired or separated participants receiving benefits 2013-01-01 2
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 11
Number of participants with account balances 2013-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: GREAT LAKES SURGICAL ASSOCIATION SAFE HARBOR 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 11
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 11
Number of participants with account balances 2012-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0

Measure	Date	Value
2015: GREAT LAKES SURGICAL ASSOCIATION SAFE HARBOR 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	11
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	11
Number of participants with account balances	2015-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: GREAT LAKES SURGICAL ASSOCIATION SAFE HARBOR 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	8
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	1
Total of all active and inactive participants	2014-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	9
Number of participants with account balances	2014-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: GREAT LAKES SURGICAL ASSOCIATION SAFE HARBOR 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	9
Number of retired or separated participants receiving benefits	2013-01-01	2
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	11
Number of participants with account balances	2013-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: GREAT LAKES SURGICAL ASSOCIATION SAFE HARBOR 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	11
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	11
Number of participants with account balances	2012-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0

Financial Data on GREAT LAKES SURGICAL ASSOCIATION SAFE HARBOR 401(K) PLAN

Measure	Date	Value
2015 : GREAT LAKES SURGICAL ASSOCIATION SAFE HARBOR 401(K) PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$175,108
Expenses. Total of all expenses incurred	2015-12-31	$9,712
Benefits paid (including direct rollovers)	2015-12-31	$9,132
Total plan assets at end of year	2015-12-31	$1,792,382
Total plan assets at beginning of year	2015-12-31	$1,626,986
Total contributions received or receivable from participants	2015-12-31	$104,679
Other income received	2015-12-31	$-22,523
Net income (gross income less expenses)	2015-12-31	$165,396
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,792,382
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,626,986
Total contributions received or receivable from employer(s)	2015-12-31	$92,952
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$580
2014 : GREAT LAKES SURGICAL ASSOCIATION SAFE HARBOR 401(K) PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$255,629
Expenses. Total of all expenses incurred	2014-12-31	$984
Benefits paid (including direct rollovers)	2014-12-31	$984
Total plan assets at end of year	2014-12-31	$1,626,986
Total plan assets at beginning of year	2014-12-31	$1,372,341
Total contributions received or receivable from participants	2014-12-31	$89,913
Other income received	2014-12-31	$96,638
Net income (gross income less expenses)	2014-12-31	$254,645
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,626,986
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,372,341
Total contributions received or receivable from employer(s)	2014-12-31	$69,078
2013 : GREAT LAKES SURGICAL ASSOCIATION SAFE HARBOR 401(K) PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$380,997
Expenses. Total of all expenses incurred	2013-12-31	$911
Benefits paid (including direct rollovers)	2013-12-31	$911
Total plan assets at end of year	2013-12-31	$1,372,341
Total plan assets at beginning of year	2013-12-31	$992,255
Total contributions received or receivable from participants	2013-12-31	$83,341
Contributions received from other sources (not participants or employers)	2013-12-31	$6,955
Other income received	2013-12-31	$218,074
Net income (gross income less expenses)	2013-12-31	$380,086
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,372,341
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$992,255
Total contributions received or receivable from employer(s)	2013-12-31	$72,627
2012 : GREAT LAKES SURGICAL ASSOCIATION SAFE HARBOR 401(K) PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$280,324
Expenses. Total of all expenses incurred	2012-12-31	$11,400
Benefits paid (including direct rollovers)	2012-12-31	$11,400
Total plan assets at end of year	2012-12-31	$992,255
Total plan assets at beginning of year	2012-12-31	$723,331
Total contributions received or receivable from participants	2012-12-31	$85,821
Other income received	2012-12-31	$105,870
Net income (gross income less expenses)	2012-12-31	$268,924
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$992,255
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$723,331
Total contributions received or receivable from employer(s)	2012-12-31	$88,633

Form 5500 Responses for GREAT LAKES SURGICAL ASSOCIATION SAFE HARBOR 401(K) PLAN

2015: GREAT LAKES SURGICAL ASSOCIATION SAFE HARBOR 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: GREAT LAKES SURGICAL ASSOCIATION SAFE HARBOR 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: GREAT LAKES SURGICAL ASSOCIATION SAFE HARBOR 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: GREAT LAKES SURGICAL ASSOCIATION SAFE HARBOR 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	GREAT LAKES SURGICAL ASSOCIATION
Employer identification number (EIN):	383582684
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)