401k Plan data: PULMONARY AND CRITICAL CARE 401(K) PLAN plan

PULMONARY AND CRITICAL CARE 401(K) PLAN 401k Plan overview

Plan Name	PULMONARY AND CRITICAL CARE 401(K) PLAN
Plan identification number	001

PULMONARY AND CRITICAL CARE 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

PULMONARY AND CRITICAL CARE, PC has sponsored the creation of one or more 401k plans.

Company Name: PULMONARY AND CRITICAL CARE, PC

Employer identification number (EIN): 461019551

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PULMONARY AND CRITICAL CARE 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 MARYAM CHOHAN 2023-08-29
001 2021-01-01 MARYAM RASHID 2022-10-10
001 2020-01-01 MARYAM RASHID 2021-07-14
001 2019-01-01 MARYAM RASHID 2020-07-24
001 2018-01-01 MARYAM RASHID 2019-06-24
001 2017-01-01 MARYAM RASHID 2018-06-12
001 2016-01-01 MARYAM RASHID 2017-03-13
001 2015-01-01 MARYAM RASHID 2016-07-14
001 2014-01-01 MARYAM RASHID
001 2013-01-01 MARYAM RASHID

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2022-01-01	MARYAM CHOHAN	2023-08-29
001	2021-01-01	MARYAM RASHID	2022-10-10
001	2020-01-01	MARYAM RASHID	2021-07-14
001	2019-01-01	MARYAM RASHID	2020-07-24
001	2018-01-01	MARYAM RASHID	2019-06-24
001	2017-01-01	MARYAM RASHID	2018-06-12
001	2016-01-01	MARYAM RASHID	2017-03-13
001	2015-01-01	MARYAM RASHID	2016-07-14
001	2014-01-01	MARYAM RASHID
001	2013-01-01	MARYAM RASHID

Plan Statistics for PULMONARY AND CRITICAL CARE 401(K) PLAN

401k plan membership statisitcs for PULMONARY AND CRITICAL CARE 401(K) PLAN

Measure Date Value
2014: PULMONARY AND CRITICAL CARE 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 5
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 0
Total of all active and inactive participants 2014-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 5
Number of participants with account balances 2014-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: PULMONARY AND CRITICAL CARE 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 5
Number of retired or separated participants receiving benefits 2013-01-01 0
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 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 5
Number of participants with account balances 2013-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0

Measure	Date	Value
2014: PULMONARY AND CRITICAL CARE 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	5
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	0
Total of all active and inactive participants	2014-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	5
Number of participants with account balances	2014-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: PULMONARY AND CRITICAL CARE 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	5
Number of retired or separated participants receiving benefits	2013-01-01	0
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	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	5
Number of participants with account balances	2013-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0

Financial Data on PULMONARY AND CRITICAL CARE 401(K) PLAN

Measure	Date	Value
2014 : PULMONARY AND CRITICAL CARE 401(K) PLAN 2014 401k financial data
Total plan liabilities at end of year	2014-12-31	$0
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$65,856
Expenses. Total of all expenses incurred	2014-12-31	$826
Benefits paid (including direct rollovers)	2014-12-31	$0
Total plan assets at end of year	2014-12-31	$120,104
Total plan assets at beginning of year	2014-12-31	$55,074
Value of fidelity bond covering the plan	2014-12-31	$35,000
Total contributions received or receivable from participants	2014-12-31	$41,903
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$5,550
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$65,030
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$120,104
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$55,074
Total contributions received or receivable from employer(s)	2014-12-31	$18,403
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$826
2013 : PULMONARY AND CRITICAL CARE 401(K) PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
Total plan liabilities at end of year	2013-12-31	$0
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$55,184
Expenses. Total of all expenses incurred	2013-12-31	$110
Benefits paid (including direct rollovers)	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$55,074
Total plan assets at beginning of year	2013-12-31	$0
Total contributions received or receivable from participants	2013-12-31	$38,247
Expenses. Other expenses not covered elsewhere	2013-12-31	$0
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$1,966
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$55,074
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$55,074
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$0
Total contributions received or receivable from employer(s)	2013-12-31	$14,971
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$110

Form 5500 Responses for PULMONARY AND CRITICAL CARE 401(K) PLAN

2014: PULMONARY AND CRITICAL CARE 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
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: PULMONARY AND CRITICAL CARE 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	First time form 5500 has been submitted	Yes
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

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

VARIOUS

Policy instance

Insurance contract or identification number	VARIOUS
Number of Individuals Covered	5
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $8
Total amount of fees paid to insurance company	USD $3
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8
Additional information about fees paid to insurance broker	COMMISSIONS PAID
Insurance broker organization code?	3
Amount paid for insurance broker fees	2
Insurance broker name	WELLS THOMAS, LLC

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	5
Insurance policy start date	2013-07-01
Insurance policy end date	2013-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

809359

Policy instance

Insurance contract or identification number	809359
Number of Individuals Covered	5
Insurance policy start date	2013-07-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $15
Total amount of fees paid to insurance company	USD $352
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $15
Insurance broker organization code?	3
Amount paid for insurance broker fees	302
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE
Insurance broker name	MORGAN STANLEY DW INC

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Company Name:	PULMONARY AND CRITICAL CARE, PC
Employer identification number (EIN):	461019551
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)