401k Plan data: CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN plan

CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN 401k Plan overview

Plan Name	CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN
Plan identification number	001

CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT 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.
Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of 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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan covering Self-Employed individuals.
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

CARLOS A. BARBA, MD, PLLC has sponsored the creation of one or more 401k plans.

Company Name: CARLOS A. BARBA, MD, PLLC

Employer identification number (EIN): 463288853

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

Additional information about CARLOS A. BARBA, MD, PLLC

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 2013-07-26

Company Identification Number: 0801823385

Legal Registered Office Address: 4970 N EXPRESSWAY STE A

BROWNSVILLE
United States of America (USA)
78526

More information about CARLOS A. BARBA, MD, PLLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-01-01 LEAH WEBSTER 2022-10-07
001 2021-01-01 LEAH WEBSTER 2023-09-05
001 2020-01-01 LEAH WEBSTER 2021-10-19
001 2020-01-01 LEAH WEBSTER 2021-09-30
001 2019-01-01 LEAH WEBSTER 2020-09-25
001 2019-01-01 LEAH WEBSTER 2021-10-19
001 2018-01-01 ZENAIDA TORRES 2019-10-10
001 2017-01-01
001 2016-01-01
001 2016-01-01 CARLOS A. BARBA 2018-10-23
001 2015-01-01
001 2014-01-01
001 2013-01-01

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2021-01-01	LEAH WEBSTER	2022-10-07
001	2021-01-01	LEAH WEBSTER	2023-09-05
001	2020-01-01	LEAH WEBSTER	2021-10-19
001	2020-01-01	LEAH WEBSTER	2021-09-30
001	2019-01-01	LEAH WEBSTER	2020-09-25
001	2019-01-01	LEAH WEBSTER	2021-10-19
001	2018-01-01	ZENAIDA TORRES	2019-10-10
001	2017-01-01
001	2016-01-01
001	2016-01-01	CARLOS A. BARBA	2018-10-23
001	2015-01-01
001	2014-01-01
001	2013-01-01

Plan Statistics for CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN

401k plan membership statisitcs for CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN

Measure Date Value
2021: CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 11
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 4
Total of all active and inactive participants 2021-01-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 15
Number of participants with account balances 2021-01-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 9
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 4
Total of all active and inactive participants 2020-01-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 13
Number of participants with account balances 2020-01-01 13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 10
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 1
Total of all active and inactive participants 2019-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 11
Number of participants with account balances 2019-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 8
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 3
Total of all active and inactive participants 2018-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 11
Number of participants with account balances 2018-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 6
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 4
Total of all active and inactive participants 2017-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 10
Number of participants with account balances 2017-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 4
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 4
Total of all active and inactive participants 2016-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 8
Number of participants with account balances 2016-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 3
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 5
Total of all active and inactive participants 2015-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 8
Number of participants with account balances 2015-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 9
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

Measure	Date	Value
2021: CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	11
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	4
Total of all active and inactive participants	2021-01-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	15
Number of participants with account balances	2021-01-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	9
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	4
Total of all active and inactive participants	2020-01-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	13
Number of participants with account balances	2020-01-01	13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	10
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	1
Total of all active and inactive participants	2019-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	11
Number of participants with account balances	2019-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	8
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	3
Total of all active and inactive participants	2018-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	11
Number of participants with account balances	2018-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	6
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	4
Total of all active and inactive participants	2017-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	10
Number of participants with account balances	2017-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	4
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	4
Total of all active and inactive participants	2016-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	8
Number of participants with account balances	2016-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	3
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	5
Total of all active and inactive participants	2015-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	8
Number of participants with account balances	2015-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	9
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

Financial Data on CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN

Measure	Date	Value
2021 : CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN 2021 401k financial data
Transfers to/from the plan	2021-12-31	$0
Total plan liabilities at end of year	2021-12-31	$0
Total plan liabilities at beginning of year	2021-12-31	$67
Total income from all sources	2021-12-31	$117,699
Expenses. Total of all expenses incurred	2021-12-31	$3,818
Benefits paid (including direct rollovers)	2021-12-31	$0
Total plan assets at end of year	2021-12-31	$634,752
Total plan assets at beginning of year	2021-12-31	$520,938
Value of fidelity bond covering the plan	2021-12-31	$275,000
Total contributions received or receivable from participants	2021-12-31	$24,036
Assets. Value of loans (other than to participants)	2021-12-31	$4,284
Expenses. Other expenses not covered elsewhere	2021-12-31	$3,818
Contributions received from other sources (not participants or employers)	2021-12-31	$0
Other income received	2021-12-31	$69,312
Noncash contributions received	2021-12-31	$0
Net income (gross income less expenses)	2021-12-31	$113,881
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$634,752
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$520,871
Total contributions received or receivable from employer(s)	2021-12-31	$24,351
Value of certain deemed distributions of participant loans	2021-12-31	$0
Value of corrective distributions	2021-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$0
2020 : CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN 2020 401k financial data
Transfers to/from the plan	2020-12-31	$0
Total plan liabilities at end of year	2020-12-31	$67
Total plan liabilities at beginning of year	2020-12-31	$67
Total income from all sources	2020-12-31	$70,015
Expenses. Total of all expenses incurred	2020-12-31	$3,005
Benefits paid (including direct rollovers)	2020-12-31	$0
Total plan assets at end of year	2020-12-31	$520,938
Total plan assets at beginning of year	2020-12-31	$453,928
Value of fidelity bond covering the plan	2020-12-31	$275,000
Total contributions received or receivable from participants	2020-12-31	$6,886
Assets. Value of loans (other than to participants)	2020-12-31	$4,080
Expenses. Other expenses not covered elsewhere	2020-12-31	$3,005
Contributions received from other sources (not participants or employers)	2020-12-31	$0
Other income received	2020-12-31	$35,615
Noncash contributions received	2020-12-31	$0
Net income (gross income less expenses)	2020-12-31	$67,010
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$520,871
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$453,861
Total contributions received or receivable from employer(s)	2020-12-31	$27,514
Value of certain deemed distributions of participant loans	2020-12-31	$0
Value of corrective distributions	2020-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
2019 : CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN 2019 401k financial data
Transfers to/from the plan	2019-12-31	$0
Total plan liabilities at end of year	2019-12-31	$67
Total plan liabilities at beginning of year	2019-12-31	$67
Total income from all sources	2019-12-31	$81,052
Expenses. Total of all expenses incurred	2019-12-31	$2,878
Benefits paid (including direct rollovers)	2019-12-31	$0
Total plan assets at end of year	2019-12-31	$463,928
Total plan assets at beginning of year	2019-12-31	$385,754
Value of fidelity bond covering the plan	2019-12-31	$275,000
Total contributions received or receivable from participants	2019-12-31	$25,410
Assets. Value of loans (other than to participants)	2019-12-31	$5,725
Expenses. Other expenses not covered elsewhere	2019-12-31	$2,878
Contributions received from other sources (not participants or employers)	2019-12-31	$586
Other income received	2019-12-31	$33,802
Noncash contributions received	2019-12-31	$0
Net income (gross income less expenses)	2019-12-31	$78,174
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$463,861
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$385,687
Total contributions received or receivable from employer(s)	2019-12-31	$21,254
Value of certain deemed distributions of participant loans	2019-12-31	$0
Value of corrective distributions	2019-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$0
2018 : CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN 2018 401k financial data
Total plan liabilities at end of year	2018-12-31	$67
Total plan liabilities at beginning of year	2018-12-31	$67
Total income from all sources	2018-12-31	$65,940
Expenses. Total of all expenses incurred	2018-12-31	$2,875
Benefits paid (including direct rollovers)	2018-12-31	$0
Total plan assets at end of year	2018-12-31	$385,754
Total plan assets at beginning of year	2018-12-31	$322,689
Value of fidelity bond covering the plan	2018-12-31	$275,000
Total contributions received or receivable from participants	2018-12-31	$12,704
Assets. Value of loans (other than to participants)	2018-12-31	$5,193
Expenses. Other expenses not covered elsewhere	2018-12-31	$2,875
Contributions received from other sources (not participants or employers)	2018-12-31	$0
Other income received	2018-12-31	$-10,351
Noncash contributions received	2018-12-31	$0
Net income (gross income less expenses)	2018-12-31	$63,065
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$385,687
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$322,622
Total contributions received or receivable from employer(s)	2018-12-31	$63,587
Value of certain deemed distributions of participant loans	2018-12-31	$0
Value of corrective distributions	2018-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
2017 : CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN 2017 401k financial data
Transfers to/from the plan	2017-12-31	$0
Total plan liabilities at end of year	2017-12-31	$67
Total plan liabilities at beginning of year	2017-12-31	$0
Total income from all sources	2017-12-31	$44,322
Expenses. Total of all expenses incurred	2017-12-31	$3,951
Benefits paid (including direct rollovers)	2017-12-31	$1,538
Total plan assets at end of year	2017-12-31	$322,689
Total plan assets at beginning of year	2017-12-31	$282,251
Value of fidelity bond covering the plan	2017-12-31	$275,000
Total contributions received or receivable from participants	2017-12-31	$2,600
Assets. Value of loans (other than to participants)	2017-12-31	$17,193
Expenses. Other expenses not covered elsewhere	2017-12-31	$2,413
Contributions received from other sources (not participants or employers)	2017-12-31	$0
Other income received	2017-12-31	$26,715
Noncash contributions received	2017-12-31	$0
Net income (gross income less expenses)	2017-12-31	$40,371
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$322,622
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$282,251
Total contributions received or receivable from employer(s)	2017-12-31	$15,007
Value of certain deemed distributions of participant loans	2017-12-31	$0
Value of corrective distributions	2017-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
2016 : CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN 2016 401k financial data
Transfers to/from the plan	2016-12-31	$0
Total plan liabilities at end of year	2016-12-31	$0
Total plan liabilities at beginning of year	2016-12-31	$0
Total income from all sources	2016-12-31	$17,721
Expenses. Total of all expenses incurred	2016-12-31	$1,810
Benefits paid (including direct rollovers)	2016-12-31	$0
Total plan assets at end of year	2016-12-31	$242,296
Total plan assets at beginning of year	2016-12-31	$226,385
Total contributions received or receivable from participants	2016-12-31	$0
Assets. Value of loans (other than to participants)	2016-12-31	$27,857
Expenses. Other expenses not covered elsewhere	2016-12-31	$1,810
Contributions received from other sources (not participants or employers)	2016-12-31	$0
Other income received	2016-12-31	$6,445
Noncash contributions received	2016-12-31	$0
Net income (gross income less expenses)	2016-12-31	$15,911
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$242,296
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$226,385
Total contributions received or receivable from employer(s)	2016-12-31	$11,276
Value of certain deemed distributions of participant loans	2016-12-31	$0
Value of corrective distributions	2016-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$0
2015 : CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN 2015 401k financial data
Transfers to/from the plan	2015-12-31	$0
Total plan liabilities at end of year	2015-12-31	$0
Total plan liabilities at beginning of year	2015-12-31	$0
Total income from all sources	2015-12-31	$-2,193
Expenses. Total of all expenses incurred	2015-12-31	$1,621
Benefits paid (including direct rollovers)	2015-12-31	$0
Total plan assets at end of year	2015-12-31	$226,385
Total plan assets at beginning of year	2015-12-31	$230,199
Total contributions received or receivable from participants	2015-12-31	$0
Assets. Value of loans (other than to participants)	2015-12-31	$55,422
Expenses. Other expenses not covered elsewhere	2015-12-31	$0
Contributions received from other sources (not participants or employers)	2015-12-31	$0
Other income received	2015-12-31	$-5,303
Noncash contributions received	2015-12-31	$0
Net income (gross income less expenses)	2015-12-31	$-3,814
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$226,385
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$230,199
Total contributions received or receivable from employer(s)	2015-12-31	$3,110
Value of certain deemed distributions of participant loans	2015-12-31	$0
Value of corrective distributions	2015-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$1,621
2014 : CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
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	$18,185
Expenses. Total of all expenses incurred	2014-12-31	$16,095
Benefits paid (including direct rollovers)	2014-12-31	$15,130
Total plan assets at end of year	2014-12-31	$230,199
Total plan assets at beginning of year	2014-12-31	$228,109
Total contributions received or receivable from participants	2014-12-31	$0
Assets. Value of loans (other than to participants)	2014-12-31	$105,000
Expenses. Other expenses not covered elsewhere	2014-12-31	$862
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$18,185
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$2,090
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$230,199
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$228,109
Assets. Value of participant loans	2014-12-31	$0
Total contributions received or receivable from employer(s)	2014-12-31	$0
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	$103
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0

Form 5500 Responses for CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN

2021: CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	Yes
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN 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 – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN 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 – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN 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 – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN 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 – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN 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 – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: CARLOS A. BARBA, MD, PLLC 401(K) RETIREMENT PLAN 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 – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number	816395
Policy instance	1
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number	816395
Policy instance	1
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number	816395
Policy instance	1
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number	816395
Policy instance	1
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number	816395
Policy instance	1

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Company Name:	CARLOS A. BARBA, MD, PLLC
Employer identification number (EIN):	463288853
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	2013-07-26
Company Identification Number:	0801823385
Legal Registered Office Address:	4970 N EXPRESSWAY STE A BROWNSVILLE United States of America (USA) 78526