401k Plan data: PROFIT SHARING PLAN & TRUST OF DERMATOLOGY ASSOCIATES, P.A. plan

PROFIT SHARING PLAN & TRUST OF DERMATOLOGY ASSOCIATES, P.A. 401k Plan overview

Plan Name	PROFIT SHARING PLAN & TRUST OF DERMATOLOGY ASSOCIATES, P.A.
Plan identification number	002

PROFIT SHARING PLAN & TRUST OF DERMATOLOGY ASSOCIATES, P.A. 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.
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.
Plan sponsor(s) received services of leased employees, as defined in Code section 414(n), during the plan year.

401k Sponsoring company profile

DERMATOLOGY ASSOCIATES, P.A. has sponsored the creation of one or more 401k plans.

Company Name: DERMATOLOGY ASSOCIATES, P.A.

Employer identification number (EIN): 570526063

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

Additional information about DERMATOLOGY ASSOCIATES, P.A.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 1998-04-22

Company Identification Number: P98000036979

Legal Registered Office Address: 1 INDEPENDENT DR.,STE.2600

JACKSONVILLE

32202

More information about DERMATOLOGY ASSOCIATES, P.A.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PROFIT SHARING PLAN & TRUST OF DERMATOLOGY ASSOCIATES, P.A.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2023-01-01
002 2023-01-01 JOEL C. PHILLIPS
002 2022-01-01
002 2022-01-01 JOEL C. PHILLIPS
002 2021-01-01
002 2021-01-01 JOEL C. PHILLIPS
002 2020-01-01
002 2019-01-01 JOSEPH CATANZARO 2020-09-15
002 2018-01-01 JOSEPH CATANZARO 2019-10-08
002 2017-01-01 JOSEPH CATANZARO
002 2016-01-01 CHARLES WEST
002 2015-01-01 CHARLES WEST
002 2014-01-01 CHARLES WEST
002 2013-01-01 CHARLES WEST
002 2012-01-01 CHARLES WEST 2013-07-03
002 2011-01-01 CHARLES WEST 2012-06-27
002 2010-01-01 CHARLES WEST 2011-04-27

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2023-01-01
002	2023-01-01	JOEL C. PHILLIPS
002	2022-01-01
002	2022-01-01	JOEL C. PHILLIPS
002	2021-01-01
002	2021-01-01	JOEL C. PHILLIPS
002	2020-01-01
002	2019-01-01	JOSEPH CATANZARO	2020-09-15
002	2018-01-01	JOSEPH CATANZARO	2019-10-08
002	2017-01-01	JOSEPH CATANZARO
002	2016-01-01	CHARLES WEST
002	2015-01-01	CHARLES WEST
002	2014-01-01	CHARLES WEST
002	2013-01-01	CHARLES WEST
002	2012-01-01	CHARLES WEST	2013-07-03
002	2011-01-01	CHARLES WEST	2012-06-27
002	2010-01-01	CHARLES WEST	2011-04-27

Financial Data on PROFIT SHARING PLAN & TRUST OF DERMATOLOGY ASSOCIATES, P.A.

Measure	Date	Value
2023 : PROFIT SHARING PLAN & TRUST OF DERMATOLOGY ASSOCIATES, P.A. 2023 401k financial data
Transfers to/from the plan	2023-12-31	$0
Total plan liabilities at end of year	2023-12-31	$0
Total plan liabilities at beginning of year	2023-12-31	$0
Total income from all sources	2023-12-31	$802,874
Expenses. Total of all expenses incurred	2023-12-31	$8,684,226
Benefits paid (including direct rollovers)	2023-12-31	$8,680,824
Total plan assets at end of year	2023-12-31	$6,181
Total plan assets at beginning of year	2023-12-31	$7,887,533
Value of fidelity bond covering the plan	2023-12-31	$500,000
Total contributions received or receivable from participants	2023-12-31	$0
Expenses. Other expenses not covered elsewhere	2023-12-31	$0
Contributions received from other sources (not participants or employers)	2023-12-31	$0
Other income received	2023-12-31	$621,870
Noncash contributions received	2023-12-31	$0
Net income (gross income less expenses)	2023-12-31	$-7,881,352
Net plan assets at end of year (total assets less liabilities)	2023-12-31	$6,181
Net plan assets at beginning of year (total assets less liabilities)	2023-12-31	$7,887,533
Total contributions received or receivable from employer(s)	2023-12-31	$181,004
Value of certain deemed distributions of participant loans	2023-12-31	$0
Value of corrective distributions	2023-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2023-12-31	$3,402
2022 : PROFIT SHARING PLAN & TRUST OF DERMATOLOGY ASSOCIATES, P.A. 2022 401k financial data
Transfers to/from the plan	2022-12-31	$0
Total plan liabilities at end of year	2022-12-31	$0
Total plan liabilities at beginning of year	2022-12-31	$0
Total income from all sources	2022-12-31	$-2,146,662
Expenses. Total of all expenses incurred	2022-12-31	$4,252,370
Benefits paid (including direct rollovers)	2022-12-31	$4,215,606
Total plan assets at end of year	2022-12-31	$7,887,533
Total plan assets at beginning of year	2022-12-31	$14,286,565
Value of fidelity bond covering the plan	2022-12-31	$500,000
Assets. Value of tangible personal property	2022-12-31	$0
Total contributions received or receivable from participants	2022-12-31	$187,451
Assets. Value of loans (other than to participants)	2022-12-31	$0
Expenses. Other expenses not covered elsewhere	2022-12-31	$0
Contributions received from other sources (not participants or employers)	2022-12-31	$0
Other income received	2022-12-31	$-2,657,904
Noncash contributions received	2022-12-31	$0
Net income (gross income less expenses)	2022-12-31	$-6,399,032
Net plan assets at end of year (total assets less liabilities)	2022-12-31	$7,887,533
Net plan assets at beginning of year (total assets less liabilities)	2022-12-31	$14,286,565
Assets. Value of participant loans	2022-12-31	$0
Assets. Value of assets in partnership/joint-venture interests	2022-12-31	$0
Assets. Value of real-estate (other than employer real property)	2022-12-31	$0
Assets. Value of employer securities	2022-12-31	$0
Assets. Value of employer real property	2022-12-31	$0
Total contributions received or receivable from employer(s)	2022-12-31	$323,791
Value of certain deemed distributions of participant loans	2022-12-31	$0
Value of corrective distributions	2022-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2022-12-31	$36,764
2021 : PROFIT SHARING PLAN & TRUST OF DERMATOLOGY ASSOCIATES, P.A. 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	$0
Total income from all sources	2021-12-31	$1,956,825
Expenses. Total of all expenses incurred	2021-12-31	$393,213
Benefits paid (including direct rollovers)	2021-12-31	$362,470
Total plan assets at end of year	2021-12-31	$14,286,565
Total plan assets at beginning of year	2021-12-31	$12,722,953
Value of fidelity bond covering the plan	2021-12-31	$500,000
Total contributions received or receivable from participants	2021-12-31	$223,951
Expenses. Other expenses not covered elsewhere	2021-12-31	$0
Contributions received from other sources (not participants or employers)	2021-12-31	$0
Other income received	2021-12-31	$1,421,066
Noncash contributions received	2021-12-31	$0
Net income (gross income less expenses)	2021-12-31	$1,563,612
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$14,286,565
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$12,722,953
Total contributions received or receivable from employer(s)	2021-12-31	$311,808
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	$30,743
2020 : PROFIT SHARING PLAN & TRUST OF DERMATOLOGY ASSOCIATES, P.A. 2020 401k financial data
Transfers to/from the plan	2020-12-31	$0
Total plan liabilities at end of year	2020-12-31	$0
Total plan liabilities at beginning of year	2020-12-31	$0
Total income from all sources	2020-12-31	$1,813,599
Expenses. Total of all expenses incurred	2020-12-31	$442,188
Benefits paid (including direct rollovers)	2020-12-31	$396,196
Total plan assets at end of year	2020-12-31	$12,722,953
Total plan assets at beginning of year	2020-12-31	$11,351,542
Value of fidelity bond covering the plan	2020-12-31	$500,000
Total contributions received or receivable from participants	2020-12-31	$201,722
Expenses. Other expenses not covered elsewhere	2020-12-31	$0
Contributions received from other sources (not participants or employers)	2020-12-31	$0
Other income received	2020-12-31	$1,516,497
Noncash contributions received	2020-12-31	$0
Net income (gross income less expenses)	2020-12-31	$1,371,411
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$12,722,953
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$11,351,542
Total contributions received or receivable from employer(s)	2020-12-31	$95,380
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	$45,992
2017 : PROFIT SHARING PLAN & TRUST OF DERMATOLOGY ASSOCIATES, P.A. 2017 401k financial data
Total plan liabilities at end of year	2017-12-31	$0
Total plan liabilities at beginning of year	2017-12-31	$3,360
Total income from all sources	2017-12-31	$2,300,211
Expenses. Total of all expenses incurred	2017-12-31	$580,913
Benefits paid (including direct rollovers)	2017-12-31	$537,250
Total plan assets at end of year	2017-12-31	$14,786,642
Total plan assets at beginning of year	2017-12-31	$13,070,704
Value of fidelity bond covering the plan	2017-12-31	$500,000
Total contributions received or receivable from participants	2017-12-31	$144,080
Other income received	2017-12-31	$1,861,396
Net income (gross income less expenses)	2017-12-31	$1,719,298
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$14,786,642
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$13,067,344
Assets. Value of assets in partnership/joint-venture interests	2017-12-31	$0
Total contributions received or receivable from employer(s)	2017-12-31	$294,735
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$43,663
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
2016 : PROFIT SHARING PLAN & TRUST OF DERMATOLOGY ASSOCIATES, P.A. 2016 401k financial data
Total plan liabilities at end of year	2016-12-31	$3,360
Total plan liabilities at beginning of year	2016-12-31	$2,357
Total income from all sources	2016-12-31	$1,094,435
Expenses. Total of all expenses incurred	2016-12-31	$566,078
Benefits paid (including direct rollovers)	2016-12-31	$523,198
Total plan assets at end of year	2016-12-31	$13,070,704
Total plan assets at beginning of year	2016-12-31	$12,541,344
Value of fidelity bond covering the plan	2016-12-31	$1,000,000
Total contributions received or receivable from participants	2016-12-31	$134,189
Expenses. Other expenses not covered elsewhere	2016-12-31	$656
Other income received	2016-12-31	$712,641
Net income (gross income less expenses)	2016-12-31	$528,357
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$13,067,344
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$12,538,987
Assets. Value of assets in partnership/joint-venture interests	2016-12-31	$129,178
Total contributions received or receivable from employer(s)	2016-12-31	$247,605
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$42,224
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
2015 : PROFIT SHARING PLAN & TRUST OF DERMATOLOGY ASSOCIATES, P.A. 2015 401k financial data
Total plan liabilities at end of year	2015-12-31	$2,357
Total plan liabilities at beginning of year	2015-12-31	$7,384
Total income from all sources	2015-12-31	$252,483
Expenses. Total of all expenses incurred	2015-12-31	$1,514,187
Benefits paid (including direct rollovers)	2015-12-31	$1,467,174
Total plan assets at end of year	2015-12-31	$12,541,344
Total plan assets at beginning of year	2015-12-31	$13,808,075
Value of fidelity bond covering the plan	2015-12-31	$500,000
Total contributions received or receivable from participants	2015-12-31	$131,244
Expenses. Other expenses not covered elsewhere	2015-12-31	$1,292
Other income received	2015-12-31	$-127,314
Net income (gross income less expenses)	2015-12-31	$-1,261,704
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$12,538,987
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$13,800,691
Assets. Value of assets in partnership/joint-venture interests	2015-12-31	$126,051
Total contributions received or receivable from employer(s)	2015-12-31	$248,553
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$45,721
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : PROFIT SHARING PLAN & TRUST OF DERMATOLOGY ASSOCIATES, P.A. 2014 401k financial data
Total plan liabilities at end of year	2014-12-31	$7,384
Total plan liabilities at beginning of year	2014-12-31	$240,385
Total income from all sources	2014-12-31	$944,608
Expenses. Total of all expenses incurred	2014-12-31	$598,651
Benefits paid (including direct rollovers)	2014-12-31	$554,610
Total plan assets at end of year	2014-12-31	$13,808,075
Total plan assets at beginning of year	2014-12-31	$13,695,119
Value of fidelity bond covering the plan	2014-12-31	$500,000
Total contributions received or receivable from participants	2014-12-31	$137,259
Other income received	2014-12-31	$570,276
Net income (gross income less expenses)	2014-12-31	$345,957
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$13,800,691
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$13,454,734
Assets. Value of assets in partnership/joint-venture interests	2014-12-31	$141,761
Total contributions received or receivable from employer(s)	2014-12-31	$237,073
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$44,041
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : PROFIT SHARING PLAN & TRUST OF DERMATOLOGY ASSOCIATES, P.A. 2013 401k financial data
Total plan liabilities at end of year	2013-12-31	$240,385
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$1,976,908
Expenses. Total of all expenses incurred	2013-12-31	$2,234,354
Benefits paid (including direct rollovers)	2013-12-31	$2,194,105
Total plan assets at end of year	2013-12-31	$13,695,119
Total plan assets at beginning of year	2013-12-31	$13,712,180
Value of fidelity bond covering the plan	2013-12-31	$500,000
Total contributions received or receivable from participants	2013-12-31	$120,287
Expenses. Other expenses not covered elsewhere	2013-12-31	$2,042
Other income received	2013-12-31	$1,584,953
Net income (gross income less expenses)	2013-12-31	$-257,446
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$13,454,734
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$13,712,180
Assets. Value of assets in partnership/joint-venture interests	2013-12-31	$132,353
Total contributions received or receivable from employer(s)	2013-12-31	$271,668
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$38,207
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0

Form 5500 Responses for PROFIT SHARING PLAN & TRUST OF DERMATOLOGY ASSOCIATES, P.A.

2023: PROFIT SHARING PLAN & TRUST OF DERMATOLOGY ASSOCIATES, P.A. 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Submission has been amended	No
2023-01-01	This submission is the final filing	No
2023-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2023-01-01	Plan is a collectively bargained plan	No
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan funding arrangement – Trust	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement - Trust	Yes
2022: PROFIT SHARING PLAN & TRUST OF DERMATOLOGY ASSOCIATES, P.A. 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	This submission is the final filing	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: PROFIT SHARING PLAN & TRUST OF DERMATOLOGY ASSOCIATES, P.A. 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: PROFIT SHARING PLAN & TRUST OF DERMATOLOGY ASSOCIATES, P.A. 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
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
2017: PROFIT SHARING PLAN & TRUST OF DERMATOLOGY ASSOCIATES, P.A. 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: PROFIT SHARING PLAN & TRUST OF DERMATOLOGY ASSOCIATES, P.A. 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: PROFIT SHARING PLAN & TRUST OF DERMATOLOGY ASSOCIATES, P.A. 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: PROFIT SHARING PLAN & TRUST OF DERMATOLOGY ASSOCIATES, P.A. 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
2013: PROFIT SHARING PLAN & TRUST OF DERMATOLOGY ASSOCIATES, P.A. 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	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

896569087

Policy instance

Insurance contract or identification number	896569087
Number of Individuals Covered	0
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
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

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

Policy contract number

896569 087

Policy instance

Insurance contract or identification number	896569 087
Number of Individuals Covered	1
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
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?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

896569 087

Policy instance

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

Policy contract number

896569 087

Policy instance

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Company Name:	DERMATOLOGY ASSOCIATES, P.A.
Employer identification number (EIN):	570526063
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	1998-04-22
Company Identification Number:	P98000036979
Legal Registered Office Address:	1 INDEPENDENT DR.,STE.2600 JACKSONVILLE 32202