401k Plan data: EYE CENTER OF CENTRAL GEORGIA, P. C. EMPLOYEES 401K RETIREMENT PLAN plan

EYE CENTER OF CENTRAL GEORGIA, P. C. EMPLOYEES 401K RETIREMENT PLAN 401k Plan overview

Plan Name	EYE CENTER OF CENTRAL GEORGIA, P. C. EMPLOYEES 401K RETIREMENT PLAN
Plan identification number	002

EYE CENTER OF CENTRAL GEORGIA, P. C. EMPLOYEES 401K 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.
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

EYE CENTER OF CENTRAL GEORGIA, P.C. has sponsored the creation of one or more 401k plans.

Company Name: EYE CENTER OF CENTRAL GEORGIA, P.C.

Employer identification number (EIN): 581051840

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EYE CENTER OF CENTRAL GEORGIA, P. C. EMPLOYEES 401K RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-05-01 DIANE VAUGHN 2023-07-06
002 2021-05-01 DIANE VAUGHN 2022-11-16 DIANE VAUGHN 2022-11-16
002 2020-05-01 MALCOLM SIDNEY MOORE JR MD 2021-11-01 MALCOLM SIDNEY MOORE JR MD 2021-11-01
002 2019-05-01
002 2018-05-01
002 2017-05-01 MALCOLM MOORE 2018-08-16
002 2016-05-01 MALCOLM MOORE 2017-07-07
002 2015-05-01 MALCOLM MOORE 2016-09-21
002 2014-05-01 MALCOLM MOORE 2015-09-03 MALCOLM MOORE 2015-09-03
002 2013-05-01 MALCOLM MOORE MALCOLM MOORE 2014-09-18
002 2012-05-01 MALCOLM MOORE MALCOLM MOORE 2013-09-17
002 2011-05-01 MALCOLM MOORE MALCOLM MOORE 2012-10-02
002 2010-05-01 MALCOLM MOORE 2011-07-14

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2022-05-01	DIANE VAUGHN	2023-07-06
002	2021-05-01	DIANE VAUGHN	2022-11-16	DIANE VAUGHN	2022-11-16
002	2020-05-01	MALCOLM SIDNEY MOORE JR MD	2021-11-01	MALCOLM SIDNEY MOORE JR MD	2021-11-01
002	2019-05-01
002	2018-05-01
002	2017-05-01	MALCOLM MOORE	2018-08-16
002	2016-05-01	MALCOLM MOORE	2017-07-07
002	2015-05-01	MALCOLM MOORE	2016-09-21
002	2014-05-01	MALCOLM MOORE	2015-09-03	MALCOLM MOORE	2015-09-03
002	2013-05-01	MALCOLM MOORE		MALCOLM MOORE	2014-09-18
002	2012-05-01	MALCOLM MOORE		MALCOLM MOORE	2013-09-17
002	2011-05-01	MALCOLM MOORE		MALCOLM MOORE	2012-10-02
002	2010-05-01	MALCOLM MOORE	2011-07-14

Plan Statistics for EYE CENTER OF CENTRAL GEORGIA, P. C. EMPLOYEES 401K RETIREMENT PLAN

401k plan membership statisitcs for EYE CENTER OF CENTRAL GEORGIA, P. C. EMPLOYEES 401K RETIREMENT PLAN

Measure Date Value
2013: EYE CENTER OF CENTRAL GEORGIA, P. C. EMPLOYEES 401K RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-05-01 51
Total number of active participants reported on line 7a of the Form 5500 2013-05-01 42
Number of retired or separated participants receiving benefits 2013-05-01 0
Number of other retired or separated participants entitled to future benefits 2013-05-01 11
Total of all active and inactive participants 2013-05-01 53
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-05-01 0
Total participants 2013-05-01 53
Number of participants with account balances 2013-05-01 49
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-05-01 1
2012: EYE CENTER OF CENTRAL GEORGIA, P. C. EMPLOYEES 401K RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-05-01 47
Total number of active participants reported on line 7a of the Form 5500 2012-05-01 41
Number of retired or separated participants receiving benefits 2012-05-01 2
Number of other retired or separated participants entitled to future benefits 2012-05-01 7
Total of all active and inactive participants 2012-05-01 50
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-05-01 0
Total participants 2012-05-01 50
Number of participants with account balances 2012-05-01 46
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-05-01 1
2011: EYE CENTER OF CENTRAL GEORGIA, P. C. EMPLOYEES 401K RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-05-01 49
Total number of active participants reported on line 7a of the Form 5500 2011-05-01 37
Number of retired or separated participants receiving benefits 2011-05-01 0
Number of other retired or separated participants entitled to future benefits 2011-05-01 7
Total of all active and inactive participants 2011-05-01 44
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-05-01 0
Total participants 2011-05-01 44
Number of participants with account balances 2011-05-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-05-01 3

Measure	Date	Value
2013: EYE CENTER OF CENTRAL GEORGIA, P. C. EMPLOYEES 401K RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-05-01	51
Total number of active participants reported on line 7a of the Form 5500	2013-05-01	42
Number of retired or separated participants receiving benefits	2013-05-01	0
Number of other retired or separated participants entitled to future benefits	2013-05-01	11
Total of all active and inactive participants	2013-05-01	53
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-05-01	0
Total participants	2013-05-01	53
Number of participants with account balances	2013-05-01	49
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-05-01	1
2012: EYE CENTER OF CENTRAL GEORGIA, P. C. EMPLOYEES 401K RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-05-01	47
Total number of active participants reported on line 7a of the Form 5500	2012-05-01	41
Number of retired or separated participants receiving benefits	2012-05-01	2
Number of other retired or separated participants entitled to future benefits	2012-05-01	7
Total of all active and inactive participants	2012-05-01	50
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-05-01	0
Total participants	2012-05-01	50
Number of participants with account balances	2012-05-01	46
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-05-01	1
2011: EYE CENTER OF CENTRAL GEORGIA, P. C. EMPLOYEES 401K RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-05-01	49
Total number of active participants reported on line 7a of the Form 5500	2011-05-01	37
Number of retired or separated participants receiving benefits	2011-05-01	0
Number of other retired or separated participants entitled to future benefits	2011-05-01	7
Total of all active and inactive participants	2011-05-01	44
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-05-01	0
Total participants	2011-05-01	44
Number of participants with account balances	2011-05-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-05-01	3

Financial Data on EYE CENTER OF CENTRAL GEORGIA, P. C. EMPLOYEES 401K RETIREMENT PLAN

Measure	Date	Value
2014 : EYE CENTER OF CENTRAL GEORGIA, P. C. EMPLOYEES 401K RETIREMENT PLAN 2014 401k financial data
Total income from all sources	2014-04-30	$270,695
Expenses. Total of all expenses incurred	2014-04-30	$65,303
Benefits paid (including direct rollovers)	2014-04-30	$46,187
Total plan assets at end of year	2014-04-30	$2,796,676
Total plan assets at beginning of year	2014-04-30	$2,591,284
Value of fidelity bond covering the plan	2014-04-30	$500,000
Total contributions received or receivable from participants	2014-04-30	$110,095
Contributions received from other sources (not participants or employers)	2014-04-30	$0
Other income received	2014-04-30	$36,923
Net income (gross income less expenses)	2014-04-30	$205,392
Net plan assets at end of year (total assets less liabilities)	2014-04-30	$2,796,676
Net plan assets at beginning of year (total assets less liabilities)	2014-04-30	$2,591,284
Total contributions received or receivable from employer(s)	2014-04-30	$123,677
Expenses. Administrative service providers (salaries,fees and commissions)	2014-04-30	$19,116
2013 : EYE CENTER OF CENTRAL GEORGIA, P. C. EMPLOYEES 401K RETIREMENT PLAN 2013 401k financial data
Total income from all sources	2013-04-30	$313,370
Expenses. Total of all expenses incurred	2013-04-30	$23,518
Benefits paid (including direct rollovers)	2013-04-30	$6,225
Total plan assets at end of year	2013-04-30	$2,591,284
Total plan assets at beginning of year	2013-04-30	$2,301,432
Value of fidelity bond covering the plan	2013-04-30	$500,000
Total contributions received or receivable from participants	2013-04-30	$105,751
Contributions received from other sources (not participants or employers)	2013-04-30	$1,712
Other income received	2013-04-30	$89,573
Net income (gross income less expenses)	2013-04-30	$289,852
Net plan assets at end of year (total assets less liabilities)	2013-04-30	$2,591,284
Net plan assets at beginning of year (total assets less liabilities)	2013-04-30	$2,301,432
Total contributions received or receivable from employer(s)	2013-04-30	$116,334
Expenses. Administrative service providers (salaries,fees and commissions)	2013-04-30	$17,293
2012 : EYE CENTER OF CENTRAL GEORGIA, P. C. EMPLOYEES 401K RETIREMENT PLAN 2012 401k financial data
Total income from all sources	2012-04-30	$190,810
Expenses. Total of all expenses incurred	2012-04-30	$416,535
Benefits paid (including direct rollovers)	2012-04-30	$399,931
Total plan assets at end of year	2012-04-30	$2,301,432
Total plan assets at beginning of year	2012-04-30	$2,527,157
Value of fidelity bond covering the plan	2012-04-30	$500,000
Total contributions received or receivable from participants	2012-04-30	$100,229
Contributions received from other sources (not participants or employers)	2012-04-30	$1,311
Other income received	2012-04-30	$-26,978
Net income (gross income less expenses)	2012-04-30	$-225,725
Net plan assets at end of year (total assets less liabilities)	2012-04-30	$2,301,432
Net plan assets at beginning of year (total assets less liabilities)	2012-04-30	$2,527,157
Total contributions received or receivable from employer(s)	2012-04-30	$116,248
Expenses. Administrative service providers (salaries,fees and commissions)	2012-04-30	$16,604

Form 5500 Responses for EYE CENTER OF CENTRAL GEORGIA, P. C. EMPLOYEES 401K RETIREMENT PLAN

2013: EYE CENTER OF CENTRAL GEORGIA, P. C. EMPLOYEES 401K RETIREMENT PLAN 2013 form 5500 responses
2013-05-01	Type of plan entity	Single employer plan
2013-05-01	Submission has been amended	No
2013-05-01	This submission is the final filing	No
2013-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-05-01	Plan is a collectively bargained plan	No
2013-05-01	Plan funding arrangement – Trust	Yes
2013-05-01	Plan benefit arrangement - Trust	Yes
2012: EYE CENTER OF CENTRAL GEORGIA, P. C. EMPLOYEES 401K RETIREMENT PLAN 2012 form 5500 responses
2012-05-01	Type of plan entity	Single employer plan
2012-05-01	Submission has been amended	No
2012-05-01	This submission is the final filing	No
2012-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-05-01	Plan is a collectively bargained plan	No
2012-05-01	Plan funding arrangement – Trust	Yes
2012-05-01	Plan benefit arrangement - Trust	Yes
2011: EYE CENTER OF CENTRAL GEORGIA, P. C. EMPLOYEES 401K RETIREMENT PLAN 2011 form 5500 responses
2011-05-01	Type of plan entity	Single employer plan
2011-05-01	Submission has been amended	No
2011-05-01	This submission is the final filing	No
2011-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-05-01	Plan is a collectively bargained plan	No
2011-05-01	Plan funding arrangement – Trust	Yes
2011-05-01	Plan benefit arrangement - Trust	Yes

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Company Name:	EYE CENTER OF CENTRAL GEORGIA, P.C.
Employer identification number (EIN):	581051840
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)