401k Plan data: THOMAS W. BANTLY, MD, PC 401(K) PROFIT SHARING PLA plan

THOMAS W. BANTLY, MD, PC 401(K) PROFIT SHARING PLA 401k Plan overview

Plan Name	THOMAS W. BANTLY, MD, PC 401(K) PROFIT SHARING PLA
Plan identification number	001

THOMAS W. BANTLY, MD, PC 401(K) PROFIT SHARING PLA Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
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

THOMAS W. BANTLY, MD, PC has sponsored the creation of one or more 401k plans.

Company Name: THOMAS W. BANTLY, MD, PC

Employer identification number (EIN): 581674127

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THOMAS W. BANTLY, MD, PC 401(K) PROFIT SHARING PLA

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2019-01-01 THOMAS W. BANTLY 2020-05-07 THOMAS W. BANTLY 2020-05-07
001 2018-01-01 THOMAS W BANTLY MD 2019-09-05 THOMAS W BANTLY MD 2019-09-05
001 2017-01-01
001 2016-01-01
001 2015-01-01
001 2014-01-01
001 2013-01-01
001 2012-01-01 THOMAS W BANTLY MD
001 2011-01-01 THOMAS W BANTLY MD
001 2009-01-01 THOMAS W BANTLY MD

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2019-01-01	THOMAS W. BANTLY	2020-05-07	THOMAS W. BANTLY	2020-05-07
001	2018-01-01	THOMAS W BANTLY MD	2019-09-05	THOMAS W BANTLY MD	2019-09-05
001	2017-01-01
001	2016-01-01
001	2015-01-01
001	2014-01-01
001	2013-01-01
001	2012-01-01	THOMAS W BANTLY MD
001	2011-01-01	THOMAS W BANTLY MD
001	2009-01-01	THOMAS W BANTLY MD

Financial Data on THOMAS W. BANTLY, MD, PC 401(K) PROFIT SHARING PLA

Measure	Date	Value
2019 : THOMAS W. BANTLY, MD, PC 401(K) PROFIT SHARING PLA 2019 401k financial data
Total income from all sources	2019-12-31	$1,110,945
Expenses. Total of all expenses incurred	2019-12-31	$6,319,408
Benefits paid (including direct rollovers)	2019-12-31	$6,319,398
Total plan assets at end of year	2019-12-31	$0
Total plan assets at beginning of year	2019-12-31	$5,208,463
Other income received	2019-12-31	$1,110,945
Net income (gross income less expenses)	2019-12-31	$-5,208,463
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$5,208,463
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$10
2018 : THOMAS W. BANTLY, MD, PC 401(K) PROFIT SHARING PLA 2018 401k financial data
Total income from all sources	2018-12-31	$-58,453
Expenses. Total of all expenses incurred	2018-12-31	$10
Total plan assets at end of year	2018-12-31	$5,208,463
Total plan assets at beginning of year	2018-12-31	$5,266,926
Value of fidelity bond covering the plan	2018-12-31	$500,000
Total contributions received or receivable from participants	2018-12-31	$20,847
Other income received	2018-12-31	$-91,249
Net income (gross income less expenses)	2018-12-31	$-58,463
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$5,208,463
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$5,266,926
Total contributions received or receivable from employer(s)	2018-12-31	$11,949
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$10
2017 : THOMAS W. BANTLY, MD, PC 401(K) PROFIT SHARING PLA 2017 401k financial data
Total income from all sources	2017-12-31	$829,655
Expenses. Total of all expenses incurred	2017-12-31	$9
Total plan assets at end of year	2017-12-31	$5,266,926
Total plan assets at beginning of year	2017-12-31	$4,437,280
Value of fidelity bond covering the plan	2017-12-31	$500,000
Total contributions received or receivable from participants	2017-12-31	$20,347
Other income received	2017-12-31	$797,199
Net income (gross income less expenses)	2017-12-31	$829,646
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$5,266,926
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$4,437,280
Total contributions received or receivable from employer(s)	2017-12-31	$12,109
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$9
2016 : THOMAS W. BANTLY, MD, PC 401(K) PROFIT SHARING PLA 2016 401k financial data
Total income from all sources	2016-12-31	$292,377
Expenses. Total of all expenses incurred	2016-12-31	$27
Total plan assets at end of year	2016-12-31	$4,437,280
Total plan assets at beginning of year	2016-12-31	$4,144,930
Value of fidelity bond covering the plan	2016-12-31	$500,000
Total contributions received or receivable from participants	2016-12-31	$20,347
Other income received	2016-12-31	$260,681
Net income (gross income less expenses)	2016-12-31	$292,350
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$4,437,280
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$4,144,930
Total contributions received or receivable from employer(s)	2016-12-31	$11,349
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$27
2015 : THOMAS W. BANTLY, MD, PC 401(K) PROFIT SHARING PLA 2015 401k financial data
Total income from all sources	2015-12-31	$172,356
Expenses. Total of all expenses incurred	2015-12-31	$41
Total plan assets at end of year	2015-12-31	$4,144,930
Total plan assets at beginning of year	2015-12-31	$3,972,615
Value of fidelity bond covering the plan	2015-12-31	$500,000
Total contributions received or receivable from participants	2015-12-31	$20,347
Other income received	2015-12-31	$139,860
Net income (gross income less expenses)	2015-12-31	$172,315
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$4,144,930
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$3,972,615
Total contributions received or receivable from employer(s)	2015-12-31	$12,149
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$41
2014 : THOMAS W. BANTLY, MD, PC 401(K) PROFIT SHARING PLA 2014 401k financial data
Total income from all sources	2014-12-31	$469,393
Expenses. Total of all expenses incurred	2014-12-31	$9
Total plan assets at end of year	2014-12-31	$3,972,615
Total plan assets at beginning of year	2014-12-31	$3,503,231
Value of fidelity bond covering the plan	2014-12-31	$500,000
Total contributions received or receivable from participants	2014-12-31	$19,426
Other income received	2014-12-31	$438,691
Net income (gross income less expenses)	2014-12-31	$469,384
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$3,972,615
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$3,503,231
Total contributions received or receivable from employer(s)	2014-12-31	$11,276
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$9
2013 : THOMAS W. BANTLY, MD, PC 401(K) PROFIT SHARING PLA 2013 401k financial data
Total income from all sources	2013-12-31	$599,290
Expenses. Total of all expenses incurred	2013-12-31	$104,473
Benefits paid (including direct rollovers)	2013-12-31	$104,469
Total plan assets at end of year	2013-12-31	$3,503,231
Total plan assets at beginning of year	2013-12-31	$3,008,414
Value of fidelity bond covering the plan	2013-12-31	$500,000
Total contributions received or receivable from participants	2013-12-31	$19,398
Other income received	2013-12-31	$568,783
Net income (gross income less expenses)	2013-12-31	$494,817
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$3,503,231
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$3,008,414
Total contributions received or receivable from employer(s)	2013-12-31	$11,109
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$4
2012 : THOMAS W. BANTLY, MD, PC 401(K) PROFIT SHARING PLA 2012 401k financial data
Total income from all sources	2012-12-31	$333,810
Expenses. Total of all expenses incurred	2012-12-31	$1
Total plan assets at end of year	2012-12-31	$3,008,414
Total plan assets at beginning of year	2012-12-31	$2,674,605
Value of fidelity bond covering the plan	2012-12-31	$300,000
Total contributions received or receivable from participants	2012-12-31	$18,016
Other income received	2012-12-31	$304,778
Net income (gross income less expenses)	2012-12-31	$333,809
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$3,008,414
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$2,674,605
Total contributions received or receivable from employer(s)	2012-12-31	$11,016
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$1
2011 : THOMAS W. BANTLY, MD, PC 401(K) PROFIT SHARING PLA 2011 401k financial data
Total income from all sources	2011-12-31	$245,946
Expenses. Total of all expenses incurred	2011-12-31	$1
Total plan assets at end of year	2011-12-31	$2,674,605
Total plan assets at beginning of year	2011-12-31	$2,428,660
Value of fidelity bond covering the plan	2011-12-31	$300,000
Total contributions received or receivable from participants	2011-12-31	$17,684
Other income received	2011-12-31	$212,318
Net income (gross income less expenses)	2011-12-31	$245,945
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$2,674,605
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$2,428,660
Total contributions received or receivable from employer(s)	2011-12-31	$15,944
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$1
2010 : THOMAS W. BANTLY, MD, PC 401(K) PROFIT SHARING PLA 2010 401k financial data
Total income from all sources	2010-12-31	$307,399
Expenses. Total of all expenses incurred	2010-12-31	$100
Total plan assets at end of year	2010-12-31	$2,428,660
Total plan assets at beginning of year	2010-12-31	$2,121,361
Value of fidelity bond covering the plan	2010-12-31	$300,000
Total contributions received or receivable from participants	2010-12-31	$18,539
Other income received	2010-12-31	$268,335
Net income (gross income less expenses)	2010-12-31	$307,299
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$2,428,660
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$2,121,361
Total contributions received or receivable from employer(s)	2010-12-31	$20,525
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$100

Form 5500 Responses for THOMAS W. BANTLY, MD, PC 401(K) PROFIT SHARING PLA

2019: THOMAS W. BANTLY, MD, PC 401(K) PROFIT SHARING PLA 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	This submission is the final filing	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: THOMAS W. BANTLY, MD, PC 401(K) PROFIT SHARING PLA 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: THOMAS W. BANTLY, MD, PC 401(K) PROFIT SHARING PLA 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: THOMAS W. BANTLY, MD, PC 401(K) PROFIT SHARING PLA 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: THOMAS W. BANTLY, MD, PC 401(K) PROFIT SHARING PLA 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: THOMAS W. BANTLY, MD, PC 401(K) PROFIT SHARING PLA 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: THOMAS W. BANTLY, MD, PC 401(K) PROFIT SHARING PLA 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: THOMAS W. BANTLY, MD, PC 401(K) PROFIT SHARING PLA 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
2011: THOMAS W. BANTLY, MD, PC 401(K) PROFIT SHARING PLA 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: THOMAS W. BANTLY, MD, PC 401(K) PROFIT SHARING PLA 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	THOMAS W. BANTLY, MD, PC
Employer identification number (EIN):	581674127
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)