401k Plan data: THE GRAIVIER CENTER PROFIT SHARING PLAN plan

THE GRAIVIER CENTER PROFIT SHARING PLAN 401k Plan overview

Plan Name	THE GRAIVIER CENTER PROFIT SHARING PLAN
Plan identification number	001

THE GRAIVIER CENTER PROFIT SHARING 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
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.
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.

401k Sponsoring company profile

THE GRAIVIER CENTER has sponsored the creation of one or more 401k plans.

Company Name: THE GRAIVIER CENTER

Employer identification number (EIN): 581951767

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE GRAIVIER CENTER PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 MILES GRAIVIER 2023-08-22 MILES GRAIVIER 2023-08-22
001 2021-01-01 MILES GRAIVIER 2022-09-20 MILES GRAIVIER 2022-09-20
001 2020-01-01 MILES GRAIVIER 2021-09-30 MILES GRAIVIER 2021-09-30
001 2019-01-01 MILES GRAIVIER 2020-10-07 MILES GRAIVIER 2020-10-07
001 2018-01-01 MILES GRAIVIER 2019-09-17 MILES GRAIVIER 2019-09-17
001 2017-01-01 MILES GRAIVIER 2018-10-10 MILES GRAIVIER 2018-10-10
001 2016-01-01 MILES H GRAIVIER 2017-06-13 MILES H GRAIVIER 2017-06-13
001 2015-01-01 MILES GRAIVIER 2016-06-29 MILES GRAIVIER 2016-06-29
001 2014-01-01 MILES H. GRAIVIER 2015-06-22 MILES H. GRAIVIER 2015-06-22
001 2013-01-01 MILES H. GRAIVIER 2014-06-19 MILES H. GRAIVIER 2014-06-19
001 2012-01-01 MILE H. GRAIVIER 2013-05-16 MILE H. GRAIVIER 2013-05-16
001 2011-01-01 MILES GRAIVIER 2012-10-04 MILES GRAIVIER 2012-10-04
001 2010-01-01 MILES H. GRAIVIER M.D.
001 2009-01-01 MILES H. GRAIVIER, M.D.

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	MILES GRAIVIER	2023-08-22	MILES GRAIVIER	2023-08-22
001	2021-01-01	MILES GRAIVIER	2022-09-20	MILES GRAIVIER	2022-09-20
001	2020-01-01	MILES GRAIVIER	2021-09-30	MILES GRAIVIER	2021-09-30
001	2019-01-01	MILES GRAIVIER	2020-10-07	MILES GRAIVIER	2020-10-07
001	2018-01-01	MILES GRAIVIER	2019-09-17	MILES GRAIVIER	2019-09-17
001	2017-01-01	MILES GRAIVIER	2018-10-10	MILES GRAIVIER	2018-10-10
001	2016-01-01	MILES H GRAIVIER	2017-06-13	MILES H GRAIVIER	2017-06-13
001	2015-01-01	MILES GRAIVIER	2016-06-29	MILES GRAIVIER	2016-06-29
001	2014-01-01	MILES H. GRAIVIER	2015-06-22	MILES H. GRAIVIER	2015-06-22
001	2013-01-01	MILES H. GRAIVIER	2014-06-19	MILES H. GRAIVIER	2014-06-19
001	2012-01-01	MILE H. GRAIVIER	2013-05-16	MILE H. GRAIVIER	2013-05-16
001	2011-01-01	MILES GRAIVIER	2012-10-04	MILES GRAIVIER	2012-10-04
001	2010-01-01	MILES H. GRAIVIER M.D.
001	2009-01-01	MILES H. GRAIVIER, M.D.

Plan Statistics for THE GRAIVIER CENTER PROFIT SHARING PLAN

401k plan membership statisitcs for THE GRAIVIER CENTER PROFIT SHARING PLAN

Measure Date Value
2010: THE GRAIVIER CENTER PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 18
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 15
Number of retired or separated participants receiving benefits 2010-01-01 4
Total of all active and inactive participants 2010-01-01 19
Total participants 2010-01-01 19
Number of participants with account balances 2010-01-01 19
2009: THE GRAIVIER CENTER PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 14
Number of retired or separated participants receiving benefits 2009-01-01 4
Total of all active and inactive participants 2009-01-01 18
Total participants 2009-01-01 18
Number of participants with account balances 2009-01-01 18

Measure	Date	Value
2010: THE GRAIVIER CENTER PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	18
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	15
Number of retired or separated participants receiving benefits	2010-01-01	4
Total of all active and inactive participants	2010-01-01	19
Total participants	2010-01-01	19
Number of participants with account balances	2010-01-01	19
2009: THE GRAIVIER CENTER PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	14
Number of retired or separated participants receiving benefits	2009-01-01	4
Total of all active and inactive participants	2009-01-01	18
Total participants	2009-01-01	18
Number of participants with account balances	2009-01-01	18

Financial Data on THE GRAIVIER CENTER PROFIT SHARING PLAN

Measure	Date	Value
2010 : THE GRAIVIER CENTER PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$240,250
Expenses. Total of all expenses incurred	2010-12-31	$7,328
Total plan assets at end of year	2010-12-31	$1,236,545
Total plan assets at beginning of year	2010-12-31	$1,003,623
Value of fidelity bond covering the plan	2010-12-31	$125,000
Other income received	2010-12-31	$146,082
Net income (gross income less expenses)	2010-12-31	$232,922
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,236,545
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,003,623
Total contributions received or receivable from employer(s)	2010-12-31	$94,168
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$7,328

Form 5500 Responses for THE GRAIVIER CENTER PROFIT SHARING PLAN

2010: THE GRAIVIER CENTER PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: THE GRAIVIER CENTER PROFIT SHARING PLAN 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:	THE GRAIVIER CENTER
Employer identification number (EIN):	581951767
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)