401k Plan data: MIDDLE GEORGIA PEDIATRICS, LLC 401(K) PSP plan

MIDDLE GEORGIA PEDIATRICS, LLC 401(K) PSP 401k Plan overview

Plan Name	MIDDLE GEORGIA PEDIATRICS, LLC 401(K) PSP
Plan identification number	001

MIDDLE GEORGIA PEDIATRICS, LLC 401(K) PSP Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.
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

MIDDLE GEORGIA PEDIATRICS LLC has sponsored the creation of one or more 401k plans.

Company Name: MIDDLE GEORGIA PEDIATRICS LLC

Employer identification number (EIN): 582566360

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

Additional information about MIDDLE GEORGIA PEDIATRICS LLC

Jurisdiction of Incorporation: Georgia Department of States Corporations Division

Incorporation Date:

Company Identification Number: 33551

More information about MIDDLE GEORGIA PEDIATRICS LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MIDDLE GEORGIA PEDIATRICS, LLC 401(K) PSP

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 STANLEY SETH BUSH, III 2023-04-12
001 2021-01-01 STANLEY SETH BUSH, III 2022-03-07
001 2020-01-01 STANLEY SETH BUSH, III 2021-07-16
001 2019-01-01 STANLEY SETH BUSH, III 2020-03-30
001 2018-01-01 STANLEY SETH BUSH, III 2019-02-18
001 2017-01-01 STANLEY SETH BUSH, III 2018-03-17
001 2016-01-01 STANLEY SETH BUSH, III 2017-02-13
001 2015-01-01 STANLEY SETH BUSH, III 2016-02-19
001 2014-01-01 STANLEY SETH BUSH, III 2015-04-29
001 2013-01-01 STANLEY SETH BUSH, III 2014-05-02
001 2012-01-01 STANLEY SETH BUSH, III 2013-07-25
001 2011-01-01 STANLEY SETH BUSH, III STANLEY SETH BUSH, III 2012-07-13
001 2009-01-01 STANLEY SETH BUSH, III STANLEY SETH BUSH, III 2010-07-15

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	STANLEY SETH BUSH, III	2023-04-12
001	2021-01-01	STANLEY SETH BUSH, III	2022-03-07
001	2020-01-01	STANLEY SETH BUSH, III	2021-07-16
001	2019-01-01	STANLEY SETH BUSH, III	2020-03-30
001	2018-01-01	STANLEY SETH BUSH, III	2019-02-18
001	2017-01-01	STANLEY SETH BUSH, III	2018-03-17
001	2016-01-01	STANLEY SETH BUSH, III	2017-02-13
001	2015-01-01	STANLEY SETH BUSH, III	2016-02-19
001	2014-01-01	STANLEY SETH BUSH, III	2015-04-29
001	2013-01-01	STANLEY SETH BUSH, III	2014-05-02
001	2012-01-01	STANLEY SETH BUSH, III	2013-07-25
001	2011-01-01	STANLEY SETH BUSH, III		STANLEY SETH BUSH, III	2012-07-13
001	2009-01-01	STANLEY SETH BUSH, III		STANLEY SETH BUSH, III	2010-07-15

Plan Statistics for MIDDLE GEORGIA PEDIATRICS, LLC 401(K) PSP

401k plan membership statisitcs for MIDDLE GEORGIA PEDIATRICS, LLC 401(K) PSP

Measure Date Value
2011: MIDDLE GEORGIA PEDIATRICS, LLC 401(K) PSP 2011 401k membership
Total participants, beginning-of-year 2011-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 6
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 1
Total of all active and inactive participants 2011-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 7
Number of participants with account balances 2011-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 1
2009: MIDDLE GEORGIA PEDIATRICS, LLC 401(K) PSP 2009 401k membership
Total participants, beginning-of-year 2009-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 8
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 8
Number of participants with account balances 2009-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2011: MIDDLE GEORGIA PEDIATRICS, LLC 401(K) PSP 2011 401k membership
Total participants, beginning-of-year	2011-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	6
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	1
Total of all active and inactive participants	2011-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	7
Number of participants with account balances	2011-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	1
2009: MIDDLE GEORGIA PEDIATRICS, LLC 401(K) PSP 2009 401k membership
Total participants, beginning-of-year	2009-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	8
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	8
Number of participants with account balances	2009-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on MIDDLE GEORGIA PEDIATRICS, LLC 401(K) PSP

Measure	Date	Value
2011 : MIDDLE GEORGIA PEDIATRICS, LLC 401(K) PSP 2011 401k financial data
Total income from all sources	2011-12-31	$27,768
Expenses. Total of all expenses incurred	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$642,319
Total plan assets at beginning of year	2011-12-31	$614,551
Value of fidelity bond covering the plan	2011-12-31	$50,000
Total contributions received or receivable from participants	2011-12-31	$33,556
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-48,706
Net income (gross income less expenses)	2011-12-31	$27,768
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$642,319
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$614,551
Total contributions received or receivable from employer(s)	2011-12-31	$42,918
2010 : MIDDLE GEORGIA PEDIATRICS, LLC 401(K) PSP 2010 401k financial data
Total income from all sources	2010-12-31	$108,292
Expenses. Total of all expenses incurred	2010-12-31	$1,546
Benefits paid (including direct rollovers)	2010-12-31	$1,411
Total plan assets at end of year	2010-12-31	$614,551
Total plan assets at beginning of year	2010-12-31	$507,805
Value of fidelity bond covering the plan	2010-12-31	$50,000
Total contributions received or receivable from participants	2010-12-31	$37,213
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$-9,191
Net income (gross income less expenses)	2010-12-31	$106,746
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$614,551
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$507,805
Total contributions received or receivable from employer(s)	2010-12-31	$80,270
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$135

Form 5500 Responses for MIDDLE GEORGIA PEDIATRICS, LLC 401(K) PSP

2011: MIDDLE GEORGIA PEDIATRICS, LLC 401(K) PSP 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: MIDDLE GEORGIA PEDIATRICS, LLC 401(K) PSP 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	MIDDLE GEORGIA PEDIATRICS LLC
Employer identification number (EIN):	582566360
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Jurisdiction of Incorporation:	Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number:	33551