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F. C. GAPULTOS, M.D. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameF. C. GAPULTOS, M.D. 401(K) PROFIT SHARING PLAN
Plan identification number 001

F. C. GAPULTOS, M.D. 401(K) PROFIT SHARING PLAN Benefits

401k Plan TypeDefined 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.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • 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

F. C. GAPULTOS, M.D. has sponsored the creation of one or more 401k plans.

Company Name:F. C. GAPULTOS, M.D.
Employer identification number (EIN):630839200
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan F. C. GAPULTOS, M.D. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01MARGARITA GAPULTOS2021-07-27 MARGARITA GAPULTOS2021-07-27
0012019-01-01MARGARITA GAPULTOS2020-07-20 MARGARITA GAPULTOS2020-07-20
0012018-01-01MARGARITA GAPULTOS2019-07-26 MARGARITA GAPULTOS2019-07-26
0012017-01-01MARGARITA Y. GAPULTOS2018-05-04 MARGARITA Y. GAPULTOS2018-05-04
0012017-01-01MARGARITA GAPULTOS2018-05-04 MARGARITA GAPULTOS2018-05-04
0012016-01-01MARGARITA GAPULTOS2017-07-18 MARGARITA GAPULTOS2017-07-18
0012015-01-01MARGARITA GAPULTOS2016-07-11 MARGARITA GAPULTOS2016-07-11
0012014-01-01MARGARITA GAPULTOS2015-06-08 MARGARITA GAPULTOS2015-06-08
0012013-01-01MARGARITA GAPULTOS2014-05-16 MARGARITA GAPULTOS2014-05-16
0012012-01-01MARGARITA GAPULTOS MARGARITA GAPULTOS2013-07-18
0012011-01-01MARGARITA GAPULTOS MARGARITA GAPULTOS2012-06-07

Plan Statistics for F. C. GAPULTOS, M.D. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for F. C. GAPULTOS, M.D. 401(K) PROFIT SHARING PLAN

Measure Date Value
2012: F. C. GAPULTOS, M.D. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0111
Total number of active participants reported on line 7a of the Form 55002012-01-019
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-011
Total of all active and inactive participants2012-01-0110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0110
Number of participants with account balances2012-01-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: F. C. GAPULTOS, M.D. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0110
Total number of active participants reported on line 7a of the Form 55002011-01-019
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-011
Total of all active and inactive participants2011-01-0110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0110
Number of participants with account balances2011-01-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010

Financial Data on F. C. GAPULTOS, M.D. 401(K) PROFIT SHARING PLAN

Measure Date Value
2012 : F. C. GAPULTOS, M.D. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources2012-12-31$360,276
Expenses. Total of all expenses incurred2012-12-31$47,284
Benefits paid (including direct rollovers)2012-12-31$4,170
Total plan assets at end of year2012-12-31$2,690,550
Total plan assets at beginning of year2012-12-31$2,377,558
Value of fidelity bond covering the plan2012-12-31$250,000
Total contributions received or receivable from participants2012-12-31$44,201
Expenses. Other expenses not covered elsewhere2012-12-31$0
Contributions received from other sources (not participants or employers)2012-12-31$0
Other income received2012-12-31$257,799
Net income (gross income less expenses)2012-12-31$312,992
Net plan assets at end of year (total assets less liabilities)2012-12-31$2,690,550
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$2,377,558
Assets. Value of assets in partnership/joint-venture interests2012-12-31$0
Total contributions received or receivable from employer(s)2012-12-31$58,276
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$43,114
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : F. C. GAPULTOS, M.D. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan2011-12-31$0
Total income from all sources2011-12-31$-19,215
Expenses. Total of all expenses incurred2011-12-31$42,559
Total plan assets at end of year2011-12-31$2,377,558
Total plan assets at beginning of year2011-12-31$2,439,332
Value of fidelity bond covering the plan2011-12-31$250,000
Total contributions received or receivable from participants2011-12-31$47,680
Contributions received from other sources (not participants or employers)2011-12-31$0
Other income received2011-12-31$-124,965
Net income (gross income less expenses)2011-12-31$-61,774
Net plan assets at end of year (total assets less liabilities)2011-12-31$2,377,558
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$2,439,332
Assets. Value of assets in partnership/joint-venture interests2011-12-31$690
Total contributions received or receivable from employer(s)2011-12-31$58,070
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$42,559
2010 : F. C. GAPULTOS, M.D. 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources2010-12-31$347,912
Expenses. Total of all expenses incurred2010-12-31$32,324
Total plan assets at end of year2010-12-31$2,439,332
Total plan assets at beginning of year2010-12-31$2,123,744
Value of fidelity bond covering the plan2010-12-31$250,000
Total contributions received or receivable from participants2010-12-31$48,080
Contributions received from other sources (not participants or employers)2010-12-31$0
Other income received2010-12-31$238,529
Net income (gross income less expenses)2010-12-31$315,588
Net plan assets at end of year (total assets less liabilities)2010-12-31$2,439,332
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$2,123,744
Assets. Value of assets in partnership/joint-venture interests2010-12-31$1,440
Total contributions received or receivable from employer(s)2010-12-31$61,303
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$32,324

Form 5500 Responses for F. C. GAPULTOS, M.D. 401(K) PROFIT SHARING PLAN

2012: F. C. GAPULTOS, M.D. 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: F. C. GAPULTOS, M.D. 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number35290
Policy instance 1
Insurance contract or identification number35290
Number of Individuals Covered7
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $4,244
Total amount of fees paid to insurance companyUSD $273
Commission paid to Insurance BrokerUSD $4,244
Amount paid for insurance broker fees0
Insurance broker organization code?4
Additional information about fees paid to insurance brokerTPA FEES PAID TPA COMPENSATION
Insurance broker nameEMPLOYEE BENEFIT SERVICES, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number35290
Policy instance 1
Insurance contract or identification number35290
Number of Individuals Covered8
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $3,989
Total amount of fees paid to insurance companyUSD $229
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number35290
Policy instance 1
Insurance contract or identification number35290
Number of Individuals Covered8
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $3,302
Total amount of fees paid to insurance companyUSD $130
Commission paid to Insurance BrokerUSD $3,302
Amount paid for insurance broker fees0
Insurance broker organization code?4
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker nameEMPLOYEE BENEFIT SERVICES, INC.

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