401k Plan data: EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY PROFIT SHARING 401(K) PLAN plan

EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY PROFIT SHARING 401(K) PLAN 401k Plan overview

Plan Name	EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY PROFIT SHARING 401(K) PLAN
Plan identification number	002

EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY PROFIT SHARING 401(K) PLAN 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.
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

EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY, P.A. has sponsored the creation of one or more 401k plans.

Company Name: EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY, P.A.

Employer identification number (EIN): 640622401

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY PROFIT SHARING 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01 CURT CHILDRESS 2022-12-16 CURT CHILDRESS 2022-12-16
002 2021-01-01 CURT CHILDRESS 2022-07-18 CURT CHILDRESS 2022-07-18
002 2020-01-01 CURT CHILDRESS 2021-10-25 CURT CHILDRESS 2021-10-25
002 2019-01-01 REBECCA NODURFT 2020-09-04 REBECCA NODURFT 2020-09-04
002 2018-01-01 REBECCA NODURFT 2019-09-23 REBECCA NODURFT 2019-09-23
002 2017-01-01 CHARLOTTE FRANSTED 2018-10-12
002 2016-01-01 C. E. GUICE III 2017-10-11
002 2015-01-01 JOANNA WILLIAMSON 2016-04-27
002 2014-01-01 JOANNA WILLIAMSON 2015-04-27
002 2013-01-01 JOANNA WILLIAMSON 2014-04-02
002 2012-01-01 JOANNA WILLIAMSON 2013-05-06
002 2011-01-01 JOANNA WILLIAMSON 2012-06-06
002 2009-01-01 JOANNA WILLIAMSON

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2022-01-01	CURT CHILDRESS	2022-12-16	CURT CHILDRESS	2022-12-16
002	2021-01-01	CURT CHILDRESS	2022-07-18	CURT CHILDRESS	2022-07-18
002	2020-01-01	CURT CHILDRESS	2021-10-25	CURT CHILDRESS	2021-10-25
002	2019-01-01	REBECCA NODURFT	2020-09-04	REBECCA NODURFT	2020-09-04
002	2018-01-01	REBECCA NODURFT	2019-09-23	REBECCA NODURFT	2019-09-23
002	2017-01-01	CHARLOTTE FRANSTED	2018-10-12
002	2016-01-01	C. E. GUICE III	2017-10-11
002	2015-01-01	JOANNA WILLIAMSON	2016-04-27
002	2014-01-01	JOANNA WILLIAMSON	2015-04-27
002	2013-01-01	JOANNA WILLIAMSON	2014-04-02
002	2012-01-01	JOANNA WILLIAMSON	2013-05-06
002	2011-01-01	JOANNA WILLIAMSON	2012-06-06
002	2009-01-01	JOANNA WILLIAMSON

Plan Statistics for EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY PROFIT SHARING 401(K) PLAN

401k plan membership statisitcs for EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY PROFIT SHARING 401(K) PLAN

Measure Date Value
2009: EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY PROFIT SHARING 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 36
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 25
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 9
Total of all active and inactive participants 2009-01-01 34
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 34
Number of participants with account balances 2009-01-01 31
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2009: EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY PROFIT SHARING 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	36
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	25
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	9
Total of all active and inactive participants	2009-01-01	34
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	34
Number of participants with account balances	2009-01-01	31
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY PROFIT SHARING 401(K) PLAN

Measure	Date	Value
2010 : EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY PROFIT SHARING 401(K) PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$823,990
Expenses. Total of all expenses incurred	2010-12-31	$421,585
Benefits paid (including direct rollovers)	2010-12-31	$370,140
Total plan assets at end of year	2010-12-31	$3,766,404
Total plan assets at beginning of year	2010-12-31	$3,363,999
Value of fidelity bond covering the plan	2010-12-31	$600,000
Total contributions received or receivable from participants	2010-12-31	$125,933
Other income received	2010-12-31	$648,350
Net income (gross income less expenses)	2010-12-31	$402,405
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$3,766,404
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$3,363,999
Assets. Value of participant loans	2010-12-31	$0
Assets. Value of assets in partnership/joint-venture interests	2010-12-31	$0
Total contributions received or receivable from employer(s)	2010-12-31	$49,707
Value of certain deemed distributions of participant loans	2010-12-31	$51,445
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY PROFIT SHARING 401(K) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY PROFIT SHARING 401(K) PLAN

2009: EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY PROFIT SHARING 401(K) PLAN 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:	EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY, P.A.
Employer identification number (EIN):	640622401
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)