401k Plan data: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN plan

FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 401k Plan overview

Plan Name	FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN
Plan identification number	001

FOUR SEASONS OB/GYN, M.D., P.A. 401K 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
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

FOUR SEASONS OB/GYN, M.D., P.A. has sponsored the creation of one or more 401k plans.

Company Name: FOUR SEASONS OB/GYN, M.D., P.A.

Employer identification number (EIN): 742992560

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FOUR SEASONS OB/GYN, M.D., P.A. 401K 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
001 2021-01-01
001 2021-01-01
001 2020-01-01
001 2020-01-01
001 2019-01-01 NANCY RECTOR FINNEY 2020-10-08
001 2019-01-01
001 2018-01-01
001 2018-01-01
001 2017-01-01 KAREN HASTY KAREN HASTY 2018-10-15
001 2016-01-01 NANCY RECTOR-FINNEY NANCY RECTOR-FINNEY 2017-09-27
001 2015-01-01 NANCY RECTOR- FINNEY NANCY RECTOR- FINNEY 2016-10-11
001 2015-01-01 NANCY RECTOR- FINNEY NANCY RECTOR- FINNEY 2017-01-24
001 2014-01-01 NANCY RECTOR-FINNEY
001 2013-01-01 NANCY RECTOR-FINNEY
001 2012-01-01 NANCY RECTOR-FINNEY
001 2011-01-01 NANCY RECTOR-FINNEY
001 2010-01-01 NANCY RECTOR-FINNEY

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01
001	2021-01-01
001	2021-01-01
001	2020-01-01
001	2020-01-01
001	2019-01-01	NANCY RECTOR FINNEY	2020-10-08
001	2019-01-01
001	2018-01-01
001	2018-01-01
001	2017-01-01	KAREN HASTY		KAREN HASTY	2018-10-15
001	2016-01-01	NANCY RECTOR-FINNEY		NANCY RECTOR-FINNEY	2017-09-27
001	2015-01-01	NANCY RECTOR- FINNEY		NANCY RECTOR- FINNEY	2016-10-11
001	2015-01-01	NANCY RECTOR- FINNEY		NANCY RECTOR- FINNEY	2017-01-24
001	2014-01-01	NANCY RECTOR-FINNEY
001	2013-01-01	NANCY RECTOR-FINNEY
001	2012-01-01	NANCY RECTOR-FINNEY
001	2011-01-01	NANCY RECTOR-FINNEY
001	2010-01-01	NANCY RECTOR-FINNEY

Plan Statistics for FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN

401k plan membership statisitcs for FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN

Measure Date Value
2022: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 12
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 3
Total of all active and inactive participants 2022-01-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 15
Number of participants with account balances 2022-01-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 2
2021: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 15
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 2
Total of all active and inactive participants 2021-01-01 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 17
Number of participants with account balances 2021-01-01 17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 14
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 2
Total of all active and inactive participants 2020-01-01 16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 16
Number of participants with account balances 2020-01-01 16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 14
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 2
Total of all active and inactive participants 2019-01-01 16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 16
Number of participants with account balances 2019-01-01 16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 14
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 2
Total of all active and inactive participants 2018-01-01 16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 16
Number of participants with account balances 2018-01-01 16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 14
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 1
Total of all active and inactive participants 2017-01-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 15
Number of participants with account balances 2017-01-01 13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 1
2016: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 13
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 1
Total of all active and inactive participants 2016-01-01 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 14
Number of participants with account balances 2016-01-01 14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 11
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 4
Total of all active and inactive participants 2015-01-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 15
Number of participants with account balances 2015-01-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 10
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 2
Total of all active and inactive participants 2014-01-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 12
Number of participants with account balances 2014-01-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 2
2013: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 12
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 3
Total of all active and inactive participants 2013-01-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 15
Number of participants with account balances 2013-01-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 9
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 4
Total of all active and inactive participants 2012-01-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 13
Number of participants with account balances 2012-01-01 13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 2
2011: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 11
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 6
Total of all active and inactive participants 2011-01-01 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 17
Number of participants with account balances 2011-01-01 17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 8
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 9
Total of all active and inactive participants 2010-01-01 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 17
Number of participants with account balances 2010-01-01 17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 2

Measure	Date	Value
2022: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	12
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	3
Total of all active and inactive participants	2022-01-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	15
Number of participants with account balances	2022-01-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	2
2021: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	15
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	2
Total of all active and inactive participants	2021-01-01	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	17
Number of participants with account balances	2021-01-01	17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	14
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	2
Total of all active and inactive participants	2020-01-01	16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	16
Number of participants with account balances	2020-01-01	16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	14
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	2
Total of all active and inactive participants	2019-01-01	16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	16
Number of participants with account balances	2019-01-01	16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	14
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	2
Total of all active and inactive participants	2018-01-01	16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	16
Number of participants with account balances	2018-01-01	16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	14
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	1
Total of all active and inactive participants	2017-01-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	15
Number of participants with account balances	2017-01-01	13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	1
2016: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	13
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	1
Total of all active and inactive participants	2016-01-01	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	14
Number of participants with account balances	2016-01-01	14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	11
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	4
Total of all active and inactive participants	2015-01-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	15
Number of participants with account balances	2015-01-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	10
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	2
Total of all active and inactive participants	2014-01-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	12
Number of participants with account balances	2014-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	2
2013: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	12
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	3
Total of all active and inactive participants	2013-01-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	15
Number of participants with account balances	2013-01-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	9
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	4
Total of all active and inactive participants	2012-01-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	13
Number of participants with account balances	2012-01-01	13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	2
2011: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	11
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	6
Total of all active and inactive participants	2011-01-01	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	17
Number of participants with account balances	2011-01-01	17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	8
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	9
Total of all active and inactive participants	2010-01-01	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	17
Number of participants with account balances	2010-01-01	17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	2

Financial Data on FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN

Measure	Date	Value
2022 : FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2022 401k financial data
Total plan liabilities at beginning of year	2022-12-31	$0
Total income from all sources	2022-12-31	$-1,023,481
Expenses. Total of all expenses incurred	2022-12-31	$35,707
Benefits paid (including direct rollovers)	2022-12-31	$11,434
Total plan assets at end of year	2022-12-31	$5,939,574
Total plan assets at beginning of year	2022-12-31	$6,998,762
Value of fidelity bond covering the plan	2022-12-31	$300,000
Total contributions received or receivable from participants	2022-12-31	$87,057
Expenses. Other expenses not covered elsewhere	2022-12-31	$24,273
Other income received	2022-12-31	$-1,232,684
Net income (gross income less expenses)	2022-12-31	$-1,059,188
Net plan assets at end of year (total assets less liabilities)	2022-12-31	$5,939,574
Net plan assets at beginning of year (total assets less liabilities)	2022-12-31	$6,998,762
Assets. Value of participant loans	2022-12-31	$33,290
Assets. Value of assets in partnership/joint-venture interests	2022-12-31	$992,780
Total contributions received or receivable from employer(s)	2022-12-31	$122,146
2021 : FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2021 401k financial data
Total plan liabilities at end of year	2021-12-31	$0
Total plan liabilities at beginning of year	2021-12-31	$0
Total income from all sources	2021-12-31	$1,093,449
Expenses. Total of all expenses incurred	2021-12-31	$32,466
Benefits paid (including direct rollovers)	2021-12-31	$9,299
Total plan assets at end of year	2021-12-31	$6,567,044
Total plan assets at beginning of year	2021-12-31	$5,506,061
Value of fidelity bond covering the plan	2021-12-31	$300,000
Total contributions received or receivable from participants	2021-12-31	$84,503
Other income received	2021-12-31	$1,324,370
Noncash contributions received	2021-12-31	$899,508
Net income (gross income less expenses)	2021-12-31	$1,060,983
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$6,567,044
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$5,506,061
Assets. Value of participant loans	2021-12-31	$19,397
Assets. Value of assets in partnership/joint-venture interests	2021-12-31	$785,824
Total contributions received or receivable from employer(s)	2021-12-31	$109,438
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$23,167
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
2020 : FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2020 401k financial data
Total plan liabilities at beginning of year	2020-12-31	$0
Total income from all sources	2020-12-31	$767,597
Expenses. Total of all expenses incurred	2020-12-31	$15,788
Benefits paid (including direct rollovers)	2020-12-31	$5,841
Total plan assets at end of year	2020-12-31	$5,534,557
Total plan assets at beginning of year	2020-12-31	$4,782,748
Value of fidelity bond covering the plan	2020-12-31	$300,000
Total contributions received or receivable from participants	2020-12-31	$68,354
Other income received	2020-12-31	$571,403
Net income (gross income less expenses)	2020-12-31	$751,809
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$5,534,557
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$4,782,748
Assets. Value of participant loans	2020-12-31	$29,155
Assets. Value of assets in partnership/joint-venture interests	2020-12-31	$871,158
Total contributions received or receivable from employer(s)	2020-12-31	$127,840
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$15,788
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
2019 : FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2019 401k financial data
Total plan liabilities at end of year	2019-12-31	$0
Total plan liabilities at beginning of year	2019-12-31	$4,157
Total income from all sources	2019-12-31	$978,162
Expenses. Total of all expenses incurred	2019-12-31	$64,586
Benefits paid (including direct rollovers)	2019-12-31	$47,943
Total plan assets at end of year	2019-12-31	$4,782,748
Total plan assets at beginning of year	2019-12-31	$3,873,329
Value of fidelity bond covering the plan	2019-12-31	$300,000
Total contributions received or receivable from participants	2019-12-31	$68,112
Other income received	2019-12-31	$799,609
Net income (gross income less expenses)	2019-12-31	$913,576
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$4,782,748
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$3,869,172
Assets. Value of participant loans	2019-12-31	$39,657
Assets. Value of assets in partnership/joint-venture interests	2019-12-31	$879,827
Total contributions received or receivable from employer(s)	2019-12-31	$110,441
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$16,643
2018 : FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2018 401k financial data
Total plan liabilities at end of year	2018-12-31	$4,157
Total plan liabilities at beginning of year	2018-12-31	$3,777
Total income from all sources	2018-12-31	$-127,734
Expenses. Total of all expenses incurred	2018-12-31	$1,927
Total plan assets at end of year	2018-12-31	$2,960,960
Total plan assets at beginning of year	2018-12-31	$3,090,241
Value of fidelity bond covering the plan	2018-12-31	$300,000
Total contributions received or receivable from participants	2018-12-31	$70,000
Other income received	2018-12-31	$-238,856
Net income (gross income less expenses)	2018-12-31	$-129,661
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$2,956,803
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$3,086,464
Assets. Value of participant loans	2018-12-31	$8,441
Assets. Value of assets in partnership/joint-venture interests	2018-12-31	$0
Total contributions received or receivable from employer(s)	2018-12-31	$41,122
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$1,927
2017 : FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2017 401k financial data
Total plan liabilities at end of year	2017-12-31	$3,777
Total income from all sources	2017-12-31	$574,875
Expenses. Total of all expenses incurred	2017-12-31	$494
Total plan assets at end of year	2017-12-31	$3,090,241
Total plan assets at beginning of year	2017-12-31	$2,512,083
Value of fidelity bond covering the plan	2017-12-31	$300,000
Total contributions received or receivable from participants	2017-12-31	$62,092
Other income received	2017-12-31	$473,568
Net income (gross income less expenses)	2017-12-31	$574,381
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$3,086,464
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$2,512,083
Assets. Value of participant loans	2017-12-31	$13,240
Assets. Value of assets in partnership/joint-venture interests	2017-12-31	$0
Total contributions received or receivable from employer(s)	2017-12-31	$39,215
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$494
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
2016 : FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$364,013
Expenses. Total of all expenses incurred	2016-12-31	$43,822
Benefits paid (including direct rollovers)	2016-12-31	$43,116
Total plan assets at end of year	2016-12-31	$2,512,083
Total plan assets at beginning of year	2016-12-31	$2,191,892
Value of fidelity bond covering the plan	2016-12-31	$300,000
Total contributions received or receivable from participants	2016-12-31	$58,311
Contributions received from other sources (not participants or employers)	2016-12-31	$9,033
Other income received	2016-12-31	$196,447
Net income (gross income less expenses)	2016-12-31	$320,191
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$2,512,083
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$2,191,892
Assets. Value of participant loans	2016-12-31	$4,531
Assets. Value of assets in partnership/joint-venture interests	2016-12-31	$71,354
Total contributions received or receivable from employer(s)	2016-12-31	$100,222
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$706
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
2015 : FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$115,741
Expenses. Total of all expenses incurred	2015-12-31	$150
Total plan assets at end of year	2015-12-31	$2,253,473
Total plan assets at beginning of year	2015-12-31	$2,137,732
Value of fidelity bond covering the plan	2015-12-31	$300,000
Total contributions received or receivable from participants	2015-12-31	$59,552
Other income received	2015-12-31	$-43,268
Net income (gross income less expenses)	2015-12-31	$115,741
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$2,253,473
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$2,137,732
Assets. Value of assets in partnership/joint-venture interests	2015-12-31	$136,702
Total contributions received or receivable from employer(s)	2015-12-31	$99,457
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$150
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$361,001
Expenses. Total of all expenses incurred	2014-12-31	$71,610
Benefits paid (including direct rollovers)	2014-12-31	$55,481
Total plan assets at end of year	2014-12-31	$2,137,732
Total plan assets at beginning of year	2014-12-31	$1,848,341
Value of fidelity bond covering the plan	2014-12-31	$350,000
Total contributions received or receivable from participants	2014-12-31	$49,023
Other income received	2014-12-31	$216,063
Net income (gross income less expenses)	2014-12-31	$289,391
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$2,137,732
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,848,341
Assets. Value of assets in partnership/joint-venture interests	2014-12-31	$136,702
Total contributions received or receivable from employer(s)	2014-12-31	$95,915
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$16,129
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$539,005
Expenses. Total of all expenses incurred	2013-12-31	$22,974
Benefits paid (including direct rollovers)	2013-12-31	$11,387
Total plan assets at end of year	2013-12-31	$1,848,341
Total plan assets at beginning of year	2013-12-31	$1,332,310
Value of fidelity bond covering the plan	2013-12-31	$290,000
Total contributions received or receivable from participants	2013-12-31	$45,929
Other income received	2013-12-31	$409,963
Net income (gross income less expenses)	2013-12-31	$516,031
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,848,341
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,332,310
Assets. Value of assets in partnership/joint-venture interests	2013-12-31	$170,000
Total contributions received or receivable from employer(s)	2013-12-31	$83,113
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$11,587
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$286,750
Expenses. Total of all expenses incurred	2012-12-31	$38,825
Benefits paid (including direct rollovers)	2012-12-31	$27,196
Total plan assets at end of year	2012-12-31	$1,332,310
Total plan assets at beginning of year	2012-12-31	$1,084,385
Value of fidelity bond covering the plan	2012-12-31	$290,000
Total contributions received or receivable from participants	2012-12-31	$42,343
Other income received	2012-12-31	$165,840
Net income (gross income less expenses)	2012-12-31	$247,925
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,332,310
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,084,385
Assets. Value of assets in partnership/joint-venture interests	2012-12-31	$170,000
Total contributions received or receivable from employer(s)	2012-12-31	$78,567
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$11,629
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$58,913
Expenses. Total of all expenses incurred	2011-12-31	$2,075
Benefits paid (including direct rollovers)	2011-12-31	$2,075
Total plan assets at end of year	2011-12-31	$1,084,385
Total plan assets at beginning of year	2011-12-31	$1,027,547
Value of fidelity bond covering the plan	2011-12-31	$190,000
Total contributions received or receivable from participants	2011-12-31	$42,546
Other income received	2011-12-31	$-64,806
Net income (gross income less expenses)	2011-12-31	$56,838
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,084,385
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,027,547
Assets. Value of assets in partnership/joint-venture interests	2011-12-31	$90,000
Total contributions received or receivable from employer(s)	2011-12-31	$81,173
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$241,719
Expenses. Total of all expenses incurred	2010-12-31	$26,138
Benefits paid (including direct rollovers)	2010-12-31	$24,507
Total plan assets at end of year	2010-12-31	$1,027,547
Total plan assets at beginning of year	2010-12-31	$811,966
Total contributions received or receivable from participants	2010-12-31	$42,721
Other income received	2010-12-31	$118,787
Net income (gross income less expenses)	2010-12-31	$215,581
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,027,547
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$811,966
Assets. Value of assets in partnership/joint-venture interests	2010-12-31	$69,999
Total contributions received or receivable from employer(s)	2010-12-31	$80,211
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$1,631

Form 5500 Responses for FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN

2022: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	Yes
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 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
2010: FOUR SEASONS OB/GYN, M.D., P.A. 401K PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

715976

Policy instance

Insurance contract or identification number	715976
Number of Individuals Covered	17
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $536
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	536
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE
Insurance broker organization code?	3

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

715976

Policy instance

Insurance contract or identification number	715976
Number of Individuals Covered	17
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $809
Total amount of fees paid to insurance company	USD $413
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $809
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMMISSIONS
Insurance broker organization code?	3

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

715976

Policy instance

Insurance contract or identification number	715976
Number of Individuals Covered	16
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $2,846
Total amount of fees paid to insurance company	USD $102
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,846
Insurance broker organization code?	3
Amount paid for insurance broker fees	102
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

715976

Policy instance

Insurance contract or identification number	715976
Number of Individuals Covered	14
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $2,672
Total amount of fees paid to insurance company	USD $623
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,672
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

715976

Policy instance

Insurance contract or identification number	715976
Number of Individuals Covered	14
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $2,354
Total amount of fees paid to insurance company	USD $667
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,354
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE
Insurance broker name	MERRILL LYNCH PIERCE FENNER & SMITH

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

715976

Policy instance

Insurance contract or identification number	715976
Number of Individuals Covered	17
Insurance policy start date	2015-04-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $4,791
Total amount of fees paid to insurance company	USD $2,657
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,791
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE
Insurance broker name	MERRILL LYNCH PIERCE FENNER & SMITH

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Company Name:	FOUR SEASONS OB/GYN, M.D., P.A.
Employer identification number (EIN):	742992560
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)