401k Plan data: ORTHOPEDIC INSTITUTE - GALLIVAN DEFINED BENEFIT PENSION PLAN plan

ORTHOPEDIC INSTITUTE - GALLIVAN DEFINED BENEFIT PENSION PLAN 401k Plan overview

Plan Name	ORTHOPEDIC INSTITUTE - GALLIVAN DEFINED BENEFIT PENSION PLAN
Plan identification number	004

ORTHOPEDIC INSTITUTE - GALLIVAN DEFINED BENEFIT PENSION PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily pay related
Floor-offset plan - Plan benefits are subject to offset for retirement benefits provided by an employer-sponsored defined contribution plan.
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

WILLIAM R. GALLIVAN, JR., M.D., INC. has sponsored the creation of one or more 401k plans.

Company Name: WILLIAM R. GALLIVAN, JR., M.D., INC.

Employer identification number (EIN): 770451442

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ORTHOPEDIC INSTITUTE - GALLIVAN DEFINED BENEFIT PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
004 2022-01-01
004 2021-01-01 DAVID A. PECKHAM, FOR SBPC, INC. 2022-10-17
004 2020-01-01 DAVID A. PECKHAM, FOR SBPC, INC. 2021-10-15
004 2019-01-01 DAVID A. PECKHAM, FOR SBPC, INC. 2020-10-15

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
004	2022-01-01
004	2021-01-01	DAVID A. PECKHAM, FOR SBPC, INC.	2022-10-17
004	2020-01-01	DAVID A. PECKHAM, FOR SBPC, INC.	2021-10-15
004	2019-01-01	DAVID A. PECKHAM, FOR SBPC, INC.	2020-10-15

Plan Statistics for ORTHOPEDIC INSTITUTE - GALLIVAN DEFINED BENEFIT PENSION PLAN

401k plan membership statisitcs for ORTHOPEDIC INSTITUTE - GALLIVAN DEFINED BENEFIT PENSION PLAN

Measure Date Value
2022: ORTHOPEDIC INSTITUTE - GALLIVAN DEFINED BENEFIT PENSION PLAN 2022 401k membership
Market value of plan assets 2022-12-31 800,812
Acturial value of plan assets 2022-12-31 800,812
Funding target for retired participants and beneficiaries receiving payment 2022-12-31 0
Number of terminated vested participants 2022-12-31 2
Fundng target for terminated vested participants 2022-12-31 18
Active participant vested funding target 2022-12-31 713,185
Number of active participants 2022-12-31 6
Total funding liabilities for active participants 2022-12-31 713,185
Total participant count 2022-12-31 8
Total funding target for all participants 2022-12-31 713,203
Amount remaining of carryover balance 2022-12-31 0
Amount remaining of prefunding balance 2022-12-31 0
Present value of excess contributions 2022-12-31 116,532
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2022-12-31 123,069
Balance of carryovers at beginning of current year 2022-12-31 0
Balance of prefunding at beginning of current year 2022-12-31 0
Total employer contributions 2022-12-31 156,969
Total employee contributions 2022-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2022-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2022-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2022-12-31 151,240
Unpaid minimum required contributions for all prior years 2022-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2022-12-31 0
Remaining amount of unpaid minimum required contributions 2022-12-31 0
Minimum required contributions for current year target normal cost 2022-12-31 238,829
Net shortfall amortization installment of oustanding balance 2022-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2022-12-31 151,220
Additional cash requirement 2022-12-31 151,220
Contributions allocatedtoward minimum required contributions for current year 2022-12-31 151,240
Unpaid minimum required contributions for current year 2022-12-31 0
Unpaid minimum required contributions for all years 2022-12-31 0
Total participants, beginning-of-year 2022-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 6
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 0
Total of all active and inactive participants 2022-01-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 1
2021: ORTHOPEDIC INSTITUTE - GALLIVAN DEFINED BENEFIT PENSION PLAN 2021 401k membership
Market value of plan assets 2021-12-31 532,830
Acturial value of plan assets 2021-12-31 532,830
Funding target for retired participants and beneficiaries receiving payment 2021-12-31 0
Number of terminated vested participants 2021-12-31 4
Fundng target for terminated vested participants 2021-12-31 15
Active participant vested funding target 2021-12-31 438,368
Number of active participants 2021-12-31 5
Total funding liabilities for active participants 2021-12-31 438,368
Total participant count 2021-12-31 9
Total funding target for all participants 2021-12-31 438,383
Balance at beginning of prior year after applicable adjustments 2021-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2021-12-31 0
Carryover balanced portion elected for use to offset prior years funding requirement 2021-12-31 0
Prefunding balanced used to offset prior years funding requirement 2021-12-31 0
Amount remaining of carryover balance 2021-12-31 0
Amount remaining of prefunding balance 2021-12-31 0
Present value of excess contributions 2021-12-31 91,386
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2021-12-31 96,668
Reductions in caryover balances due to elections or deemed elections 2021-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2021-12-31 0
Balance of carryovers at beginning of current year 2021-12-31 0
Balance of prefunding at beginning of current year 2021-12-31 0
Total employer contributions 2021-12-31 250,000
Total employee contributions 2021-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2021-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2021-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2021-12-31 240,607
Unpaid minimum required contributions for all prior years 2021-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2021-12-31 0
Remaining amount of unpaid minimum required contributions 2021-12-31 0
Minimum required contributions for current year target normal cost 2021-12-31 218,522
Net shortfall amortization installment of oustanding balance 2021-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2021-12-31 124,075
Additional cash requirement 2021-12-31 124,075
Contributions allocatedtoward minimum required contributions for current year 2021-12-31 240,607
Unpaid minimum required contributions for current year 2021-12-31 0
Unpaid minimum required contributions for all years 2021-12-31 0
2020: ORTHOPEDIC INSTITUTE - GALLIVAN DEFINED BENEFIT PENSION PLAN 2020 401k membership
Market value of plan assets 2020-12-31 253,831
Acturial value of plan assets 2020-12-31 253,831
Funding target for retired participants and beneficiaries receiving payment 2020-12-31 0
Number of terminated vested participants 2020-12-31 1
Fundng target for terminated vested participants 2020-12-31 0
Active participant vested funding target 2020-12-31 203,344
Number of active participants 2020-12-31 3
Total funding liabilities for active participants 2020-12-31 203,344
Total participant count 2020-12-31 4
Total funding target for all participants 2020-12-31 203,344
Balance at beginning of prior year after applicable adjustments 2020-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2020-12-31 0
Carryover balanced portion elected for use to offset prior years funding requirement 2020-12-31 0
Prefunding balanced used to offset prior years funding requirement 2020-12-31 0
Amount remaining of carryover balance 2020-12-31 0
Amount remaining of prefunding balance 2020-12-31 0
Present value of excess contributions 2020-12-31 44,806
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2020-12-31 47,347
Reductions in caryover balances due to elections or deemed elections 2020-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2020-12-31 0
Balance of carryovers at beginning of current year 2020-12-31 0
Balance of prefunding at beginning of current year 2020-12-31 0
Total employer contributions 2020-12-31 252,000
Total employee contributions 2020-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2020-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2020-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2020-12-31 243,088
Unpaid minimum required contributions for all prior years 2020-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2020-12-31 0
Remaining amount of unpaid minimum required contributions 2020-12-31 0
Minimum required contributions for current year target normal cost 2020-12-31 202,189
Net shortfall amortization installment of oustanding balance 2020-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2020-12-31 151,702
Additional cash requirement 2020-12-31 151,702
Contributions allocatedtoward minimum required contributions for current year 2020-12-31 243,088
Unpaid minimum required contributions for current year 2020-12-31 0
Unpaid minimum required contributions for all years 2020-12-31 0
2019: ORTHOPEDIC INSTITUTE - GALLIVAN DEFINED BENEFIT PENSION PLAN 2019 401k membership
Market value of plan assets 2019-12-31 0
Acturial value of plan assets 2019-12-31 0
Funding target for retired participants and beneficiaries receiving payment 2019-12-31 0
Number of terminated vested participants 2019-12-31 0
Fundng target for terminated vested participants 2019-12-31 0
Active participant vested funding target 2019-12-31 0
Number of active participants 2019-12-31 3
Total funding liabilities for active participants 2019-12-31 0
Total participant count 2019-12-31 3
Total funding target for all participants 2019-12-31 0
Balance at beginning of prior year after applicable adjustments 2019-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2019-12-31 0
Carryover balanced portion elected for use to offset prior years funding requirement 2019-12-31 0
Prefunding balanced used to offset prior years funding requirement 2019-12-31 0
Amount remaining of carryover balance 2019-12-31 0
Amount remaining of prefunding balance 2019-12-31 0
Present value of excess contributions 2019-12-31 0
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2019-12-31 0
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2019-12-31 0
Reductions in caryover balances due to elections or deemed elections 2019-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2019-12-31 0
Balance of carryovers at beginning of current year 2019-12-31 0
Balance of prefunding at beginning of current year 2019-12-31 0
Total employer contributions 2019-12-31 250,000
Total employee contributions 2019-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2019-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2019-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2019-12-31 240,618
Unpaid minimum required contributions for all prior years 2019-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2019-12-31 0
Remaining amount of unpaid minimum required contributions 2019-12-31 0
Minimum required contributions for current year target normal cost 2019-12-31 195,812
Net shortfall amortization installment of oustanding balance 2019-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2019-12-31 195,812
Additional cash requirement 2019-12-31 195,812
Contributions allocatedtoward minimum required contributions for current year 2019-12-31 240,618
Unpaid minimum required contributions for current year 2019-12-31 0
Unpaid minimum required contributions for all years 2019-12-31 0

Measure	Date	Value
2022: ORTHOPEDIC INSTITUTE - GALLIVAN DEFINED BENEFIT PENSION PLAN 2022 401k membership
Market value of plan assets	2022-12-31	800,812
Acturial value of plan assets	2022-12-31	800,812
Funding target for retired participants and beneficiaries receiving payment	2022-12-31	0
Number of terminated vested participants	2022-12-31	2
Fundng target for terminated vested participants	2022-12-31	18
Active participant vested funding target	2022-12-31	713,185
Number of active participants	2022-12-31	6
Total funding liabilities for active participants	2022-12-31	713,185
Total participant count	2022-12-31	8
Total funding target for all participants	2022-12-31	713,203
Amount remaining of carryover balance	2022-12-31	0
Amount remaining of prefunding balance	2022-12-31	0
Present value of excess contributions	2022-12-31	116,532
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2022-12-31	123,069
Balance of carryovers at beginning of current year	2022-12-31	0
Balance of prefunding at beginning of current year	2022-12-31	0
Total employer contributions	2022-12-31	156,969
Total employee contributions	2022-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2022-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2022-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2022-12-31	151,240
Unpaid minimum required contributions for all prior years	2022-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2022-12-31	0
Remaining amount of unpaid minimum required contributions	2022-12-31	0
Minimum required contributions for current year target normal cost	2022-12-31	238,829
Net shortfall amortization installment of oustanding balance	2022-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2022-12-31	151,220
Additional cash requirement	2022-12-31	151,220
Contributions allocatedtoward minimum required contributions for current year	2022-12-31	151,240
Unpaid minimum required contributions for current year	2022-12-31	0
Unpaid minimum required contributions for all years	2022-12-31	0
Total participants, beginning-of-year	2022-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	6
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	0
Total of all active and inactive participants	2022-01-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	1
2021: ORTHOPEDIC INSTITUTE - GALLIVAN DEFINED BENEFIT PENSION PLAN 2021 401k membership
Market value of plan assets	2021-12-31	532,830
Acturial value of plan assets	2021-12-31	532,830
Funding target for retired participants and beneficiaries receiving payment	2021-12-31	0
Number of terminated vested participants	2021-12-31	4
Fundng target for terminated vested participants	2021-12-31	15
Active participant vested funding target	2021-12-31	438,368
Number of active participants	2021-12-31	5
Total funding liabilities for active participants	2021-12-31	438,368
Total participant count	2021-12-31	9
Total funding target for all participants	2021-12-31	438,383
Balance at beginning of prior year after applicable adjustments	2021-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2021-12-31	0
Carryover balanced portion elected for use to offset prior years funding requirement	2021-12-31	0
Prefunding balanced used to offset prior years funding requirement	2021-12-31	0
Amount remaining of carryover balance	2021-12-31	0
Amount remaining of prefunding balance	2021-12-31	0
Present value of excess contributions	2021-12-31	91,386
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2021-12-31	96,668
Reductions in caryover balances due to elections or deemed elections	2021-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2021-12-31	0
Balance of carryovers at beginning of current year	2021-12-31	0
Balance of prefunding at beginning of current year	2021-12-31	0
Total employer contributions	2021-12-31	250,000
Total employee contributions	2021-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2021-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2021-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2021-12-31	240,607
Unpaid minimum required contributions for all prior years	2021-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2021-12-31	0
Remaining amount of unpaid minimum required contributions	2021-12-31	0
Minimum required contributions for current year target normal cost	2021-12-31	218,522
Net shortfall amortization installment of oustanding balance	2021-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2021-12-31	124,075
Additional cash requirement	2021-12-31	124,075
Contributions allocatedtoward minimum required contributions for current year	2021-12-31	240,607
Unpaid minimum required contributions for current year	2021-12-31	0
Unpaid minimum required contributions for all years	2021-12-31	0
2020: ORTHOPEDIC INSTITUTE - GALLIVAN DEFINED BENEFIT PENSION PLAN 2020 401k membership
Market value of plan assets	2020-12-31	253,831
Acturial value of plan assets	2020-12-31	253,831
Funding target for retired participants and beneficiaries receiving payment	2020-12-31	0
Number of terminated vested participants	2020-12-31	1
Fundng target for terminated vested participants	2020-12-31	0
Active participant vested funding target	2020-12-31	203,344
Number of active participants	2020-12-31	3
Total funding liabilities for active participants	2020-12-31	203,344
Total participant count	2020-12-31	4
Total funding target for all participants	2020-12-31	203,344
Balance at beginning of prior year after applicable adjustments	2020-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2020-12-31	0
Carryover balanced portion elected for use to offset prior years funding requirement	2020-12-31	0
Prefunding balanced used to offset prior years funding requirement	2020-12-31	0
Amount remaining of carryover balance	2020-12-31	0
Amount remaining of prefunding balance	2020-12-31	0
Present value of excess contributions	2020-12-31	44,806
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2020-12-31	47,347
Reductions in caryover balances due to elections or deemed elections	2020-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2020-12-31	0
Balance of carryovers at beginning of current year	2020-12-31	0
Balance of prefunding at beginning of current year	2020-12-31	0
Total employer contributions	2020-12-31	252,000
Total employee contributions	2020-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2020-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2020-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2020-12-31	243,088
Unpaid minimum required contributions for all prior years	2020-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2020-12-31	0
Remaining amount of unpaid minimum required contributions	2020-12-31	0
Minimum required contributions for current year target normal cost	2020-12-31	202,189
Net shortfall amortization installment of oustanding balance	2020-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2020-12-31	151,702
Additional cash requirement	2020-12-31	151,702
Contributions allocatedtoward minimum required contributions for current year	2020-12-31	243,088
Unpaid minimum required contributions for current year	2020-12-31	0
Unpaid minimum required contributions for all years	2020-12-31	0
2019: ORTHOPEDIC INSTITUTE - GALLIVAN DEFINED BENEFIT PENSION PLAN 2019 401k membership
Market value of plan assets	2019-12-31	0
Acturial value of plan assets	2019-12-31	0
Funding target for retired participants and beneficiaries receiving payment	2019-12-31	0
Number of terminated vested participants	2019-12-31	0
Fundng target for terminated vested participants	2019-12-31	0
Active participant vested funding target	2019-12-31	0
Number of active participants	2019-12-31	3
Total funding liabilities for active participants	2019-12-31	0
Total participant count	2019-12-31	3
Total funding target for all participants	2019-12-31	0
Balance at beginning of prior year after applicable adjustments	2019-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2019-12-31	0
Carryover balanced portion elected for use to offset prior years funding requirement	2019-12-31	0
Prefunding balanced used to offset prior years funding requirement	2019-12-31	0
Amount remaining of carryover balance	2019-12-31	0
Amount remaining of prefunding balance	2019-12-31	0
Present value of excess contributions	2019-12-31	0
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2019-12-31	0
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2019-12-31	0
Reductions in caryover balances due to elections or deemed elections	2019-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2019-12-31	0
Balance of carryovers at beginning of current year	2019-12-31	0
Balance of prefunding at beginning of current year	2019-12-31	0
Total employer contributions	2019-12-31	250,000
Total employee contributions	2019-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2019-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2019-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2019-12-31	240,618
Unpaid minimum required contributions for all prior years	2019-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2019-12-31	0
Remaining amount of unpaid minimum required contributions	2019-12-31	0
Minimum required contributions for current year target normal cost	2019-12-31	195,812
Net shortfall amortization installment of oustanding balance	2019-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2019-12-31	195,812
Additional cash requirement	2019-12-31	195,812
Contributions allocatedtoward minimum required contributions for current year	2019-12-31	240,618
Unpaid minimum required contributions for current year	2019-12-31	0
Unpaid minimum required contributions for all years	2019-12-31	0

Financial Data on ORTHOPEDIC INSTITUTE - GALLIVAN DEFINED BENEFIT PENSION PLAN

Measure	Date	Value
2022 : ORTHOPEDIC INSTITUTE - GALLIVAN DEFINED BENEFIT PENSION PLAN 2022 401k financial data
Total plan liabilities at end of year	2022-12-31	$0
Total plan liabilities at beginning of year	2022-12-31	$0
Total income from all sources	2022-12-31	$175,296
Expenses. Total of all expenses incurred	2022-12-31	$345
Benefits paid (including direct rollovers)	2022-12-31	$0
Total plan assets at end of year	2022-12-31	$957,781
Total plan assets at beginning of year	2022-12-31	$782,830
Total contributions received or receivable from participants	2022-12-31	$0
Assets. Value of loans (other than to participants)	2022-12-31	$595,105
Expenses. Other expenses not covered elsewhere	2022-12-31	$345
Contributions received from other sources (not participants or employers)	2022-12-31	$0
Other income received	2022-12-31	$18,327
Noncash contributions received	2022-12-31	$0
Net income (gross income less expenses)	2022-12-31	$174,951
Net plan assets at end of year (total assets less liabilities)	2022-12-31	$957,781
Net plan assets at beginning of year (total assets less liabilities)	2022-12-31	$782,830
Total contributions received or receivable from employer(s)	2022-12-31	$156,969
Value of certain deemed distributions of participant loans	2022-12-31	$0
Value of corrective distributions	2022-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2022-12-31	$0

Form 5500 Responses for ORTHOPEDIC INSTITUTE - GALLIVAN DEFINED BENEFIT PENSION PLAN

2022: ORTHOPEDIC INSTITUTE - GALLIVAN DEFINED BENEFIT PENSION PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	WILLIAM R. GALLIVAN, JR., M.D., INC.
Employer identification number (EIN):	770451442
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)