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SANTA ROSA MEDICAL CLINIC, P.C. 401(K) PLAN 401k Plan overview

Plan NameSANTA ROSA MEDICAL CLINIC, P.C. 401(K) PLAN
Plan identification number 001

SANTA ROSA MEDICAL CLINIC, P.C. 401(K) PLAN Benefits

401k Plan TypeDefined 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

SUNRISE MEDICAL GROUP, P.C. has sponsored the creation of one or more 401k plans.

Company Name:SUNRISE MEDICAL GROUP, P.C.
Employer identification number (EIN):850465392
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SANTA ROSA MEDICAL CLINIC, P.C. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012024-01-01GREG STUART
0012023-01-01
0012023-01-01GREG STUART
0012022-01-01
0012022-01-01GREG STUART
0012021-01-01
0012021-01-01GREG STUART
0012020-01-01RANDAL BROWN, MD2021-10-15 RANDAL BROWN, MD2021-10-15
0012020-01-01RANDAL BROWN, MD2022-06-02 RANDAL BROWN, MD2022-06-02
0012019-01-01
0012018-01-01
0012017-01-01JESSICA SANCHEZ2018-07-19 JESSICA SANCHEZ2018-07-19
0012017-01-01
0012016-01-01RANDAL BROWN2017-07-17
0012016-01-01 RANDAL W BROWN2019-07-22
0012015-01-01RANDAL BROWN2016-10-14
0012014-01-01RANDAL BROWN2015-10-15
0012013-01-01RANDAL BROWN2014-10-02
0012012-01-01RANDAL BROWN2013-10-04

Financial Data on SANTA ROSA MEDICAL CLINIC, P.C. 401(K) PLAN

Measure Date Value
2024 : SANTA ROSA MEDICAL CLINIC, P.C. 401(K) PLAN 2024 401k financial data
Transfers to/from the plan2024-01-01$0
Total plan liabilities at end of year2024-01-01$0
Total plan liabilities at beginning of year2024-01-01$0
Total income from all sources2024-01-01$102,947
Expenses. Total of all expenses incurred2024-01-01$411,688
Benefits paid (including direct rollovers)2024-01-01$408,452
Total plan assets at end of year2024-01-01$1,949,603
Total plan assets at beginning of year2024-01-01$2,258,344
Value of fidelity bond covering the plan2024-01-01$25,000
Total contributions received or receivable from participants2024-01-01$676
Expenses. Other expenses not covered elsewhere2024-01-01$0
Contributions received from other sources (not participants or employers)2024-01-01$0
Other income received2024-01-01$101,595
Noncash contributions received2024-01-01$0
Net income (gross income less expenses)2024-01-01$-308,741
Net plan assets at end of year (total assets less liabilities)2024-01-01$1,949,603
Net plan assets at beginning of year (total assets less liabilities)2024-01-01$2,258,344
Assets. Value of assets in partnership/joint-venture interests2024-01-01$1,007,661
Total contributions received or receivable from employer(s)2024-01-01$676
Value of certain deemed distributions of participant loans2024-01-01$0
Value of corrective distributions2024-01-01$0
Expenses. Administrative service providers (salaries,fees and commissions)2024-01-01$3,236
2023 : SANTA ROSA MEDICAL CLINIC, P.C. 401(K) PLAN 2023 401k financial data
Transfers to/from the plan2023-12-31$-2,578
Total plan liabilities at end of year2023-12-31$0
Total plan liabilities at beginning of year2023-12-31$79,418
Total income from all sources2023-12-31$125,837
Expenses. Total of all expenses incurred2023-12-31$3,115
Benefits paid (including direct rollovers)2023-12-31$0
Total plan assets at end of year2023-12-31$2,258,344
Total plan assets at beginning of year2023-12-31$2,217,618
Value of fidelity bond covering the plan2023-12-31$25,000
Total contributions received or receivable from participants2023-12-31$22,055
Expenses. Other expenses not covered elsewhere2023-12-31$0
Contributions received from other sources (not participants or employers)2023-12-31$0
Other income received2023-12-31$89,238
Noncash contributions received2023-12-31$0
Net income (gross income less expenses)2023-12-31$122,722
Net plan assets at end of year (total assets less liabilities)2023-12-31$2,258,344
Net plan assets at beginning of year (total assets less liabilities)2023-12-31$2,138,200
Assets. Value of assets in partnership/joint-venture interests2023-12-31$935,599
Total contributions received or receivable from employer(s)2023-12-31$14,544
Value of certain deemed distributions of participant loans2023-12-31$0
Value of corrective distributions2023-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2023-12-31$3,115
2022 : SANTA ROSA MEDICAL CLINIC, P.C. 401(K) PLAN 2022 401k financial data
Transfers to/from the plan2022-12-31$0
Total plan liabilities at end of year2022-12-31$65,326
Total plan liabilities at beginning of year2022-12-31$31,069
Total income from all sources2022-12-31$-407,944
Expenses. Total of all expenses incurred2022-12-31$80,937
Benefits paid (including direct rollovers)2022-12-31$77,908
Total plan assets at end of year2022-12-31$2,217,856
Total plan assets at beginning of year2022-12-31$2,672,480
Value of fidelity bond covering the plan2022-12-31$25,000
Total contributions received or receivable from participants2022-12-31$23,672
Expenses. Other expenses not covered elsewhere2022-12-31$2,282
Contributions received from other sources (not participants or employers)2022-12-31$0
Other income received2022-12-31$-462,242
Noncash contributions received2022-12-31$0
Net income (gross income less expenses)2022-12-31$-488,881
Net plan assets at end of year (total assets less liabilities)2022-12-31$2,152,530
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$2,641,411
Assets. Value of assets in partnership/joint-venture interests2022-12-31$935,599
Assets. Value of real-estate (other than employer real property)2022-12-31$0
Total contributions received or receivable from employer(s)2022-12-31$30,626
Value of certain deemed distributions of participant loans2022-12-31$0
Value of corrective distributions2022-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$747
2021 : SANTA ROSA MEDICAL CLINIC, P.C. 401(K) PLAN 2021 401k financial data
Transfers to/from the plan2021-12-31$-437,233
Total plan liabilities at end of year2021-12-31$31,069
Total plan liabilities at beginning of year2021-12-31$918
Total income from all sources2021-12-31$268,691
Expenses. Total of all expenses incurred2021-12-31$88,434
Benefits paid (including direct rollovers)2021-12-31$81,873
Total plan assets at end of year2021-12-31$2,672,480
Total plan assets at beginning of year2021-12-31$2,899,305
Value of fidelity bond covering the plan2021-12-31$25,000
Total contributions received or receivable from participants2021-12-31$25,337
Expenses. Other expenses not covered elsewhere2021-12-31$0
Contributions received from other sources (not participants or employers)2021-12-31$0
Other income received2021-12-31$225,690
Noncash contributions received2021-12-31$0
Net income (gross income less expenses)2021-12-31$180,257
Net plan assets at end of year (total assets less liabilities)2021-12-31$2,641,411
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$2,898,387
Assets. Value of assets in partnership/joint-venture interests2021-12-31$380,978
Assets. Value of real-estate (other than employer real property)2021-12-31$1,105,526
Total contributions received or receivable from employer(s)2021-12-31$17,664
Value of certain deemed distributions of participant loans2021-12-31$0
Value of corrective distributions2021-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$6,561
2020 : SANTA ROSA MEDICAL CLINIC, P.C. 401(K) PLAN 2020 401k financial data
Transfers to/from the plan2020-12-31$0
Total plan liabilities at end of year2020-12-31$0
Total plan liabilities at beginning of year2020-12-31$0
Total income from all sources2020-12-31$320,375
Expenses. Total of all expenses incurred2020-12-31$22,126
Benefits paid (including direct rollovers)2020-12-31$20,576
Total plan assets at end of year2020-12-31$2,579,020
Total plan assets at beginning of year2020-12-31$2,280,771
Value of fidelity bond covering the plan2020-12-31$25,000
Total contributions received or receivable from participants2020-12-31$171,262
Expenses. Other expenses not covered elsewhere2020-12-31$0
Contributions received from other sources (not participants or employers)2020-12-31$10,707
Other income received2020-12-31$47,602
Noncash contributions received2020-12-31$0
Net income (gross income less expenses)2020-12-31$298,249
Net plan assets at end of year (total assets less liabilities)2020-12-31$2,579,020
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$2,280,771
Assets. Value of assets in partnership/joint-venture interests2020-12-31$193,728
Assets. Value of real-estate (other than employer real property)2020-12-31$1,233,503
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022020-12-31$29,910
Total contributions received or receivable from employer(s)2020-12-31$90,804
Value of certain deemed distributions of participant loans2020-12-31$0
Value of corrective distributions2020-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$1,550
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
2019 : SANTA ROSA MEDICAL CLINIC, P.C. 401(K) PLAN 2019 401k financial data
Total income from all sources2019-12-31$368,688
Expenses. Total of all expenses incurred2019-12-31$25,165
Benefits paid (including direct rollovers)2019-12-31$16,473
Total plan assets at end of year2019-12-31$2,280,771
Total plan assets at beginning of year2019-12-31$1,937,248
Value of fidelity bond covering the plan2019-12-31$500,000
Total contributions received or receivable from participants2019-12-31$79,948
Other income received2019-12-31$133,036
Net income (gross income less expenses)2019-12-31$343,523
Net plan assets at end of year (total assets less liabilities)2019-12-31$2,280,771
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$1,937,248
Assets. Value of assets in partnership/joint-venture interests2019-12-31$193,728
Assets. Value of real-estate (other than employer real property)2019-12-31$1,233,503
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022019-12-31$29,910
Total contributions received or receivable from employer(s)2019-12-31$155,704
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$8,692
2018 : SANTA ROSA MEDICAL CLINIC, P.C. 401(K) PLAN 2018 401k financial data
Transfers to/from the plan2018-12-31$0
Total plan liabilities at end of year2018-12-31$0
Total plan liabilities at beginning of year2018-12-31$0
Total income from all sources2018-12-31$144,941
Expenses. Total of all expenses incurred2018-12-31$53,949
Benefits paid (including direct rollovers)2018-12-31$43,747
Total plan assets at end of year2018-12-31$1,937,248
Total plan assets at beginning of year2018-12-31$1,846,256
Value of fidelity bond covering the plan2018-12-31$25,000
Total contributions received or receivable from participants2018-12-31$92,989
Expenses. Other expenses not covered elsewhere2018-12-31$0
Contributions received from other sources (not participants or employers)2018-12-31$0
Other income received2018-12-31$-4,239
Noncash contributions received2018-12-31$0
Net income (gross income less expenses)2018-12-31$90,992
Net plan assets at end of year (total assets less liabilities)2018-12-31$1,937,248
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$1,846,256
Assets. Value of assets in partnership/joint-venture interests2018-12-31$144,913
Assets. Value of real-estate (other than employer real property)2018-12-31$1,139,368
Total contributions received or receivable from employer(s)2018-12-31$56,191
Value of certain deemed distributions of participant loans2018-12-31$0
Value of corrective distributions2018-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$10,202
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : SANTA ROSA MEDICAL CLINIC, P.C. 401(K) PLAN 2017 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0

Form 5500 Responses for SANTA ROSA MEDICAL CLINIC, P.C. 401(K) PLAN

2023: SANTA ROSA MEDICAL CLINIC, P.C. 401(K) PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement - TrustYes
2022: SANTA ROSA MEDICAL CLINIC, P.C. 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedYes
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: SANTA ROSA MEDICAL CLINIC, P.C. 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: SANTA ROSA MEDICAL CLINIC, P.C. 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: SANTA ROSA MEDICAL CLINIC, P.C. 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: SANTA ROSA MEDICAL CLINIC, P.C. 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: SANTA ROSA MEDICAL CLINIC, P.C. 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedYes
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: SANTA ROSA MEDICAL CLINIC, P.C. 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedYes
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan 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 number158266
Policy instance 1
Insurance contract or identification number158266
Number of Individuals Covered3
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $135
Total amount of fees paid to insurance companyUSD $509
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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