401k Plan data: 401(K) PROFIT SHARING PLAN OF THE PLASTIC SURGERY CENTER plan

401(K) PROFIT SHARING PLAN OF THE PLASTIC SURGERY CENTER 401k Plan overview

Plan Name	401(K) PROFIT SHARING PLAN OF THE PLASTIC SURGERY CENTER
Plan identification number	001

401(K) PROFIT SHARING PLAN OF THE PLASTIC SURGERY CENTER 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.
Participant-directed brokerage accounts provided as an investment option under the 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

SACRAMENTO PLASTIC & RECONSTRUCTIVE SURGERY MEDICAL GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name: SACRAMENTO PLASTIC & RECONSTRUCTIVE SURGERY MEDICAL GROUP, INC.

Employer identification number (EIN): 941659506

NAIC Classification: 621399
NAIC Description: Offices of All Other Miscellaneous Health Practitioners

Form 5500 Filing Information

Submission information for form 5500 for 401k plan 401(K) PROFIT SHARING PLAN OF THE PLASTIC SURGERY CENTER

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 WAYNE YAMAHATA 2023-10-02
001 2021-01-01 WAYNE YAMAHATA 2022-09-08
001 2020-01-01 WAYNE YAMAHATA 2021-07-26
001 2019-01-01 WAYNE YAMAHATA 2020-10-09
001 2018-01-01 WAYNE YAMAHATA 2019-07-11
001 2018-01-01 WAYNE YAMAHATA 2019-12-19
001 2017-01-01 WAYNE YAMAHATA 2018-09-12
001 2017-01-01 WAYNE YAMAHATA 2019-12-19
001 2016-01-01 WAYNE YAMAHATA
001 2015-01-01 WAYNE YAMAHATA
001 2014-01-01 WAYNE YAMAHATA
001 2013-01-01 WAYNE YAMAHATA
001 2012-01-01 WAYNE YAMAHATA 2013-06-28
001 2011-01-01 WAYNE YAMAHATA 2012-07-30
001 2010-01-01 MARLIN SCHRIOCK 2011-04-20 MARLIN SCHRIOCK 2011-04-20

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	WAYNE YAMAHATA	2023-10-02
001	2021-01-01	WAYNE YAMAHATA	2022-09-08
001	2020-01-01	WAYNE YAMAHATA	2021-07-26
001	2019-01-01	WAYNE YAMAHATA	2020-10-09
001	2018-01-01	WAYNE YAMAHATA	2019-07-11
001	2018-01-01	WAYNE YAMAHATA	2019-12-19
001	2017-01-01	WAYNE YAMAHATA	2018-09-12
001	2017-01-01	WAYNE YAMAHATA	2019-12-19
001	2016-01-01	WAYNE YAMAHATA
001	2015-01-01	WAYNE YAMAHATA
001	2014-01-01	WAYNE YAMAHATA
001	2013-01-01	WAYNE YAMAHATA
001	2012-01-01	WAYNE YAMAHATA	2013-06-28
001	2011-01-01	WAYNE YAMAHATA	2012-07-30
001	2010-01-01	MARLIN SCHRIOCK	2011-04-20	MARLIN SCHRIOCK	2011-04-20

Plan Statistics for 401(K) PROFIT SHARING PLAN OF THE PLASTIC SURGERY CENTER

401k plan membership statisitcs for 401(K) PROFIT SHARING PLAN OF THE PLASTIC SURGERY CENTER

Measure Date Value
2016: 401(K) PROFIT SHARING PLAN OF THE PLASTIC SURGERY CENTER 2016 401k membership
Total participants, beginning-of-year 2016-01-01 49
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 30
Number of retired or separated participants receiving benefits 2016-01-01 3
Number of other retired or separated participants entitled to future benefits 2016-01-01 9
Total of all active and inactive participants 2016-01-01 42
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 42
Number of participants with account balances 2016-01-01 42
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 2
2015: 401(K) PROFIT SHARING PLAN OF THE PLASTIC SURGERY CENTER 2015 401k membership
Total participants, beginning-of-year 2015-01-01 53
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 30
Number of retired or separated participants receiving benefits 2015-01-01 6
Number of other retired or separated participants entitled to future benefits 2015-01-01 13
Total of all active and inactive participants 2015-01-01 49
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 49
Number of participants with account balances 2015-01-01 49
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 2
2014: 401(K) PROFIT SHARING PLAN OF THE PLASTIC SURGERY CENTER 2014 401k membership
Total participants, beginning-of-year 2014-01-01 50
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 39
Number of retired or separated participants receiving benefits 2014-01-01 2
Number of other retired or separated participants entitled to future benefits 2014-01-01 9
Total of all active and inactive participants 2014-01-01 50
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 50
Number of participants with account balances 2014-01-01 50
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: 401(K) PROFIT SHARING PLAN OF THE PLASTIC SURGERY CENTER 2013 401k membership
Total participants, beginning-of-year 2013-01-01 48
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 36
Number of retired or separated participants receiving benefits 2013-01-01 2
Number of other retired or separated participants entitled to future benefits 2013-01-01 9
Total of all active and inactive participants 2013-01-01 47
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 47
Number of participants with account balances 2013-01-01 47
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0

Measure	Date	Value
2016: 401(K) PROFIT SHARING PLAN OF THE PLASTIC SURGERY CENTER 2016 401k membership
Total participants, beginning-of-year	2016-01-01	49
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	30
Number of retired or separated participants receiving benefits	2016-01-01	3
Number of other retired or separated participants entitled to future benefits	2016-01-01	9
Total of all active and inactive participants	2016-01-01	42
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	42
Number of participants with account balances	2016-01-01	42
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	2
2015: 401(K) PROFIT SHARING PLAN OF THE PLASTIC SURGERY CENTER 2015 401k membership
Total participants, beginning-of-year	2015-01-01	53
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	30
Number of retired or separated participants receiving benefits	2015-01-01	6
Number of other retired or separated participants entitled to future benefits	2015-01-01	13
Total of all active and inactive participants	2015-01-01	49
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	49
Number of participants with account balances	2015-01-01	49
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	2
2014: 401(K) PROFIT SHARING PLAN OF THE PLASTIC SURGERY CENTER 2014 401k membership
Total participants, beginning-of-year	2014-01-01	50
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	39
Number of retired or separated participants receiving benefits	2014-01-01	2
Number of other retired or separated participants entitled to future benefits	2014-01-01	9
Total of all active and inactive participants	2014-01-01	50
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	50
Number of participants with account balances	2014-01-01	50
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: 401(K) PROFIT SHARING PLAN OF THE PLASTIC SURGERY CENTER 2013 401k membership
Total participants, beginning-of-year	2013-01-01	48
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	36
Number of retired or separated participants receiving benefits	2013-01-01	2
Number of other retired or separated participants entitled to future benefits	2013-01-01	9
Total of all active and inactive participants	2013-01-01	47
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	47
Number of participants with account balances	2013-01-01	47
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0

Financial Data on 401(K) PROFIT SHARING PLAN OF THE PLASTIC SURGERY CENTER

Measure	Date	Value
2016 : 401(K) PROFIT SHARING PLAN OF THE PLASTIC SURGERY CENTER 2016 401k financial data
Total income from all sources	2016-12-31	$837,950
Expenses. Total of all expenses incurred	2016-12-31	$1,945,407
Benefits paid (including direct rollovers)	2016-12-31	$1,933,315
Total plan assets at end of year	2016-12-31	$7,303,205
Total plan assets at beginning of year	2016-12-31	$8,410,662
Value of fidelity bond covering the plan	2016-12-31	$500,000
Total contributions received or receivable from participants	2016-12-31	$189,892
Other income received	2016-12-31	$454,242
Net income (gross income less expenses)	2016-12-31	$-1,107,457
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$7,303,205
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$8,410,662
Assets. Value of participant loans	2016-12-31	$121,104
Assets. Value of assets in partnership/joint-venture interests	2016-12-31	$377,564
Total contributions received or receivable from employer(s)	2016-12-31	$193,816
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$12,092
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
2015 : 401(K) PROFIT SHARING PLAN OF THE PLASTIC SURGERY CENTER 2015 401k financial data
Total income from all sources	2015-12-31	$471,661
Expenses. Total of all expenses incurred	2015-12-31	$441,067
Benefits paid (including direct rollovers)	2015-12-31	$413,864
Total plan assets at end of year	2015-12-31	$8,410,662
Total plan assets at beginning of year	2015-12-31	$8,380,068
Value of fidelity bond covering the plan	2015-12-31	$500,000
Total contributions received or receivable from participants	2015-12-31	$176,213
Contributions received from other sources (not participants or employers)	2015-12-31	$104,054
Other income received	2015-12-31	$-11,954
Net income (gross income less expenses)	2015-12-31	$30,594
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$8,410,662
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$8,380,068
Assets. Value of participant loans	2015-12-31	$47,851
Assets. Value of assets in partnership/joint-venture interests	2015-12-31	$661,343
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2015-12-31	$6,766
Total contributions received or receivable from employer(s)	2015-12-31	$203,348
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$27,203
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : 401(K) PROFIT SHARING PLAN OF THE PLASTIC SURGERY CENTER 2014 401k financial data
Total income from all sources	2014-12-31	$827,028
Expenses. Total of all expenses incurred	2014-12-31	$158,956
Benefits paid (including direct rollovers)	2014-12-31	$132,819
Total plan assets at end of year	2014-12-31	$8,380,068
Total plan assets at beginning of year	2014-12-31	$7,711,996
Value of fidelity bond covering the plan	2014-12-31	$500,000
Total contributions received or receivable from participants	2014-12-31	$184,700
Contributions received from other sources (not participants or employers)	2014-12-31	$85,932
Other income received	2014-12-31	$359,831
Net income (gross income less expenses)	2014-12-31	$668,072
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$8,380,068
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$7,711,996
Assets. Value of participant loans	2014-12-31	$69,295
Assets. Value of assets in partnership/joint-venture interests	2014-12-31	$636,505
Total contributions received or receivable from employer(s)	2014-12-31	$196,565
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$26,137
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : 401(K) PROFIT SHARING PLAN OF THE PLASTIC SURGERY CENTER 2013 401k financial data
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$1,454,654
Expenses. Total of all expenses incurred	2013-12-31	$248,788
Benefits paid (including direct rollovers)	2013-12-31	$229,581
Total plan assets at end of year	2013-12-31	$7,711,996
Total plan assets at beginning of year	2013-12-31	$6,506,130
Value of fidelity bond covering the plan	2013-12-31	$500,000
Total contributions received or receivable from participants	2013-12-31	$212,268
Other income received	2013-12-31	$1,028,249
Net income (gross income less expenses)	2013-12-31	$1,205,866
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$7,711,996
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$6,506,130
Assets. Value of participant loans	2013-12-31	$29,781
Assets. Value of assets in partnership/joint-venture interests	2013-12-31	$374,329
Total contributions received or receivable from employer(s)	2013-12-31	$214,137
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$19,207
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0

Form 5500 Responses for 401(K) PROFIT SHARING PLAN OF THE PLASTIC SURGERY CENTER

2016: 401(K) PROFIT SHARING PLAN OF THE PLASTIC SURGERY CENTER 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 – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: 401(K) PROFIT SHARING PLAN OF THE PLASTIC SURGERY CENTER 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 – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: 401(K) PROFIT SHARING PLAN OF THE PLASTIC SURGERY CENTER 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: 401(K) PROFIT SHARING PLAN OF THE PLASTIC SURGERY CENTER 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

Insurance Providers Used on plan

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G36690

Policy instance

Insurance contract or identification number	G36690
Number of Individuals Covered	47
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Are there contracts with allocated funds for individual policies?	No
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?	Yes
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

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G36690

Policy instance

Insurance contract or identification number	G36690
Number of Individuals Covered	47
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Are there contracts with allocated funds for individual policies?	No
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?	Yes
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

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G36690

Policy instance

Insurance contract or identification number	G36690
Number of Individuals Covered	46
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $9,504
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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?	Yes
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 $9,504
Insurance broker organization code?	4
Insurance broker name	GENOVESE BURFORD AND BROTHERS LLC

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Company Name:	SACRAMENTO PLASTIC & RECONSTRUCTIVE SURGERY MEDICAL GROUP, INC.
Employer identification number (EIN):	941659506
NAIC Classification:	621399
NAIC Description:	Offices of All Other Miscellaneous Health Practitioners