401k Plan data: AFFILIATED FOOT SURGEONS, PC 401(K) PROFIT SHARING PLAN plan

AFFILIATED FOOT SURGEONS, PC 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	AFFILIATED FOOT SURGEONS, PC 401(K) PROFIT SHARING PLAN
Plan identification number	001

AFFILIATED FOOT SURGEONS, PC 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
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

AFFILIATED FOOT SURGEONS, P.C. has sponsored the creation of one or more 401k plans.

Company Name: AFFILIATED FOOT SURGEONS, P.C.

Employer identification number (EIN): 061372809

NAIC Classification: 621391
NAIC Description: Offices of Podiatrists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AFFILIATED FOOT SURGEONS, PC 401(K) 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 PETER A. BLUME 2023-06-01
001 2021-01-01 PETER A. BLUME 2022-10-11
001 2020-01-01 PETER A. BLUME 2021-09-27
001 2019-01-01 PETER A. BLUME 2020-10-07
001 2018-01-01 PETER A. BLUME 2019-10-10
001 2017-01-01 PETER A. BLUME 2018-09-18
001 2016-01-01 PETER A. BLUME 2017-10-03
001 2015-01-01 PETER A. BLUME 2016-10-10
001 2014-01-01 PETER A. BLUME 2015-10-14
001 2013-01-01 PETER A. BLUME
001 2012-01-01 PETER A. BLUME
001 2011-01-01 PETER A. BLUME
001 2009-01-01 PETER A. BLUME

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2022-01-01	PETER A. BLUME	2023-06-01
001	2021-01-01	PETER A. BLUME	2022-10-11
001	2020-01-01	PETER A. BLUME	2021-09-27
001	2019-01-01	PETER A. BLUME	2020-10-07
001	2018-01-01	PETER A. BLUME	2019-10-10
001	2017-01-01	PETER A. BLUME	2018-09-18
001	2016-01-01	PETER A. BLUME	2017-10-03
001	2015-01-01	PETER A. BLUME	2016-10-10
001	2014-01-01	PETER A. BLUME	2015-10-14
001	2013-01-01	PETER A. BLUME
001	2012-01-01	PETER A. BLUME
001	2011-01-01	PETER A. BLUME
001	2009-01-01	PETER A. BLUME

Plan Statistics for AFFILIATED FOOT SURGEONS, PC 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for AFFILIATED FOOT SURGEONS, PC 401(K) PROFIT SHARING PLAN

Measure Date Value
2013: AFFILIATED FOOT SURGEONS, PC 401(K) 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 11
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 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 14
Number of participants with account balances 2013-01-01 14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 1
2012: AFFILIATED FOOT SURGEONS, PC 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 11
Number of other retired or separated participants entitled to future benefits 2012-01-01 1
Total of all active and inactive participants 2012-01-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 12
Number of participants with account balances 2012-01-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: AFFILIATED FOOT SURGEONS, PC 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 8
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 5
Total of all active and inactive participants 2011-01-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 13
Number of participants with account balances 2011-01-01 13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 2
2009: AFFILIATED FOOT SURGEONS, PC 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 11
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 1
Total of all active and inactive participants 2009-01-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 12
Number of participants with account balances 2009-01-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 1

Measure	Date	Value
2013: AFFILIATED FOOT SURGEONS, PC 401(K) 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	11
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	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	14
Number of participants with account balances	2013-01-01	14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	1
2012: AFFILIATED FOOT SURGEONS, PC 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	11
Number of other retired or separated participants entitled to future benefits	2012-01-01	1
Total of all active and inactive participants	2012-01-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	12
Number of participants with account balances	2012-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: AFFILIATED FOOT SURGEONS, PC 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	8
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	5
Total of all active and inactive participants	2011-01-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	13
Number of participants with account balances	2011-01-01	13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	2
2009: AFFILIATED FOOT SURGEONS, PC 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	11
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	1
Total of all active and inactive participants	2009-01-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	12
Number of participants with account balances	2009-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	1

Financial Data on AFFILIATED FOOT SURGEONS, PC 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2013 : AFFILIATED FOOT SURGEONS, PC 401(K) PROFIT SHARING PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
Total plan liabilities at end of year	2013-12-31	$0
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$266,060
Expenses. Total of all expenses incurred	2013-12-31	$38,649
Benefits paid (including direct rollovers)	2013-12-31	$31,930
Total plan assets at end of year	2013-12-31	$1,600,424
Total plan assets at beginning of year	2013-12-31	$1,373,013
Value of fidelity bond covering the plan	2013-12-31	$100,000
Total contributions received or receivable from participants	2013-12-31	$50,609
Expenses. Other expenses not covered elsewhere	2013-12-31	$6,719
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$154,166
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$227,411
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,600,424
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,373,013
Total contributions received or receivable from employer(s)	2013-12-31	$61,285
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : AFFILIATED FOOT SURGEONS, PC 401(K) PROFIT SHARING PLAN 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$156,524
Expenses. Total of all expenses incurred	2012-12-31	$230,804
Benefits paid (including direct rollovers)	2012-12-31	$224,447
Total plan assets at end of year	2012-12-31	$1,373,503
Total plan assets at beginning of year	2012-12-31	$1,447,783
Value of fidelity bond covering the plan	2012-12-31	$100,000
Total contributions received or receivable from participants	2012-12-31	$34,985
Expenses. Other expenses not covered elsewhere	2012-12-31	$6,357
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$69,664
Noncash contributions received	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$-74,280
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,373,503
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,447,783
Total contributions received or receivable from employer(s)	2012-12-31	$51,875
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : AFFILIATED FOOT SURGEONS, PC 401(K) PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$104,293
Expenses. Total of all expenses incurred	2011-12-31	$124,545
Benefits paid (including direct rollovers)	2011-12-31	$118,243
Total plan assets at end of year	2011-12-31	$1,454,607
Total plan assets at beginning of year	2011-12-31	$1,474,859
Value of fidelity bond covering the plan	2011-12-31	$100,000
Total contributions received or receivable from participants	2011-12-31	$35,566
Expenses. Other expenses not covered elsewhere	2011-12-31	$6,220
Contributions received from other sources (not participants or employers)	2011-12-31	$1,251
Other income received	2011-12-31	$6,147
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$-20,252
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,454,607
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,474,859
Total contributions received or receivable from employer(s)	2011-12-31	$61,329
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$82
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : AFFILIATED FOOT SURGEONS, PC 401(K) PROFIT SHARING PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$184,841
Expenses. Total of all expenses incurred	2010-12-31	$36,084
Benefits paid (including direct rollovers)	2010-12-31	$31,025
Total plan assets at end of year	2010-12-31	$1,469,697
Total plan assets at beginning of year	2010-12-31	$1,320,940
Value of fidelity bond covering the plan	2010-12-31	$100,000
Total contributions received or receivable from participants	2010-12-31	$67,778
Expenses. Other expenses not covered elsewhere	2010-12-31	$5,059
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$94,208
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$148,757
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,469,697
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,320,940
Total contributions received or receivable from employer(s)	2010-12-31	$22,855
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : AFFILIATED FOOT SURGEONS, PC 401(K) PROFIT SHARING PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for AFFILIATED FOOT SURGEONS, PC 401(K) PROFIT SHARING PLAN

2013: AFFILIATED FOOT SURGEONS, PC 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: AFFILIATED FOOT SURGEONS, PC 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: AFFILIATED FOOT SURGEONS, PC 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: AFFILIATED FOOT SURGEONS, PC 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

VARIOUS

Policy instance

Insurance contract or identification number	VARIOUS
Number of Individuals Covered	1
Are there contracts with allocated funds for individual policies?	Yes

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

VARIOUS

Policy instance

Insurance contract or identification number	VARIOUS
Number of Individuals Covered	1
Are there contracts with allocated funds for individual policies?	Yes

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

VARIOUS

Policy instance

Insurance contract or identification number	VARIOUS
Number of Individuals Covered	1
Are there contracts with allocated funds for individual policies?	Yes

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

VARIOUS

Policy instance

Insurance contract or identification number	VARIOUS
Number of Individuals Covered	1
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Are there contracts with allocated funds for individual policies?	Yes

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Company Name:	AFFILIATED FOOT SURGEONS, P.C.
Employer identification number (EIN):	061372809
NAIC Classification:	621391
NAIC Description:	Offices of Podiatrists