401k Plan data: ADRIENNE SIMONE, MD 401(K) PROFIT SHARING PLAN plan

ADRIENNE SIMONE, MD 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	ADRIENNE SIMONE, MD 401(K) PROFIT SHARING PLAN
Plan identification number	001

ADRIENNE SIMONE, MD 401(K) 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
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.
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

ADRIENNE SIMONE, MD has sponsored the creation of one or more 401k plans.

Company Name: ADRIENNE SIMONE, MD

Employer identification number (EIN): 114071797

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ADRIENNE SIMONE, MD 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 ADRIENNE SIMONE 2023-09-21 ADRIENNE SIMONE 2023-09-21
001 2021-01-01 ADRIENNE SIMONE 2022-09-20 ADRIENNE SIMONE 2022-09-20
001 2020-01-01 ADRIENNE SIMONE 2021-07-29 ADRIENNE SIMONE 2021-07-29
001 2019-01-01 ADRIENNE SIMONE 2020-10-12 ADRIENNE SIMONE 2020-10-12
001 2018-01-01 ADRIENNE SIMONE 2019-10-14 ADRIENNE SIMONE 2019-10-14
001 2017-01-01 ADRIENNE SIMONE 2018-10-15 ADRIENNE SIMONE 2018-10-15
001 2016-01-01 ADRIENNE SIMONE 2017-10-12 ADRIENNE SIMONE 2017-10-12
001 2015-01-01 ADRIENNE SIMONE 2016-10-13 ADRIENNE SIMONE 2016-10-13
001 2014-01-01 ADRIENNE SIMONE 2015-10-12 ADRIENNE SIMONE 2015-10-12
001 2013-01-01 ADRIENNE SIMONE 2014-10-09 ADRIENNE SIMONE 2014-10-09
001 2012-01-01 ADRIENNE SIMONE 2013-10-10 ADRIENNE SIMONE 2013-10-10
001 2011-01-01 ADRIENNE SIMONE 2012-09-07 ADRIENNE SIMONE 2012-09-07
001 2010-01-01 ADRIENNE SIMONE 2011-10-14 ADRIENNE SIMONE 2011-10-14

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	ADRIENNE SIMONE	2023-09-21	ADRIENNE SIMONE	2023-09-21
001	2021-01-01	ADRIENNE SIMONE	2022-09-20	ADRIENNE SIMONE	2022-09-20
001	2020-01-01	ADRIENNE SIMONE	2021-07-29	ADRIENNE SIMONE	2021-07-29
001	2019-01-01	ADRIENNE SIMONE	2020-10-12	ADRIENNE SIMONE	2020-10-12
001	2018-01-01	ADRIENNE SIMONE	2019-10-14	ADRIENNE SIMONE	2019-10-14
001	2017-01-01	ADRIENNE SIMONE	2018-10-15	ADRIENNE SIMONE	2018-10-15
001	2016-01-01	ADRIENNE SIMONE	2017-10-12	ADRIENNE SIMONE	2017-10-12
001	2015-01-01	ADRIENNE SIMONE	2016-10-13	ADRIENNE SIMONE	2016-10-13
001	2014-01-01	ADRIENNE SIMONE	2015-10-12	ADRIENNE SIMONE	2015-10-12
001	2013-01-01	ADRIENNE SIMONE	2014-10-09	ADRIENNE SIMONE	2014-10-09
001	2012-01-01	ADRIENNE SIMONE	2013-10-10	ADRIENNE SIMONE	2013-10-10
001	2011-01-01	ADRIENNE SIMONE	2012-09-07	ADRIENNE SIMONE	2012-09-07
001	2010-01-01	ADRIENNE SIMONE	2011-10-14	ADRIENNE SIMONE	2011-10-14

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Company Name:	ADRIENNE SIMONE, MD
Employer identification number (EIN):	114071797
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)