401k Plan data: MEDSTAR ANESTHESIA SERVICES, INC. 401(K) PLAN plan

MEDSTAR ANESTHESIA SERVICES, INC. 401(K) PLAN 401k Plan overview

Plan Name	MEDSTAR ANESTHESIA SERVICES, INC. 401(K) PLAN
Plan identification number	002

MEDSTAR ANESTHESIA SERVICES, INC. 401(K) PLAN Benefits

401k Plan Type

Defined 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.
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

MEDSTAR ANESTHESIA SERVICE, INC. has sponsored the creation of one or more 401k plans.

Company Name: MEDSTAR ANESTHESIA SERVICE, INC.

Employer identification number (EIN): 202335861

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEDSTAR ANESTHESIA SERVICES, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01 GARY FAN 2023-08-12 GARY FAN 2023-08-12
002 2021-01-01 GARY FAN 2022-09-26 GARY FAN 2022-09-26
002 2020-01-01 GARY FAN 2021-09-06 GARY FAN 2021-09-06
002 2019-01-01 GARY FAN 2020-10-10 GARY FAN 2020-10-10
002 2018-01-01
002 2017-01-01
002 2016-01-01
002 2015-01-01
002 2014-01-01
002 2013-01-01
002 2012-01-01 GARY F FAN 2013-10-12 GARY F FAN 2013-10-12
002 2011-01-01 GARY F FAN 2012-09-29 GARY F FAN 2012-09-29
002 2010-01-01 GARY FAN 2011-10-10 GARY FAN 2011-10-10
002 2009-01-01 GARY FAN GARY FAN 2010-08-26

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2022-01-01	GARY FAN	2023-08-12	GARY FAN	2023-08-12
002	2021-01-01	GARY FAN	2022-09-26	GARY FAN	2022-09-26
002	2020-01-01	GARY FAN	2021-09-06	GARY FAN	2021-09-06
002	2019-01-01	GARY FAN	2020-10-10	GARY FAN	2020-10-10
002	2018-01-01
002	2017-01-01
002	2016-01-01
002	2015-01-01
002	2014-01-01
002	2013-01-01
002	2012-01-01	GARY F FAN	2013-10-12	GARY F FAN	2013-10-12
002	2011-01-01	GARY F FAN	2012-09-29	GARY F FAN	2012-09-29
002	2010-01-01	GARY FAN	2011-10-10	GARY FAN	2011-10-10
002	2009-01-01	GARY FAN		GARY FAN	2010-08-26

Plan Statistics for MEDSTAR ANESTHESIA SERVICES, INC. 401(K) PLAN

401k plan membership statisitcs for MEDSTAR ANESTHESIA SERVICES, INC. 401(K) PLAN

Measure Date Value
2022: MEDSTAR ANESTHESIA SERVICES, INC. 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 2
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 1
Total of all active and inactive participants 2022-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 3
Number of participants with account balances 2022-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: MEDSTAR ANESTHESIA SERVICES, INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 2
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 1
Total of all active and inactive participants 2021-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 3
Number of participants with account balances 2021-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: MEDSTAR ANESTHESIA SERVICES, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 2
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 1
Total of all active and inactive participants 2020-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 3
Number of participants with account balances 2020-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: MEDSTAR ANESTHESIA SERVICES, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 2
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 1
Total of all active and inactive participants 2019-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 3
Number of participants with account balances 2019-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2009: MEDSTAR ANESTHESIA SERVICES, INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 3
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 0
Total of all active and inactive participants 2009-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 3
Number of participants with account balances 2009-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2022: MEDSTAR ANESTHESIA SERVICES, INC. 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	2
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	1
Total of all active and inactive participants	2022-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	3
Number of participants with account balances	2022-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: MEDSTAR ANESTHESIA SERVICES, INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	2
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	1
Total of all active and inactive participants	2021-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	3
Number of participants with account balances	2021-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: MEDSTAR ANESTHESIA SERVICES, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	2
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	1
Total of all active and inactive participants	2020-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	3
Number of participants with account balances	2020-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: MEDSTAR ANESTHESIA SERVICES, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	2
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	1
Total of all active and inactive participants	2019-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	3
Number of participants with account balances	2019-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2009: MEDSTAR ANESTHESIA SERVICES, INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	3
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	0
Total of all active and inactive participants	2009-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	3
Number of participants with account balances	2009-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on MEDSTAR ANESTHESIA SERVICES, INC. 401(K) PLAN

Measure	Date	Value
2022 : MEDSTAR ANESTHESIA SERVICES, INC. 401(K) PLAN 2022 401k financial data
Total income from all sources	2022-12-31	$-886,310
Expenses. Total of all expenses incurred	2022-12-31	$0
Total plan assets at end of year	2022-12-31	$6,140,580
Total plan assets at beginning of year	2022-12-31	$7,026,890
Value of fidelity bond covering the plan	2022-12-31	$500,000
Total contributions received or receivable from participants	2022-12-31	$54,000
Expenses. Other expenses not covered elsewhere	2022-12-31	$0
Contributions received from other sources (not participants or employers)	2022-12-31	$0
Other income received	2022-12-31	$-1,021,310
Net income (gross income less expenses)	2022-12-31	$-886,310
Net plan assets at end of year (total assets less liabilities)	2022-12-31	$6,140,580
Net plan assets at beginning of year (total assets less liabilities)	2022-12-31	$7,026,890
Total contributions received or receivable from employer(s)	2022-12-31	$81,000
Expenses. Administrative service providers (salaries,fees and commissions)	2022-12-31	$0
2021 : MEDSTAR ANESTHESIA SERVICES, INC. 401(K) PLAN 2021 401k financial data
Total income from all sources	2021-12-31	$819,169
Expenses. Total of all expenses incurred	2021-12-31	$0
Total plan assets at end of year	2021-12-31	$7,026,890
Total plan assets at beginning of year	2021-12-31	$6,207,721
Value of fidelity bond covering the plan	2021-12-31	$500,000
Total contributions received or receivable from participants	2021-12-31	$52,000
Expenses. Other expenses not covered elsewhere	2021-12-31	$0
Contributions received from other sources (not participants or employers)	2021-12-31	$0
Other income received	2021-12-31	$692,169
Net income (gross income less expenses)	2021-12-31	$819,169
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$7,026,890
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$6,207,721
Total contributions received or receivable from employer(s)	2021-12-31	$75,000
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$0
2020 : MEDSTAR ANESTHESIA SERVICES, INC. 401(K) PLAN 2020 401k financial data
Total plan liabilities at beginning of year	2020-12-31	$0
Total income from all sources	2020-12-31	$491,792
Expenses. Total of all expenses incurred	2020-12-31	$0
Total plan assets at end of year	2020-12-31	$6,207,721
Total plan assets at beginning of year	2020-12-31	$5,715,929
Value of fidelity bond covering the plan	2020-12-31	$500,000
Total contributions received or receivable from participants	2020-12-31	$52,000
Expenses. Other expenses not covered elsewhere	2020-12-31	$0
Contributions received from other sources (not participants or employers)	2020-12-31	$0
Other income received	2020-12-31	$364,792
Net income (gross income less expenses)	2020-12-31	$491,792
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$6,207,721
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$5,715,929
Total contributions received or receivable from employer(s)	2020-12-31	$75,000
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$0
2019 : MEDSTAR ANESTHESIA SERVICES, INC. 401(K) PLAN 2019 401k financial data
Transfers to/from the plan	2019-12-31	$0
Total plan liabilities at end of year	2019-12-31	$0
Total plan liabilities at beginning of year	2019-12-31	$0
Total income from all sources	2019-12-31	$4,781,045
Expenses. Total of all expenses incurred	2019-12-31	$0
Benefits paid (including direct rollovers)	2019-12-31	$0
Total plan assets at end of year	2019-12-31	$5,715,929
Total plan assets at beginning of year	2019-12-31	$934,884
Value of fidelity bond covering the plan	2019-12-31	$500,000
Total contributions received or receivable from participants	2019-12-31	$50,000
Contributions received from other sources (not participants or employers)	2019-12-31	$4,235,150
Other income received	2019-12-31	$437,895
Noncash contributions received	2019-12-31	$0
Net income (gross income less expenses)	2019-12-31	$4,781,045
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$5,715,929
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$934,884
Total contributions received or receivable from employer(s)	2019-12-31	$58,000
Value of certain deemed distributions of participant loans	2019-12-31	$0
Value of corrective distributions	2019-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$0

Form 5500 Responses for MEDSTAR ANESTHESIA SERVICES, INC. 401(K) PLAN

2022: MEDSTAR ANESTHESIA SERVICES, INC. 401(K) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: MEDSTAR ANESTHESIA SERVICES, INC. 401(K) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: MEDSTAR ANESTHESIA SERVICES, INC. 401(K) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: MEDSTAR ANESTHESIA SERVICES, INC. 401(K) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2009: MEDSTAR ANESTHESIA SERVICES, INC. 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	MEDSTAR ANESTHESIA SERVICE, INC.
Employer identification number (EIN):	202335861
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)