401k Plan data: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN plan

SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN
Plan identification number	004

SOUTHWEST SKIN AND CANCER, LLC 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
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.
Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of 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.
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

SOUTHWEST SKIN AND CANCER, LLC has sponsored the creation of one or more 401k plans.

Company Name: SOUTHWEST SKIN AND CANCER, LLC

Employer identification number (EIN): 204240264

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
004 2022-01-01
004 2021-01-01
004 2020-01-01
004 2019-01-01
004 2018-01-01
004 2017-01-01 BRET SMITH
004 2016-01-01 BRET SMITH
004 2015-01-01 BRET SMITH
004 2014-01-01 BRET SMITH
004 2013-01-01 BRET SMITH
004 2012-01-01 BRET SMITH
004 2011-01-01 BRET SMITH
004 2010-01-01 DEAN DUKE
004 2009-01-01 DEAN DUKE
004 2009-01-01 DEAN DUKE

Plan Statistics for SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN

Measure Date Value
2022: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 43
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 25
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 17
Total of all active and inactive participants 2022-01-01 42
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 42
Number of participants with account balances 2022-01-01 40
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 4
2021: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 38
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 26
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 14
Total of all active and inactive participants 2021-01-01 40
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 40
Number of participants with account balances 2021-01-01 36
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 6
2020: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 39
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 29
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 9
Total of all active and inactive participants 2020-01-01 38
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 38
Number of participants with account balances 2020-01-01 35
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 2
2019: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 36
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 27
Number of retired or separated participants receiving benefits 2019-01-01 1
Number of other retired or separated participants entitled to future benefits 2019-01-01 8
Total of all active and inactive participants 2019-01-01 36
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 36
Number of participants with account balances 2019-01-01 32
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 1
2018: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 32
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 24
Number of retired or separated participants receiving benefits 2018-01-01 1
Number of other retired or separated participants entitled to future benefits 2018-01-01 9
Total of all active and inactive participants 2018-01-01 34
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 34
Number of participants with account balances 2018-01-01 29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 3
2017: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 30
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 21
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 8
Total of all active and inactive participants 2017-01-01 29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 1
Total participants 2017-01-01 30
Number of participants with account balances 2017-01-01 30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 4
2016: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 33
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 23
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 5
Total of all active and inactive participants 2016-01-01 28
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 1
Total participants 2016-01-01 29
Number of participants with account balances 2016-01-01 29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 38
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 22
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 5
Total of all active and inactive participants 2015-01-01 27
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 2
Total participants 2015-01-01 29
Number of participants with account balances 2015-01-01 29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 2
2014: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 38
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 26
Number of retired or separated participants receiving benefits 2014-01-01 0
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 35
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 2
Total participants 2014-01-01 37
Number of participants with account balances 2014-01-01 37
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 3
2013: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 35
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 24
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 8
Total of all active and inactive participants 2013-01-01 32
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 3
Total participants 2013-01-01 35
Number of participants with account balances 2013-01-01 35
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 2
2012: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 34
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 21
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 13
Total of all active and inactive participants 2012-01-01 34
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 34
Number of participants with account balances 2012-01-01 34
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 6
2011: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 31
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 24
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 4
Total of all active and inactive participants 2011-01-01 28
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 3
Total participants 2011-01-01 31
Number of participants with account balances 2011-01-01 31
2010: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 31
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 19
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 10
Total of all active and inactive participants 2010-01-01 29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 29
Number of participants with account balances 2010-01-01 29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 3
2009: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 42
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 19
Number of retired or separated participants receiving benefits 2009-01-01 10
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 29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 29
Number of participants with account balances 2009-01-01 29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 1

Measure	Date	Value
2022: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	43
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	25
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	17
Total of all active and inactive participants	2022-01-01	42
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	42
Number of participants with account balances	2022-01-01	40
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	4
2021: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	38
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	26
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	14
Total of all active and inactive participants	2021-01-01	40
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	40
Number of participants with account balances	2021-01-01	36
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	6
2020: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	39
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	29
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	9
Total of all active and inactive participants	2020-01-01	38
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	38
Number of participants with account balances	2020-01-01	35
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	2
2019: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	36
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	27
Number of retired or separated participants receiving benefits	2019-01-01	1
Number of other retired or separated participants entitled to future benefits	2019-01-01	8
Total of all active and inactive participants	2019-01-01	36
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	36
Number of participants with account balances	2019-01-01	32
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	1
2018: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	32
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	24
Number of retired or separated participants receiving benefits	2018-01-01	1
Number of other retired or separated participants entitled to future benefits	2018-01-01	9
Total of all active and inactive participants	2018-01-01	34
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	34
Number of participants with account balances	2018-01-01	29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	3
2017: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	30
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	21
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	8
Total of all active and inactive participants	2017-01-01	29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	1
Total participants	2017-01-01	30
Number of participants with account balances	2017-01-01	30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	4
2016: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	33
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	23
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	5
Total of all active and inactive participants	2016-01-01	28
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	1
Total participants	2016-01-01	29
Number of participants with account balances	2016-01-01	29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	38
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	22
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	5
Total of all active and inactive participants	2015-01-01	27
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	2
Total participants	2015-01-01	29
Number of participants with account balances	2015-01-01	29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	2
2014: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	38
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	26
Number of retired or separated participants receiving benefits	2014-01-01	0
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	35
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	2
Total participants	2014-01-01	37
Number of participants with account balances	2014-01-01	37
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	3
2013: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	35
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	24
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	8
Total of all active and inactive participants	2013-01-01	32
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	3
Total participants	2013-01-01	35
Number of participants with account balances	2013-01-01	35
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	2
2012: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	34
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	21
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	13
Total of all active and inactive participants	2012-01-01	34
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	34
Number of participants with account balances	2012-01-01	34
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	6
2011: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	31
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	24
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	4
Total of all active and inactive participants	2011-01-01	28
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	3
Total participants	2011-01-01	31
Number of participants with account balances	2011-01-01	31
2010: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	31
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	19
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	10
Total of all active and inactive participants	2010-01-01	29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	29
Number of participants with account balances	2010-01-01	29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	3
2009: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	42
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	19
Number of retired or separated participants receiving benefits	2009-01-01	10
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	29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	29
Number of participants with account balances	2009-01-01	29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	1

Financial Data on SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2022 : SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2022 401k financial data
Total income from all sources	2022-12-31	$-470,811
Expenses. Total of all expenses incurred	2022-12-31	$105,644
Benefits paid (including direct rollovers)	2022-12-31	$71,667
Total plan assets at end of year	2022-12-31	$4,723,470
Total plan assets at beginning of year	2022-12-31	$5,299,925
Value of fidelity bond covering the plan	2022-12-31	$500,000
Total contributions received or receivable from participants	2022-12-31	$217,160
Other income received	2022-12-31	$-836,939
Net income (gross income less expenses)	2022-12-31	$-576,455
Net plan assets at end of year (total assets less liabilities)	2022-12-31	$4,723,470
Net plan assets at beginning of year (total assets less liabilities)	2022-12-31	$5,299,925
Assets. Value of participant loans	2022-12-31	$6
Total contributions received or receivable from employer(s)	2022-12-31	$148,968
Value of certain deemed distributions of participant loans	2022-12-31	$1,520
Expenses. Administrative service providers (salaries,fees and commissions)	2022-12-31	$32,457
2021 : SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2021 401k financial data
Total income from all sources	2021-12-31	$746,330
Expenses. Total of all expenses incurred	2021-12-31	$518,180
Benefits paid (including direct rollovers)	2021-12-31	$478,668
Total plan assets at end of year	2021-12-31	$5,299,925
Total plan assets at beginning of year	2021-12-31	$5,071,775
Value of fidelity bond covering the plan	2021-12-31	$500,000
Total contributions received or receivable from participants	2021-12-31	$124,251
Other income received	2021-12-31	$475,621
Net income (gross income less expenses)	2021-12-31	$228,150
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$5,299,925
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$5,071,775
Assets. Value of participant loans	2021-12-31	$3,354
Assets. Value of real-estate (other than employer real property)	2021-12-31	$0
Total contributions received or receivable from employer(s)	2021-12-31	$146,458
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$39,512
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
2020 : SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources	2020-12-31	$866,215
Expenses. Total of all expenses incurred	2020-12-31	$34,932
Benefits paid (including direct rollovers)	2020-12-31	$10,336
Total plan assets at end of year	2020-12-31	$5,071,775
Total plan assets at beginning of year	2020-12-31	$4,240,492
Value of fidelity bond covering the plan	2020-12-31	$500,000
Total contributions received or receivable from participants	2020-12-31	$127,010
Other income received	2020-12-31	$595,540
Net income (gross income less expenses)	2020-12-31	$831,283
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$5,071,775
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$4,240,492
Assets. Value of participant loans	2020-12-31	$3,816
Assets. Value of real-estate (other than employer real property)	2020-12-31	$335,000
Total contributions received or receivable from employer(s)	2020-12-31	$143,665
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$24,596
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
2019 : SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources	2019-12-31	$902,532
Expenses. Total of all expenses incurred	2019-12-31	$126,290
Benefits paid (including direct rollovers)	2019-12-31	$90,269
Total plan assets at end of year	2019-12-31	$4,240,492
Total plan assets at beginning of year	2019-12-31	$3,464,250
Value of fidelity bond covering the plan	2019-12-31	$410,000
Total contributions received or receivable from participants	2019-12-31	$103,718
Expenses. Other expenses not covered elsewhere	2019-12-31	$2,788
Other income received	2019-12-31	$654,897
Net income (gross income less expenses)	2019-12-31	$776,242
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$4,240,492
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$3,464,250
Assets. Value of participant loans	2019-12-31	$6,458
Assets. Value of real-estate (other than employer real property)	2019-12-31	$295,000
Total contributions received or receivable from employer(s)	2019-12-31	$143,917
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$33,233
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
2018 : SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$-77,797
Expenses. Total of all expenses incurred	2018-12-31	$150,622
Benefits paid (including direct rollovers)	2018-12-31	$136,394
Total plan assets at end of year	2018-12-31	$3,464,250
Total plan assets at beginning of year	2018-12-31	$3,692,669
Value of fidelity bond covering the plan	2018-12-31	$410,000
Total contributions received or receivable from participants	2018-12-31	$113,191
Assets. Value of loans (other than to participants)	2018-12-31	$0
Contributions received from other sources (not participants or employers)	2018-12-31	$0
Other income received	2018-12-31	$-190,988
Noncash contributions received	2018-12-31	$0
Net income (gross income less expenses)	2018-12-31	$-228,419
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$3,464,250
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$3,692,669
Assets. Value of participant loans	2018-12-31	$9,838
Assets. Value of real-estate (other than employer real property)	2018-12-31	$295,000
Total contributions received or receivable from employer(s)	2018-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$14,228
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
2017 : SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$704,905
Expenses. Total of all expenses incurred	2017-12-31	$110,080
Benefits paid (including direct rollovers)	2017-12-31	$92,700
Total plan assets at end of year	2017-12-31	$3,692,669
Total plan assets at beginning of year	2017-12-31	$3,097,844
Value of fidelity bond covering the plan	2017-12-31	$410,000
Total contributions received or receivable from participants	2017-12-31	$91,535
Assets. Value of loans (other than to participants)	2017-12-31	$24,701
Other income received	2017-12-31	$501,960
Net income (gross income less expenses)	2017-12-31	$594,825
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$3,692,669
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$3,097,844
Assets. Value of participant loans	2017-12-31	$12,975
Assets. Value of real-estate (other than employer real property)	2017-12-31	$295,000
Total contributions received or receivable from employer(s)	2017-12-31	$111,410
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$17,380
2016 : SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$401,143
Expenses. Total of all expenses incurred	2016-12-31	$139,763
Benefits paid (including direct rollovers)	2016-12-31	$120,783
Total plan assets at end of year	2016-12-31	$3,097,843
Total plan assets at beginning of year	2016-12-31	$2,836,463
Value of fidelity bond covering the plan	2016-12-31	$420,000
Total contributions received or receivable from participants	2016-12-31	$117,891
Assets. Value of loans (other than to participants)	2016-12-31	$35,890
Other income received	2016-12-31	$178,545
Net income (gross income less expenses)	2016-12-31	$261,380
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$3,097,843
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$2,836,463
Assets. Value of participant loans	2016-12-31	$5,797
Assets. Value of real-estate (other than employer real property)	2016-12-31	$295,000
Total contributions received or receivable from employer(s)	2016-12-31	$104,707
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$18,980
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
2015 : SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2015 401k financial data
Transfers to/from the plan	2015-12-31	$0
Total income from all sources	2015-12-31	$210,761
Expenses. Total of all expenses incurred	2015-12-31	$59,118
Benefits paid (including direct rollovers)	2015-12-31	$41,703
Total plan assets at end of year	2015-12-31	$2,836,463
Total plan assets at beginning of year	2015-12-31	$2,684,820
Value of fidelity bond covering the plan	2015-12-31	$410,000
Total contributions received or receivable from participants	2015-12-31	$151,750
Assets. Value of loans (other than to participants)	2015-12-31	$46,479
Other income received	2015-12-31	$-80,379
Net income (gross income less expenses)	2015-12-31	$151,643
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$2,836,463
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$2,684,820
Assets. Value of participant loans	2015-12-31	$7,309
Assets. Value of real-estate (other than employer real property)	2015-12-31	$230,000
Total contributions received or receivable from employer(s)	2015-12-31	$139,390
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$17,415
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$287,878
Expenses. Total of all expenses incurred	2014-12-31	$95,717
Benefits paid (including direct rollovers)	2014-12-31	$79,892
Total plan assets at end of year	2014-12-31	$2,684,820
Total plan assets at beginning of year	2014-12-31	$2,492,659
Value of fidelity bond covering the plan	2014-12-31	$420,000
Total contributions received or receivable from participants	2014-12-31	$146,450
Assets. Value of loans (other than to participants)	2014-12-31	$105,294
Other income received	2014-12-31	$25,634
Net income (gross income less expenses)	2014-12-31	$192,161
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$2,684,820
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$2,492,659
Assets. Value of real-estate (other than employer real property)	2014-12-31	$230,000
Total contributions received or receivable from employer(s)	2014-12-31	$115,794
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$15,825
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$466,171
Expenses. Total of all expenses incurred	2013-12-31	$167,044
Benefits paid (including direct rollovers)	2013-12-31	$153,027
Total plan assets at end of year	2013-12-31	$2,492,659
Total plan assets at beginning of year	2013-12-31	$2,193,532
Value of fidelity bond covering the plan	2013-12-31	$750,000
Total contributions received or receivable from participants	2013-12-31	$143,275
Assets. Value of loans (other than to participants)	2013-12-31	$109,858
Other income received	2013-12-31	$231,762
Net income (gross income less expenses)	2013-12-31	$299,127
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$2,492,659
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$2,193,532
Assets. Value of participant loans	2013-12-31	$0
Assets. Value of assets in partnership/joint-venture interests	2013-12-31	$0
Assets. Value of real-estate (other than employer real property)	2013-12-31	$295,000
Total contributions received or receivable from employer(s)	2013-12-31	$91,134
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$14,017
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$442,997
Expenses. Total of all expenses incurred	2012-12-31	$1,599,074
Benefits paid (including direct rollovers)	2012-12-31	$1,583,853
Total plan assets at end of year	2012-12-31	$2,193,532
Total plan assets at beginning of year	2012-12-31	$3,349,609
Value of fidelity bond covering the plan	2012-12-31	$750,000
Total contributions received or receivable from participants	2012-12-31	$133,275
Assets. Value of loans (other than to participants)	2012-12-31	$114,201
Other income received	2012-12-31	$188,803
Net income (gross income less expenses)	2012-12-31	$-1,156,077
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$2,193,532
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$3,349,609
Assets. Value of participant loans	2012-12-31	$411
Assets. Value of assets in partnership/joint-venture interests	2012-12-31	$3,361
Assets. Value of real-estate (other than employer real property)	2012-12-31	$295,000
Total contributions received or receivable from employer(s)	2012-12-31	$120,919
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$15,221
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$61,073
Expenses. Total of all expenses incurred	2011-12-31	$50,293
Benefits paid (including direct rollovers)	2011-12-31	$34,990
Total plan assets at end of year	2011-12-31	$3,349,609
Total plan assets at beginning of year	2011-12-31	$3,338,829
Value of fidelity bond covering the plan	2011-12-31	$750,000
Total contributions received or receivable from participants	2011-12-31	$91,270
Assets. Value of loans (other than to participants)	2011-12-31	$119,306
Other income received	2011-12-31	$-147,788
Net income (gross income less expenses)	2011-12-31	$10,780
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$3,349,609
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$3,338,829
Assets. Value of participant loans	2011-12-31	$1,648
Assets. Value of assets in partnership/joint-venture interests	2011-12-31	$3,173
Assets. Value of real-estate (other than employer real property)	2011-12-31	$396,000
Total contributions received or receivable from employer(s)	2011-12-31	$117,591
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$15,303
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$479,300
Expenses. Total of all expenses incurred	2010-12-31	$222,071
Benefits paid (including direct rollovers)	2010-12-31	$214,367
Total plan assets at end of year	2010-12-31	$3,338,829
Total plan assets at beginning of year	2010-12-31	$3,081,600
Value of fidelity bond covering the plan	2010-12-31	$750,000
Total contributions received or receivable from participants	2010-12-31	$87,090
Assets. Value of loans (other than to participants)	2010-12-31	$123,221
Other income received	2010-12-31	$301,993
Net income (gross income less expenses)	2010-12-31	$257,229
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$3,338,829
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$3,081,600
Assets. Value of participant loans	2010-12-31	$2,910
Assets. Value of assets in partnership/joint-venture interests	2010-12-31	$2,654
Assets. Value of real-estate (other than employer real property)	2010-12-31	$404,210
Total contributions received or receivable from employer(s)	2010-12-31	$90,217
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$7,704
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : SOUTHWEST SKIN AND CANCER, LLC 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 SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN

2022: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING 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: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING 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: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING 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: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING 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
2018: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 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: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 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: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 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: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 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
2012: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: SOUTHWEST SKIN AND CANCER, LLC 401(K) PROFIT SHARING 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

Insurance Providers Used on plan

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

Policy contract number

G36560

Policy instance

Insurance contract or identification number	G36560
Insurance policy start date	2017-01-01
Insurance policy end date	2017-07-17
Total amount of commissions paid to insurance broker	USD $8,110
Total amount of fees paid to insurance company	USD $52
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,110
Additional information about fees paid to insurance broker	COMMISSIONS
Insurance broker organization code?	3
Amount paid for insurance broker fees	52
Insurance broker name	AMERICAN UNITED LIFE INSURANCE CO

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

Policy contract number

G36560

Policy instance

Insurance contract or identification number	G36560
Number of Individuals Covered	29
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $13,495
Total amount of fees paid to insurance company	USD $333
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 $13,495
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMMISSIONS
Insurance broker organization code?	3
Insurance broker name	AMERICAN UNITED LIFE INSURANCE CO.

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

Policy contract number

G36560

Policy instance

Insurance contract or identification number	G36560
Number of Individuals Covered	35
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $12,490
Total amount of fees paid to insurance company	USD $40
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 $12,490
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMMISSIONS
Insurance broker organization code?	3
Insurance broker name	AMERICAN UNITED LIFE INSURANCE CO.

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

Policy contract number

G36560

Policy instance

Insurance contract or identification number	G36560
Number of Individuals Covered	28
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $10,742
Total amount of fees paid to insurance company	USD $200
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 $10,742
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMMISSIONS
Insurance broker organization code?	3
Insurance broker name	AMERICAN UNITED LIFE INSURANCE CO.

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

Policy contract number

G36560

Policy instance

Insurance contract or identification number	G36560
Number of Individuals Covered	30
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $6,829
Total amount of fees paid to insurance company	USD $3,162
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 $6,829
Insurance broker organization code?	3
Amount paid for insurance broker fees	3162
Additional information about fees paid to insurance broker	FEES AND OTHER COMMISSIONS
Insurance broker name	AMERICAN UNITED LIFE INSURANCE CO.

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Company Name:	SOUTHWEST SKIN AND CANCER, LLC
Employer identification number (EIN):	204240264
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)