401k Plan data: NORTH PACIFIC DERMATOLOGY, PS 401K PROFIT SHARING plan

NORTH PACIFIC DERMATOLOGY, PS 401K PROFIT SHARING 401k Plan overview

Plan Name	NORTH PACIFIC DERMATOLOGY, PS 401K PROFIT SHARING
Plan identification number	001

NORTH PACIFIC DERMATOLOGY, PS 401K PROFIT SHARING 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.
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.
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.

401k Sponsoring company profile

NORTH PACIFIC DERMATOLOGY, PS has sponsored the creation of one or more 401k plans.

Company Name: NORTH PACIFIC DERMATOLOGY, PS

Employer identification number (EIN): 204269950

NAIC Classification: 541990
NAIC Description: All Other Professional, Scientific, and Technical Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTH PACIFIC DERMATOLOGY, PS 401K PROFIT SHARING

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 NICOLE P KAGEYAMA
001 2016-01-01 NICOLE KAGEYAMA, MD 2017-05-27
001 2015-01-01 NICOLE KAGEYAMA, MD 2016-10-01
001 2014-01-01 NICOLE KAGEYAMA, MD 2015-06-04
001 2013-01-01 NICOLE KAGEYAMA, MD 2014-05-10
001 2012-01-01 NICOLE KAGEYAMA, MD 2013-06-03
001 2011-01-01 NICOLE KAGEYAMA, MD 2012-05-23
001 2010-01-01 NICOLE KAGEYAMA, MD 2011-06-15

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2021-01-01
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01	NICOLE P KAGEYAMA
001	2016-01-01	NICOLE KAGEYAMA, MD	2017-05-27
001	2015-01-01	NICOLE KAGEYAMA, MD	2016-10-01
001	2014-01-01	NICOLE KAGEYAMA, MD	2015-06-04
001	2013-01-01	NICOLE KAGEYAMA, MD	2014-05-10
001	2012-01-01	NICOLE KAGEYAMA, MD	2013-06-03
001	2011-01-01	NICOLE KAGEYAMA, MD	2012-05-23
001	2010-01-01	NICOLE KAGEYAMA, MD	2011-06-15

Plan Statistics for NORTH PACIFIC DERMATOLOGY, PS 401K PROFIT SHARING

401k plan membership statisitcs for NORTH PACIFIC DERMATOLOGY, PS 401K PROFIT SHARING

Measure Date Value
2021: NORTH PACIFIC DERMATOLOGY, PS 401K PROFIT SHARING 2021 401k membership
Total participants, beginning-of-year 2021-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 0
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 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 1
Number of participants with account balances 2021-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: NORTH PACIFIC DERMATOLOGY, PS 401K PROFIT SHARING 2020 401k membership
Total participants, beginning-of-year 2020-01-01 26
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 6
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 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 7
Number of participants with account balances 2020-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: NORTH PACIFIC DERMATOLOGY, PS 401K PROFIT SHARING 2019 401k membership
Total participants, beginning-of-year 2019-01-01 27
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 0
Number of retired or separated participants receiving benefits 2019-01-01 23
Total of all active and inactive participants 2019-01-01 23
Total participants 2019-01-01 23
Number of participants with account balances 2019-01-01 23
2018: NORTH PACIFIC DERMATOLOGY, PS 401K PROFIT SHARING 2018 401k membership
Total participants, beginning-of-year 2018-01-01 23
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 17
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 8
Total of all active and inactive participants 2018-01-01 25
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 25
Number of participants with account balances 2018-01-01 23
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: NORTH PACIFIC DERMATOLOGY, PS 401K PROFIT SHARING 2017 401k membership
Total participants, beginning-of-year 2017-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 12
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 7
Total of all active and inactive participants 2017-01-01 19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 19
Number of participants with account balances 2017-01-01 19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 1

Measure	Date	Value
2021: NORTH PACIFIC DERMATOLOGY, PS 401K PROFIT SHARING 2021 401k membership
Total participants, beginning-of-year	2021-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	0
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	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	1
Number of participants with account balances	2021-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: NORTH PACIFIC DERMATOLOGY, PS 401K PROFIT SHARING 2020 401k membership
Total participants, beginning-of-year	2020-01-01	26
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	6
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	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	7
Number of participants with account balances	2020-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: NORTH PACIFIC DERMATOLOGY, PS 401K PROFIT SHARING 2019 401k membership
Total participants, beginning-of-year	2019-01-01	27
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	0
Number of retired or separated participants receiving benefits	2019-01-01	23
Total of all active and inactive participants	2019-01-01	23
Total participants	2019-01-01	23
Number of participants with account balances	2019-01-01	23
2018: NORTH PACIFIC DERMATOLOGY, PS 401K PROFIT SHARING 2018 401k membership
Total participants, beginning-of-year	2018-01-01	23
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	17
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	8
Total of all active and inactive participants	2018-01-01	25
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	25
Number of participants with account balances	2018-01-01	23
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: NORTH PACIFIC DERMATOLOGY, PS 401K PROFIT SHARING 2017 401k membership
Total participants, beginning-of-year	2017-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	12
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	7
Total of all active and inactive participants	2017-01-01	19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	19
Number of participants with account balances	2017-01-01	19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	1

Financial Data on NORTH PACIFIC DERMATOLOGY, PS 401K PROFIT SHARING

Measure	Date	Value
2021 : NORTH PACIFIC DERMATOLOGY, PS 401K PROFIT SHARING 2021 401k financial data
Transfers to/from the plan	2021-12-31	$0
Total plan liabilities at end of year	2021-12-31	$0
Total plan liabilities at beginning of year	2021-12-31	$0
Total income from all sources	2021-12-31	$935
Expenses. Total of all expenses incurred	2021-12-31	$150
Benefits paid (including direct rollovers)	2021-12-31	$0
Total plan assets at end of year	2021-12-31	$5,797
Total plan assets at beginning of year	2021-12-31	$5,012
Value of fidelity bond covering the plan	2021-12-31	$0
Total contributions received or receivable from participants	2021-12-31	$0
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	$935
Net income (gross income less expenses)	2021-12-31	$785
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$5,797
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$5,012
Total contributions received or receivable from employer(s)	2021-12-31	$0
Value of certain deemed distributions of participant loans	2021-12-31	$0
Value of corrective distributions	2021-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$150
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2021-12-31	$0
Minimum employer required contribution for this plan year	2021-12-31	$0
Amount contributed by the employer to the plan for this plan year	2021-12-31	$0
2020 : NORTH PACIFIC DERMATOLOGY, PS 401K PROFIT SHARING 2020 401k financial data
Transfers to/from the plan	2020-12-31	$0
Total plan liabilities at end of year	2020-12-31	$0
Total plan liabilities at beginning of year	2020-12-31	$0
Total income from all sources	2020-12-31	$3,238
Expenses. Total of all expenses incurred	2020-12-31	$1,005,728
Benefits paid (including direct rollovers)	2020-12-31	$1,004,592
Total plan assets at end of year	2020-12-31	$5,012
Total plan assets at beginning of year	2020-12-31	$1,007,502
Value of fidelity bond covering the plan	2020-12-31	$0
Total contributions received or receivable from participants	2020-12-31	$0
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	$3,238
Net income (gross income less expenses)	2020-12-31	$-1,002,490
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$5,012
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$1,007,502
Total contributions received or receivable from employer(s)	2020-12-31	$0
Value of certain deemed distributions of participant loans	2020-12-31	$0
Value of corrective distributions	2020-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$1,136
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2020-12-31	$0
Minimum employer required contribution for this plan year	2020-12-31	$0
Amount contributed by the employer to the plan for this plan year	2020-12-31	$0
2019 : NORTH PACIFIC DERMATOLOGY, PS 401K PROFIT SHARING 2019 401k financial data
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	$609,032
Expenses. Total of all expenses incurred	2019-12-31	$1,094,181
Benefits paid (including direct rollovers)	2019-12-31	$1,093,638
Total plan assets at end of year	2019-12-31	$1,007,502
Total plan assets at beginning of year	2019-12-31	$1,492,651
Value of fidelity bond covering the plan	2019-12-31	$0
Total contributions received or receivable from participants	2019-12-31	$77,909
Other income received	2019-12-31	$494,214
Net income (gross income less expenses)	2019-12-31	$-485,149
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$1,007,502
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$1,492,651
Total contributions received or receivable from employer(s)	2019-12-31	$36,909
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$543
2018 : NORTH PACIFIC DERMATOLOGY, PS 401K PROFIT SHARING 2018 401k financial data
Transfers to/from the plan	2018-12-31	$0
Total plan liabilities at end of year	2018-12-31	$0
Total plan liabilities at beginning of year	2018-12-31	$0
Total income from all sources	2018-12-31	$16,502
Expenses. Total of all expenses incurred	2018-12-31	$16,344
Benefits paid (including direct rollovers)	2018-12-31	$16,096
Total plan assets at end of year	2018-12-31	$1,492,651
Total plan assets at beginning of year	2018-12-31	$1,492,493
Value of fidelity bond covering the plan	2018-12-31	$0
Total contributions received or receivable from participants	2018-12-31	$77,333
Expenses. Other expenses not covered elsewhere	2018-12-31	$0
Contributions received from other sources (not participants or employers)	2018-12-31	$0
Other income received	2018-12-31	$-123,300
Net income (gross income less expenses)	2018-12-31	$158
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$1,492,651
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$1,492,493
Total contributions received or receivable from employer(s)	2018-12-31	$62,469
Value of certain deemed distributions of participant loans	2018-12-31	$0
Value of corrective distributions	2018-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$248
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2018-12-31	$0
Minimum employer required contribution for this plan year	2018-12-31	$0
Amount contributed by the employer to the plan for this plan year	2018-12-31	$0
2017 : NORTH PACIFIC DERMATOLOGY, PS 401K PROFIT SHARING 2017 401k financial data
Transfers to/from the plan	2017-12-31	$0
Total plan liabilities at end of year	2017-12-31	$0
Total plan liabilities at beginning of year	2017-12-31	$0
Total income from all sources	2017-12-31	$287,747
Expenses. Total of all expenses incurred	2017-12-31	$27,157
Benefits paid (including direct rollovers)	2017-12-31	$26,412
Total plan assets at end of year	2017-12-31	$1,492,493
Total plan assets at beginning of year	2017-12-31	$1,231,903
Value of fidelity bond covering the plan	2017-12-31	$0
Total contributions received or receivable from participants	2017-12-31	$62,967
Expenses. Other expenses not covered elsewhere	2017-12-31	$0
Contributions received from other sources (not participants or employers)	2017-12-31	$0
Other income received	2017-12-31	$157,886
Net income (gross income less expenses)	2017-12-31	$260,590
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$1,492,493
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$1,231,903
Total contributions received or receivable from employer(s)	2017-12-31	$66,894
Value of certain deemed distributions of participant loans	2017-12-31	$0
Value of corrective distributions	2017-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$745
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2017-12-31	$0
Minimum employer required contribution for this plan year	2017-12-31	$0
Amount contributed by the employer to the plan for this plan year	2017-12-31	$0

Form 5500 Responses for NORTH PACIFIC DERMATOLOGY, PS 401K PROFIT SHARING

2021: NORTH PACIFIC DERMATOLOGY, PS 401K PROFIT SHARING 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: NORTH PACIFIC DERMATOLOGY, PS 401K PROFIT SHARING 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: NORTH PACIFIC DERMATOLOGY, PS 401K PROFIT SHARING 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: NORTH PACIFIC DERMATOLOGY, PS 401K PROFIT SHARING 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: NORTH PACIFIC DERMATOLOGY, PS 401K PROFIT SHARING 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	NORTH PACIFIC DERMATOLOGY, PS
Employer identification number (EIN):	204269950
NAIC Classification:	541990
NAIC Description:	All Other Professional, Scientific, and Technical Services