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PHILIP LESORGEN, M.D. PROFIT SHARING PLAN 401k Plan overview

Plan NamePHILIP LESORGEN, M.D. PROFIT SHARING PLAN
Plan identification number 001

PHILIP LESORGEN, M.D. PROFIT SHARING PLAN Benefits

401k Plan TypeDefined 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
  • Plan covering Self-Employed individuals.
  • 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

PHILIP LESORGEN, M.D. has sponsored the creation of one or more 401k plans.

Company Name:PHILIP LESORGEN, M.D.
Employer identification number (EIN):222661718
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PHILIP LESORGEN, M.D. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01RANDI LESORGEN2023-02-21
0012021-01-01RANDI LESORGEN2022-06-09
0012020-01-01
0012019-01-01
0012018-01-01RANDI LESORGEN
0012017-01-01RANDI LESORGEN
0012016-01-01RANDI LESORGEN
0012015-01-01RANDI LESORGEN
0012014-01-01RANDI LESORGEN
0012013-01-01RANDI LESORGEN
0012012-01-01RANDI LESORGEN
0012011-01-01RANDI LESORGEN
0012010-01-01RANDI LESORGEN
0012009-01-01RANDI LESORGEN

Plan Statistics for PHILIP LESORGEN, M.D. PROFIT SHARING PLAN

401k plan membership statisitcs for PHILIP LESORGEN, M.D. PROFIT SHARING PLAN

Measure Date Value
2020: PHILIP LESORGEN, M.D. PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-018
Total number of active participants reported on line 7a of the Form 55002020-01-017
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-017
Number of participants with account balances2020-01-015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: PHILIP LESORGEN, M.D. PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-019
Total number of active participants reported on line 7a of the Form 55002019-01-018
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-018
Number of participants with account balances2019-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: PHILIP LESORGEN, M.D. PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-018
Total number of active participants reported on line 7a of the Form 55002018-01-018
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-018
Number of participants with account balances2018-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: PHILIP LESORGEN, M.D. PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-018
Total number of active participants reported on line 7a of the Form 55002017-01-018
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-018
Number of participants with account balances2017-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: PHILIP LESORGEN, M.D. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-018
Total number of active participants reported on line 7a of the Form 55002016-01-018
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-018
Number of participants with account balances2016-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: PHILIP LESORGEN, M.D. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-018
Total number of active participants reported on line 7a of the Form 55002015-01-018
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-018
Number of participants with account balances2015-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: PHILIP LESORGEN, M.D. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-018
Total number of active participants reported on line 7a of the Form 55002014-01-018
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-018
Number of participants with account balances2014-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: PHILIP LESORGEN, M.D. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-017
Total number of active participants reported on line 7a of the Form 55002013-01-017
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-017
Number of participants with account balances2013-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: PHILIP LESORGEN, M.D. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-016
Total number of active participants reported on line 7a of the Form 55002012-01-016
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-016
Number of participants with account balances2012-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: PHILIP LESORGEN, M.D. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-016
Total number of active participants reported on line 7a of the Form 55002011-01-016
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-016
Number of participants with account balances2011-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: PHILIP LESORGEN, M.D. PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-017
Total number of active participants reported on line 7a of the Form 55002010-01-017
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-017
Number of participants with account balances2010-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: PHILIP LESORGEN, M.D. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-017
Total number of active participants reported on line 7a of the Form 55002009-01-017
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-017
Number of participants with account balances2009-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on PHILIP LESORGEN, M.D. PROFIT SHARING PLAN

Measure Date Value
2020 : PHILIP LESORGEN, M.D. PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources2020-12-31$285,799
Expenses. Total of all expenses incurred2020-12-31$3,277
Benefits paid (including direct rollovers)2020-12-31$2,977
Total plan assets at end of year2020-12-31$3,286,055
Total plan assets at beginning of year2020-12-31$3,003,533
Value of fidelity bond covering the plan2020-12-31$250,000
Expenses. Other expenses not covered elsewhere2020-12-31$300
Other income received2020-12-31$228,058
Net income (gross income less expenses)2020-12-31$282,522
Net plan assets at end of year (total assets less liabilities)2020-12-31$3,286,055
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$3,003,533
Total contributions received or receivable from employer(s)2020-12-31$57,741
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
2019 : PHILIP LESORGEN, M.D. PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources2019-12-31$353,627
Expenses. Total of all expenses incurred2019-12-31$23,863
Benefits paid (including direct rollovers)2019-12-31$23,563
Total plan assets at end of year2019-12-31$3,003,533
Total plan assets at beginning of year2019-12-31$2,673,769
Value of fidelity bond covering the plan2019-12-31$250,000
Expenses. Other expenses not covered elsewhere2019-12-31$300
Other income received2019-12-31$298,433
Net income (gross income less expenses)2019-12-31$329,764
Net plan assets at end of year (total assets less liabilities)2019-12-31$3,003,533
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$2,673,769
Total contributions received or receivable from employer(s)2019-12-31$55,194
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : PHILIP LESORGEN, M.D. PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources2018-12-31$-27,970
Expenses. Total of all expenses incurred2018-12-31$32,143
Benefits paid (including direct rollovers)2018-12-31$30,175
Total plan assets at end of year2018-12-31$2,673,769
Total plan assets at beginning of year2018-12-31$2,733,882
Value of fidelity bond covering the plan2018-12-31$250,000
Other income received2018-12-31$-91,717
Net income (gross income less expenses)2018-12-31$-60,113
Net plan assets at end of year (total assets less liabilities)2018-12-31$2,673,769
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$2,733,882
Total contributions received or receivable from employer(s)2018-12-31$63,747
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$1,968
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : PHILIP LESORGEN, M.D. PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources2017-12-31$298,600
Expenses. Total of all expenses incurred2017-12-31$10,000
Benefits paid (including direct rollovers)2017-12-31$10,000
Total plan assets at end of year2017-12-31$2,733,882
Total plan assets at beginning of year2017-12-31$2,445,282
Value of fidelity bond covering the plan2017-12-31$250,000
Other income received2017-12-31$235,086
Net income (gross income less expenses)2017-12-31$288,600
Net plan assets at end of year (total assets less liabilities)2017-12-31$2,733,882
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$2,445,282
Total contributions received or receivable from employer(s)2017-12-31$63,514
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : PHILIP LESORGEN, M.D. PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources2016-12-31$176,534
Expenses. Total of all expenses incurred2016-12-31$10,175
Benefits paid (including direct rollovers)2016-12-31$10,000
Total plan assets at end of year2016-12-31$2,445,282
Total plan assets at beginning of year2016-12-31$2,278,923
Value of fidelity bond covering the plan2016-12-31$250,000
Expenses. Other expenses not covered elsewhere2016-12-31$175
Other income received2016-12-31$113,898
Net income (gross income less expenses)2016-12-31$166,359
Net plan assets at end of year (total assets less liabilities)2016-12-31$2,445,282
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$2,278,923
Total contributions received or receivable from employer(s)2016-12-31$62,636
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : PHILIP LESORGEN, M.D. PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources2015-12-31$-9,643
Expenses. Total of all expenses incurred2015-12-31$72,000
Benefits paid (including direct rollovers)2015-12-31$72,000
Total plan assets at end of year2015-12-31$2,278,923
Total plan assets at beginning of year2015-12-31$2,360,566
Value of fidelity bond covering the plan2015-12-31$150,000
Other income received2015-12-31$-72,281
Net income (gross income less expenses)2015-12-31$-81,643
Net plan assets at end of year (total assets less liabilities)2015-12-31$2,278,923
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$2,360,566
Total contributions received or receivable from employer(s)2015-12-31$62,638
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : PHILIP LESORGEN, M.D. PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources2014-12-31$131,747
Expenses. Total of all expenses incurred2014-12-31$0
Total plan assets at end of year2014-12-31$2,360,566
Total plan assets at beginning of year2014-12-31$2,228,819
Value of fidelity bond covering the plan2014-12-31$150,000
Other income received2014-12-31$69,138
Net income (gross income less expenses)2014-12-31$131,747
Net plan assets at end of year (total assets less liabilities)2014-12-31$2,360,566
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$2,228,819
Assets. Value of participant loans2014-12-31$349
Total contributions received or receivable from employer(s)2014-12-31$62,609
2013 : PHILIP LESORGEN, M.D. PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources2013-12-31$331,349
Expenses. Total of all expenses incurred2013-12-31$0
Total plan assets at end of year2013-12-31$2,278,819
Total plan assets at beginning of year2013-12-31$1,947,470
Value of fidelity bond covering the plan2013-12-31$150,000
Other income received2013-12-31$271,295
Net income (gross income less expenses)2013-12-31$331,349
Net plan assets at end of year (total assets less liabilities)2013-12-31$2,278,819
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$1,947,470
Assets. Value of participant loans2013-12-31$7,408
Total contributions received or receivable from employer(s)2013-12-31$60,054
2012 : PHILIP LESORGEN, M.D. PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources2012-12-31$210,443
Expenses. Total of all expenses incurred2012-12-31$0
Total plan assets at end of year2012-12-31$1,947,470
Total plan assets at beginning of year2012-12-31$1,737,027
Value of fidelity bond covering the plan2012-12-31$150,000
Other income received2012-12-31$151,574
Net income (gross income less expenses)2012-12-31$210,443
Net plan assets at end of year (total assets less liabilities)2012-12-31$1,947,470
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$1,737,027
Assets. Value of participant loans2012-12-31$14,244
Total contributions received or receivable from employer(s)2012-12-31$58,869
2011 : PHILIP LESORGEN, M.D. PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources2011-12-31$40,039
Expenses. Total of all expenses incurred2011-12-31$38,286
Benefits paid (including direct rollovers)2011-12-31$38,286
Total plan assets at end of year2011-12-31$1,737,027
Total plan assets at beginning of year2011-12-31$1,735,274
Value of fidelity bond covering the plan2011-12-31$150,000
Other income received2011-12-31$-17,606
Net income (gross income less expenses)2011-12-31$1,753
Net plan assets at end of year (total assets less liabilities)2011-12-31$1,737,027
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$1,735,274
Assets. Value of participant loans2011-12-31$23,095
Total contributions received or receivable from employer(s)2011-12-31$57,645
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : PHILIP LESORGEN, M.D. PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources2010-12-31$111,045
Expenses. Total of all expenses incurred2010-12-31$0
Total plan assets at end of year2010-12-31$1,735,274
Total plan assets at beginning of year2010-12-31$1,624,229
Value of fidelity bond covering the plan2010-12-31$150,000
Other income received2010-12-31$53,887
Net income (gross income less expenses)2010-12-31$111,045
Net plan assets at end of year (total assets less liabilities)2010-12-31$1,735,274
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$1,624,229
Assets. Value of participant loans2010-12-31$32,429
Total contributions received or receivable from employer(s)2010-12-31$57,158
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$0

Form 5500 Responses for PHILIP LESORGEN, M.D. PROFIT SHARING PLAN

2020: PHILIP LESORGEN, M.D. PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: PHILIP LESORGEN, M.D. PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: PHILIP LESORGEN, M.D. PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: PHILIP LESORGEN, M.D. PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: PHILIP LESORGEN, M.D. PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: PHILIP LESORGEN, M.D. PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: PHILIP LESORGEN, M.D. PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: PHILIP LESORGEN, M.D. PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: PHILIP LESORGEN, M.D. PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: PHILIP LESORGEN, M.D. PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2010: PHILIP LESORGEN, M.D. PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: PHILIP LESORGEN, M.D. PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number016286417
Policy instance 1
Insurance contract or identification number016286417
Number of Individuals Covered1
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
Insurance broker organization code?3
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number016286417
Policy instance 1
Insurance contract or identification number016286417
Number of Individuals Covered1
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number016286417
Policy instance 1
Insurance contract or identification number016286417
Number of Individuals Covered1
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
Insurance broker organization code?3
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number016286417
Policy instance 1
Insurance contract or identification number016286417
Number of Individuals Covered1
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,391
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 BrokerUSD $1,391
Insurance broker organization code?3
Insurance broker nameJEFFREY EISMAN
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number020H08802802
Policy instance 1
Insurance contract or identification number020H08802802
Number of Individuals Covered1
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $2,300
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 BrokerUSD $2,300
Insurance broker organization code?3
Insurance broker nameJEFFREY EISMAN
SECURITY MUTUAL LIFE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 68772 )
Policy contract number01DA06137
Policy instance 1
Insurance contract or identification number01DA06137
Number of Individuals Covered1
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
SECURITY MUTUAL LIFE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 68772 )
Policy contract number01DA06137
Policy instance 1
Insurance contract or identification number01DA06137
Number of Individuals Covered1
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
SECURITY MUTUAL LIFE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 68772 )
Policy contract number01DA06137
Policy instance 1
Insurance contract or identification number01DA06137
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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

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