401k Plan data: MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN plan

MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN
Plan identification number	001

MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
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

SOUTHSIDE PAIN SPECIALISTS, PC has sponsored the creation of one or more 401k plans.

Company Name: SOUTHSIDE PAIN SPECIALISTS, PC

Employer identification number (EIN): 261605441

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 MICHAEL S. KENDRICK 2023-10-16 MICHAEL S. KENDRICK 2023-10-16
001 2021-01-01 MICHAEL S. KENDRICK 2022-10-13 MICHAEL S. KENDRICK 2022-10-13
001 2020-01-01 MICHAEL S. KENDRICK 2021-10-15 MICHAEL S. KENDRICK 2021-10-15
001 2019-01-01 MICHAEL S. KENDRICK 2020-10-15 MICHAEL S. KENDRICK 2020-10-15
001 2018-01-01 MICHAEL S. KENDRICK 2019-10-15 MICHAEL S. KENDRICK 2019-10-15
001 2017-01-01
001 2016-01-01
001 2015-01-01
001 2014-01-01
001 2013-01-01
001 2012-01-01 MICHAEL KENDRICK 2013-10-11
001 2011-01-01 MICHAEL KENDRICK 2012-10-15
001 2010-01-01 MICHAEL KENDRICK 2011-10-06

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	MICHAEL S. KENDRICK	2023-10-16	MICHAEL S. KENDRICK	2023-10-16
001	2021-01-01	MICHAEL S. KENDRICK	2022-10-13	MICHAEL S. KENDRICK	2022-10-13
001	2020-01-01	MICHAEL S. KENDRICK	2021-10-15	MICHAEL S. KENDRICK	2021-10-15
001	2019-01-01	MICHAEL S. KENDRICK	2020-10-15	MICHAEL S. KENDRICK	2020-10-15
001	2018-01-01	MICHAEL S. KENDRICK	2019-10-15	MICHAEL S. KENDRICK	2019-10-15
001	2017-01-01
001	2016-01-01
001	2015-01-01
001	2014-01-01
001	2013-01-01
001	2012-01-01	MICHAEL KENDRICK	2013-10-11
001	2011-01-01	MICHAEL KENDRICK	2012-10-15
001	2010-01-01	MICHAEL KENDRICK	2011-10-06

Plan Statistics for MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN

Measure Date Value
2022: MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 70
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 27
Number of other retired or separated participants entitled to future benefits 2022-01-01 47
Total of all active and inactive participants 2022-01-01 74
Total participants 2022-01-01 74
Number of participants with account balances 2022-01-01 74
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 2
2021: MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 58
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 42
Number of other retired or separated participants entitled to future benefits 2021-01-01 28
Total of all active and inactive participants 2021-01-01 70
Total participants 2021-01-01 70
Number of participants with account balances 2021-01-01 70
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 9
2020: MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 60
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 52
Number of retired or separated participants receiving benefits 2020-01-01 8
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 60
Total participants 2020-01-01 60
Number of participants with account balances 2020-01-01 60
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 6
2019: MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 49
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 30
Number of retired or separated participants receiving benefits 2019-01-01 30
Total of all active and inactive participants 2019-01-01 60
Total participants 2019-01-01 60
Number of participants with account balances 2019-01-01 60
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 12
2018: MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 44
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 50
Total of all active and inactive participants 2018-01-01 50
Total participants 2018-01-01 50
Number of participants with account balances 2018-01-01 50
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 2
2017: MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 38
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 35
Total of all active and inactive participants 2017-01-01 35
Total participants 2017-01-01 35
Number of participants with account balances 2017-01-01 44
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 9
2016: MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 25
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 33
Total of all active and inactive participants 2016-01-01 33
Total participants 2016-01-01 33
Number of participants with account balances 2016-01-01 38
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 6
2015: MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 24
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 19
Total of all active and inactive participants 2015-01-01 19
Total participants 2015-01-01 19
Number of participants with account balances 2015-01-01 25
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 2
2014: MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 18
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 18
Total of all active and inactive participants 2014-01-01 18
Total participants 2014-01-01 18
Number of participants with account balances 2014-01-01 24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 1

Measure	Date	Value
2022: MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	70
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	27
Number of other retired or separated participants entitled to future benefits	2022-01-01	47
Total of all active and inactive participants	2022-01-01	74
Total participants	2022-01-01	74
Number of participants with account balances	2022-01-01	74
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	2
2021: MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	58
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	42
Number of other retired or separated participants entitled to future benefits	2021-01-01	28
Total of all active and inactive participants	2021-01-01	70
Total participants	2021-01-01	70
Number of participants with account balances	2021-01-01	70
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	9
2020: MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	60
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	52
Number of retired or separated participants receiving benefits	2020-01-01	8
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	60
Total participants	2020-01-01	60
Number of participants with account balances	2020-01-01	60
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	6
2019: MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	49
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	30
Number of retired or separated participants receiving benefits	2019-01-01	30
Total of all active and inactive participants	2019-01-01	60
Total participants	2019-01-01	60
Number of participants with account balances	2019-01-01	60
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	12
2018: MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	44
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	50
Total of all active and inactive participants	2018-01-01	50
Total participants	2018-01-01	50
Number of participants with account balances	2018-01-01	50
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	2
2017: MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	38
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	35
Total of all active and inactive participants	2017-01-01	35
Total participants	2017-01-01	35
Number of participants with account balances	2017-01-01	44
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	9
2016: MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	25
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	33
Total of all active and inactive participants	2016-01-01	33
Total participants	2016-01-01	33
Number of participants with account balances	2016-01-01	38
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	6
2015: MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	24
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	19
Total of all active and inactive participants	2015-01-01	19
Total participants	2015-01-01	19
Number of participants with account balances	2015-01-01	25
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	2
2014: MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	18
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	18
Total of all active and inactive participants	2014-01-01	18
Total participants	2014-01-01	18
Number of participants with account balances	2014-01-01	24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	1

Financial Data on MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2022 : MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2022 401k financial data
Total income from all sources	2022-12-31	$-106,035
Expenses. Total of all expenses incurred	2022-12-31	$147,450
Benefits paid (including direct rollovers)	2022-12-31	$130,151
Total plan assets at end of year	2022-12-31	$2,562,915
Total plan assets at beginning of year	2022-12-31	$2,816,400
Value of fidelity bond covering the plan	2022-12-31	$282,000
Total contributions received or receivable from participants	2022-12-31	$130,051
Other income received	2022-12-31	$-297,112
Net income (gross income less expenses)	2022-12-31	$-253,485
Net plan assets at end of year (total assets less liabilities)	2022-12-31	$2,562,915
Net plan assets at beginning of year (total assets less liabilities)	2022-12-31	$2,816,400
Total contributions received or receivable from employer(s)	2022-12-31	$61,026
Expenses. Administrative service providers (salaries,fees and commissions)	2022-12-31	$17,299
2021 : MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2021 401k financial data
Total income from all sources	2021-12-31	$589,549
Expenses. Total of all expenses incurred	2021-12-31	$29,302
Benefits paid (including direct rollovers)	2021-12-31	$14,203
Total plan assets at end of year	2021-12-31	$2,816,400
Total plan assets at beginning of year	2021-12-31	$2,256,153
Value of fidelity bond covering the plan	2021-12-31	$282,000
Total contributions received or receivable from participants	2021-12-31	$121,099
Other income received	2021-12-31	$417,067
Net income (gross income less expenses)	2021-12-31	$560,247
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$2,816,400
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$2,256,153
Total contributions received or receivable from employer(s)	2021-12-31	$51,383
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$15,099
2020 : MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources	2020-12-31	$476,609
Expenses. Total of all expenses incurred	2020-12-31	$89,072
Benefits paid (including direct rollovers)	2020-12-31	$77,501
Total plan assets at end of year	2020-12-31	$2,256,153
Total plan assets at beginning of year	2020-12-31	$1,868,616
Value of fidelity bond covering the plan	2020-12-31	$226,000
Total contributions received or receivable from participants	2020-12-31	$108,924
Other income received	2020-12-31	$276,304
Net income (gross income less expenses)	2020-12-31	$387,537
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$2,256,153
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$1,868,616
Total contributions received or receivable from employer(s)	2020-12-31	$91,381
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$11,571
2019 : MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources	2019-12-31	$501,312
Expenses. Total of all expenses incurred	2019-12-31	$42,381
Benefits paid (including direct rollovers)	2019-12-31	$32,314
Total plan assets at end of year	2019-12-31	$1,868,616
Total plan assets at beginning of year	2019-12-31	$1,409,685
Value of fidelity bond covering the plan	2019-12-31	$187,000
Total contributions received or receivable from participants	2019-12-31	$121,525
Other income received	2019-12-31	$282,237
Net income (gross income less expenses)	2019-12-31	$458,931
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$1,868,616
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$1,409,685
Assets. Value of assets in partnership/joint-venture interests	2019-12-31	$110,000
Total contributions received or receivable from employer(s)	2019-12-31	$97,550
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$10,067
2018 : MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$107,117
Expenses. Total of all expenses incurred	2018-12-31	$5,800
Benefits paid (including direct rollovers)	2018-12-31	$1,556
Total plan assets at end of year	2018-12-31	$1,409,685
Total plan assets at beginning of year	2018-12-31	$1,308,368
Value of fidelity bond covering the plan	2018-12-31	$152,000
Total contributions received or receivable from participants	2018-12-31	$108,727
Contributions received from other sources (not participants or employers)	2018-12-31	$338
Other income received	2018-12-31	$-128,647
Net income (gross income less expenses)	2018-12-31	$101,317
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$1,409,685
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$1,308,368
Total contributions received or receivable from employer(s)	2018-12-31	$126,699
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$4,244
2017 : MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$432,456
Expenses. Total of all expenses incurred	2017-12-31	$805,162
Benefits paid (including direct rollovers)	2017-12-31	$804,383
Total plan assets at end of year	2017-12-31	$1,308,368
Total plan assets at beginning of year	2017-12-31	$1,681,074
Value of fidelity bond covering the plan	2017-12-31	$131,000
Total contributions received or receivable from participants	2017-12-31	$148,853
Contributions received from other sources (not participants or employers)	2017-12-31	$86,494
Other income received	2017-12-31	$125,521
Net income (gross income less expenses)	2017-12-31	$-372,706
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$1,308,368
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$1,681,074
Assets. Value of participant loans	2017-12-31	$0
Total contributions received or receivable from employer(s)	2017-12-31	$71,588
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$779
2016 : MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$314,626
Expenses. Total of all expenses incurred	2016-12-31	$11,163
Benefits paid (including direct rollovers)	2016-12-31	$8,920
Total plan assets at end of year	2016-12-31	$1,681,074
Total plan assets at beginning of year	2016-12-31	$1,377,611
Value of fidelity bond covering the plan	2016-12-31	$169,000
Total contributions received or receivable from participants	2016-12-31	$91,365
Contributions received from other sources (not participants or employers)	2016-12-31	$0
Other income received	2016-12-31	$103,217
Net income (gross income less expenses)	2016-12-31	$303,463
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$1,681,074
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$1,377,611
Assets. Value of participant loans	2016-12-31	$27,982
Total contributions received or receivable from employer(s)	2016-12-31	$120,044
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$2,243
2015 : MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$159,582
Expenses. Total of all expenses incurred	2015-12-31	$92,827
Benefits paid (including direct rollovers)	2015-12-31	$92,827
Total plan assets at end of year	2015-12-31	$1,377,611
Total plan assets at beginning of year	2015-12-31	$1,310,856
Value of fidelity bond covering the plan	2015-12-31	$138,000
Total contributions received or receivable from participants	2015-12-31	$62,769
Contributions received from other sources (not participants or employers)	2015-12-31	$18,260
Other income received	2015-12-31	$-15,677
Net income (gross income less expenses)	2015-12-31	$66,755
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,377,611
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,310,856
Assets. Value of participant loans	2015-12-31	$37,686
Total contributions received or receivable from employer(s)	2015-12-31	$94,230
2014 : MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$775,891
Expenses. Total of all expenses incurred	2014-12-31	$39,711
Benefits paid (including direct rollovers)	2014-12-31	$38,506
Total plan assets at end of year	2014-12-31	$1,310,856
Total plan assets at beginning of year	2014-12-31	$574,676
Value of fidelity bond covering the plan	2014-12-31	$140,000
Total contributions received or receivable from participants	2014-12-31	$64,495
Contributions received from other sources (not participants or employers)	2014-12-31	$546,253
Other income received	2014-12-31	$82,388
Net income (gross income less expenses)	2014-12-31	$736,180
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,310,856
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$574,676
Assets. Value of participant loans	2014-12-31	$46,986
Total contributions received or receivable from employer(s)	2014-12-31	$82,755
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$1,205

Form 5500 Responses for MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN

2022: MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: MICHAEL SCOTT KENDRICK, M.D. P.C. 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 – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: MICHAEL SCOTT KENDRICK, M.D. P.C. 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

513060-000

Policy instance

Insurance contract or identification number	513060-000
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

513060-000

Policy instance

Insurance contract or identification number	513060-000
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	5

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

513060-000

Policy instance

Insurance contract or identification number	513060-000
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	5

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

513060-000

Policy instance

Insurance contract or identification number	513060-000
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $204
Total amount of fees paid to insurance company	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $204
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	12.47

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

513060-000

Policy instance

Insurance contract or identification number	513060-000
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $125
Total amount of fees paid to insurance company	USD $465
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	465
Additional information about fees paid to insurance broker	TPA
Insurance broker organization code?	5

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Company Name:	SOUTHSIDE PAIN SPECIALISTS, PC
Employer identification number (EIN):	261605441
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)