401k Plan data: VANGUARD PAI LUNG, LLC 401K PLAN plan

VANGUARD PAI LUNG, LLC 401K PLAN 401k Plan overview

Plan Name	VANGUARD PAI LUNG, LLC 401K PLAN
Plan identification number	001

VANGUARD PAI LUNG, LLC 401K 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.
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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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

VANGUARD PAI LUNG, LLC has sponsored the creation of one or more 401k plans.

Company Name: VANGUARD PAI LUNG, LLC

Employer identification number (EIN): 270798185

NAIC Classification: 333200

Additional information about VANGUARD PAI LUNG, LLC

Jurisdiction of Incorporation: North Carolina Secretary of State

Incorporation Date:

Company Identification Number: 1113341

More information about VANGUARD PAI LUNG, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VANGUARD PAI LUNG, LLC 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 JAKE HOLZKNECHT 2023-08-21
001 2021-01-01 JAKE HOLZKNECHT 2022-07-19
001 2020-01-01 LYNN ABED 2021-06-18
001 2019-01-01
001 2018-01-01
001 2017-01-01 CHRISTOPHER SKINNER
001 2016-01-01 KRISTIN WAGONER
001 2015-01-01 KRISTIN WAGONER
001 2014-01-01 KRISTIN WAGONER 2015-07-20
001 2013-01-01 WILLIAM MOODY 2014-06-12
001 2012-01-01 WILLIAM MOODY 2013-07-01
001 2011-01-01 WILLIAM MOODY 2012-03-16
001 2010-01-01 WILLIAM MOODY 2011-05-02

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2022-01-01	JAKE HOLZKNECHT	2023-08-21
001	2021-01-01	JAKE HOLZKNECHT	2022-07-19
001	2020-01-01	LYNN ABED	2021-06-18
001	2019-01-01
001	2018-01-01
001	2017-01-01	CHRISTOPHER SKINNER
001	2016-01-01	KRISTIN WAGONER
001	2015-01-01	KRISTIN WAGONER
001	2014-01-01	KRISTIN WAGONER	2015-07-20
001	2013-01-01	WILLIAM MOODY	2014-06-12
001	2012-01-01	WILLIAM MOODY	2013-07-01
001	2011-01-01	WILLIAM MOODY	2012-03-16
001	2010-01-01	WILLIAM MOODY	2011-05-02

Plan Statistics for VANGUARD PAI LUNG, LLC 401K PLAN

401k plan membership statisitcs for VANGUARD PAI LUNG, LLC 401K PLAN

Measure Date Value
2019: VANGUARD PAI LUNG, LLC 401K PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 119
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 78
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 16
Total of all active and inactive participants 2019-01-01 94
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 94
Number of participants with account balances 2019-01-01 77
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 8
2018: VANGUARD PAI LUNG, LLC 401K PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 127
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 104
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 17
Total of all active and inactive participants 2018-01-01 121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 121
Number of participants with account balances 2018-01-01 93
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 8
2017: VANGUARD PAI LUNG, LLC 401K PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 129
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 117
Number of retired or separated participants receiving benefits 2017-01-01 1
Number of other retired or separated participants entitled to future benefits 2017-01-01 8
Total of all active and inactive participants 2017-01-01 126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 126
Number of participants with account balances 2017-01-01 94
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 5
2016: VANGUARD PAI LUNG, LLC 401K PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 119
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 113
Number of retired or separated participants receiving benefits 2016-01-01 2
Number of other retired or separated participants entitled to future benefits 2016-01-01 14
Total of all active and inactive participants 2016-01-01 129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 129
Number of participants with account balances 2016-01-01 83
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 3
2015: VANGUARD PAI LUNG, LLC 401K PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 124
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 109
Number of retired or separated participants receiving benefits 2015-01-01 2
Number of other retired or separated participants entitled to future benefits 2015-01-01 8
Total of all active and inactive participants 2015-01-01 119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 119
Number of participants with account balances 2015-01-01 79
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 6

Measure	Date	Value
2019: VANGUARD PAI LUNG, LLC 401K PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	119
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	78
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	16
Total of all active and inactive participants	2019-01-01	94
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	94
Number of participants with account balances	2019-01-01	77
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	8
2018: VANGUARD PAI LUNG, LLC 401K PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	127
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	104
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	17
Total of all active and inactive participants	2018-01-01	121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	121
Number of participants with account balances	2018-01-01	93
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	8
2017: VANGUARD PAI LUNG, LLC 401K PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	129
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	117
Number of retired or separated participants receiving benefits	2017-01-01	1
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	126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	126
Number of participants with account balances	2017-01-01	94
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	5
2016: VANGUARD PAI LUNG, LLC 401K PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	119
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	113
Number of retired or separated participants receiving benefits	2016-01-01	2
Number of other retired or separated participants entitled to future benefits	2016-01-01	14
Total of all active and inactive participants	2016-01-01	129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	129
Number of participants with account balances	2016-01-01	83
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	3
2015: VANGUARD PAI LUNG, LLC 401K PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	124
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	109
Number of retired or separated participants receiving benefits	2015-01-01	2
Number of other retired or separated participants entitled to future benefits	2015-01-01	8
Total of all active and inactive participants	2015-01-01	119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	119
Number of participants with account balances	2015-01-01	79
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	6

Financial Data on VANGUARD PAI LUNG, LLC 401K PLAN

Measure	Date	Value
2019 : VANGUARD PAI LUNG, LLC 401K PLAN 2019 401k financial data
Total income from all sources (including contributions)	2019-12-31	$887,488
Total of all expenses incurred	2019-12-31	$690,843
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$662,914
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$385,665
Value of total assets at end of year	2019-12-31	$2,389,343
Value of total assets at beginning of year	2019-12-31	$2,192,698
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$27,929
Total interest from all sources	2019-12-31	$5,025
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$291,078
Participant contributions at end of year	2019-12-31	$84,347
Participant contributions at beginning of year	2019-12-31	$63,592
Other income not declared elsewhere	2019-12-31	$506
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$196,645
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$2,389,343
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$2,192,698
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$27,929
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$2,267,697
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$2,088,520
Interest on participant loans	2019-12-31	$5,025
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$37,299
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$40,586
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$496,292
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$94,587
Employer contributions (assets) at beginning of year	2019-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$662,914
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	GREERWALKER, LLP
Accountancy firm EIN	2019-12-31	561434747
2018 : VANGUARD PAI LUNG, LLC 401K PLAN 2018 401k financial data
Total income from all sources (including contributions)	2018-12-31	$204,161
Total of all expenses incurred	2018-12-31	$582,229
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$579,337
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$322,725
Value of total assets at end of year	2018-12-31	$2,192,698
Value of total assets at beginning of year	2018-12-31	$2,570,766
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$2,892
Total interest from all sources	2018-12-31	$4,471
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$278,331
Participant contributions at end of year	2018-12-31	$63,592
Participant contributions at beginning of year	2018-12-31	$114,420
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$44,394
Other income not declared elsewhere	2018-12-31	$917
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-378,068
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$2,192,698
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$2,570,766
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Investment advisory and management fees	2018-12-31	$2,892
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$2,088,520
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$2,351,172
Interest on participant loans	2018-12-31	$4,471
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$40,586
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-123,952
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Employer contributions (assets) at end of year	2018-12-31	$0
Employer contributions (assets) at beginning of year	2018-12-31	$105,174
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$579,337
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2018-12-31	Yes
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	GREERWALKER, LLP
Accountancy firm EIN	2018-12-31	561434747
2017 : VANGUARD PAI LUNG, LLC 401K PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$718,759
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$26,041
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$14,802
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$399,286
Value of total assets at end of year	2017-12-31	$2,570,766
Value of total assets at beginning of year	2017-12-31	$1,878,048
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$11,239
Total interest from all sources	2017-12-31	$3,246
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$295,920
Participant contributions at end of year	2017-12-31	$114,420
Participant contributions at beginning of year	2017-12-31	$67,923
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$692,718
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$2,570,766
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$1,878,048
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$2,351,172
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$1,706,731
Interest on participant loans	2017-12-31	$3,264
Value of interest in common/collective trusts at end of year	2017-12-31	$0
Value of interest in common/collective trusts at beginning of year	2017-12-31	$32,188
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$-18
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$316,227
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$103,366
Employer contributions (assets) at end of year	2017-12-31	$105,174
Employer contributions (assets) at beginning of year	2017-12-31	$71,206
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$14,802
Contract administrator fees	2017-12-31	$11,239
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	POTTER & COMPANY, P.A.
Accountancy firm EIN	2017-12-31	561220683
2016 : VANGUARD PAI LUNG, LLC 401K PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$406,560
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$166,054
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$156,119
Value of total corrective distributions	2016-12-31	$1,596
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$258,895
Value of total assets at end of year	2016-12-31	$1,878,048
Value of total assets at beginning of year	2016-12-31	$1,637,542
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$8,339
Total interest from all sources	2016-12-31	$1,867
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$190,816
Participant contributions at end of year	2016-12-31	$67,923
Participant contributions at beginning of year	2016-12-31	$54,438
Other income not declared elsewhere	2016-12-31	$2,870
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$240,506
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$1,878,048
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$1,637,542
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$1,706,731
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$1,488,534
Interest on participant loans	2016-12-31	$1,867
Value of interest in common/collective trusts at end of year	2016-12-31	$32,188
Value of interest in common/collective trusts at beginning of year	2016-12-31	$30,344
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$142,928
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$68,079
Employer contributions (assets) at end of year	2016-12-31	$71,206
Employer contributions (assets) at beginning of year	2016-12-31	$64,226
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$156,119
Contract administrator fees	2016-12-31	$8,339
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	POTTER & COMPANY, P.A.
Accountancy firm EIN	2016-12-31	561220683
2015 : VANGUARD PAI LUNG, LLC 401K PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$249,966
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$41,202
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$32,800
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$324,739
Value of total assets at end of year	2015-12-31	$1,637,542
Value of total assets at beginning of year	2015-12-31	$1,428,778
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$8,402
Total interest from all sources	2015-12-31	$1,213
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$174,341
Participant contributions at end of year	2015-12-31	$54,438
Participant contributions at beginning of year	2015-12-31	$38,695
Participant contributions at end of year	2015-12-31	$0
Participant contributions at beginning of year	2015-12-31	$2,959
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$86,172
Other income not declared elsewhere	2015-12-31	$2,708
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$208,764
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$1,637,542
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$1,428,778
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$1,488,534
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$1,334,296
Interest on participant loans	2015-12-31	$1,213
Value of interest in common/collective trusts at end of year	2015-12-31	$30,344
Value of interest in common/collective trusts at beginning of year	2015-12-31	$24,428
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-78,694
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$64,226
Employer contributions (assets) at end of year	2015-12-31	$64,226
Employer contributions (assets) at beginning of year	2015-12-31	$28,400
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$32,800
Contract administrator fees	2015-12-31	$8,402
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	No
Opinion of an independent qualified public accountant for this plan	2015-12-31	Qualified
Accountancy firm name	2015-12-31	POTTER & COMPANY, P.A.
Accountancy firm EIN	2015-12-31	561220683

Form 5500 Responses for VANGUARD PAI LUNG, LLC 401K PLAN

2019: VANGUARD PAI LUNG, LLC 401K PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: VANGUARD PAI LUNG, LLC 401K PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: VANGUARD PAI LUNG, LLC 401K PLAN 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 – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: VANGUARD PAI LUNG, LLC 401K 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 – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: VANGUARD PAI LUNG, LLC 401K 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 – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

843462

Policy instance

Insurance contract or identification number	843462
Number of Individuals Covered	77
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $109
Total amount of fees paid to insurance company	USD $1,134
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 $0
Amount paid for insurance broker fees	1134
Additional information about fees paid to insurance broker	TPA FEES
Insurance broker organization code?	5

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

50680227

Policy instance

Insurance contract or identification number	50680227
Number of Individuals Covered	0
Insurance policy start date	2018-01-01
Insurance policy end date	2018-11-19
Total amount of commissions paid to insurance broker	USD $406
Are there contracts with unallocated funds for contracts of type 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 $406
Additional information about fees paid to insurance broker	BROKER COMMISSION
Insurance broker organization code?	3

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

843462

Policy instance

Insurance contract or identification number	843462
Number of Individuals Covered	93
Insurance policy start date	2018-11-19
Insurance policy end date	2018-12-31
Total amount of fees paid to insurance company	USD $5,000
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
Amount paid for insurance broker fees	5000
Additional information about fees paid to insurance broker	TPA FEES
Insurance broker organization code?	5

Potentially related plans

VANGUARD PAINTS & FINISHES INC. 401K PLAN [EIN = 314331352]

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Company Name:	VANGUARD PAI LUNG, LLC
Employer identification number (EIN):	270798185
NAIC Classification:	333200

Jurisdiction of Incorporation:	North Carolina Secretary of State
Incorporation Date:
Company Identification Number:	1113341