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SHOALS PRIMARY CARE RETIREMENT PLAN 401k Plan overview

Plan NameSHOALS PRIMARY CARE RETIREMENT PLAN
Plan identification number 001

SHOALS PRIMARY CARE RETIREMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

SHOALS PRIMARY CARE, LLC has sponsored the creation of one or more 401k plans.

Company Name:SHOALS PRIMARY CARE, LLC
Employer identification number (EIN):270952681
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SHOALS PRIMARY CARE RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012023-01-01RAFIULLAH KHAN2024-10-10
0012022-01-01RAFIULLAH KHAN2024-08-16
0012021-01-01RAFIULLAH KHAN2024-08-16
0012020-01-01RAFIULLAH KHAN2024-08-16
0012019-01-01RAFIULLAH KHAN2024-08-16
0012018-01-01
0012017-01-01
0012016-01-01
0012015-01-01
0012014-01-01RAFIULLAH KHAN2015-10-15
0012013-01-01RAFIULLAH KHAN2014-10-15
0012012-01-01RAFIULLAH KHAN2013-08-14
0012011-01-01RAFIULLAH KHAN2012-10-15
0012010-04-01RKHAN2011-09-23

Financial Data on SHOALS PRIMARY CARE RETIREMENT PLAN

Measure Date Value
2025 : SHOALS PRIMARY CARE RETIREMENT PLAN 2025 401k financial data
Total liabilities as of the end of the plan year2025-07-010
Total liabilities as of the beginning of the plan year2025-07-010
Total expenses incurred by plan in this plan year2025-07-01170178
Net assets as of the end of the plan year2025-07-011518213
Total assets as of the beginning of the plan year2025-07-011369825
Value of plan covered by a fidelity bond2025-07-01200000
Participant contributions to plan in this plan year2025-07-01159047
Value of participant loans at end of plan year2025-07-012310
Other income to plan in this plan year2025-07-01159519
Plan net income in this plan year2025-07-01148388
Net assets as of the end of the plan year2025-07-011518213
Net assets as of the beginning of the plan year2025-07-011369825
Value of contributions failed to transmitted timely2025-07-016405
Fees paid to broker by Benefit Provider2025-07-0115012
Expensese paid to adminstrative service provicers from plan in this plan year2025-07-012050
2023 : SHOALS PRIMARY CARE RETIREMENT PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total income from all sources (including contributions)2023-12-31$330,409
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$77,057
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$24,855
Value of total corrective distributions2023-12-31$49,499
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$158,935
Value of total assets at end of year2023-12-31$1,369,825
Value of total assets at beginning of year2023-12-31$1,116,473
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$2,703
Total interest from all sources2023-12-31$369
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$140,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$158,935
Participant contributions at end of year2023-12-31$5,701
Participant contributions at beginning of year2023-12-31$5,332
Participant contributions at end of year2023-12-31$0
Participant contributions at beginning of year2023-12-31$40
Administrative expenses (other) incurred2023-12-31$2,703
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$253,352
Value of net assets at end of year (total assets less liabilities)2023-12-31$1,369,825
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$1,116,473
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-12-31$1,364,124
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$1,111,101
Interest on participant loans2023-12-31$369
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$171,105
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$24,855
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Disclaimer
Accountancy firm name2023-12-31THE HIGHLANDS ACCOUNTING GROUP, INC
Accountancy firm EIN2023-12-31823217974
Total unrealized appreciation/depreciation of assets2023-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$0
Total income from all sources (including contributions)2023-01-01$330,409
Total loss/gain on sale of assets2023-01-01$0
Total of all expenses incurred2023-01-01$77,057
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-01-01$24,855
Value of total corrective distributions2023-01-01$49,499
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-01-01$158,935
Value of total assets at end of year2023-01-01$1,369,825
Value of total assets at beginning of year2023-01-01$1,116,473
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-01-01$2,703
Total interest from all sources2023-01-01$369
Total dividends received (eg from common stock, registered investment company shares)2023-01-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-01-01No
Was this plan covered by a fidelity bond2023-01-01Yes
Value of fidelity bond cover2023-01-01$140,000
If this is an individual account plan, was there a blackout period2023-01-01No
Were there any nonexempt tranactions with any party-in-interest2023-01-01No
Contributions received from participants2023-01-01$158,935
Participant contributions at end of year2023-01-01$5,701
Participant contributions at beginning of year2023-01-01$5,332
Participant contributions at end of year2023-01-01$0
Participant contributions at beginning of year2023-01-01$40
Administrative expenses (other) incurred2023-01-01$2,703
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Value of net income/loss2023-01-01$253,352
Value of net assets at end of year (total assets less liabilities)2023-01-01$1,369,825
Value of net assets at beginning of year (total assets less liabilities)2023-01-01$1,116,473
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2023-01-01No
Were any leases to which the plan was party in default or uncollectible2023-01-01No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-01-01$1,364,124
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-01-01$1,111,101
Interest on participant loans2023-01-01$369
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-01-01$171,105
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-01-01No
Was there a failure to transmit to the plan any participant contributions2023-01-01No
Has the plan failed to provide any benefit when due under the plan2023-01-01No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-01-01$24,855
Did the plan have assets held for investment2023-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-01-01No
Opinion of an independent qualified public accountant for this plan2023-01-013
Accountancy firm name2023-01-01THE HIGHLANDS ACCOUNTING GROUP, INC
Accountancy firm EIN2023-01-01823217974
2022 : SHOALS PRIMARY CARE RETIREMENT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-33,291
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$92,005
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$41,293
Value of total corrective distributions2022-12-31$49,558
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$190,423
Value of total assets at end of year2022-12-31$1,116,473
Value of total assets at beginning of year2022-12-31$1,241,769
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$1,154
Total interest from all sources2022-12-31$491
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$1,154
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$140,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$184,937
Participant contributions at end of year2022-12-31$5,332
Participant contributions at beginning of year2022-12-31$7,819
Participant contributions at end of year2022-12-31$40
Participant contributions at beginning of year2022-12-31$513
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$5,486
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-125,296
Value of net assets at end of year (total assets less liabilities)2022-12-31$1,116,473
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$1,241,769
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$1,111,101
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$1,233,437
Interest on participant loans2022-12-31$491
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-224,205
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$41,293
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31THE HIGHLANDS ACCOUNTING GROUP, INC
Accountancy firm EIN2022-12-31823217974
Total unrealized appreciation/depreciation of assets2022-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$0
Total income from all sources (including contributions)2022-01-01$-33,291
Total loss/gain on sale of assets2022-01-01$0
Total of all expenses incurred2022-01-01$92,005
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-01$41,293
Value of total corrective distributions2022-01-01$49,558
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-01$190,423
Value of total assets at end of year2022-01-01$1,116,473
Value of total assets at beginning of year2022-01-01$1,241,769
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-01$1,154
Total interest from all sources2022-01-01$491
Total dividends received (eg from common stock, registered investment company shares)2022-01-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-01-01No
Administrative expenses professional fees incurred2022-01-01$1,154
Was this plan covered by a fidelity bond2022-01-01Yes
Value of fidelity bond cover2022-01-01$140,000
If this is an individual account plan, was there a blackout period2022-01-01No
Were there any nonexempt tranactions with any party-in-interest2022-01-01No
Contributions received from participants2022-01-01$184,937
Participant contributions at end of year2022-01-01$5,332
Participant contributions at beginning of year2022-01-01$7,819
Participant contributions at end of year2022-01-01$40
Participant contributions at beginning of year2022-01-01$513
Income. Received or receivable in cash from other sources (including rollovers)2022-01-01$5,486
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Value of net income/loss2022-01-01$-125,296
Value of net assets at end of year (total assets less liabilities)2022-01-01$1,116,473
Value of net assets at beginning of year (total assets less liabilities)2022-01-01$1,241,769
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-01-01No
Were any leases to which the plan was party in default or uncollectible2022-01-01No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-01-01$1,111,101
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-01-01$1,233,437
Interest on participant loans2022-01-01$491
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-01-01$-224,205
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-01-01No
Was there a failure to transmit to the plan any participant contributions2022-01-01No
Has the plan failed to provide any benefit when due under the plan2022-01-01No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-01-01$41,293
Did the plan have assets held for investment2022-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-01-01No
Opinion of an independent qualified public accountant for this plan2022-01-011
Accountancy firm name2022-01-01THE HIGHLANDS ACCOUNTING GROUP, INC
Accountancy firm EIN2022-01-01823217974
2021 : SHOALS PRIMARY CARE RETIREMENT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$318,975
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$23,903
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$842
Value of total corrective distributions2021-12-31$21,509
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$0
Value of total assets at end of year2021-12-31$1,241,769
Value of total assets at beginning of year2021-12-31$946,697
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$1,552
Total interest from all sources2021-12-31$183,919
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$1,552
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$140,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Participant contributions at end of year2021-12-31$7,819
Participant contributions at beginning of year2021-12-31$7,342
Participant contributions at end of year2021-12-31$513
Participant contributions at beginning of year2021-12-31$533
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$295,072
Value of net assets at end of year (total assets less liabilities)2021-12-31$1,241,769
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$946,697
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$1,233,437
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$0
Value of interest in pooled separate accounts at end of year2021-12-31$0
Value of interest in pooled separate accounts at beginning of year2021-12-31$938,822
Interest on participant loans2021-12-31$477
Income. Interest from US Government securities2021-12-31$183,442
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$135,056
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$842
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Disclaimer
Accountancy firm name2021-12-31THE HIGHLANDS ACCOUNTING GROUP, INC
Accountancy firm EIN2021-12-31823217974
2020 : SHOALS PRIMARY CARE RETIREMENT PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$253,739
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$12,077
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$8,323
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$148,012
Value of total assets at end of year2020-12-31$946,697
Value of total assets at beginning of year2020-12-31$705,035
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$3,754
Total interest from all sources2020-12-31$449
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31No
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$148,012
Participant contributions at end of year2020-12-31$7,342
Participant contributions at beginning of year2020-12-31$6,893
Participant contributions at end of year2020-12-31$533
Participant contributions at beginning of year2020-12-31$552
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$241,662
Value of net assets at end of year (total assets less liabilities)2020-12-31$946,697
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$705,035
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in pooled separate accounts at end of year2020-12-31$938,822
Value of interest in pooled separate accounts at beginning of year2020-12-31$697,590
Interest on participant loans2020-12-31$449
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$105,278
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$8,323
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31THE HIGHLANDS ACCOUNTING GROUP, INC
Accountancy firm EIN2020-12-31823217974
Total unrealized appreciation/depreciation of assets2020-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-01-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-01-01$0
Total income from all sources (including contributions)2020-01-01$253,739
Total loss/gain on sale of assets2020-01-01$0
Total of all expenses incurred2020-01-01$12,077
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-01-01$8,323
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-01-01$148,012
Value of total assets at end of year2020-01-01$946,697
Value of total assets at beginning of year2020-01-01$705,035
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-01-01$3,754
Total interest from all sources2020-01-01$449
Total dividends received (eg from common stock, registered investment company shares)2020-01-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-01-01No
Was this plan covered by a fidelity bond2020-01-01No
If this is an individual account plan, was there a blackout period2020-01-01No
Were there any nonexempt tranactions with any party-in-interest2020-01-01No
Contributions received from participants2020-01-01$148,012
Participant contributions at end of year2020-01-01$7,342
Participant contributions at beginning of year2020-01-01$6,893
Participant contributions at end of year2020-01-01$533
Participant contributions at beginning of year2020-01-01$552
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-01-01No
Value of net income/loss2020-01-01$241,662
Value of net assets at end of year (total assets less liabilities)2020-01-01$946,697
Value of net assets at beginning of year (total assets less liabilities)2020-01-01$705,035
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2020-01-01No
Were any leases to which the plan was party in default or uncollectible2020-01-01No
Value of interest in pooled separate accounts at end of year2020-01-01$938,822
Value of interest in pooled separate accounts at beginning of year2020-01-01$697,590
Interest on participant loans2020-01-01$449
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-01-01$105,278
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-01-01No
Was there a failure to transmit to the plan any participant contributions2020-01-01No
Has the plan failed to provide any benefit when due under the plan2020-01-01No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-01-01$8,323
Did the plan have assets held for investment2020-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-01-01No
Opinion of an independent qualified public accountant for this plan2020-01-013
Accountancy firm name2020-01-01THE HIGHLANDS ACCOUNTING GROUP, INC
Accountancy firm EIN2020-01-01823217974
2019 : SHOALS PRIMARY CARE RETIREMENT PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$203,317
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$5,303
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,993
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$94,722
Value of total assets at end of year2019-12-31$705,035
Value of total assets at beginning of year2019-12-31$507,021
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$3,310
Total interest from all sources2019-12-31$293
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$94,722
Participant contributions at end of year2019-12-31$6,893
Participant contributions at beginning of year2019-12-31$0
Participant contributions at end of year2019-12-31$552
Participant contributions at beginning of year2019-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$198,014
Value of net assets at end of year (total assets less liabilities)2019-12-31$705,035
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$507,021
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$3,310
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$507,021
Value of interest in pooled separate accounts at end of year2019-12-31$697,590
Value of interest in pooled separate accounts at beginning of year2019-12-31$0
Interest on participant loans2019-12-31$293
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$108,302
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,993
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31THE HIGHLANDS ACCOUNTING GROUP, INC
Accountancy firm EIN2019-12-31823217974
Total unrealized appreciation/depreciation of assets2019-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-01-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-01-01$0
Total income from all sources (including contributions)2019-01-01$203,317
Total loss/gain on sale of assets2019-01-01$0
Total of all expenses incurred2019-01-01$5,303
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-01-01$1,993
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-01-01$94,722
Value of total assets at end of year2019-01-01$705,035
Value of total assets at beginning of year2019-01-01$507,021
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-01-01$3,310
Total interest from all sources2019-01-01$293
Total dividends received (eg from common stock, registered investment company shares)2019-01-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-01-01No
Was this plan covered by a fidelity bond2019-01-01No
If this is an individual account plan, was there a blackout period2019-01-01No
Were there any nonexempt tranactions with any party-in-interest2019-01-01No
Contributions received from participants2019-01-01$94,722
Participant contributions at end of year2019-01-01$6,893
Participant contributions at beginning of year2019-01-01$0
Participant contributions at end of year2019-01-01$552
Participant contributions at beginning of year2019-01-01$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-01-01No
Value of net income/loss2019-01-01$198,014
Value of net assets at end of year (total assets less liabilities)2019-01-01$705,035
Value of net assets at beginning of year (total assets less liabilities)2019-01-01$507,021
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2019-01-01No
Were any leases to which the plan was party in default or uncollectible2019-01-01No
Investment advisory and management fees2019-01-01$3,310
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-01-01$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-01-01$507,021
Value of interest in pooled separate accounts at end of year2019-01-01$697,590
Value of interest in pooled separate accounts at beginning of year2019-01-01$0
Interest on participant loans2019-01-01$293
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-01-01$108,302
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-01-01No
Was there a failure to transmit to the plan any participant contributions2019-01-01No
Has the plan failed to provide any benefit when due under the plan2019-01-01No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-01-01$1,993
Did the plan have assets held for investment2019-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-01-01No
Opinion of an independent qualified public accountant for this plan2019-01-013
Accountancy firm name2019-01-01THE HIGHLANDS ACCOUNTING GROUP, INC
Accountancy firm EIN2019-01-01823217974

Form 5500 Responses for SHOALS PRIMARY CARE RETIREMENT PLAN

2023: SHOALS PRIMARY CARE RETIREMENT PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: SHOALS PRIMARY CARE RETIREMENT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: SHOALS PRIMARY CARE RETIREMENT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: SHOALS PRIMARY CARE RETIREMENT 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 – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: SHOALS PRIMARY CARE RETIREMENT 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 – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number96976
Policy instance 1
Insurance contract or identification number96976
Number of Individuals Covered85
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $11,882
Total amount of fees paid to insurance companyUSD $1,894
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
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number96976
Policy instance 1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number96976
Policy instance 1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number96976
Policy instance 1
Insurance contract or identification number96976
Number of Individuals Covered49
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $7,289
Total amount of fees paid to insurance companyUSD $470
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
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number96976
Policy instance 1
Insurance contract or identification number96976
Number of Individuals Covered48
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $5,894
Total amount of fees paid to insurance companyUSD $533
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

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