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PAIN DOCTOR 401(K) PLAN 401k Plan overview

Plan NamePAIN DOCTOR 401(K) PLAN
Plan identification number 001

PAIN DOCTOR 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • Profit-sharing
  • 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

PAIN DOCTOR MANAGEMENT COMPANY, LLC has sponsored the creation of one or more 401k plans.

Company Name:PAIN DOCTOR MANAGEMENT COMPANY, LLC
Employer identification number (EIN):371757097
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PAIN DOCTOR 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012018-01-01ERIC DICKSON2019-10-14
0012017-01-01
0012016-01-01ADAM LERNER

Plan Statistics for PAIN DOCTOR 401(K) PLAN

401k plan membership statisitcs for PAIN DOCTOR 401(K) PLAN

Measure Date Value
2018: PAIN DOCTOR 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01456
Total number of active participants reported on line 7a of the Form 55002018-01-01150
Number of other retired or separated participants entitled to future benefits2018-01-01141
Total of all active and inactive participants2018-01-01291
Total participants2018-01-01291
Number of participants with account balances2018-01-01224
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: PAIN DOCTOR 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01450
Total number of active participants reported on line 7a of the Form 55002017-01-01377
Number of other retired or separated participants entitled to future benefits2017-01-0162
Total of all active and inactive participants2017-01-01439
Total participants2017-01-01439
Number of participants with account balances2017-01-01278
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: PAIN DOCTOR 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01282
Total number of active participants reported on line 7a of the Form 55002016-01-01308
Number of other retired or separated participants entitled to future benefits2016-01-0143
Total of all active and inactive participants2016-01-01351
Total participants2016-01-01351
Number of participants with account balances2016-01-01182
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010

Financial Data on PAIN DOCTOR 401(K) PLAN

Measure Date Value
2018 : PAIN DOCTOR 401(K) PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$29,447
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$74,554
Total income from all sources (including contributions)2018-12-31$733,590
Total of all expenses incurred2018-12-31$1,334,954
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,165,520
Value of total corrective distributions2018-12-31$117,462
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$885,621
Value of total assets at end of year2018-12-31$1,893,748
Value of total assets at beginning of year2018-12-31$2,540,219
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$51,972
Total interest from all sources2018-12-31$1,345
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$4,051
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$4,051
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$50,000
If this is an individual account plan, was there a blackout period2018-12-31Yes
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$685,735
Participant contributions at end of year2018-12-31$48,583
Participant contributions at beginning of year2018-12-31$15,679
Participant contributions at end of year2018-12-31$1,096
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$123,352
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$199,886
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$29,447
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$74,554
Other income not declared elsewhere2018-12-31$110
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-601,364
Value of net assets at end of year (total assets less liabilities)2018-12-31$1,864,301
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$2,465,665
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$110,636
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$22,445
Value of interest in pooled separate accounts at end of year2018-12-31$40,430
Value of interest in pooled separate accounts at beginning of year2018-12-31$20,061
Interest on participant loans2018-12-31$1,345
Value of interest in common/collective trusts at end of year2018-12-31$1,692,726
Value of interest in common/collective trusts at beginning of year2018-12-31$2,343,084
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$277
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$15,598
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-15,468
Net investment gain/loss from pooled separate accounts2018-12-31$653
Net investment gain or loss from common/collective trusts2018-12-31$-142,722
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31Yes
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$1,165,520
Contract administrator fees2018-12-31$51,972
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31Yes
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31MANSPERGER PATTERSON & MCMULLIN PLC
Accountancy firm EIN2018-12-31860751928
2017 : PAIN DOCTOR 401(K) PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$74,554
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$74,554
Total income from all sources (including contributions)2017-12-31$1,259,705
Total of all expenses incurred2017-12-31$282,106
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$251,886
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$957,944
Value of total assets at end of year2017-12-31$2,540,219
Value of total assets at beginning of year2017-12-31$1,562,620
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$30,220
Total interest from all sources2017-12-31$949
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$348
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$348
Administrative expenses professional fees incurred2017-12-31$625
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$148,806
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$707,225
Participant contributions at end of year2017-12-31$15,679
Participant contributions at beginning of year2017-12-31$16,566
Participant contributions at beginning of year2017-12-31$400
Assets. Other investments not covered elsewhere at end of year2017-12-31$123,352
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$250,719
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-12-31$169
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$74,554
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$74,554
Other income not declared elsewhere2017-12-31$-118,552
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$977,599
Value of net assets at end of year (total assets less liabilities)2017-12-31$2,465,665
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$1,488,066
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$22,445
Value of interest in pooled separate accounts at end of year2017-12-31$20,061
Value of interest in pooled separate accounts at beginning of year2017-12-31$1,529,099
Interest on participant loans2017-12-31$814
Interest earned on other investments2017-12-31$135
Value of interest in common/collective trusts at end of year2017-12-31$2,343,084
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$15,598
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$234,083
Net investment gain/loss from pooled separate accounts2017-12-31$1,564
Net investment gain or loss from common/collective trusts2017-12-31$183,369
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31Yes
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Employer contributions (assets) at beginning of year2017-12-31$16,555
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$251,717
Contract administrator fees2017-12-31$29,595
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31MANSPERGER PATTERSON & MCMULLIN PLC
Accountancy firm EIN2017-12-31860751928
2016 : PAIN DOCTOR 401(K) PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$74,554
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$24,248
Total income from all sources (including contributions)2016-12-31$1,157,399
Total of all expenses incurred2016-12-31$184,754
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$76,479
Value of total corrective distributions2016-12-31$99,839
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,088,695
Value of total assets at end of year2016-12-31$1,562,620
Value of total assets at beginning of year2016-12-31$539,669
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$8,436
Total interest from all sources2016-12-31$257
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$1,436
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$51,542
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$619,390
Participant contributions at end of year2016-12-31$16,566
Participant contributions at beginning of year2016-12-31$3,293
Participant contributions at end of year2016-12-31$400
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$469,305
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$74,554
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$24,248
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$972,645
Value of net assets at end of year (total assets less liabilities)2016-12-31$1,488,066
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$515,421
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in pooled separate accounts at end of year2016-12-31$1,529,099
Value of interest in pooled separate accounts at beginning of year2016-12-31$536,376
Interest on participant loans2016-12-31$257
Net investment gain/loss from pooled separate accounts2016-12-31$68,447
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Employer contributions (assets) at end of year2016-12-31$16,555
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$76,479
Contract administrator fees2016-12-31$7,000
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31MANSPERGER PATTERSON & MCMULLIN, PL
Accountancy firm EIN2016-12-31860751928

Form 5500 Responses for PAIN DOCTOR 401(K) PLAN

2018: PAIN DOCTOR 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: PAIN DOCTOR 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: PAIN DOCTOR 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered340
Insurance policy start date2018-06-01
Insurance policy end date2018-12-31
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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number624885
Policy instance 2
Insurance contract or identification number624885
Number of Individuals Covered340
Insurance policy start date2018-06-01
Insurance policy end date2018-12-31
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 number95730
Policy instance 1
Insurance contract or identification number95730
Number of Individuals Covered0
Insurance policy start date2017-01-01
Insurance policy end date2017-05-31
Total amount of commissions paid to insurance brokerUSD $3,332
Total amount of fees paid to insurance companyUSD $684
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,332
Insurance broker organization code?7
Amount paid for insurance broker fees684
Insurance broker nameBOYCE & ASSOCIATES, INC.
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 2
Insurance contract or identification number613953
Number of Individuals Covered488
Insurance policy start date2017-06-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number624885
Policy instance 3
Insurance contract or identification number624885
Number of Individuals Covered488
Insurance policy start date2017-06-01
Insurance policy end date2017-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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