401k Plan data: RETINA MINNESOTA 401(K) RETIREMENT SAVINGS PLAN plan

RETINA MINNESOTA 401(K) RETIREMENT SAVINGS PLAN 401k Plan overview

Plan Name	RETINA MINNESOTA 401(K) RETIREMENT SAVINGS PLAN
Plan identification number	001

RETINA MINNESOTA 401(K) RETIREMENT SAVINGS 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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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

VITREORETINAL SURGERY, PLLC has sponsored the creation of one or more 401k plans.

Company Name: VITREORETINAL SURGERY, PLLC

Employer identification number (EIN): 411608615

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RETINA MINNESOTA 401(K) RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 GRETCHEN POFFENBERGER 2022-08-01
001 2021-01-01
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 GRETCHEN POFFENBERGER
001 2016-01-01 GRETCHEN POFFENBERGER
001 2015-01-01 GRETCHEN POFFENBERGER 2016-06-06
001 2014-01-01 GRETCHEN POFFENBERGER 2015-03-30
001 2013-01-01 GRETCHEN POFFENBERGER 2014-04-04
001 2012-01-01 GRETCHEN POFFENBERGER 2013-04-24
001 2011-01-01 GRETCHEN POFFENBERGER 2012-07-09
001 2010-01-01 GRETCHEN POFFENBERGER 2011-06-10

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2022-01-01	GRETCHEN POFFENBERGER	2022-08-01
001	2021-01-01
001	2021-01-01
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01	GRETCHEN POFFENBERGER
001	2016-01-01	GRETCHEN POFFENBERGER
001	2015-01-01	GRETCHEN POFFENBERGER	2016-06-06
001	2014-01-01	GRETCHEN POFFENBERGER	2015-03-30
001	2013-01-01	GRETCHEN POFFENBERGER	2014-04-04
001	2012-01-01	GRETCHEN POFFENBERGER	2013-04-24
001	2011-01-01	GRETCHEN POFFENBERGER	2012-07-09
001	2010-01-01	GRETCHEN POFFENBERGER	2011-06-10

Plan Statistics for RETINA MINNESOTA 401(K) RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for RETINA MINNESOTA 401(K) RETIREMENT SAVINGS PLAN

Measure Date Value
2021: RETINA MINNESOTA 401(K) RETIREMENT SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 166
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 0
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 0
Number of participants with account balances 2021-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: RETINA MINNESOTA 401(K) RETIREMENT SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 153
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 126
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 39
Total of all active and inactive participants 2020-01-01 165
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 1
Total participants 2020-01-01 166
Number of participants with account balances 2020-01-01 166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: RETINA MINNESOTA 401(K) RETIREMENT SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 149
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 114
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 38
Total of all active and inactive participants 2019-01-01 152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 1
Total participants 2019-01-01 153
Number of participants with account balances 2019-01-01 153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: RETINA MINNESOTA 401(K) RETIREMENT SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 133
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 116
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 32
Total of all active and inactive participants 2018-01-01 148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 1
Total participants 2018-01-01 149
Number of participants with account balances 2018-01-01 149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: RETINA MINNESOTA 401(K) RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 138
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 109
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 23
Total of all active and inactive participants 2017-01-01 132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 1
Total participants 2017-01-01 133
Number of participants with account balances 2017-01-01 133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: RETINA MINNESOTA 401(K) RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 134
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 122
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 15
Total of all active and inactive participants 2016-01-01 137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 1
Total participants 2016-01-01 138
Number of participants with account balances 2016-01-01 138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0

Measure	Date	Value
2021: RETINA MINNESOTA 401(K) RETIREMENT SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	166
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	0
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	0
Number of participants with account balances	2021-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: RETINA MINNESOTA 401(K) RETIREMENT SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	153
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	126
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	39
Total of all active and inactive participants	2020-01-01	165
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	1
Total participants	2020-01-01	166
Number of participants with account balances	2020-01-01	166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: RETINA MINNESOTA 401(K) RETIREMENT SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	149
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	114
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	38
Total of all active and inactive participants	2019-01-01	152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	1
Total participants	2019-01-01	153
Number of participants with account balances	2019-01-01	153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: RETINA MINNESOTA 401(K) RETIREMENT SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	133
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	116
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	32
Total of all active and inactive participants	2018-01-01	148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	1
Total participants	2018-01-01	149
Number of participants with account balances	2018-01-01	149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: RETINA MINNESOTA 401(K) RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	138
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	109
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	23
Total of all active and inactive participants	2017-01-01	132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	1
Total participants	2017-01-01	133
Number of participants with account balances	2017-01-01	133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: RETINA MINNESOTA 401(K) RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	134
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	122
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	15
Total of all active and inactive participants	2016-01-01	137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	1
Total participants	2016-01-01	138
Number of participants with account balances	2016-01-01	138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0

Financial Data on RETINA MINNESOTA 401(K) RETIREMENT SAVINGS PLAN

Measure	Date	Value
2021 : RETINA MINNESOTA 401(K) RETIREMENT SAVINGS PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2021-12-31	$0
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total transfer of assets from this plan	2021-12-31	$43,669,094
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$2,661,670
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	$11,430,916
Total loss/gain on sale of assets	2021-12-31	$141,313
Total of all expenses incurred	2021-12-31	$2,563,280
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$2,599,383
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$6,101,435
Value of total assets at end of year	2021-12-31	$2,661,670
Value of total assets at beginning of year	2021-12-31	$34,801,458
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$-36,103
Total interest from all sources	2021-12-31	$11,788
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$3,181,620
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2021-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$3,168,711
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$952,261
Assets. Other investments not covered elsewhere at end of year	2021-12-31	$1,555,592
Assets. Other investments not covered elsewhere at beginning of year	2021-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$4,042,987
Assets. Loans (other than to participants) at end of year	2021-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2021-12-31	$152,626
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-12-31	$2,661,670
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-12-31	$0
Other income not declared elsewhere	2021-12-31	$0
Administrative expenses (other) incurred	2021-12-31	$-37,183
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$8,867,636
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$34,801,458
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Investment advisory and management fees	2021-12-31	$1,080
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$29,177,786
Interest on participant loans	2021-12-31	$11,347
Income. Interest from US Government securities	2021-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$2,889,714
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$2,889,714
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$441
Asset value of US Government securities at end of year	2021-12-31	$0
Asset value of US Government securities at beginning of year	2021-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$1,994,760
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$1,106,187
Employer contributions (assets) at end of year	2021-12-31	$1,106,078
Employer contributions (assets) at beginning of year	2021-12-31	$830,728
Income. Dividends from common stock	2021-12-31	$12,909
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$2,599,383
Assets. Corporate common stocks other than exployer securities at end of year	2021-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2021-12-31	$1,750,604
Did the plan have assets held for investment	2021-12-31	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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	Yes
Aggregate proceeds on sale of assets	2021-12-31	$2,894,157
Aggregate carrying amount (costs) on sale of assets	2021-12-31	$2,752,844
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	CLIFTONLARSONALLEN, LLP
Accountancy firm EIN	2021-12-31	410746749
2020 : RETINA MINNESOTA 401(K) RETIREMENT SAVINGS PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2020-12-31	$-45,208
Total unrealized appreciation/depreciation of assets	2020-12-31	$-45,208
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	$6,953,705
Total loss/gain on sale of assets	2020-12-31	$-160,148
Total of all expenses incurred	2020-12-31	$685,790
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$705,194
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$1,634,511
Value of total assets at end of year	2020-12-31	$34,801,458
Value of total assets at beginning of year	2020-12-31	$28,533,543
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$-19,404
Total interest from all sources	2020-12-31	$29,502
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$1,478,214
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$1,430,355
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$781,150
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$22,633
Assets. Loans (other than to participants) at end of year	2020-12-31	$152,626
Assets. Loans (other than to participants) at beginning of year	2020-12-31	$214,567
Other income not declared elsewhere	2020-12-31	$4,016,834
Administrative expenses (other) incurred	2020-12-31	$-19,870
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$6,267,915
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$34,801,458
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$28,533,543
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Investment advisory and management fees	2020-12-31	$466
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$29,177,786
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$22,913,230
Interest on participant loans	2020-12-31	$13,529
Income. Interest from US Government securities	2020-12-31	$9,125
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$2,889,714
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$2,751,793
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$2,751,793
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$6,848
Asset value of US Government securities at end of year	2020-12-31	$0
Asset value of US Government securities at beginning of year	2020-12-31	$399,774
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$830,728
Employer contributions (assets) at end of year	2020-12-31	$830,728
Employer contributions (assets) at beginning of year	2020-12-31	$786,333
Income. Dividends from common stock	2020-12-31	$47,859
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$705,194
Assets. Corporate common stocks other than exployer securities at end of year	2020-12-31	$1,750,604
Assets. Corporate common stocks other than exployer securities at beginning of year	2020-12-31	$1,467,846
Did the plan have assets held for investment	2020-12-31	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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Aggregate proceeds on sale of assets	2020-12-31	$802,355
Aggregate carrying amount (costs) on sale of assets	2020-12-31	$962,503
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	CLIFTONLARSONALLEN, LLP
Accountancy firm EIN	2020-12-31	410746749
2019 : RETINA MINNESOTA 401(K) RETIREMENT SAVINGS PLAN 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2019-12-31	$255,457
Total unrealized appreciation/depreciation of assets	2019-12-31	$255,457
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	$6,818,239
Total loss/gain on sale of assets	2019-12-31	$182,863
Total of all expenses incurred	2019-12-31	$998,427
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$1,016,955
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$1,492,455
Value of total assets at end of year	2019-12-31	$28,533,543
Value of total assets at beginning of year	2019-12-31	$22,713,731
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$-18,528
Total interest from all sources	2019-12-31	$54,226
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$1,163,671
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$1,125,821
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	$704,325
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$1,797
Assets. Loans (other than to participants) at end of year	2019-12-31	$214,567
Assets. Loans (other than to participants) at beginning of year	2019-12-31	$173,663
Other income not declared elsewhere	2019-12-31	$3,669,567
Administrative expenses (other) incurred	2019-12-31	$-18,787
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	$5,819,812
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$28,533,543
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$22,713,731
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	$259
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$22,913,230
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$19,079,435
Interest on participant loans	2019-12-31	$12,333
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$2,751,793
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$1,686,183
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$1,686,183
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$41,893
Asset value of US Government securities at end of year	2019-12-31	$399,774
Asset value of US Government securities at beginning of year	2019-12-31	$0
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	$786,333
Employer contributions (assets) at end of year	2019-12-31	$786,333
Employer contributions (assets) at beginning of year	2019-12-31	$760,987
Income. Dividends from common stock	2019-12-31	$37,850
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$1,016,955
Assets. Corporate common stocks other than exployer securities at end of year	2019-12-31	$1,467,846
Assets. Corporate common stocks other than exployer securities at beginning of year	2019-12-31	$1,013,463
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
Aggregate proceeds on sale of assets	2019-12-31	$296,963
Aggregate carrying amount (costs) on sale of assets	2019-12-31	$114,100
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	CLIFTONLARSONALLEN, LLP
Accountancy firm EIN	2019-12-31	410746749
2018 : RETINA MINNESOTA 401(K) RETIREMENT SAVINGS PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2018-12-31	$-382,794
Total unrealized appreciation/depreciation of assets	2018-12-31	$-382,794
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$-41,609
Total loss/gain on sale of assets	2018-12-31	$-2,283
Total of all expenses incurred	2018-12-31	$1,096,870
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$1,099,929
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$1,411,958
Value of total assets at end of year	2018-12-31	$22,713,731
Value of total assets at beginning of year	2018-12-31	$23,852,210
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$-3,059
Total interest from all sources	2018-12-31	$33,530
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$1,349,112
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$1,312,650
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	No
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	$649,791
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$1,180
Assets. Loans (other than to participants) at end of year	2018-12-31	$173,663
Assets. Loans (other than to participants) at beginning of year	2018-12-31	$177,558
Administrative expenses (other) incurred	2018-12-31	$-3,248
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	$-1,138,479
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$22,713,731
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$23,852,210
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	$189
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$19,079,435
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$19,917,899
Interest on participant loans	2018-12-31	$9,170
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$1,686,183
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$1,728,637
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$1,728,637
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-12-31	$24,360
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-2,451,132
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
Contributions received in cash from employer	2018-12-31	$760,987
Employer contributions (assets) at end of year	2018-12-31	$760,987
Employer contributions (assets) at beginning of year	2018-12-31	$769,976
Income. Dividends from common stock	2018-12-31	$36,462
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$1,099,929
Assets. Corporate common stocks other than exployer securities at end of year	2018-12-31	$1,013,463
Assets. Corporate common stocks other than exployer securities at beginning of year	2018-12-31	$1,258,140
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
Aggregate proceeds on sale of assets	2018-12-31	$42,972
Aggregate carrying amount (costs) on sale of assets	2018-12-31	$45,255
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	CLIFTONLARSONALLEN, LLP
Accountancy firm EIN	2018-12-31	410746749
2017 : RETINA MINNESOTA 401(K) RETIREMENT SAVINGS PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2017-12-31	$195,044
Total unrealized appreciation/depreciation of assets	2017-12-31	$195,044
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	$5,011,350
Total loss/gain on sale of assets	2017-12-31	$52,628
Total of all expenses incurred	2017-12-31	$4,435,096
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$4,433,465
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$1,391,056
Value of total assets at end of year	2017-12-31	$23,852,210
Value of total assets at beginning of year	2017-12-31	$23,275,956
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$1,631
Total interest from all sources	2017-12-31	$22,191
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$1,000,480
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$965,667
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	$621,080
Assets. Loans (other than to participants) at end of year	2017-12-31	$177,558
Assets. Loans (other than to participants) at beginning of year	2017-12-31	$180,532
Administrative expenses (other) incurred	2017-12-31	$1,587
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	$576,254
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$23,852,210
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$23,275,956
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
Investment advisory and management fees	2017-12-31	$44
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$19,917,899
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$19,919,155
Interest on participant loans	2017-12-31	$9,396
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$1,728,637
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$1,462,317
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$1,462,317
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$12,795
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$2,349,951
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	$769,976
Employer contributions (assets) at end of year	2017-12-31	$769,976
Employer contributions (assets) at beginning of year	2017-12-31	$751,844
Income. Dividends from common stock	2017-12-31	$34,813
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$4,433,465
Assets. Corporate common stocks other than exployer securities at end of year	2017-12-31	$1,258,140
Assets. Corporate common stocks other than exployer securities at beginning of year	2017-12-31	$962,108
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
Aggregate proceeds on sale of assets	2017-12-31	$160,761
Aggregate carrying amount (costs) on sale of assets	2017-12-31	$108,133
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	CLIFTONLARSONALLEN, LLP
Accountancy firm EIN	2017-12-31	410746749
2016 : RETINA MINNESOTA 401(K) RETIREMENT SAVINGS PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2016-12-31	$42,660
Total unrealized appreciation/depreciation of assets	2016-12-31	$42,660
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	$2,888,293
Total loss/gain on sale of assets	2016-12-31	$-8,338
Total of all expenses incurred	2016-12-31	$450,642
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$448,828
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$1,349,820
Value of total assets at end of year	2016-12-31	$23,275,956
Value of total assets at beginning of year	2016-12-31	$20,838,305
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$1,814
Total interest from all sources	2016-12-31	$8,479
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$766,715
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$735,949
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	$595,573
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$2,403
Assets. Loans (other than to participants) at end of year	2016-12-31	$180,532
Assets. Loans (other than to participants) at beginning of year	2016-12-31	$110,363
Administrative expenses (other) incurred	2016-12-31	$1,778
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	$2,437,651
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$23,275,956
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$20,838,305
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
Investment advisory and management fees	2016-12-31	$36
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$19,919,155
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$13,441,044
Interest on participant loans	2016-12-31	$7,326
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$1,462,317
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$1,061,999
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$1,061,999
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$1,153
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$728,957
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	$751,844
Employer contributions (assets) at end of year	2016-12-31	$751,844
Employer contributions (assets) at beginning of year	2016-12-31	$747,783
Income. Dividends from common stock	2016-12-31	$30,766
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$448,828
Assets. Corporate common stocks other than exployer securities at end of year	2016-12-31	$962,108
Assets. Corporate common stocks other than exployer securities at beginning of year	2016-12-31	$5,477,116
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
Aggregate proceeds on sale of assets	2016-12-31	$426,590
Aggregate carrying amount (costs) on sale of assets	2016-12-31	$434,928
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	CLIFTONLARSONALLEN, LLP
Accountancy firm EIN	2016-12-31	410746749

Form 5500 Responses for RETINA MINNESOTA 401(K) RETIREMENT SAVINGS PLAN

2021: RETINA MINNESOTA 401(K) RETIREMENT SAVINGS PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	Yes
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: RETINA MINNESOTA 401(K) RETIREMENT SAVINGS PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: RETINA MINNESOTA 401(K) RETIREMENT SAVINGS PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: RETINA MINNESOTA 401(K) RETIREMENT SAVINGS PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: RETINA MINNESOTA 401(K) RETIREMENT SAVINGS 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 – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: RETINA MINNESOTA 401(K) RETIREMENT SAVINGS 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 – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	VITREORETINAL SURGERY, PLLC
Employer identification number (EIN):	411608615
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)