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LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameLAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN
Plan identification number 002

LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING 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.
  • 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.
  • Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.

401k Sponsoring company profile

LAWRENCE E. SAMUELS, M.D. INC. has sponsored the creation of one or more 401k plans.

Company Name:LAWRENCE E. SAMUELS, M.D. INC.
Employer identification number (EIN):431246913
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01LAWRENCE SAMUELS, M.D.2023-08-09 LAWRENCE SAMUELS, M.D.2023-08-09
0022021-01-01LAWRENCE SAMUELS2022-11-14 LAWRENCE SAMUELS2022-11-14
0022020-01-01
0022019-01-01
0022018-01-01LAWRENCE SAMUELS LAWRENCE SAMUELS2019-03-14
0022017-01-01LAWRENCE SAMUELS LAWRENCE SAMUELS2018-05-22
0022016-01-01LAWRENCE SAMUELS LAWRENCE SAMUELS2017-06-26
0022015-01-01LAWRENCE SAMUELS LAWRENCE SAMUELS2016-08-08
0022014-01-01LAWRENCE SAMUELS LAWRENCE SAMUELS2015-04-17
0022013-01-01LAWRENCE SAMUELS LAWRENCE SAMUELS2014-09-22
0022012-01-01LAWRENCE SAMUELS LAWRENCE SAMUELS2013-10-11
0022011-01-01LAWRENCE SAMUELS LAWRENCE SAMUELS2012-10-15
0022009-01-01LAWRENCE SAMUELS LAWRENCE SAMUELS2010-08-17
0022007-01-01LAWRENCE SAMUELS

Plan Statistics for LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2020: LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0114
Total number of active participants reported on line 7a of the Form 55002020-01-0110
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-014
Total of all active and inactive participants2020-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0114
Number of participants with account balances2020-01-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0115
Total number of active participants reported on line 7a of the Form 55002019-01-0111
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-013
Total of all active and inactive participants2019-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0114
Number of participants with account balances2019-01-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-013
2018: LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0112
Total number of active participants reported on line 7a of the Form 55002018-01-0111
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-013
Total of all active and inactive participants2018-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0114
Number of participants with account balances2018-01-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-011
2017: LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0111
Total number of active participants reported on line 7a of the Form 55002017-01-018
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-014
Total of all active and inactive participants2017-01-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0112
Number of participants with account balances2017-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-013
2016: LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0112
Total number of active participants reported on line 7a of the Form 55002016-01-0111
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0111
Number of participants with account balances2016-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0111
Total number of active participants reported on line 7a of the Form 55002015-01-019
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-011
Total of all active and inactive participants2015-01-0110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0110
Number of participants with account balances2015-01-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0110
Total number of active participants reported on line 7a of the Form 55002014-01-018
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-011
Total of all active and inactive participants2014-01-019
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-019
Number of participants with account balances2014-01-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0110
Total number of active participants reported on line 7a of the Form 55002013-01-017
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-013
Total of all active and inactive participants2013-01-0110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0110
Number of participants with account balances2013-01-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-011
2012: LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0111
Total number of active participants reported on line 7a of the Form 55002012-01-019
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-011
Total of all active and inactive participants2012-01-0110
Total participants2012-01-0110
Number of participants with account balances2012-01-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0115
Total number of active participants reported on line 7a of the Form 55002011-01-018
Number of other retired or separated participants entitled to future benefits2011-01-012
Total of all active and inactive participants2011-01-0110
Total participants2011-01-0110
Number of participants with account balances2011-01-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-011
2009: LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0110
Total number of active participants reported on line 7a of the Form 55002009-01-0113
Number of other retired or separated participants entitled to future benefits2009-01-013
Total of all active and inactive participants2009-01-0116
Total participants2009-01-0116
Number of participants with account balances2009-01-0116
2007: LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN 2007 401k membership
Total participants, beginning-of-year2007-01-0110
Total number of active participants reported on line 7a of the Form 55002007-01-0111
Number of other retired or separated participants entitled to future benefits2007-01-011
Total of all active and inactive participants2007-01-0112
Total participants2007-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2007-01-011

Financial Data on LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2020 : LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources2020-12-31$624,174
Expenses. Total of all expenses incurred2020-12-31$146,358
Benefits paid (including direct rollovers)2020-12-31$129,519
Total plan assets at end of year2020-12-31$4,623,144
Total plan assets at beginning of year2020-12-31$4,145,328
Value of fidelity bond covering the plan2020-12-31$475,000
Total contributions received or receivable from participants2020-12-31$41,742
Expenses. Other expenses not covered elsewhere2020-12-31$0
Contributions received from other sources (not participants or employers)2020-12-31$0
Other income received2020-12-31$523,125
Net income (gross income less expenses)2020-12-31$477,816
Net plan assets at end of year (total assets less liabilities)2020-12-31$4,623,144
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$4,145,328
Total contributions received or receivable from employer(s)2020-12-31$59,307
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$16,839
2019 : LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources2019-12-31$933,365
Expenses. Total of all expenses incurred2019-12-31$44,544
Benefits paid (including direct rollovers)2019-12-31$29,224
Total plan assets at end of year2019-12-31$4,145,328
Total plan assets at beginning of year2019-12-31$3,256,507
Value of fidelity bond covering the plan2019-12-31$450,000
Total contributions received or receivable from participants2019-12-31$34,900
Expenses. Other expenses not covered elsewhere2019-12-31$0
Contributions received from other sources (not participants or employers)2019-12-31$0
Other income received2019-12-31$833,187
Net income (gross income less expenses)2019-12-31$888,821
Net plan assets at end of year (total assets less liabilities)2019-12-31$4,145,328
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$3,256,507
Total contributions received or receivable from employer(s)2019-12-31$65,278
Value of certain deemed distributions of participant loans2019-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$15,320
2018 : LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources2018-12-31$-68,652
Expenses. Total of all expenses incurred2018-12-31$14,822
Benefits paid (including direct rollovers)2018-12-31$4,660
Total plan assets at end of year2018-12-31$3,256,507
Total plan assets at beginning of year2018-12-31$3,339,981
Value of fidelity bond covering the plan2018-12-31$350,000
Total contributions received or receivable from participants2018-12-31$34,900
Expenses. Other expenses not covered elsewhere2018-12-31$0
Contributions received from other sources (not participants or employers)2018-12-31$0
Other income received2018-12-31$-166,922
Net income (gross income less expenses)2018-12-31$-83,474
Net plan assets at end of year (total assets less liabilities)2018-12-31$3,256,507
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$3,339,981
Total contributions received or receivable from employer(s)2018-12-31$63,370
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$10,162
2017 : LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources2017-12-31$493,368
Expenses. Total of all expenses incurred2017-12-31$9,224
Benefits paid (including direct rollovers)2017-12-31$813
Total plan assets at end of year2017-12-31$3,339,981
Total plan assets at beginning of year2017-12-31$2,855,837
Value of fidelity bond covering the plan2017-12-31$350,000
Total contributions received or receivable from participants2017-12-31$34,735
Expenses. Other expenses not covered elsewhere2017-12-31$0
Contributions received from other sources (not participants or employers)2017-12-31$0
Other income received2017-12-31$401,745
Net income (gross income less expenses)2017-12-31$484,144
Net plan assets at end of year (total assets less liabilities)2017-12-31$3,339,981
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$2,855,837
Total contributions received or receivable from employer(s)2017-12-31$56,888
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$8,411
2016 : LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources2016-12-31$199,617
Expenses. Total of all expenses incurred2016-12-31$26,276
Benefits paid (including direct rollovers)2016-12-31$15,406
Total plan assets at end of year2016-12-31$2,855,837
Total plan assets at beginning of year2016-12-31$2,682,496
Value of fidelity bond covering the plan2016-12-31$290,000
Total contributions received or receivable from participants2016-12-31$36,126
Expenses. Other expenses not covered elsewhere2016-12-31$0
Contributions received from other sources (not participants or employers)2016-12-31$0
Other income received2016-12-31$109,697
Net income (gross income less expenses)2016-12-31$173,341
Net plan assets at end of year (total assets less liabilities)2016-12-31$2,855,837
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$2,682,496
Total contributions received or receivable from employer(s)2016-12-31$53,794
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$10,870
2015 : LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources2015-12-31$66,144
Expenses. Total of all expenses incurred2015-12-31$28,589
Benefits paid (including direct rollovers)2015-12-31$14,776
Total plan assets at end of year2015-12-31$2,682,496
Total plan assets at beginning of year2015-12-31$2,644,941
Value of fidelity bond covering the plan2015-12-31$275,000
Total contributions received or receivable from participants2015-12-31$33,750
Expenses. Other expenses not covered elsewhere2015-12-31$0
Contributions received from other sources (not participants or employers)2015-12-31$3,069
Other income received2015-12-31$-41,762
Net income (gross income less expenses)2015-12-31$37,555
Net plan assets at end of year (total assets less liabilities)2015-12-31$2,682,496
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$2,644,941
Total contributions received or receivable from employer(s)2015-12-31$71,087
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$13,813
2014 : LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources2014-12-31$147,754
Expenses. Total of all expenses incurred2014-12-31$38,574
Benefits paid (including direct rollovers)2014-12-31$24,345
Total plan assets at end of year2014-12-31$2,644,941
Total plan assets at beginning of year2014-12-31$2,535,761
Value of fidelity bond covering the plan2014-12-31$275,000
Total contributions received or receivable from participants2014-12-31$27,800
Expenses. Other expenses not covered elsewhere2014-12-31$0
Contributions received from other sources (not participants or employers)2014-12-31$29,861
Other income received2014-12-31$32,484
Net income (gross income less expenses)2014-12-31$109,180
Net plan assets at end of year (total assets less liabilities)2014-12-31$2,644,941
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$2,535,761
Assets. Value of participant loans2014-12-31$8,571
Total contributions received or receivable from employer(s)2014-12-31$57,609
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$14,229
2013 : LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources2013-12-31$514,097
Expenses. Total of all expenses incurred2013-12-31$115,668
Benefits paid (including direct rollovers)2013-12-31$97,334
Total plan assets at end of year2013-12-31$2,535,761
Total plan assets at beginning of year2013-12-31$2,137,332
Value of fidelity bond covering the plan2013-12-31$275,000
Total contributions received or receivable from participants2013-12-31$22,984
Other income received2013-12-31$441,900
Net income (gross income less expenses)2013-12-31$398,429
Net plan assets at end of year (total assets less liabilities)2013-12-31$2,535,761
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$2,137,332
Assets. Value of participant loans2013-12-31$23,376
Total contributions received or receivable from employer(s)2013-12-31$49,213
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$18,334
2012 : LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources2012-12-31$415,924
Expenses. Total of all expenses incurred2012-12-31$13,020
Benefits paid (including direct rollovers)2012-12-31$469
Total plan assets at end of year2012-12-31$2,137,332
Total plan assets at beginning of year2012-12-31$1,734,428
Value of fidelity bond covering the plan2012-12-31$275,000
Total contributions received or receivable from participants2012-12-31$22,500
Other income received2012-12-31$374,826
Net income (gross income less expenses)2012-12-31$402,904
Net plan assets at end of year (total assets less liabilities)2012-12-31$2,137,332
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$1,734,428
Assets. Value of participant loans2012-12-31$45,569
Total contributions received or receivable from employer(s)2012-12-31$18,598
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$12,551
2011 : LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources2011-12-31$-302,703
Expenses. Total of all expenses incurred2011-12-31$147,125
Benefits paid (including direct rollovers)2011-12-31$142,095
Total plan assets at end of year2011-12-31$1,734,428
Total plan assets at beginning of year2011-12-31$2,184,256
Value of fidelity bond covering the plan2011-12-31$275,000
Total contributions received or receivable from participants2011-12-31$13,200
Expenses. Other expenses not covered elsewhere2011-12-31$4,630
Other income received2011-12-31$-387,057
Net income (gross income less expenses)2011-12-31$-449,828
Net plan assets at end of year (total assets less liabilities)2011-12-31$1,734,428
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$2,184,256
Assets. Value of assets in partnership/joint-venture interests2011-12-31$25,000
Total contributions received or receivable from employer(s)2011-12-31$71,154
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$400
2010 : LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources2010-12-31$198,188
Expenses. Total of all expenses incurred2010-12-31$653,447
Benefits paid (including direct rollovers)2010-12-31$653,397
Total plan assets at end of year2010-12-31$2,184,256
Total plan assets at beginning of year2010-12-31$2,639,515
Value of fidelity bond covering the plan2010-12-31$275,000
Total contributions received or receivable from participants2010-12-31$28,600
Other income received2010-12-31$114,832
Net income (gross income less expenses)2010-12-31$-455,259
Net plan assets at end of year (total assets less liabilities)2010-12-31$2,184,256
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$2,639,515
Assets. Value of assets in partnership/joint-venture interests2010-12-31$25,000
Total contributions received or receivable from employer(s)2010-12-31$54,756
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$50

Form 5500 Responses for LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN

2020: LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING 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: LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING 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
2018: LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes
2007: LAWRENCE E. SAMUELS, M.D. INC. 401(K) PROFIT SHARING PLAN 2007 form 5500 responses
2007-01-01Type of plan entitySingle employer plan
2007-01-01Submission has been amendedNo
2007-01-01This submission is the final filingNo
2007-01-01This return/report is a short plan year return/report (less than 12 months)No
2007-01-01Plan is a collectively bargained planNo
2007-01-01Plan funding arrangement – InsuranceYes
2007-01-01Plan funding arrangement – TrustYes
2007-01-01Plan benefit arrangement – InsuranceYes
2007-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PHOENIX LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 67814 )
Policy contract number13023378
Policy instance 2
Insurance contract or identification number13023378
Number of Individuals Covered0
Insurance policy start date2020-12-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $35
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees35
Insurance broker organization code?3
PHOENIX LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 67814 )
Policy contract number13023349
Policy instance 1
Insurance contract or identification number13023349
Number of Individuals Covered0
Insurance policy start date2020-12-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $35
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees35
Insurance broker organization code?3
PHOENIX LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 67814 )
Policy contract number13023349
Policy instance 1
Insurance contract or identification number13023349
Number of Individuals Covered1
Insurance policy start date2019-12-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $35
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees35
Insurance broker organization code?3
PHOENIX LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 67814 )
Policy contract number13023378
Policy instance 2
Insurance contract or identification number13023378
Number of Individuals Covered1
Insurance policy start date2019-12-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $35
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees35
Insurance broker organization code?3
PHOENIX LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 67814 )
Policy contract number13023349
Policy instance 1
Insurance contract or identification number13023349
Total amount of commissions paid to insurance brokerUSD $35
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35
Insurance broker organization code?3
PHOENIX LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 67814 )
Policy contract number13023378
Policy instance 2
Insurance contract or identification number13023378
Total amount of commissions paid to insurance brokerUSD $35
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35
Insurance broker organization code?3
PHOENIX LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 67814 )
Policy contract number13023349
Policy instance 1
Insurance contract or identification number13023349
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $35
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35
Insurance broker organization code?3
Insurance broker nameCHARLES T. ULMER
PHOENIX LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 67814 )
Policy contract number13023378
Policy instance 2
Insurance contract or identification number13023378
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $35
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35
Insurance broker organization code?3
Insurance broker nameCHARLES T. ULMER
PHOENIX LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 67814 )
Policy contract number13023349
Policy instance 1
Insurance contract or identification number13023349
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $35
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35
Insurance broker organization code?3
Insurance broker nameCHARLES T. ULMER
PHOENIX LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 67814 )
Policy contract number13023378
Policy instance 2
Insurance contract or identification number13023378
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $35
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35
Insurance broker organization code?3
Insurance broker nameCHARLES T. ULMER
PHOENIX LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 67814 )
Policy contract number13823378
Policy instance 2
Insurance contract or identification number13823378
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $35
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35
Insurance broker organization code?3
Insurance broker nameCHARLES T. ULMER
PHOENIX LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 67814 )
Policy contract number13023349
Policy instance 1
Insurance contract or identification number13023349
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $35
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35
Insurance broker organization code?3
Insurance broker nameCHARLES T. ULMER
PHOENIX LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 67814 )
Policy contract number13823378
Policy instance 2
Insurance contract or identification number13823378
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $35
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35
Insurance broker organization code?3
Insurance broker nameCHARLES T. ULMER
PHOENIX LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 67814 )
Policy contract number13023349
Policy instance 1
Insurance contract or identification number13023349
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $35
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35
Insurance broker organization code?3
Insurance broker nameCHARLES T. ULMER
PHOENIX LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 67814 )
Policy contract number13023349
Policy instance 1
Insurance contract or identification number13023349
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $35
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35
Insurance broker organization code?3
Insurance broker nameANDREW B MARCHANT
PHOENIX LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 67814 )
Policy contract number13823378
Policy instance 2
Insurance contract or identification number13823378
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $35
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35
Insurance broker organization code?3
Insurance broker nameANDREW B MARCHANT
PHOENIX LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 67814 )
Policy contract number13823378
Policy instance 2
Insurance contract or identification number13823378
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $35
Total amount of fees paid to insurance companyUSD $0
PHOENIX LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 67814 )
Policy contract number13023349
Policy instance 1
Insurance contract or identification number13023349
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $35
Total amount of fees paid to insurance companyUSD $0
PHOENIX LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 67814 )
Policy contract number13823378
Policy instance 2
Insurance contract or identification number13823378
Total amount of commissions paid to insurance brokerUSD $35
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PHOENIX LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 67814 )
Policy contract number13023349
Policy instance 1
Insurance contract or identification number13023349
Total amount of commissions paid to insurance brokerUSD $35
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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