401k Plan data: NORTH LINCOLN FAMILY MEDICAL CENTER 401(K) PLAN plan

NORTH LINCOLN FAMILY MEDICAL CENTER 401(K) PLAN 401k Plan overview

Plan Name	NORTH LINCOLN FAMILY MEDICAL CENTER 401(K) PLAN
Plan identification number	001

NORTH LINCOLN FAMILY MEDICAL CENTER 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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

401k Sponsoring company profile

NORTH LINCOLN FAMILY MEDICAL CENTER PC has sponsored the creation of one or more 401k plans.

Company Name: NORTH LINCOLN FAMILY MEDICAL CENTER PC

Employer identification number (EIN): 470745544

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTH LINCOLN FAMILY MEDICAL CENTER 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2019-01-01 DR CHARLES KRESHEL 2019-06-26 DR CHARLES KRESHEL 2019-06-26
001 2018-01-01 DR CHARLES KRESHEL 2019-06-26 DR CHARLES KRESHEL 2019-06-26
001 2017-01-01 DR CHARLES KRESHEL 2018-06-15 DR CHARLES KRESHEL 2018-06-15
001 2016-01-01 DR CHARLES KRESHEL 2017-07-19 DR CHARLES KRESHEL 2017-07-19
001 2015-01-01 DR CHARLES KRESHEL 2016-06-29 DR CHARLES KRESHEL 2016-06-29
001 2014-01-01 DR CHARLES KRESHEL 2015-08-05
001 2013-01-01 DR CHARLES KRESHEL 2014-09-18
001 2012-01-01 DR CHARLES KRESHEL 2013-07-30
001 2011-01-01 DR. CHARLES KRESHEL
001 2010-01-01 DR. CHARLES KRESHEL DR. CHARLES KRESHEL 2011-07-21
001 2009-01-01 DR. CHARLES KRESHEL

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2019-01-01	DR CHARLES KRESHEL	2019-06-26	DR CHARLES KRESHEL	2019-06-26
001	2018-01-01	DR CHARLES KRESHEL	2019-06-26	DR CHARLES KRESHEL	2019-06-26
001	2017-01-01	DR CHARLES KRESHEL	2018-06-15	DR CHARLES KRESHEL	2018-06-15
001	2016-01-01	DR CHARLES KRESHEL	2017-07-19	DR CHARLES KRESHEL	2017-07-19
001	2015-01-01	DR CHARLES KRESHEL	2016-06-29	DR CHARLES KRESHEL	2016-06-29
001	2014-01-01	DR CHARLES KRESHEL	2015-08-05
001	2013-01-01	DR CHARLES KRESHEL	2014-09-18
001	2012-01-01	DR CHARLES KRESHEL	2013-07-30
001	2011-01-01	DR. CHARLES KRESHEL
001	2010-01-01	DR. CHARLES KRESHEL		DR. CHARLES KRESHEL	2011-07-21
001	2009-01-01	DR. CHARLES KRESHEL

Plan Statistics for NORTH LINCOLN FAMILY MEDICAL CENTER 401(K) PLAN

401k plan membership statisitcs for NORTH LINCOLN FAMILY MEDICAL CENTER 401(K) PLAN

Measure Date Value
2011: NORTH LINCOLN FAMILY MEDICAL CENTER 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 29
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 26
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 1
Total of all active and inactive participants 2011-01-01 27
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 27
Number of participants with account balances 2011-01-01 27
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: NORTH LINCOLN FAMILY MEDICAL CENTER 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 29
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 29
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 1
Total of all active and inactive participants 2010-01-01 30
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 30
Number of participants with account balances 2010-01-01 26
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: NORTH LINCOLN FAMILY MEDICAL CENTER 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 30
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 26
Number of retired or separated participants receiving benefits 2009-01-01 1
Number of other retired or separated participants entitled to future benefits 2009-01-01 2
Total of all active and inactive participants 2009-01-01 29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 29
Number of participants with account balances 2009-01-01 27
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2011: NORTH LINCOLN FAMILY MEDICAL CENTER 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	29
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	26
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	1
Total of all active and inactive participants	2011-01-01	27
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	27
Number of participants with account balances	2011-01-01	27
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: NORTH LINCOLN FAMILY MEDICAL CENTER 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	29
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	29
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	1
Total of all active and inactive participants	2010-01-01	30
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	30
Number of participants with account balances	2010-01-01	26
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: NORTH LINCOLN FAMILY MEDICAL CENTER 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	30
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	26
Number of retired or separated participants receiving benefits	2009-01-01	1
Number of other retired or separated participants entitled to future benefits	2009-01-01	2
Total of all active and inactive participants	2009-01-01	29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	29
Number of participants with account balances	2009-01-01	27
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on NORTH LINCOLN FAMILY MEDICAL CENTER 401(K) PLAN

Measure	Date	Value
2011 : NORTH LINCOLN FAMILY MEDICAL CENTER 401(K) PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$68,013
Expenses. Total of all expenses incurred	2011-12-31	$14,104
Benefits paid (including direct rollovers)	2011-12-31	$14,104
Total plan assets at end of year	2011-12-31	$776,661
Total plan assets at beginning of year	2011-12-31	$722,752
Value of fidelity bond covering the plan	2011-12-31	$20,000
Total contributions received or receivable from participants	2011-12-31	$60,778
Contributions received from other sources (not participants or employers)	2011-12-31	$18,776
Other income received	2011-12-31	$-25,223
Net income (gross income less expenses)	2011-12-31	$53,909
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$776,661
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$722,752
Total contributions received or receivable from employer(s)	2011-12-31	$13,682
2010 : NORTH LINCOLN FAMILY MEDICAL CENTER 401(K) PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$164,521
Expenses. Total of all expenses incurred	2010-12-31	$2,555
Benefits paid (including direct rollovers)	2010-12-31	$2,555
Total plan assets at end of year	2010-12-31	$722,752
Total plan assets at beginning of year	2010-12-31	$560,786
Value of fidelity bond covering the plan	2010-12-31	$20,000
Total contributions received or receivable from participants	2010-12-31	$62,816
Other income received	2010-12-31	$90,780
Net income (gross income less expenses)	2010-12-31	$161,966
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$722,752
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$560,786
Total contributions received or receivable from employer(s)	2010-12-31	$10,925

Form 5500 Responses for NORTH LINCOLN FAMILY MEDICAL CENTER 401(K) PLAN

2011: NORTH LINCOLN FAMILY MEDICAL CENTER 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: NORTH LINCOLN FAMILY MEDICAL CENTER 401(K) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: NORTH LINCOLN FAMILY MEDICAL CENTER 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	NORTH LINCOLN FAMILY MEDICAL CENTER PC
Employer identification number (EIN):	470745544
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)