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MAPLE INTERNAL MEDICINE & PEDIATRICS, PLLC PROFIT SHARING PLAN 401k Plan overview

Plan NameMAPLE INTERNAL MEDICINE & PEDIATRICS, PLLC PROFIT SHARING PLAN
Plan identification number 001

MAPLE INTERNAL MEDICINE & PEDIATRICS, PLLC 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.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan covering Self-Employed individuals.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

MAPLE INTERNAL MEDICINE & PEDIATRICS, PLLC has sponsored the creation of one or more 401k plans.

Company Name:MAPLE INTERNAL MEDICINE & PEDIATRICS, PLLC
Employer identification number (EIN):471154584
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Additional information about MAPLE INTERNAL MEDICINE & PEDIATRICS, PLLC

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 2014-06-18
Company Identification Number: 4594305
Legal Registered Office Address: 1835 MAPLE ROAD
Erie
WILLIAMSVILLE
United States of America (USA)
14221

More information about MAPLE INTERNAL MEDICINE & PEDIATRICS, PLLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MAPLE INTERNAL MEDICINE & PEDIATRICS, PLLC PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01WILLIAM MICHAEL HARTRICH2023-06-11 WILLIAM MICHAEL HARTRICH2023-06-11
0012021-01-01WILLIAM MICHAEL HARTRICH2022-07-26 WILLIAM MICHAEL HARTRICH2022-07-26
0012020-01-01
0012019-01-01
0012018-01-01WILLIAM HARTRICH WILLIAM HARTRICH2019-07-06
0012017-01-01WILLIAM HARTRICH WILLIAM HARTRICH2018-04-18
0012016-01-01WILLIAM HARTRICH WILLIAM HARTRICH2017-05-08
0012015-01-01WILLIAM HARTRICH WILLIAM HARTRICH2016-06-02

Plan Statistics for MAPLE INTERNAL MEDICINE & PEDIATRICS, PLLC PROFIT SHARING PLAN

401k plan membership statisitcs for MAPLE INTERNAL MEDICINE & PEDIATRICS, PLLC PROFIT SHARING PLAN

Measure Date Value
2020: MAPLE INTERNAL MEDICINE & PEDIATRICS, PLLC PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0135
Total number of active participants reported on line 7a of the Form 55002020-01-0126
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-017
Total of all active and inactive participants2020-01-0133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0133
Number of participants with account balances2020-01-0133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: MAPLE INTERNAL MEDICINE & PEDIATRICS, PLLC PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0137
Total number of active participants reported on line 7a of the Form 55002019-01-0126
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-019
Total of all active and inactive participants2019-01-0135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0135
Number of participants with account balances2019-01-0135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-011
2018: MAPLE INTERNAL MEDICINE & PEDIATRICS, PLLC PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0133
Total number of active participants reported on line 7a of the Form 55002018-01-0127
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-018
Total of all active and inactive participants2018-01-0135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0135
Number of participants with account balances2018-01-0135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-011
2017: MAPLE INTERNAL MEDICINE & PEDIATRICS, PLLC PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0132
Total number of active participants reported on line 7a of the Form 55002017-01-0126
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-016
Total of all active and inactive participants2017-01-0132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0132
Number of participants with account balances2017-01-0132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-011
2016: MAPLE INTERNAL MEDICINE & PEDIATRICS, PLLC PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0132
Total number of active participants reported on line 7a of the Form 55002016-01-0128
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-013
Total of all active and inactive participants2016-01-0131
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0131
Number of participants with account balances2016-01-0131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: MAPLE INTERNAL MEDICINE & PEDIATRICS, PLLC PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0131
Total number of active participants reported on line 7a of the Form 55002015-01-0126
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-014
Total of all active and inactive participants2015-01-0130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0130
Number of participants with account balances2015-01-0130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-011

Financial Data on MAPLE INTERNAL MEDICINE & PEDIATRICS, PLLC PROFIT SHARING PLAN

Measure Date Value
2020 : MAPLE INTERNAL MEDICINE & PEDIATRICS, PLLC PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources2020-12-31$2,004,776
Expenses. Total of all expenses incurred2020-12-31$14,586
Benefits paid (including direct rollovers)2020-12-31$12,881
Total plan assets at end of year2020-12-31$10,441,914
Total plan assets at beginning of year2020-12-31$8,451,724
Value of fidelity bond covering the plan2020-12-31$500,000
Total contributions received or receivable from participants2020-12-31$192,030
Contributions received from other sources (not participants or employers)2020-12-31$241,699
Other income received2020-12-31$1,307,413
Net income (gross income less expenses)2020-12-31$1,990,190
Net plan assets at end of year (total assets less liabilities)2020-12-31$10,441,914
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$8,451,724
Assets. Value of participant loans2020-12-31$44,544
Total contributions received or receivable from employer(s)2020-12-31$263,634
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$1,705
2019 : MAPLE INTERNAL MEDICINE & PEDIATRICS, PLLC PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources2019-12-31$1,872,232
Expenses. Total of all expenses incurred2019-12-31$151,428
Benefits paid (including direct rollovers)2019-12-31$144,738
Total plan assets at end of year2019-12-31$8,451,724
Total plan assets at beginning of year2019-12-31$6,730,920
Value of fidelity bond covering the plan2019-12-31$500,000
Total contributions received or receivable from participants2019-12-31$189,632
Contributions received from other sources (not participants or employers)2019-12-31$37,351
Other income received2019-12-31$1,393,789
Net income (gross income less expenses)2019-12-31$1,720,804
Net plan assets at end of year (total assets less liabilities)2019-12-31$8,451,724
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$6,730,920
Assets. Value of participant loans2019-12-31$15,972
Total contributions received or receivable from employer(s)2019-12-31$251,460
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$6,690
2018 : MAPLE INTERNAL MEDICINE & PEDIATRICS, PLLC PROFIT SHARING PLAN 2018 401k financial data
Total plan liabilities at beginning of year2018-12-31$0
Total income from all sources2018-12-31$-17,281
Expenses. Total of all expenses incurred2018-12-31$6,651
Benefits paid (including direct rollovers)2018-12-31$2,072
Total plan assets at end of year2018-12-31$6,730,920
Total plan assets at beginning of year2018-12-31$6,754,852
Value of fidelity bond covering the plan2018-12-31$490,000
Total contributions received or receivable from participants2018-12-31$176,181
Other income received2018-12-31$-438,870
Net income (gross income less expenses)2018-12-31$-23,932
Net plan assets at end of year (total assets less liabilities)2018-12-31$6,730,920
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$6,754,852
Assets. Value of participant loans2018-12-31$19,468
Total contributions received or receivable from employer(s)2018-12-31$245,408
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$4,579
2017 : MAPLE INTERNAL MEDICINE & PEDIATRICS, PLLC PROFIT SHARING PLAN 2017 401k financial data
Transfers to/from the plan2017-12-31$0
Total plan liabilities at end of year2017-12-31$0
Total plan liabilities at beginning of year2017-12-31$0
Total income from all sources2017-12-31$1,277,703
Expenses. Total of all expenses incurred2017-12-31$1,235
Benefits paid (including direct rollovers)2017-12-31$0
Total plan assets at end of year2017-12-31$6,754,852
Total plan assets at beginning of year2017-12-31$5,478,384
Value of fidelity bond covering the plan2017-12-31$490,000
Total contributions received or receivable from participants2017-12-31$149,878
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$909,342
Noncash contributions received2017-12-31$0
Net income (gross income less expenses)2017-12-31$1,276,468
Net plan assets at end of year (total assets less liabilities)2017-12-31$6,754,852
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$5,478,384
Assets. Value of participant loans2017-12-31$22,548
Total contributions received or receivable from employer(s)2017-12-31$218,483
Value of certain deemed distributions of participant loans2017-12-31$0
Value of corrective distributions2017-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$1,235
2016 : MAPLE INTERNAL MEDICINE & PEDIATRICS, PLLC PROFIT SHARING PLAN 2016 401k financial data
Transfers to/from the plan2016-12-31$0
Total plan liabilities at end of year2016-12-31$0
Total plan liabilities at beginning of year2016-12-31$0
Total income from all sources2016-12-31$661,798
Expenses. Total of all expenses incurred2016-12-31$53,433
Benefits paid (including direct rollovers)2016-12-31$52,322
Total plan assets at end of year2016-12-31$5,478,384
Total plan assets at beginning of year2016-12-31$4,870,019
Value of fidelity bond covering the plan2016-12-31$300,000
Total contributions received or receivable from participants2016-12-31$135,187
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$314,770
Noncash contributions received2016-12-31$0
Net income (gross income less expenses)2016-12-31$608,365
Net plan assets at end of year (total assets less liabilities)2016-12-31$5,478,384
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$4,870,019
Assets. Value of participant loans2016-12-31$180,756
Total contributions received or receivable from employer(s)2016-12-31$211,841
Value of certain deemed distributions of participant loans2016-12-31$0
Value of corrective distributions2016-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$1,111
2015 : MAPLE INTERNAL MEDICINE & PEDIATRICS, PLLC PROFIT SHARING PLAN 2015 401k financial data
Transfers to/from the plan2015-12-31$0
Total plan liabilities at end of year2015-12-31$0
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$299,549
Expenses. Total of all expenses incurred2015-12-31$121,316
Benefits paid (including direct rollovers)2015-12-31$116,199
Total plan assets at end of year2015-12-31$4,870,019
Total plan assets at beginning of year2015-12-31$4,691,786
Value of fidelity bond covering the plan2015-12-31$300,000
Total contributions received or receivable from participants2015-12-31$119,726
Contributions received from other sources (not participants or employers)2015-12-31$0
Other income received2015-12-31$-38,988
Noncash contributions received2015-12-31$0
Net income (gross income less expenses)2015-12-31$178,233
Net plan assets at end of year (total assets less liabilities)2015-12-31$4,870,019
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$4,691,786
Assets. Value of participant loans2015-12-31$5,738
Total contributions received or receivable from employer(s)2015-12-31$218,811
Value of certain deemed distributions of participant loans2015-12-31$0
Value of corrective distributions2015-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$5,117

Form 5500 Responses for MAPLE INTERNAL MEDICINE & PEDIATRICS, PLLC PROFIT SHARING PLAN

2020: MAPLE INTERNAL MEDICINE & PEDIATRICS, PLLC 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: MAPLE INTERNAL MEDICINE & PEDIATRICS, PLLC 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: MAPLE INTERNAL MEDICINE & PEDIATRICS, PLLC 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: MAPLE INTERNAL MEDICINE & PEDIATRICS, PLLC 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: MAPLE INTERNAL MEDICINE & PEDIATRICS, PLLC 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: MAPLE INTERNAL MEDICINE & PEDIATRICS, PLLC 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

Insurance Providers Used on plan

NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number31090
Policy instance 1
Insurance contract or identification number31090
Number of Individuals Covered2
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
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
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number31090
Policy instance 1
Insurance contract or identification number31090
Number of Individuals Covered2
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
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
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number31090
Policy instance 1
Insurance contract or identification number31090
Number of Individuals Covered2
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
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
Insurance broker organization code?3
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number31090
Policy instance 1
Insurance contract or identification number31090
Number of Individuals Covered2
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameKEVIN W. SMYTH
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number31090
Policy instance 1
Insurance contract or identification number31090
Number of Individuals Covered2
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
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
Insurance broker organization code?3
Insurance broker nameKEVIN W. SMYTH

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