401k Plan data: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN plan

CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 401k Plan overview

Plan Name	CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN
Plan identification number	001

CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING 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.
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.
Participant-directed brokerage accounts provided as an investment option under the plan.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
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.
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

CAROLINA PEDIATRICS OF THE TRIAD has sponsored the creation of one or more 401k plans.

Company Name: CAROLINA PEDIATRICS OF THE TRIAD

Employer identification number (EIN): 561567536

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01 KELLIE VENABLE
001 2017-01-01 KELLIE VENABLE
001 2016-01-01 KELLIE VENABLE
001 2016-01-01 KELLIE VENABLE
001 2015-01-01 KELLIE VENABLE
001 2014-01-01 KELLIE VENABLE
001 2014-01-01 KELLIE VENABLE
001 2014-01-01 KELLIE VENABLE
001 2013-01-01 KELLIE VENABLE
001 2012-01-01 KELLIE VENABLE
001 2012-01-01 KELLIE VENABLE
001 2011-01-01 KELLIE VENABLE
001 2009-01-01 PETER J JAROSAK, MD PETER J JAROSAK, MD 2010-07-22

Plan Statistics for CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN

401k plan membership statisitcs for CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN

Measure Date Value
2022: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 49
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 42
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 5
Total of all active and inactive participants 2022-01-01 47
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 47
Number of participants with account balances 2022-01-01 47
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 1
2021: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 56
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 41
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 8
Total of all active and inactive participants 2021-01-01 49
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 49
Number of participants with account balances 2021-01-01 49
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 9
2020: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 59
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 49
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 7
Total of all active and inactive participants 2020-01-01 56
Total participants 2020-01-01 56
Number of participants with account balances 2020-01-01 56
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 54
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 43
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 14
Total of all active and inactive participants 2019-01-01 57
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 57
Number of participants with account balances 2019-01-01 57
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 2
2018: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 54
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 48
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 2
Total of all active and inactive participants 2018-01-01 50
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 50
Number of participants with account balances 2018-01-01 49
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 1
2017: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 51
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 45
Number of other retired or separated participants entitled to future benefits 2017-01-01 7
Total of all active and inactive participants 2017-01-01 52
Total participants 2017-01-01 52
Number of participants with account balances 2017-01-01 52
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 2
2016: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 47
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 43
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 4
Total of all active and inactive participants 2016-01-01 47
Total participants 2016-01-01 47
Number of participants with account balances 2016-01-01 47
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 3
2015: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 52
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 45
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 2
Total of all active and inactive participants 2015-01-01 47
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 47
Number of participants with account balances 2015-01-01 47
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 1
2014: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 51
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 42
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 10
Total of all active and inactive participants 2014-01-01 52
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 52
Number of participants with account balances 2014-01-01 52
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 4
2013: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 52
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 43
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 8
Total of all active and inactive participants 2013-01-01 51
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 51
Number of participants with account balances 2013-01-01 51
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 6
2012: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 54
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 46
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 6
Total of all active and inactive participants 2012-01-01 52
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 52
Number of participants with account balances 2012-01-01 52
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 48
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 43
Number of other retired or separated participants entitled to future benefits 2011-01-01 6
Total of all active and inactive participants 2011-01-01 49
Total participants 2011-01-01 49
Number of participants with account balances 2011-01-01 49
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 50
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 45
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 5
Total of all active and inactive participants 2009-01-01 51
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 51
Number of participants with account balances 2009-01-01 51
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 1

Measure	Date	Value
2022: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	49
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	42
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	5
Total of all active and inactive participants	2022-01-01	47
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	47
Number of participants with account balances	2022-01-01	47
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	1
2021: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	56
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	41
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	8
Total of all active and inactive participants	2021-01-01	49
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	49
Number of participants with account balances	2021-01-01	49
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	9
2020: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	59
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	49
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	7
Total of all active and inactive participants	2020-01-01	56
Total participants	2020-01-01	56
Number of participants with account balances	2020-01-01	56
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	54
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	43
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	14
Total of all active and inactive participants	2019-01-01	57
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	57
Number of participants with account balances	2019-01-01	57
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	2
2018: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	54
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	48
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	2
Total of all active and inactive participants	2018-01-01	50
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	50
Number of participants with account balances	2018-01-01	49
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	1
2017: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	51
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	45
Number of other retired or separated participants entitled to future benefits	2017-01-01	7
Total of all active and inactive participants	2017-01-01	52
Total participants	2017-01-01	52
Number of participants with account balances	2017-01-01	52
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	2
2016: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	47
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	43
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	4
Total of all active and inactive participants	2016-01-01	47
Total participants	2016-01-01	47
Number of participants with account balances	2016-01-01	47
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	3
2015: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	52
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	45
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	2
Total of all active and inactive participants	2015-01-01	47
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	47
Number of participants with account balances	2015-01-01	47
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	1
2014: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	51
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	42
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	10
Total of all active and inactive participants	2014-01-01	52
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	52
Number of participants with account balances	2014-01-01	52
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	4
2013: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	52
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	43
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	8
Total of all active and inactive participants	2013-01-01	51
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	51
Number of participants with account balances	2013-01-01	51
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	6
2012: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	54
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	46
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	6
Total of all active and inactive participants	2012-01-01	52
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	52
Number of participants with account balances	2012-01-01	52
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	48
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	43
Number of other retired or separated participants entitled to future benefits	2011-01-01	6
Total of all active and inactive participants	2011-01-01	49
Total participants	2011-01-01	49
Number of participants with account balances	2011-01-01	49
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	50
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	45
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	5
Total of all active and inactive participants	2009-01-01	51
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	51
Number of participants with account balances	2009-01-01	51
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	1

Financial Data on CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN

Measure	Date	Value
2022 : CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2022 401k financial data
Total income from all sources	2022-12-31	$-1,084,747
Expenses. Total of all expenses incurred	2022-12-31	$2,477,513
Benefits paid (including direct rollovers)	2022-12-31	$2,426,847
Total plan assets at end of year	2022-12-31	$7,511,748
Total plan assets at beginning of year	2022-12-31	$11,074,008
Value of fidelity bond covering the plan	2022-12-31	$500,000
Total contributions received or receivable from participants	2022-12-31	$274,491
Contributions received from other sources (not participants or employers)	2022-12-31	$698
Other income received	2022-12-31	$-1,626,796
Net income (gross income less expenses)	2022-12-31	$-3,562,260
Net plan assets at end of year (total assets less liabilities)	2022-12-31	$7,511,748
Net plan assets at beginning of year (total assets less liabilities)	2022-12-31	$11,074,008
Total contributions received or receivable from employer(s)	2022-12-31	$266,860
Expenses. Administrative service providers (salaries,fees and commissions)	2022-12-31	$50,666
2021 : CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2021 401k financial data
Total income from all sources	2021-12-31	$1,708,461
Expenses. Total of all expenses incurred	2021-12-31	$187,680
Benefits paid (including direct rollovers)	2021-12-31	$134,614
Total plan assets at end of year	2021-12-31	$11,074,008
Total plan assets at beginning of year	2021-12-31	$9,553,227
Value of fidelity bond covering the plan	2021-12-31	$500,000
Total contributions received or receivable from participants	2021-12-31	$204,477
Other income received	2021-12-31	$1,230,751
Net income (gross income less expenses)	2021-12-31	$1,520,781
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$11,074,008
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$9,553,227
Assets. Value of real-estate (other than employer real property)	2021-12-31	$114,921
Total contributions received or receivable from employer(s)	2021-12-31	$273,233
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$53,066
2020 : CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources	2020-12-31	$1,406,200
Expenses. Total of all expenses incurred	2020-12-31	$275,371
Benefits paid (including direct rollovers)	2020-12-31	$228,855
Total plan assets at end of year	2020-12-31	$9,557,239
Total plan assets at beginning of year	2020-12-31	$8,426,410
Value of fidelity bond covering the plan	2020-12-31	$500,000
Total contributions received or receivable from participants	2020-12-31	$182,939
Other income received	2020-12-31	$1,010,769
Net income (gross income less expenses)	2020-12-31	$1,130,829
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$9,557,239
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$8,426,410
Assets. Value of real-estate (other than employer real property)	2020-12-31	$114,349
Total contributions received or receivable from employer(s)	2020-12-31	$212,492
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$46,516
2019 : CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources	2019-12-31	$1,827,614
Expenses. Total of all expenses incurred	2019-12-31	$320,787
Benefits paid (including direct rollovers)	2019-12-31	$275,607
Total plan assets at end of year	2019-12-31	$8,426,410
Total plan assets at beginning of year	2019-12-31	$6,919,583
Value of fidelity bond covering the plan	2019-12-31	$500,000
Total contributions received or receivable from participants	2019-12-31	$186,654
Contributions received from other sources (not participants or employers)	2019-12-31	$29,801
Other income received	2019-12-31	$1,380,850
Net income (gross income less expenses)	2019-12-31	$1,506,827
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$8,426,410
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$6,919,583
Assets. Value of real-estate (other than employer real property)	2019-12-31	$113,004
Total contributions received or receivable from employer(s)	2019-12-31	$230,309
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$45,180
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
2018 : CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$116,406
Expenses. Total of all expenses incurred	2018-12-31	$544,209
Total plan assets at end of year	2018-12-31	$6,919,583
Total plan assets at beginning of year	2018-12-31	$7,347,386
Value of fidelity bond covering the plan	2018-12-31	$500,000
Total contributions received or receivable from participants	2018-12-31	$229,895
Other income received	2018-12-31	$-383,180
Net income (gross income less expenses)	2018-12-31	$-427,803
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$6,919,583
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$7,347,386
Assets. Value of real-estate (other than employer real property)	2018-12-31	$111,809
Total contributions received or receivable from employer(s)	2018-12-31	$269,691
Value of certain deemed distributions of participant loans	2018-12-31	$494,985
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$49,224
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
2017 : CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$1,462,961
Expenses. Total of all expenses incurred	2017-12-31	$162,286
Benefits paid (including direct rollovers)	2017-12-31	$117,200
Total plan assets at end of year	2017-12-31	$7,347,386
Total plan assets at beginning of year	2017-12-31	$6,046,711
Value of fidelity bond covering the plan	2017-12-31	$500,000
Total contributions received or receivable from participants	2017-12-31	$218,007
Other income received	2017-12-31	$949,065
Net income (gross income less expenses)	2017-12-31	$1,300,675
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$7,347,386
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$6,046,711
Assets. Value of real-estate (other than employer real property)	2017-12-31	$110,358
Total contributions received or receivable from employer(s)	2017-12-31	$295,889
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$45,086
2016 : CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$920,770
Expenses. Total of all expenses incurred	2016-12-31	$198,032
Benefits paid (including direct rollovers)	2016-12-31	$159,478
Total plan assets at end of year	2016-12-31	$6,048,026
Total plan assets at beginning of year	2016-12-31	$5,325,288
Value of fidelity bond covering the plan	2016-12-31	$500,000
Total contributions received or receivable from participants	2016-12-31	$216,145
Other income received	2016-12-31	$370,557
Net income (gross income less expenses)	2016-12-31	$722,738
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$6,048,026
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$5,325,288
Assets. Value of real-estate (other than employer real property)	2016-12-31	$108,856
Total contributions received or receivable from employer(s)	2016-12-31	$334,068
Value of corrective distributions	2016-12-31	$3,084
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$35,470
2015 : CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$404,223
Expenses. Total of all expenses incurred	2015-12-31	$231,470
Benefits paid (including direct rollovers)	2015-12-31	$195,251
Total plan assets at end of year	2015-12-31	$5,325,288
Total plan assets at beginning of year	2015-12-31	$5,152,535
Value of fidelity bond covering the plan	2015-12-31	$500,000
Total contributions received or receivable from participants	2015-12-31	$210,121
Other income received	2015-12-31	$-103,415
Net income (gross income less expenses)	2015-12-31	$172,753
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$5,325,288
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$5,152,535
Assets. Value of assets in partnership/joint-venture interests	2015-12-31	$120,750
Total contributions received or receivable from employer(s)	2015-12-31	$297,517
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$36,219
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$766,805
Expenses. Total of all expenses incurred	2014-12-31	$210,650
Benefits paid (including direct rollovers)	2014-12-31	$178,342
Total plan assets at end of year	2014-12-31	$5,167,221
Total plan assets at beginning of year	2014-12-31	$4,611,066
Value of fidelity bond covering the plan	2014-12-31	$500,000
Total contributions received or receivable from participants	2014-12-31	$205,063
Other income received	2014-12-31	$266,586
Net income (gross income less expenses)	2014-12-31	$556,155
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$5,167,221
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$4,611,066
Assets. Value of assets in partnership/joint-venture interests	2014-12-31	$100,000
Assets. Value of real-estate (other than employer real property)	2014-12-31	$100,000
Total contributions received or receivable from employer(s)	2014-12-31	$295,156
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$32,308
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$1,110,757
Expenses. Total of all expenses incurred	2013-12-31	$2,052,897
Benefits paid (including direct rollovers)	2013-12-31	$2,022,844
Total plan assets at end of year	2013-12-31	$4,612,114
Total plan assets at beginning of year	2013-12-31	$5,554,254
Value of fidelity bond covering the plan	2013-12-31	$500,000
Total contributions received or receivable from participants	2013-12-31	$225,022
Contributions received from other sources (not participants or employers)	2013-12-31	$110
Other income received	2013-12-31	$598,209
Net income (gross income less expenses)	2013-12-31	$-942,140
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$4,612,114
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$5,554,254
Assets. Value of assets in partnership/joint-venture interests	2013-12-31	$100,000
Assets. Value of employer real property	2013-12-31	$100,000
Total contributions received or receivable from employer(s)	2013-12-31	$287,416
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$30,053
2012 : CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$1,017,601
Expenses. Total of all expenses incurred	2012-12-31	$112,981
Benefits paid (including direct rollovers)	2012-12-31	$76,747
Total plan assets at end of year	2012-12-31	$5,554,254
Total plan assets at beginning of year	2012-12-31	$4,649,634
Value of fidelity bond covering the plan	2012-12-31	$500,000
Total contributions received or receivable from participants	2012-12-31	$198,687
Other income received	2012-12-31	$485,812
Net income (gross income less expenses)	2012-12-31	$904,620
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$5,554,254
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$4,649,634
Assets. Value of assets in partnership/joint-venture interests	2012-12-31	$110,000
Assets. Value of real-estate (other than employer real property)	2012-12-31	$110,000
Total contributions received or receivable from employer(s)	2012-12-31	$333,102
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$36,234
2011 : CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2011 401k financial data
Total plan liabilities at beginning of year	2011-12-31	$5,628
Total income from all sources	2011-12-31	$294,783
Expenses. Total of all expenses incurred	2011-12-31	$125,819
Benefits paid (including direct rollovers)	2011-12-31	$98,138
Total plan assets at end of year	2011-12-31	$4,649,634
Total plan assets at beginning of year	2011-12-31	$4,486,298
Value of fidelity bond covering the plan	2011-12-31	$500,000
Total contributions received or receivable from participants	2011-12-31	$186,200
Expenses. Other expenses not covered elsewhere	2011-12-31	$56
Other income received	2011-12-31	$-144,258
Net income (gross income less expenses)	2011-12-31	$168,964
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$4,649,634
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$4,480,670
Assets. Value of assets in partnership/joint-venture interests	2011-12-31	$100,000
Assets. Value of real-estate (other than employer real property)	2011-12-31	$100,000
Total contributions received or receivable from employer(s)	2011-12-31	$252,841
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$27,625
2010 : CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2010 401k financial data
Total plan liabilities at end of year	2010-12-31	$5,628
Total income from all sources	2010-12-31	$746,906
Expenses. Total of all expenses incurred	2010-12-31	$434,003
Benefits paid (including direct rollovers)	2010-12-31	$405,474
Total plan assets at end of year	2010-12-31	$4,486,298
Total plan assets at beginning of year	2010-12-31	$4,167,767
Value of fidelity bond covering the plan	2010-12-31	$500,000
Total contributions received or receivable from participants	2010-12-31	$177,510
Other income received	2010-12-31	$404,825
Net income (gross income less expenses)	2010-12-31	$312,903
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$4,480,670
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$4,167,767
Assets. Value of real-estate (other than employer real property)	2010-12-31	$100,000
Total contributions received or receivable from employer(s)	2010-12-31	$164,571
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$28,529
2009 : CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN

2022: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	Yes
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	Yes
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	Yes
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	Yes
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: CAROLINA PEDIATRICS OF THE TRIAD, PA PROFIT SHARING 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 – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

CONSECO ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60682 )

Policy contract number

ON554429

Policy instance

Insurance contract or identification number	ON554429
Number of Individuals Covered	1
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31

ALLSTATE LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 60186 )

Policy contract number

PA00070036140

Policy instance

Insurance contract or identification number	PA00070036140
Number of Individuals Covered	0
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31

ALLSTATE LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 60186 )

Policy contract number

PA00070036140

Policy instance

Insurance contract or identification number	PA00070036140
Number of Individuals Covered	1
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31

CONSECO ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60682 )

Policy contract number

ON554429

Policy instance

Insurance contract or identification number	ON554429
Number of Individuals Covered	1
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31

ALLSTATE LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 60186 )

Policy contract number

PA00070036140

Policy instance

Insurance contract or identification number	PA00070036140
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31

CONSECO ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60682 )

Policy contract number

ON554429

Policy instance

Insurance contract or identification number	ON554429
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31

ALLSTATE LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 60186 )

Policy contract number

PA00070036140

Policy instance

Insurance contract or identification number	PA00070036140
Number of Individuals Covered	1
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

CONSECO ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60682 )

Policy contract number

ON554429

Policy instance

Insurance contract or identification number	ON554429
Number of Individuals Covered	1
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

CONSECO ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60682 )

Policy contract number

ON554429

Policy instance

Insurance contract or identification number	ON554429
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

ALLSTATE LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 60186 )

Policy contract number

PA00070036140

Policy instance

Insurance contract or identification number	PA00070036140
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

ALLSTATE LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 60186 )

Policy contract number

PA00070036140

Policy instance

Insurance contract or identification number	PA00070036140
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	Yes
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

CONSECO ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60682 )

Policy contract number

ON554429

Policy instance

Insurance contract or identification number	ON554429
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

Potentially related plans

CAROLINA PEDIATRICS OF WILMINGTON, PA EMPLOYEES' PROFIT SHARING PLAN & TRUST [EIN = 561803487]

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Company Name:	CAROLINA PEDIATRICS OF THE TRIAD
Employer identification number (EIN):	561567536
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)