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PALMETTO ADULT & CHILDRENS UROLOGY, P.A. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NamePALMETTO ADULT & CHILDRENS UROLOGY, P.A. 401(K) PROFIT SHARING PLAN
Plan identification number 001

PALMETTO ADULT & CHILDRENS UROLOGY, P.A. 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.
  • 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.
  • 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

PALMETTO ADULT & CHILDRENS UROLOGY, P.A. has sponsored the creation of one or more 401k plans.

Company Name:PALMETTO ADULT & CHILDRENS UROLOGY, P.A.
Employer identification number (EIN):570679250
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PALMETTO ADULT & CHILDRENS UROLOGY, P.A. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01NELSON PLOCH2023-02-24
0012021-01-01NELSON R. PLOCH, M.D.2022-03-14
0012020-01-01NELSON R. PLOCH, M.D.2021-07-08
0012019-01-01NELSON R. PLOCH, M.D.2020-04-23
0012018-01-01NELSON R. PLOCH, M.D.2019-07-23
0012017-01-01NELSON R. PLOCH, M.D.2018-04-17 NELSON R. PLOCH, M.D.2018-04-17
0012016-01-01NELSON R. PLOCH, M.D.2017-03-09
0012015-01-01NELSON R. PLOCH, M.D.2016-04-15
0012014-01-01NELSON R. PLOCH, M.D.2015-10-15
0012013-01-01NELSON R. PLOCH, M.D.
0012012-01-01NELSON R. PLOCH, M.D.
0012011-01-01NELSON R. PLOCH, M.D.
0012009-01-01CLARENCE W. PATE

Plan Statistics for PALMETTO ADULT & CHILDRENS UROLOGY, P.A. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for PALMETTO ADULT & CHILDRENS UROLOGY, P.A. 401(K) PROFIT SHARING PLAN

Measure Date Value
2013: PALMETTO ADULT & CHILDRENS UROLOGY, P.A. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0112
Total number of active participants reported on line 7a of the Form 55002013-01-0114
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-012
Total of all active and inactive participants2013-01-0116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0116
Number of participants with account balances2013-01-0115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: PALMETTO ADULT & CHILDRENS UROLOGY, P.A. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0119
Total number of active participants reported on line 7a of the Form 55002012-01-0112
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 participants2012-01-0113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0113
Number of participants with account balances2012-01-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-013
2011: PALMETTO ADULT & CHILDRENS UROLOGY, P.A. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0117
Total number of active participants reported on line 7a of the Form 55002011-01-0113
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-014
Total of all active and inactive participants2011-01-0117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0117
Number of participants with account balances2011-01-0117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: PALMETTO ADULT & CHILDRENS UROLOGY, P.A. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0121
Total number of active participants reported on line 7a of the Form 55002009-01-0119
Number of retired or separated participants receiving benefits2009-01-012
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-0121
Total participants2009-01-0121
Number of participants with account balances2009-01-0121

Financial Data on PALMETTO ADULT & CHILDRENS UROLOGY, P.A. 401(K) PROFIT SHARING PLAN

Measure Date Value
2013 : PALMETTO ADULT & CHILDRENS UROLOGY, P.A. 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources2013-12-31$1,387,450
Expenses. Total of all expenses incurred2013-12-31$90,125
Benefits paid (including direct rollovers)2013-12-31$39,562
Total plan assets at end of year2013-12-31$6,686,450
Total plan assets at beginning of year2013-12-31$5,389,125
Value of fidelity bond covering the plan2013-12-31$50,000
Total contributions received or receivable from participants2013-12-31$71,681
Expenses. Other expenses not covered elsewhere2013-12-31$50,563
Other income received2013-12-31$1,086,965
Net income (gross income less expenses)2013-12-31$1,297,325
Net plan assets at end of year (total assets less liabilities)2013-12-31$6,686,450
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$5,389,125
Assets. Value of participant loans2013-12-31$3,809
Assets. Value of assets in partnership/joint-venture interests2013-12-31$71,417
Total contributions received or receivable from employer(s)2013-12-31$228,804
2012 : PALMETTO ADULT & CHILDRENS UROLOGY, P.A. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Transfers to/from the plan2012-12-31$789,863
Total income from all sources2012-12-31$705,475
Expenses. Total of all expenses incurred2012-12-31$54,212
Benefits paid (including direct rollovers)2012-12-31$15,772
Total plan assets at end of year2012-12-31$5,389,125
Total plan assets at beginning of year2012-12-31$3,947,999
Value of fidelity bond covering the plan2012-12-31$25,000
Total contributions received or receivable from participants2012-12-31$48,424
Other income received2012-12-31$548,305
Net income (gross income less expenses)2012-12-31$651,263
Net plan assets at end of year (total assets less liabilities)2012-12-31$5,389,125
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$3,947,999
Assets. Value of participant loans2012-12-31$4,753
Assets. Value of assets in partnership/joint-venture interests2012-12-31$160,688
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022012-12-31$7,519
Total contributions received or receivable from employer(s)2012-12-31$108,746
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$38,440
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : PALMETTO ADULT & CHILDRENS UROLOGY, P.A. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan2011-12-31$2,646,241
Total income from all sources2011-12-31$-262,997
Expenses. Total of all expenses incurred2011-12-31$795,313
Benefits paid (including direct rollovers)2011-12-31$775,480
Total plan assets at end of year2011-12-31$3,947,999
Total plan assets at beginning of year2011-12-31$2,360,068
Value of fidelity bond covering the plan2011-12-31$25,000
Total contributions received or receivable from participants2011-12-31$65,233
Other income received2011-12-31$-355,805
Net income (gross income less expenses)2011-12-31$-1,058,310
Net plan assets at end of year (total assets less liabilities)2011-12-31$3,947,999
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$2,360,068
Assets. Value of assets in partnership/joint-venture interests2011-12-31$132,000
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022011-12-31$7,519
Total contributions received or receivable from employer(s)2011-12-31$27,575
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$19,833
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : PALMETTO ADULT & CHILDRENS UROLOGY, P.A. 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources2010-12-31$329,770
Expenses. Total of all expenses incurred2010-12-31$233,340
Benefits paid (including direct rollovers)2010-12-31$222,065
Total plan assets at end of year2010-12-31$2,360,068
Total plan assets at beginning of year2010-12-31$2,263,638
Value of fidelity bond covering the plan2010-12-31$25,000
Total contributions received or receivable from participants2010-12-31$2,128
Other income received2010-12-31$321,628
Net income (gross income less expenses)2010-12-31$96,430
Net plan assets at end of year (total assets less liabilities)2010-12-31$2,360,068
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$2,263,638
Assets. Value of assets in partnership/joint-venture interests2010-12-31$132,000
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022010-12-31$4,289
Total contributions received or receivable from employer(s)2010-12-31$6,014
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$11,275
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : PALMETTO ADULT & CHILDRENS UROLOGY, P.A. 401(K) PROFIT SHARING PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for PALMETTO ADULT & CHILDRENS UROLOGY, P.A. 401(K) PROFIT SHARING PLAN

2013: PALMETTO ADULT & CHILDRENS UROLOGY, P.A. 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedYes
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: PALMETTO ADULT & CHILDRENS UROLOGY, P.A. 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: PALMETTO ADULT & CHILDRENS UROLOGY, P.A. 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: PALMETTO ADULT & CHILDRENS UROLOGY, P.A. 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 – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number333225-01
Policy instance 1
Insurance contract or identification number333225-01
Number of Individuals Covered16
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $136
Insurance broker organization code?3
Insurance broker nameROBERT CUMMINGS
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number333225-01
Policy instance 1
Insurance contract or identification number333225-01
Number of Individuals Covered13
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $149
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $149
Insurance broker organization code?3
Insurance broker nameROBERT CUMMINGS
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number333225-01
Policy instance 1
Insurance contract or identification number333225-01
Number of Individuals Covered15
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $149
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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