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| Plan Name | ATLANTA VASCULAR SPECIALISTS 401K PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | ATLANTA VASCULAR SPECIALISTS |
| Employer identification number (EIN): | 582369027 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2022-01-01 | ERIC WELLONS | 2023-05-02 | ||
| 001 | 2021-01-01 | ERIC WELLONS | 2022-04-18 | ||
| 001 | 2020-01-01 | CONNIE DILLARD | 2021-06-23 | ||
| 001 | 2019-01-01 | CONNIE DILLARD | 2020-12-21 | ||
| 001 | 2018-01-01 | CONNIE DILLARD | 2019-10-18 | ||
| 001 | 2017-01-01 | CONNIE DILLARD | 2018-10-15 | ||
| 001 | 2016-01-01 | ERIC D. WELLONS, M.D. | 2017-08-16 | ||
| 001 | 2015-01-01 | ERIC D. WELLONS, M.D. | 2016-07-15 | ERIC D. WELLONS, M.D. | 2016-07-15 |
| 001 | 2014-01-01 | ERIC WELLONS | |||
| 001 | 2013-01-01 | ERIC D. WELLONS, M.D. | 2014-07-28 | ERIC D. WELLONS, M.D. | 2014-07-28 |
| 001 | 2012-01-01 | ERIC D. WELLONS, M.D. | 2013-07-18 | ERIC D. WELLONS, M.D. | 2013-07-18 |
| 001 | 2011-01-01 | ERIC D. WELLONS, M.D. | 2012-07-30 | ERIC D. WELLONS, M.D. | 2012-07-30 |
| 001 | 2010-01-01 | ERIC D. WELLONS, M.D. | 2011-07-25 | ERIC D. WELLONS, M.D. | 2011-07-25 |
| Measure | Date | Value |
|---|---|---|
| 2014: ATLANTA VASCULAR SPECIALISTS 401K PLAN 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-01-01 | 19 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 13 |
| 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 | 1 |
| Total of all active and inactive participants | 2014-01-01 | 14 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2014-01-01 | 0 |
| Total participants | 2014-01-01 | 14 |
| Number of participants with account balances | 2014-01-01 | 14 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2014-01-01 | 0 |
| Measure | Date | Value |
|---|---|---|
| 2014 : ATLANTA VASCULAR SPECIALISTS 401K PLAN 2014 401k financial data | ||
| Total income from all sources | 2014-12-31 | $232,868 |
| Expenses. Total of all expenses incurred | 2014-12-31 | $54,442 |
| Benefits paid (including direct rollovers) | 2014-12-31 | $54,130 |
| Total plan assets at end of year | 2014-12-31 | $1,324,179 |
| Total plan assets at beginning of year | 2014-12-31 | $1,145,753 |
| Value of fidelity bond covering the plan | 2014-12-31 | $45,000 |
| Total contributions received or receivable from participants | 2014-12-31 | $54,877 |
| Expenses. Other expenses not covered elsewhere | 2014-12-31 | $312 |
| Contributions received from other sources (not participants or employers) | 2014-12-31 | $3,255 |
| Other income received | 2014-12-31 | $57,884 |
| Net income (gross income less expenses) | 2014-12-31 | $178,426 |
| Net plan assets at end of year (total assets less liabilities) | 2014-12-31 | $1,324,179 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-12-31 | $1,145,753 |
| Assets. Value of participant loans | 2014-12-31 | $5,147 |
| Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102 | 2014-12-31 | $2,432 |
| Total contributions received or receivable from employer(s) | 2014-12-31 | $116,852 |
| Value of certain deemed distributions of participant loans | 2014-12-31 | $0 |
| Value of corrective distributions | 2014-12-31 | $0 |
| Funding deficiency by the employer to the plan for this plan year | 2014-12-31 | $0 |
| Minimum employer required contribution for this plan year | 2014-12-31 | $0 |
| Amount contributed by the employer to the plan for this plan year | 2014-12-31 | $0 |
| 2014: ATLANTA VASCULAR SPECIALISTS 401K PLAN 2014 form 5500 responses | ||
|---|---|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Submission has been amended | No |
| 2014-01-01 | This submission is the final filing | No |
| 2014-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-01-01 | Plan is a collectively bargained plan | No |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan funding arrangement – Trust | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | GA-833934 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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