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401K/PSP & TRUST FOR EMPLOYEES OF CENTRAL FLORIDA PULMONARY GROUP,PA 401k Plan overview

Plan Name401K/PSP & TRUST FOR EMPLOYEES OF CENTRAL FLORIDA PULMONARY GROUP,PA
Plan identification number 002

401K/PSP & TRUST FOR EMPLOYEES OF CENTRAL FLORIDA PULMONARY GROUP,PA 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.

401k Sponsoring company profile

CENTRAL FLORIDA PULMONARY GROUP PA has sponsored the creation of one or more 401k plans.

Company Name:CENTRAL FLORIDA PULMONARY GROUP PA
Employer identification number (EIN):591760017
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan 401K/PSP & TRUST FOR EMPLOYEES OF CENTRAL FLORIDA PULMONARY GROUP,PA

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01Y DANIEL HAIM2023-08-31 Y DANIEL HAIM2023-08-31
0022021-01-01Y DANIEL HAIM2022-07-14 Y DANIEL HAIM2022-07-14
0022020-01-01Y DANIEL HAIM, MD2021-09-30 Y DANIEL HAIM, MD2021-09-30
0022019-01-01Y DANIEL HAIM, MD2020-09-24 Y DANIEL HAIM, MD2020-09-24
0022018-01-01Y DANIEL HAIM, MD2019-10-07 Y DANIEL HAIM, MD2019-10-07
0022017-01-01
0022016-01-01
0022015-01-01
0022014-01-01
0022013-01-01
0022012-01-01TATIANA POMBO2013-10-11 TATIANA POMBO2013-10-11
0022011-01-01TATIANA POMBO2012-10-12 TATIANA POMBO2012-10-12
0022010-01-01TATIANA CHAVEZ2011-05-20 TATIANA CHAVEZ2011-05-20

Plan Statistics for 401K/PSP & TRUST FOR EMPLOYEES OF CENTRAL FLORIDA PULMONARY GROUP,PA

401k plan membership statisitcs for 401K/PSP & TRUST FOR EMPLOYEES OF CENTRAL FLORIDA PULMONARY GROUP,PA

Measure Date Value
2022: 401K/PSP & TRUST FOR EMPLOYEES OF CENTRAL FLORIDA PULMONARY GROUP,PA 2022 401k membership
Total participants, beginning-of-year2022-01-01148
Total number of active participants reported on line 7a of the Form 55002022-01-01108
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0141
Total of all active and inactive participants2022-01-01149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01149
Number of participants with account balances2022-01-01149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0115
2021: 401K/PSP & TRUST FOR EMPLOYEES OF CENTRAL FLORIDA PULMONARY GROUP,PA 2021 401k membership
Total participants, beginning-of-year2021-01-01151
Total number of active participants reported on line 7a of the Form 55002021-01-0199
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0139
Total of all active and inactive participants2021-01-01138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01138
Number of participants with account balances2021-01-01138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0115
2020: 401K/PSP & TRUST FOR EMPLOYEES OF CENTRAL FLORIDA PULMONARY GROUP,PA 2020 401k membership
Total participants, beginning-of-year2020-01-01155
Total number of active participants reported on line 7a of the Form 55002020-01-01108
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0139
Total of all active and inactive participants2020-01-01147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01147
Number of participants with account balances2020-01-01147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0113
2019: 401K/PSP & TRUST FOR EMPLOYEES OF CENTRAL FLORIDA PULMONARY GROUP,PA 2019 401k membership
Total participants, beginning-of-year2019-01-01140
Total number of active participants reported on line 7a of the Form 55002019-01-01113
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0135
Total of all active and inactive participants2019-01-01148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01148
Number of participants with account balances2019-01-01148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0116
2018: 401K/PSP & TRUST FOR EMPLOYEES OF CENTRAL FLORIDA PULMONARY GROUP,PA 2018 401k membership
Total participants, beginning-of-year2018-01-01138
Total number of active participants reported on line 7a of the Form 55002018-01-01102
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0128
Total of all active and inactive participants2018-01-01130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01130
Number of participants with account balances2018-01-01130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0112
2017: 401K/PSP & TRUST FOR EMPLOYEES OF CENTRAL FLORIDA PULMONARY GROUP,PA 2017 401k membership
Total participants, beginning-of-year2017-01-01126
Total number of active participants reported on line 7a of the Form 55002017-01-0196
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0132
Total of all active and inactive participants2017-01-01128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01128
Number of participants with account balances2017-01-01128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0110
2016: 401K/PSP & TRUST FOR EMPLOYEES OF CENTRAL FLORIDA PULMONARY GROUP,PA 2016 401k membership
Total participants, beginning-of-year2016-01-01133
Total number of active participants reported on line 7a of the Form 55002016-01-0185
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0131
Total of all active and inactive participants2016-01-01116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01116
Number of participants with account balances2016-01-01116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-017

Financial Data on 401K/PSP & TRUST FOR EMPLOYEES OF CENTRAL FLORIDA PULMONARY GROUP,PA

Measure Date Value
2022 : 401K/PSP & TRUST FOR EMPLOYEES OF CENTRAL FLORIDA PULMONARY GROUP,PA 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-563,535
Total unrealized appreciation/depreciation of assets2022-12-31$-563,535
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-2,202,708
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$872,395
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$779,824
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,124,610
Value of total assets at end of year2022-12-31$18,104,636
Value of total assets at beginning of year2022-12-31$21,179,739
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$92,571
Total interest from all sources2022-12-31$14,247
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$20,278
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$20,278
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$396,668
Participant contributions at end of year2022-12-31$309,127
Participant contributions at beginning of year2022-12-31$286,940
Assets. Other investments not covered elsewhere at end of year2022-12-31$1,291,699
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$1,735,002
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$37,016
Administrative expenses (other) incurred2022-12-31$92,571
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-3,075,103
Value of net assets at end of year (total assets less liabilities)2022-12-31$18,104,636
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$21,179,739
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$15,800,393
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$18,310,881
Interest on participant loans2022-12-31$14,247
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$12,491
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$13,184
Net investment gain/loss from pooled separate accounts2022-12-31$-2,798,308
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$690,926
Employer contributions (assets) at end of year2022-12-31$690,926
Employer contributions (assets) at beginning of year2022-12-31$833,732
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$779,824
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31SAS ASSURANCE
Accountancy firm EIN2022-12-31873925424
2021 : 401K/PSP & TRUST FOR EMPLOYEES OF CENTRAL FLORIDA PULMONARY GROUP,PA 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$95,328
Total unrealized appreciation/depreciation of assets2021-12-31$95,328
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$3,855,413
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$290,589
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$178,793
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,503,533
Value of total assets at end of year2021-12-31$21,179,739
Value of total assets at beginning of year2021-12-31$17,614,915
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$111,796
Total interest from all sources2021-12-31$62,941
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$23,658
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$23,658
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$372,708
Participant contributions at end of year2021-12-31$286,940
Participant contributions at beginning of year2021-12-31$181,901
Assets. Other investments not covered elsewhere at end of year2021-12-31$1,735,002
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$1,451,195
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$297,093
Administrative expenses (other) incurred2021-12-31$111,796
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$3,564,824
Value of net assets at end of year (total assets less liabilities)2021-12-31$21,179,739
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$17,614,915
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$18,310,881
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$15,144,843
Interest on participant loans2021-12-31$11,954
Interest earned on other investments2021-12-31$50,987
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$13,184
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$5,919
Net investment gain/loss from pooled separate accounts2021-12-31$2,169,953
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$833,732
Employer contributions (assets) at end of year2021-12-31$833,732
Employer contributions (assets) at beginning of year2021-12-31$831,057
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$178,793
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31SCHAFER TSCHOFF WHITCOMB MITCHELL
Accountancy firm EIN2021-12-31261472386
2020 : 401K/PSP & TRUST FOR EMPLOYEES OF CENTRAL FLORIDA PULMONARY GROUP,PA 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$48,677
Total unrealized appreciation/depreciation of assets2020-12-31$48,677
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$3,175,460
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$255,692
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$161,695
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,149,599
Value of total assets at end of year2020-12-31$17,614,915
Value of total assets at beginning of year2020-12-31$14,695,147
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$93,997
Total interest from all sources2020-12-31$139,352
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$14,238
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$14,238
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$318,542
Participant contributions at end of year2020-12-31$181,901
Participant contributions at beginning of year2020-12-31$220,443
Participant contributions at beginning of year2020-12-31$25,000
Assets. Other investments not covered elsewhere at end of year2020-12-31$1,451,195
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$0
Administrative expenses (other) incurred2020-12-31$93,997
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$2,919,768
Value of net assets at end of year (total assets less liabilities)2020-12-31$17,614,915
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$14,695,147
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$15,144,843
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$13,614,139
Interest on participant loans2020-12-31$11,939
Interest earned on other investments2020-12-31$127,413
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$14,178
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$14,178
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$5,919
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$7,533
Net investment gain/loss from pooled separate accounts2020-12-31$1,823,594
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$831,057
Employer contributions (assets) at end of year2020-12-31$831,057
Employer contributions (assets) at beginning of year2020-12-31$813,854
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$161,695
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31CLIFTONLARSONALLEN
Accountancy firm EIN2020-12-31410746749
2019 : 401K/PSP & TRUST FOR EMPLOYEES OF CENTRAL FLORIDA PULMONARY GROUP,PA 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$64,189
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$64,189
Total unrealized appreciation/depreciation of assets2019-12-31$64,189
Total unrealized appreciation/depreciation of assets2019-12-31$64,189
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$256
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$256
Total income from all sources (including contributions)2019-12-31$3,430,440
Total income from all sources (including contributions)2019-12-31$3,430,440
Total loss/gain on sale of assets2019-12-31$0
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$215,088
Total of all expenses incurred2019-12-31$215,088
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$128,222
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$128,222
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,111,796
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,111,796
Value of total assets at end of year2019-12-31$14,695,147
Value of total assets at end of year2019-12-31$14,695,147
Value of total assets at beginning of year2019-12-31$11,480,051
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$86,866
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$86,866
Total interest from all sources2019-12-31$9,125
Total interest from all sources2019-12-31$9,125
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$14,545
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$14,545
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$14,545
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$14,545
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$297,942
Contributions received from participants2019-12-31$297,942
Participant contributions at end of year2019-12-31$220,443
Participant contributions at end of year2019-12-31$220,443
Participant contributions at beginning of year2019-12-31$101,447
Participant contributions at beginning of year2019-12-31$101,447
Participant contributions at end of year2019-12-31$25,000
Participant contributions at end of year2019-12-31$25,000
Participant contributions at beginning of year2019-12-31$0
Participant contributions at beginning of year2019-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$256
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$256
Administrative expenses (other) incurred2019-12-31$86,866
Administrative expenses (other) incurred2019-12-31$86,866
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$3,215,352
Value of net income/loss2019-12-31$3,215,352
Value of net assets at end of year (total assets less liabilities)2019-12-31$14,695,147
Value of net assets at end of year (total assets less liabilities)2019-12-31$14,695,147
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$11,479,795
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$11,479,795
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$13,614,139
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$13,614,139
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$10,616,743
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$10,616,743
Interest on participant loans2019-12-31$9,125
Interest on participant loans2019-12-31$9,125
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$14,178
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$14,178
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$21,309
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$21,309
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$21,309
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$21,309
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$7,533
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$7,015
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$7,015
Net investment gain/loss from pooled separate accounts2019-12-31$2,230,785
Net investment gain/loss from pooled separate accounts2019-12-31$2,230,785
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$813,854
Contributions received in cash from employer2019-12-31$813,854
Employer contributions (assets) at end of year2019-12-31$813,854
Employer contributions (assets) at end of year2019-12-31$813,854
Employer contributions (assets) at beginning of year2019-12-31$733,537
Employer contributions (assets) at beginning of year2019-12-31$733,537
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$128,222
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$128,222
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31CLIFTONLARSONALLEN
Accountancy firm name2019-12-31CLIFTONLARSONALLEN
Accountancy firm EIN2019-12-31410746749
Accountancy firm EIN2019-12-31410746749
2018 : 401K/PSP & TRUST FOR EMPLOYEES OF CENTRAL FLORIDA PULMONARY GROUP,PA 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-32,747
Total unrealized appreciation/depreciation of assets2018-12-31$-32,747
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$256
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$88
Total income from all sources (including contributions)2018-12-31$316,504
Total of all expenses incurred2018-12-31$233,622
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$203,184
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,039,622
Value of total assets at end of year2018-12-31$11,480,051
Value of total assets at beginning of year2018-12-31$11,397,001
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$30,438
Total interest from all sources2018-12-31$6,334
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$11,342
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$11,342
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$298,992
Participant contributions at end of year2018-12-31$101,447
Participant contributions at beginning of year2018-12-31$110,400
Participant contributions at end of year2018-12-31$0
Participant contributions at beginning of year2018-12-31$15,000
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$7,093
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$256
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$88
Administrative expenses (other) incurred2018-12-31$30,438
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$82,882
Value of net assets at end of year (total assets less liabilities)2018-12-31$11,479,795
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$11,396,913
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$10,616,743
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$10,565,128
Interest on participant loans2018-12-31$6,334
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$21,309
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$8,733
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$8,733
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$7,015
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$3,740
Net investment gain/loss from pooled separate accounts2018-12-31$-708,047
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$733,537
Employer contributions (assets) at end of year2018-12-31$733,537
Employer contributions (assets) at beginning of year2018-12-31$694,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$203,184
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31CLIFTONLARSONALLEN
Accountancy firm EIN2018-12-31410746749
2017 : 401K/PSP & TRUST FOR EMPLOYEES OF CENTRAL FLORIDA PULMONARY GROUP,PA 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$88
Total income from all sources (including contributions)2017-12-31$2,296,873
Total of all expenses incurred2017-12-31$195,924
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$190,741
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$985,459
Value of total assets at end of year2017-12-31$11,397,001
Value of total assets at beginning of year2017-12-31$9,295,964
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$5,183
Total interest from all sources2017-12-31$5,672
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$8,966
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$8,966
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$291,459
Participant contributions at end of year2017-12-31$110,400
Participant contributions at beginning of year2017-12-31$153,495
Participant contributions at end of year2017-12-31$15,000
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$88
Administrative expenses (other) incurred2017-12-31$1,956
Total non interest bearing cash at beginning of year2017-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$2,100,949
Value of net assets at end of year (total assets less liabilities)2017-12-31$11,396,913
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$9,295,964
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$3,227
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$10,565,128
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$8,407,431
Interest on participant loans2017-12-31$5,652
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$8,733
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$6,157
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$6,157
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$20
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$3,740
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$20,473
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$40,666
Net investment gain/loss from pooled separate accounts2017-12-31$1,256,110
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$694,000
Employer contributions (assets) at end of year2017-12-31$694,000
Employer contributions (assets) at beginning of year2017-12-31$708,408
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$190,741
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31CLIFTONLARSONALLEN
Accountancy firm EIN2017-12-31410746749
2016 : 401K/PSP & TRUST FOR EMPLOYEES OF CENTRAL FLORIDA PULMONARY GROUP,PA 2016 401k financial data
Total income from all sources (including contributions)2016-12-31$1,592,454
Total of all expenses incurred2016-12-31$866,715
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$858,618
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,031,549
Value of total assets at end of year2016-12-31$9,295,964
Value of total assets at beginning of year2016-12-31$8,570,225
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$8,097
Total interest from all sources2016-12-31$6,360
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$12,061
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$12,061
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$311,725
Participant contributions at end of year2016-12-31$153,495
Participant contributions at beginning of year2016-12-31$156,558
Assets. Other investments not covered elsewhere at end of year2016-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$11,416
Other income not declared elsewhere2016-12-31$3,722
Administrative expenses (other) incurred2016-12-31$3,108
Total non interest bearing cash at end of year2016-12-31$0
Total non interest bearing cash at beginning of year2016-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$725,739
Value of net assets at end of year (total assets less liabilities)2016-12-31$9,295,964
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$8,570,225
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$4,989
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$8,407,431
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$7,762,260
Interest on participant loans2016-12-31$6,360
Income. Interest from loans (other than to participants)2016-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$6,157
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$18,266
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$18,266
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$20,473
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$2,490
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$28,056
Net investment gain/loss from pooled separate accounts2016-12-31$510,706
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$708,408
Employer contributions (assets) at end of year2016-12-31$708,408
Employer contributions (assets) at beginning of year2016-12-31$630,651
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$858,618
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31CLIFTONLARSONALLEN
Accountancy firm EIN2016-12-31410746749

Form 5500 Responses for 401K/PSP & TRUST FOR EMPLOYEES OF CENTRAL FLORIDA PULMONARY GROUP,PA

2022: 401K/PSP & TRUST FOR EMPLOYEES OF CENTRAL FLORIDA PULMONARY GROUP,PA 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: 401K/PSP & TRUST FOR EMPLOYEES OF CENTRAL FLORIDA PULMONARY GROUP,PA 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: 401K/PSP & TRUST FOR EMPLOYEES OF CENTRAL FLORIDA PULMONARY GROUP,PA 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 - TrustYes
2019: 401K/PSP & TRUST FOR EMPLOYEES OF CENTRAL FLORIDA PULMONARY GROUP,PA 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 - TrustYes
2018: 401K/PSP & TRUST FOR EMPLOYEES OF CENTRAL FLORIDA PULMONARY GROUP,PA 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 - TrustYes
2017: 401K/PSP & TRUST FOR EMPLOYEES OF CENTRAL FLORIDA PULMONARY GROUP,PA 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 - TrustYes
2016: 401K/PSP & TRUST FOR EMPLOYEES OF CENTRAL FLORIDA PULMONARY GROUP,PA 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 - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number56788
Policy instance 1
Insurance contract or identification number56788
Number of Individuals Covered125
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $41,164
Total amount of fees paid to insurance companyUSD $8,388
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $41,164
Insurance broker organization code?3
Amount paid for insurance broker fees8388
Additional information about fees paid to insurance brokerTPA FORUM COMPENSATION
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number56788
Policy instance 1
Insurance contract or identification number56788
Number of Individuals Covered138
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $48,923
Total amount of fees paid to insurance companyUSD $8,401
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $48,923
Insurance broker organization code?3
Amount paid for insurance broker fees8401
Additional information about fees paid to insurance brokerTPA FORUM COMPENSATION
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number56788
Policy instance 1
Insurance contract or identification number56788
Number of Individuals Covered147
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $38,646
Total amount of fees paid to insurance companyUSD $6,550
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $38,646
Insurance broker organization code?3
Amount paid for insurance broker fees6550
Additional information about fees paid to insurance brokerTPA FORUM COMPENSATION
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number56788
Policy instance 1
Insurance contract or identification number56788
Number of Individuals Covered127
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $34,703
Total amount of fees paid to insurance companyUSD $5,867
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34,703
Insurance broker organization code?3
Amount paid for insurance broker fees5867
Additional information about fees paid to insurance brokerTPA FORUM COMPENSATION
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number56788
Policy instance 1
Insurance contract or identification number56788
Number of Individuals Covered130
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $39,465
Total amount of fees paid to insurance companyUSD $5,346
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $39,465
Insurance broker organization code?3
Amount paid for insurance broker fees5346
Additional information about fees paid to insurance brokerTPA FORUM COMPENSATION
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number56788
Policy instance 1
Insurance contract or identification number56788
Number of Individuals Covered128
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $36,117
Total amount of fees paid to insurance companyUSD $4,587
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $36,117
Insurance broker organization code?3
Amount paid for insurance broker fees4587
Additional information about fees paid to insurance brokerTPA FORUM COMPENSATION
Insurance broker namePENSION INVESTORS CORP OF ORLANDO

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