401k Plan data: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN plan

BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 401k Plan overview

Plan Name	BRANDON PLASTIC SURGERY PROFIT SHARING PLAN
Plan identification number	002

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

401k Sponsoring company profile

BRANDON PLASTIC SURGERY LLC has sponsored the creation of one or more 401k plans.

Company Name: BRANDON PLASTIC SURGERY LLC

Employer identification number (EIN): 592540178

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BRANDON PLASTIC SURGERY PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-07-01
002 2021-07-01
002 2020-07-01
002 2019-07-01
002 2018-07-01
002 2017-07-01 MARVIN SHIENBAUM
002 2016-07-01 MARVIN SHIENBAUM
002 2015-07-01 MARVIN SHIENBAUM
002 2014-07-01 MARVIN SHIENBAUM
002 2013-07-01 MARVIN F. SHIENBAUM,MD
002 2012-07-01 MARVIN F. SHIENBAUM,MD
002 2011-07-01 MARVIN F. SHIENBAUM,MD
002 2010-07-01 MARVIN F. SHIENBAUM MD MARVIN F. SHIENBAUM MD 2012-04-13
002 2009-07-01 MARVIN F. SHIENBAUM, MD MARVIN F. SHIENBAUM, MD 2011-04-13

Plan Statistics for BRANDON PLASTIC SURGERY PROFIT SHARING PLAN

401k plan membership statisitcs for BRANDON PLASTIC SURGERY PROFIT SHARING PLAN

Measure Date Value
2022: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year 2022-07-01 8
Total number of active participants reported on line 7a of the Form 5500 2022-07-01 7
Number of retired or separated participants receiving benefits 2022-07-01 0
Number of other retired or separated participants entitled to future benefits 2022-07-01 1
Total of all active and inactive participants 2022-07-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-07-01 0
Total participants 2022-07-01 8
Number of participants with account balances 2022-07-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-07-01 0
2021: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-07-01 7
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 7
Number of retired or separated participants receiving benefits 2021-07-01 0
Number of other retired or separated participants entitled to future benefits 2021-07-01 1
Total of all active and inactive participants 2021-07-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-07-01 0
Total participants 2021-07-01 8
Number of participants with account balances 2021-07-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-07-01 0
2020: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year 2020-07-01 6
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 6
Number of retired or separated participants receiving benefits 2020-07-01 0
Number of other retired or separated participants entitled to future benefits 2020-07-01 1
Total of all active and inactive participants 2020-07-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-07-01 0
Total participants 2020-07-01 7
Number of participants with account balances 2020-07-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-07-01 0
2019: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-07-01 6
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 5
Number of retired or separated participants receiving benefits 2019-07-01 0
Number of other retired or separated participants entitled to future benefits 2019-07-01 1
Total of all active and inactive participants 2019-07-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-07-01 0
Total participants 2019-07-01 6
Number of participants with account balances 2019-07-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-07-01 0
2018: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-07-01 7
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 5
Number of retired or separated participants receiving benefits 2018-07-01 0
Number of other retired or separated participants entitled to future benefits 2018-07-01 1
Total of all active and inactive participants 2018-07-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-07-01 0
Total participants 2018-07-01 6
Number of participants with account balances 2018-07-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-07-01 0
2017: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 6
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 5
Number of retired or separated participants receiving benefits 2017-07-01 0
Number of other retired or separated participants entitled to future benefits 2017-07-01 2
Total of all active and inactive participants 2017-07-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-07-01 0
Total participants 2017-07-01 7
Number of participants with account balances 2017-07-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-07-01 0
2016: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 7
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 4
Number of retired or separated participants receiving benefits 2016-07-01 0
Number of other retired or separated participants entitled to future benefits 2016-07-01 2
Total of all active and inactive participants 2016-07-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-07-01 0
Total participants 2016-07-01 6
Number of participants with account balances 2016-07-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-07-01 0
2015: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 6
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 6
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 1
Total of all active and inactive participants 2015-07-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 0
Total participants 2015-07-01 7
Number of participants with account balances 2015-07-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-07-01 0
2014: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 6
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 5
Number of retired or separated participants receiving benefits 2014-07-01 1
Total of all active and inactive participants 2014-07-01 6
Total participants 2014-07-01 6
2013: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 6
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 5
Number of retired or separated participants receiving benefits 2013-07-01 0
Number of other retired or separated participants entitled to future benefits 2013-07-01 0
Total of all active and inactive participants 2013-07-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-07-01 0
Total participants 2013-07-01 5
Number of participants with account balances 2013-07-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-07-01 0
2012: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 5
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 5
Number of retired or separated participants receiving benefits 2012-07-01 0
Number of other retired or separated participants entitled to future benefits 2012-07-01 1
Total of all active and inactive participants 2012-07-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-07-01 0
Total participants 2012-07-01 6
Number of participants with account balances 2012-07-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-07-01 1
2011: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 4
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 4
Number of retired or separated participants receiving benefits 2011-07-01 0
Number of other retired or separated participants entitled to future benefits 2011-07-01 0
Total of all active and inactive participants 2011-07-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 0
Total participants 2011-07-01 4
Number of participants with account balances 2011-07-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-07-01 0
2010: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-07-01 4
Total number of active participants reported on line 7a of the Form 5500 2010-07-01 4
Number of retired or separated participants receiving benefits 2010-07-01 0
Number of other retired or separated participants entitled to future benefits 2010-07-01 0
Total of all active and inactive participants 2010-07-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-07-01 0
Total participants 2010-07-01 4
Number of participants with account balances 2010-07-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-07-01 0
2009: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 5
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 4
Number of retired or separated participants receiving benefits 2009-07-01 0
Number of other retired or separated participants entitled to future benefits 2009-07-01 0
Total of all active and inactive participants 2009-07-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 0
Total participants 2009-07-01 4
Number of participants with account balances 2009-07-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-07-01 0

Measure	Date	Value
2022: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year	2022-07-01	8
Total number of active participants reported on line 7a of the Form 5500	2022-07-01	7
Number of retired or separated participants receiving benefits	2022-07-01	0
Number of other retired or separated participants entitled to future benefits	2022-07-01	1
Total of all active and inactive participants	2022-07-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-07-01	0
Total participants	2022-07-01	8
Number of participants with account balances	2022-07-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-07-01	0
2021: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-07-01	7
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	7
Number of retired or separated participants receiving benefits	2021-07-01	0
Number of other retired or separated participants entitled to future benefits	2021-07-01	1
Total of all active and inactive participants	2021-07-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-07-01	0
Total participants	2021-07-01	8
Number of participants with account balances	2021-07-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-07-01	0
2020: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year	2020-07-01	6
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	6
Number of retired or separated participants receiving benefits	2020-07-01	0
Number of other retired or separated participants entitled to future benefits	2020-07-01	1
Total of all active and inactive participants	2020-07-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-07-01	0
Total participants	2020-07-01	7
Number of participants with account balances	2020-07-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-07-01	0
2019: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-07-01	6
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	5
Number of retired or separated participants receiving benefits	2019-07-01	0
Number of other retired or separated participants entitled to future benefits	2019-07-01	1
Total of all active and inactive participants	2019-07-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-07-01	0
Total participants	2019-07-01	6
Number of participants with account balances	2019-07-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-07-01	0
2018: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-07-01	7
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	5
Number of retired or separated participants receiving benefits	2018-07-01	0
Number of other retired or separated participants entitled to future benefits	2018-07-01	1
Total of all active and inactive participants	2018-07-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-07-01	0
Total participants	2018-07-01	6
Number of participants with account balances	2018-07-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-07-01	0
2017: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	6
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	5
Number of retired or separated participants receiving benefits	2017-07-01	0
Number of other retired or separated participants entitled to future benefits	2017-07-01	2
Total of all active and inactive participants	2017-07-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-07-01	0
Total participants	2017-07-01	7
Number of participants with account balances	2017-07-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-07-01	0
2016: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	7
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	4
Number of retired or separated participants receiving benefits	2016-07-01	0
Number of other retired or separated participants entitled to future benefits	2016-07-01	2
Total of all active and inactive participants	2016-07-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-07-01	0
Total participants	2016-07-01	6
Number of participants with account balances	2016-07-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-07-01	0
2015: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	6
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	6
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	1
Total of all active and inactive participants	2015-07-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	0
Total participants	2015-07-01	7
Number of participants with account balances	2015-07-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-07-01	0
2014: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	6
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	5
Number of retired or separated participants receiving benefits	2014-07-01	1
Total of all active and inactive participants	2014-07-01	6
Total participants	2014-07-01	6
2013: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	6
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	5
Number of retired or separated participants receiving benefits	2013-07-01	0
Number of other retired or separated participants entitled to future benefits	2013-07-01	0
Total of all active and inactive participants	2013-07-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-07-01	0
Total participants	2013-07-01	5
Number of participants with account balances	2013-07-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-07-01	0
2012: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	5
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	5
Number of retired or separated participants receiving benefits	2012-07-01	0
Number of other retired or separated participants entitled to future benefits	2012-07-01	1
Total of all active and inactive participants	2012-07-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-01	0
Total participants	2012-07-01	6
Number of participants with account balances	2012-07-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-01	1
2011: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	4
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	4
Number of retired or separated participants receiving benefits	2011-07-01	0
Number of other retired or separated participants entitled to future benefits	2011-07-01	0
Total of all active and inactive participants	2011-07-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
Total participants	2011-07-01	4
Number of participants with account balances	2011-07-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-07-01	0
2010: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-07-01	4
Total number of active participants reported on line 7a of the Form 5500	2010-07-01	4
Number of retired or separated participants receiving benefits	2010-07-01	0
Number of other retired or separated participants entitled to future benefits	2010-07-01	0
Total of all active and inactive participants	2010-07-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-07-01	0
Total participants	2010-07-01	4
Number of participants with account balances	2010-07-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-07-01	0
2009: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	5
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	4
Number of retired or separated participants receiving benefits	2009-07-01	0
Number of other retired or separated participants entitled to future benefits	2009-07-01	0
Total of all active and inactive participants	2009-07-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	0
Total participants	2009-07-01	4
Number of participants with account balances	2009-07-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-07-01	0

Financial Data on BRANDON PLASTIC SURGERY PROFIT SHARING PLAN

Measure	Date	Value
2023 : BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2023 401k financial data
Transfers to/from the plan	2023-06-30	$0
Total plan liabilities at end of year	2023-06-30	$0
Total plan liabilities at beginning of year	2023-06-30	$0
Total income from all sources	2023-06-30	$101,355
Expenses. Total of all expenses incurred	2023-06-30	$4,628
Benefits paid (including direct rollovers)	2023-06-30	$4,603
Total plan assets at end of year	2023-06-30	$400,868
Total plan assets at beginning of year	2023-06-30	$304,141
Value of fidelity bond covering the plan	2023-06-30	$100,000
Assets. Value of tangible personal property	2023-06-30	$0
Total contributions received or receivable from participants	2023-06-30	$0
Assets. Value of loans (other than to participants)	2023-06-30	$0
Expenses. Other expenses not covered elsewhere	2023-06-30	$0
Contributions received from other sources (not participants or employers)	2023-06-30	$0
Other income received	2023-06-30	$26,268
Noncash contributions received	2023-06-30	$0
Net income (gross income less expenses)	2023-06-30	$96,727
Net plan assets at end of year (total assets less liabilities)	2023-06-30	$400,868
Net plan assets at beginning of year (total assets less liabilities)	2023-06-30	$304,141
Assets. Value of participant loans	2023-06-30	$0
Assets. Value of assets in partnership/joint-venture interests	2023-06-30	$0
Assets. Value of real-estate (other than employer real property)	2023-06-30	$0
Assets. Value of employer securities	2023-06-30	$0
Assets. Value of employer real property	2023-06-30	$0
Total contributions received or receivable from employer(s)	2023-06-30	$75,087
Value of certain deemed distributions of participant loans	2023-06-30	$0
Value of corrective distributions	2023-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2023-06-30	$25
2022 : BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2022 401k financial data
Transfers to/from the plan	2022-06-30	$0
Total plan liabilities at end of year	2022-06-30	$0
Total plan liabilities at beginning of year	2022-06-30	$0
Total income from all sources	2022-06-30	$24,687
Expenses. Total of all expenses incurred	2022-06-30	$2,414
Benefits paid (including direct rollovers)	2022-06-30	$2,389
Total plan assets at end of year	2022-06-30	$304,141
Total plan assets at beginning of year	2022-06-30	$281,868
Value of fidelity bond covering the plan	2022-06-30	$100,000
Assets. Value of tangible personal property	2022-06-30	$0
Total contributions received or receivable from participants	2022-06-30	$0
Assets. Value of loans (other than to participants)	2022-06-30	$0
Expenses. Other expenses not covered elsewhere	2022-06-30	$0
Contributions received from other sources (not participants or employers)	2022-06-30	$0
Other income received	2022-06-30	$-48,510
Noncash contributions received	2022-06-30	$0
Net income (gross income less expenses)	2022-06-30	$22,273
Net plan assets at end of year (total assets less liabilities)	2022-06-30	$304,141
Net plan assets at beginning of year (total assets less liabilities)	2022-06-30	$281,868
Assets. Value of participant loans	2022-06-30	$0
Assets. Value of assets in partnership/joint-venture interests	2022-06-30	$0
Assets. Value of real-estate (other than employer real property)	2022-06-30	$0
Assets. Value of employer securities	2022-06-30	$0
Assets. Value of employer real property	2022-06-30	$0
Total contributions received or receivable from employer(s)	2022-06-30	$73,197
Value of certain deemed distributions of participant loans	2022-06-30	$0
Value of corrective distributions	2022-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2022-06-30	$25
2021 : BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2021 401k financial data
Transfers to/from the plan	2021-06-30	$0
Total plan liabilities at end of year	2021-06-30	$0
Total plan liabilities at beginning of year	2021-06-30	$0
Total income from all sources	2021-06-30	$49,206
Expenses. Total of all expenses incurred	2021-06-30	$169
Benefits paid (including direct rollovers)	2021-06-30	$0
Total plan assets at end of year	2021-06-30	$281,868
Total plan assets at beginning of year	2021-06-30	$232,831
Value of fidelity bond covering the plan	2021-06-30	$100,000
Assets. Value of tangible personal property	2021-06-30	$0
Total contributions received or receivable from participants	2021-06-30	$0
Assets. Value of loans (other than to participants)	2021-06-30	$0
Expenses. Other expenses not covered elsewhere	2021-06-30	$0
Contributions received from other sources (not participants or employers)	2021-06-30	$0
Other income received	2021-06-30	$49,206
Noncash contributions received	2021-06-30	$0
Net income (gross income less expenses)	2021-06-30	$49,037
Net plan assets at end of year (total assets less liabilities)	2021-06-30	$281,868
Net plan assets at beginning of year (total assets less liabilities)	2021-06-30	$232,831
Assets. Value of participant loans	2021-06-30	$0
Assets. Value of assets in partnership/joint-venture interests	2021-06-30	$0
Assets. Value of real-estate (other than employer real property)	2021-06-30	$0
Assets. Value of employer securities	2021-06-30	$0
Assets. Value of employer real property	2021-06-30	$0
Total contributions received or receivable from employer(s)	2021-06-30	$0
Value of certain deemed distributions of participant loans	2021-06-30	$0
Value of corrective distributions	2021-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2021-06-30	$169
2020 : BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2020 401k financial data
Transfers to/from the plan	2020-06-30	$0
Total plan liabilities at end of year	2020-06-30	$0
Total plan liabilities at beginning of year	2020-06-30	$0
Total income from all sources	2020-06-30	$145,348
Expenses. Total of all expenses incurred	2020-06-30	$122,426
Benefits paid (including direct rollovers)	2020-06-30	$122,426
Total plan assets at end of year	2020-06-30	$232,831
Total plan assets at beginning of year	2020-06-30	$209,909
Value of fidelity bond covering the plan	2020-06-30	$100,000
Total contributions received or receivable from participants	2020-06-30	$0
Expenses. Other expenses not covered elsewhere	2020-06-30	$0
Contributions received from other sources (not participants or employers)	2020-06-30	$0
Other income received	2020-06-30	$14,482
Noncash contributions received	2020-06-30	$0
Net income (gross income less expenses)	2020-06-30	$22,922
Net plan assets at end of year (total assets less liabilities)	2020-06-30	$232,831
Net plan assets at beginning of year (total assets less liabilities)	2020-06-30	$209,909
Total contributions received or receivable from employer(s)	2020-06-30	$130,866
Value of certain deemed distributions of participant loans	2020-06-30	$0
Value of corrective distributions	2020-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2020-06-30	$0
2019 : BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2019 401k financial data
Transfers to/from the plan	2019-06-30	$0
Total plan liabilities at end of year	2019-06-30	$0
Total plan liabilities at beginning of year	2019-06-30	$0
Total income from all sources	2019-06-30	$74,151
Expenses. Total of all expenses incurred	2019-06-30	$1,135
Benefits paid (including direct rollovers)	2019-06-30	$1,110
Total plan assets at end of year	2019-06-30	$209,909
Total plan assets at beginning of year	2019-06-30	$136,893
Value of fidelity bond covering the plan	2019-06-30	$100,000
Total contributions received or receivable from participants	2019-06-30	$0
Expenses. Other expenses not covered elsewhere	2019-06-30	$0
Contributions received from other sources (not participants or employers)	2019-06-30	$0
Other income received	2019-06-30	$11,461
Noncash contributions received	2019-06-30	$0
Net income (gross income less expenses)	2019-06-30	$73,016
Net plan assets at end of year (total assets less liabilities)	2019-06-30	$209,909
Net plan assets at beginning of year (total assets less liabilities)	2019-06-30	$136,893
Total contributions received or receivable from employer(s)	2019-06-30	$62,690
Value of certain deemed distributions of participant loans	2019-06-30	$0
Value of corrective distributions	2019-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2019-06-30	$25
2018 : BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2018 401k financial data
Transfers to/from the plan	2018-06-30	$0
Total plan liabilities at end of year	2018-06-30	$0
Total plan liabilities at beginning of year	2018-06-30	$0
Total income from all sources	2018-06-30	$98,212
Expenses. Total of all expenses incurred	2018-06-30	$956,317
Benefits paid (including direct rollovers)	2018-06-30	$956,317
Total plan assets at end of year	2018-06-30	$136,893
Total plan assets at beginning of year	2018-06-30	$994,998
Value of fidelity bond covering the plan	2018-06-30	$100,000
Total contributions received or receivable from participants	2018-06-30	$0
Expenses. Other expenses not covered elsewhere	2018-06-30	$0
Contributions received from other sources (not participants or employers)	2018-06-30	$0
Other income received	2018-06-30	$38,315
Noncash contributions received	2018-06-30	$0
Net income (gross income less expenses)	2018-06-30	$-858,105
Net plan assets at end of year (total assets less liabilities)	2018-06-30	$136,893
Net plan assets at beginning of year (total assets less liabilities)	2018-06-30	$994,998
Total contributions received or receivable from employer(s)	2018-06-30	$59,897
Value of certain deemed distributions of participant loans	2018-06-30	$0
Value of corrective distributions	2018-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2018-06-30	$0
2017 : BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2017 401k financial data
Transfers to/from the plan	2017-06-30	$0
Total plan liabilities at end of year	2017-06-30	$0
Total plan liabilities at beginning of year	2017-06-30	$0
Total income from all sources	2017-06-30	$170,065
Expenses. Total of all expenses incurred	2017-06-30	$51,528
Benefits paid (including direct rollovers)	2017-06-30	$51,528
Total plan assets at end of year	2017-06-30	$994,998
Total plan assets at beginning of year	2017-06-30	$876,461
Value of fidelity bond covering the plan	2017-06-30	$100,000
Total contributions received or receivable from participants	2017-06-30	$0
Expenses. Other expenses not covered elsewhere	2017-06-30	$0
Contributions received from other sources (not participants or employers)	2017-06-30	$0
Other income received	2017-06-30	$99,261
Noncash contributions received	2017-06-30	$0
Net income (gross income less expenses)	2017-06-30	$118,537
Net plan assets at end of year (total assets less liabilities)	2017-06-30	$994,998
Net plan assets at beginning of year (total assets less liabilities)	2017-06-30	$876,461
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	2017-06-30	$0
Total contributions received or receivable from employer(s)	2017-06-30	$70,804
Value of certain deemed distributions of participant loans	2017-06-30	$0
Value of corrective distributions	2017-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2017-06-30	$0
2016 : BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2016 401k financial data
Transfers to/from the plan	2016-06-30	$0
Total plan liabilities at end of year	2016-06-30	$0
Total plan liabilities at beginning of year	2016-06-30	$0
Total income from all sources	2016-06-30	$23,701
Expenses. Total of all expenses incurred	2016-06-30	$0
Benefits paid (including direct rollovers)	2016-06-30	$0
Total plan assets at end of year	2016-06-30	$876,461
Total plan assets at beginning of year	2016-06-30	$852,760
Value of fidelity bond covering the plan	2016-06-30	$35,000
Total contributions received or receivable from participants	2016-06-30	$0
Expenses. Other expenses not covered elsewhere	2016-06-30	$0
Contributions received from other sources (not participants or employers)	2016-06-30	$0
Other income received	2016-06-30	$23,701
Noncash contributions received	2016-06-30	$0
Net income (gross income less expenses)	2016-06-30	$23,701
Net plan assets at end of year (total assets less liabilities)	2016-06-30	$876,461
Net plan assets at beginning of year (total assets less liabilities)	2016-06-30	$852,760
Total contributions received or receivable from employer(s)	2016-06-30	$0
Value of certain deemed distributions of participant loans	2016-06-30	$0
Value of corrective distributions	2016-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2016-06-30	$0
2015 : BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-06-30	$0
Expenses. Total of all expenses incurred	2015-06-30	$39,820
Benefits paid (including direct rollovers)	2015-06-30	$34,820
Total plan assets at end of year	2015-06-30	$852,760
Total plan assets at beginning of year	2015-06-30	$892,580
Value of fidelity bond covering the plan	2015-06-30	$35,000
Net income (gross income less expenses)	2015-06-30	$-39,820
Net plan assets at end of year (total assets less liabilities)	2015-06-30	$852,760
Net plan assets at beginning of year (total assets less liabilities)	2015-06-30	$892,580
Expenses. Administrative service providers (salaries,fees and commissions)	2015-06-30	$5,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-06-30	$0
2014 : BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2014 401k financial data
Total plan liabilities at end of year	2014-06-30	$0
Total plan liabilities at beginning of year	2014-06-30	$0
Total income from all sources	2014-06-30	$133,899
Expenses. Total of all expenses incurred	2014-06-30	$6,529
Benefits paid (including direct rollovers)	2014-06-30	$706
Total plan assets at end of year	2014-06-30	$892,580
Total plan assets at beginning of year	2014-06-30	$765,210
Value of fidelity bond covering the plan	2014-06-30	$35,000
Total contributions received or receivable from participants	2014-06-30	$11,675
Other income received	2014-06-30	$69,064
Net income (gross income less expenses)	2014-06-30	$127,370
Net plan assets at end of year (total assets less liabilities)	2014-06-30	$892,580
Net plan assets at beginning of year (total assets less liabilities)	2014-06-30	$765,210
Total contributions received or receivable from employer(s)	2014-06-30	$53,160
Expenses. Administrative service providers (salaries,fees and commissions)	2014-06-30	$5,823
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-06-30	$0
2013 : BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2013 401k financial data
Total plan liabilities at beginning of year	2013-06-30	$0
Total income from all sources	2013-06-30	$112,012
Expenses. Total of all expenses incurred	2013-06-30	$5,234
Total plan assets at end of year	2013-06-30	$765,210
Total plan assets at beginning of year	2013-06-30	$658,432
Value of fidelity bond covering the plan	2013-06-30	$35,000
Total contributions received or receivable from participants	2013-06-30	$0
Other income received	2013-06-30	$42,208
Net income (gross income less expenses)	2013-06-30	$106,778
Net plan assets at end of year (total assets less liabilities)	2013-06-30	$765,210
Net plan assets at beginning of year (total assets less liabilities)	2013-06-30	$658,432
Total contributions received or receivable from employer(s)	2013-06-30	$69,804
Expenses. Administrative service providers (salaries,fees and commissions)	2013-06-30	$5,234
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-06-30	$0
2012 : BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2012 401k financial data
Transfers to/from the plan	2012-06-30	$0
Total plan liabilities at end of year	2012-06-30	$0
Total plan liabilities at beginning of year	2012-06-30	$0
Total income from all sources	2012-06-30	$134,019
Expenses. Total of all expenses incurred	2012-06-30	$4,508
Total plan assets at end of year	2012-06-30	$658,432
Total plan assets at beginning of year	2012-06-30	$528,921
Value of fidelity bond covering the plan	2012-06-30	$35,000
Other income received	2012-06-30	$12,526
Net income (gross income less expenses)	2012-06-30	$129,511
Net plan assets at end of year (total assets less liabilities)	2012-06-30	$658,432
Net plan assets at beginning of year (total assets less liabilities)	2012-06-30	$528,921
Total contributions received or receivable from employer(s)	2012-06-30	$121,493
Expenses. Administrative service providers (salaries,fees and commissions)	2012-06-30	$4,508
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-06-30	$0
2011 : BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-06-30	$142,848
Expenses. Total of all expenses incurred	2011-06-30	$5,264
Benefits paid (including direct rollovers)	2011-06-30	$1,106
Total plan assets at end of year	2011-06-30	$528,921
Total plan assets at beginning of year	2011-06-30	$391,337
Value of fidelity bond covering the plan	2011-06-30	$35,000
Total contributions received or receivable from participants	2011-06-30	$17,547
Expenses. Other expenses not covered elsewhere	2011-06-30	$0
Contributions received from other sources (not participants or employers)	2011-06-30	$0
Other income received	2011-06-30	$70,061
Noncash contributions received	2011-06-30	$0
Net income (gross income less expenses)	2011-06-30	$137,584
Net plan assets at end of year (total assets less liabilities)	2011-06-30	$528,921
Net plan assets at beginning of year (total assets less liabilities)	2011-06-30	$391,337
Total contributions received or receivable from employer(s)	2011-06-30	$55,240
Value of certain deemed distributions of participant loans	2011-06-30	$0
Value of corrective distributions	2011-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-06-30	$4,158
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-06-30	$0
2010 : BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-06-30	$0

Form 5500 Responses for BRANDON PLASTIC SURGERY PROFIT SHARING PLAN

2022: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2022 form 5500 responses
2022-07-01	Type of plan entity	Single employer plan
2022-07-01	This submission is the final filing	No
2022-07-01	Plan is a collectively bargained plan	No
2022-07-01	Plan funding arrangement – Trust	Yes
2022-07-01	Plan benefit arrangement - Trust	Yes
2021: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2021 form 5500 responses
2021-07-01	Type of plan entity	Single employer plan
2021-07-01	This submission is the final filing	No
2021-07-01	Plan is a collectively bargained plan	No
2021-07-01	Plan funding arrangement – Trust	Yes
2021-07-01	Plan benefit arrangement - Trust	Yes
2020: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2020 form 5500 responses
2020-07-01	Type of plan entity	Single employer plan
2020-07-01	This submission is the final filing	No
2020-07-01	Plan is a collectively bargained plan	No
2020-07-01	Plan funding arrangement – Trust	Yes
2020-07-01	Plan benefit arrangement - Trust	Yes
2019: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2019 form 5500 responses
2019-07-01	Type of plan entity	Single employer plan
2019-07-01	Submission has been amended	No
2019-07-01	This submission is the final filing	No
2019-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-07-01	Plan is a collectively bargained plan	No
2019-07-01	Plan funding arrangement – Trust	Yes
2019-07-01	Plan benefit arrangement - Trust	Yes
2018: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
2018-07-01	Submission has been amended	No
2018-07-01	This submission is the final filing	No
2018-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-07-01	Plan is a collectively bargained plan	No
2018-07-01	Plan funding arrangement – Trust	Yes
2018-07-01	Plan benefit arrangement - Trust	Yes
2017: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	Submission has been amended	No
2017-07-01	This submission is the final filing	No
2017-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-07-01	Plan is a collectively bargained plan	No
2017-07-01	Plan funding arrangement – Trust	Yes
2017-07-01	Plan benefit arrangement - Trust	Yes
2016: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Submission has been amended	No
2016-07-01	This submission is the final filing	No
2016-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-07-01	Plan is a collectively bargained plan	No
2016-07-01	Plan funding arrangement – Trust	Yes
2016-07-01	Plan benefit arrangement - Trust	Yes
2015: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan funding arrangement – Trust	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement - Trust	Yes
2014: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2013: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan funding arrangement – Trust	Yes
2013-07-01	Plan benefit arrangement - Trust	Yes
2012: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan funding arrangement – Trust	Yes
2012-07-01	Plan benefit arrangement - Trust	Yes
2011: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan funding arrangement – Trust	Yes
2011-07-01	Plan benefit arrangement - Trust	Yes
2010: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2010 form 5500 responses
2010-07-01	Type of plan entity	Single employer plan
2010-07-01	Submission has been amended	No
2010-07-01	This submission is the final filing	No
2010-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-07-01	Plan is a collectively bargained plan	No
2010-07-01	Plan funding arrangement – Insurance	Yes
2010-07-01	Plan funding arrangement – Trust	Yes
2010-07-01	Plan benefit arrangement - Trust	Yes
2009: BRANDON PLASTIC SURGERY PROFIT SHARING PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan funding arrangement – Trust	Yes
2009-07-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY USA (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

61343

Policy instance

Insurance contract or identification number	61343
Insurance policy start date	2014-07-01
Insurance policy end date	2015-06-30
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	0
Insurance broker name

JOHN HANCOCK LIFE INSURANCE COMPANY USA (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

61343

Policy instance

Insurance contract or identification number	61343
Number of Individuals Covered	5
Insurance policy start date	2013-07-01
Insurance policy end date	2014-06-30
Total amount of commissions paid to insurance broker	USD $352
Total amount of fees paid to insurance company	USD $50
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
Commission paid to Insurance Broker	USD $352
Amount paid for insurance broker fees	50
Additional information about fees paid to insurance broker	TPA COMPENSATION AND ALLOWANCES
Insurance broker organization code?	5
Insurance broker name	AMERICAN PENSION SERVICES

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

61343

Policy instance

Insurance contract or identification number	61343
Number of Individuals Covered	5
Insurance policy start date	2012-07-01
Insurance policy end date	2013-06-30
Total amount of commissions paid to insurance broker	USD $352
Total amount of fees paid to insurance company	USD $50
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $352
Amount paid for insurance broker fees	50
Additional information about fees paid to insurance broker	TPA COMPENSATION AND OTHER ALLOWANCES
Insurance broker organization code?	5
Insurance broker name	AMERICAN PENSION SERVICES, LLC

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

61343

Policy instance

Insurance contract or identification number	61343
Number of Individuals Covered	4
Insurance policy start date	2012-07-01
Insurance policy end date	2013-06-30
Total amount of commissions paid to insurance broker	USD $469
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $469
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	TPA COMPENSATION AND OTHER ALLOWANCES
Insurance broker organization code?	5
Insurance broker name	AMERICAN PENSION SERVICES, LLC

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

61343

Policy instance

Insurance contract or identification number	61343
Number of Individuals Covered	4
Insurance policy start date	2011-07-01
Insurance policy end date	2012-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $267
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

61343

Policy instance

Insurance contract or identification number	61343
Number of Individuals Covered	4
Insurance policy start date	2010-07-01
Insurance policy end date	2011-06-30
Total amount of commissions paid to insurance broker	USD $369
Total amount of fees paid to insurance company	USD $323

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Company Name:	BRANDON PLASTIC SURGERY LLC
Employer identification number (EIN):	592540178
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)