401k Plan data: CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN plan

CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 401k Plan overview

Plan Name	CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN
Plan identification number	002

CLARKSVILLE OB-GYN ASSOCIATES PC 401K 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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

CLARKSVILLE OB-GYN ASSOCIATES, P.C. has sponsored the creation of one or more 401k plans.

Company Name: CLARKSVILLE OB-GYN ASSOCIATES, P.C.

Employer identification number (EIN): 621036813

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2023-01-01 TRACY 2023-10-13
002 2022-01-01 TRACY 2023-10-11
002 2021-01-01 TRACY COFFEY 2022-09-15
002 2020-01-01 DONALD CRAWFORD 2021-06-21
002 2019-01-01
002 2018-01-01
002 2017-01-01 DONALD CRAWFORD
002 2016-01-01 DONALD CRAWFORD
002 2016-01-01 DONALD CRAWFORD
002 2015-01-01 DONALD CRAWFORD
002 2014-01-01 GARY LARKINS, MD
002 2013-01-01 GARY LARKINS, MD
002 2012-01-01 GARY LARKINS, MD
002 2011-01-01 GARY LARKINS, MD
002 2009-01-01 GARY LARKINS, MD

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2023-01-01	TRACY	2023-10-13
002	2022-01-01	TRACY	2023-10-11
002	2021-01-01	TRACY COFFEY	2022-09-15
002	2020-01-01	DONALD CRAWFORD	2021-06-21
002	2019-01-01
002	2018-01-01
002	2017-01-01	DONALD CRAWFORD
002	2016-01-01	DONALD CRAWFORD
002	2016-01-01	DONALD CRAWFORD
002	2015-01-01	DONALD CRAWFORD
002	2014-01-01	GARY LARKINS, MD
002	2013-01-01	GARY LARKINS, MD
002	2012-01-01	GARY LARKINS, MD
002	2011-01-01	GARY LARKINS, MD
002	2009-01-01	GARY LARKINS, MD

Plan Statistics for CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN

401k plan membership statisitcs for CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN

Measure Date Value
2019: CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 40
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 26
Number of retired or separated participants receiving benefits 2019-01-01 3
Number of other retired or separated participants entitled to future benefits 2019-01-01 12
Total of all active and inactive participants 2019-01-01 41
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 41
Number of participants with account balances 2019-01-01 41
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 39
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 27
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 13
Total of all active and inactive participants 2018-01-01 40
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 40
Number of participants with account balances 2018-01-01 40
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 34
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 24
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 13
Total of all active and inactive participants 2017-01-01 37
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 37
Number of participants with account balances 2017-01-01 37
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 36
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 24
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 8
Total of all active and inactive participants 2016-01-01 32
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 32
Number of participants with account balances 2016-01-01 32
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 33
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 24
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 11
Total of all active and inactive participants 2015-01-01 35
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 35
Number of participants with account balances 2015-01-01 35
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 1
2014: CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 33
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 25
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 7
Total of all active and inactive participants 2014-01-01 32
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 32
Number of participants with account balances 2014-01-01 32
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 29
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 22
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 10
Total of all active and inactive participants 2013-01-01 32
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 32
Number of participants with account balances 2013-01-01 32
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 34
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 22
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 7
Total of all active and inactive participants 2012-01-01 29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 29
Number of participants with account balances 2012-01-01 29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 34
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 23
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 11
Total of all active and inactive participants 2011-01-01 34
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 34
Number of participants with account balances 2011-01-01 34
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 34
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 20
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 14
Total of all active and inactive participants 2009-01-01 34
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 34
Number of participants with account balances 2009-01-01 34
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 1

Measure	Date	Value
2019: CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	40
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	26
Number of retired or separated participants receiving benefits	2019-01-01	3
Number of other retired or separated participants entitled to future benefits	2019-01-01	12
Total of all active and inactive participants	2019-01-01	41
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	41
Number of participants with account balances	2019-01-01	41
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	39
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	27
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	13
Total of all active and inactive participants	2018-01-01	40
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	40
Number of participants with account balances	2018-01-01	40
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	34
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	24
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	13
Total of all active and inactive participants	2017-01-01	37
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	37
Number of participants with account balances	2017-01-01	37
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	36
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	24
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	8
Total of all active and inactive participants	2016-01-01	32
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	32
Number of participants with account balances	2016-01-01	32
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	33
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	24
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	11
Total of all active and inactive participants	2015-01-01	35
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	35
Number of participants with account balances	2015-01-01	35
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	1
2014: CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	33
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	25
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	7
Total of all active and inactive participants	2014-01-01	32
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	32
Number of participants with account balances	2014-01-01	32
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	29
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	22
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	10
Total of all active and inactive participants	2013-01-01	32
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	32
Number of participants with account balances	2013-01-01	32
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	34
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	22
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	7
Total of all active and inactive participants	2012-01-01	29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	29
Number of participants with account balances	2012-01-01	29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	34
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	23
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	11
Total of all active and inactive participants	2011-01-01	34
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	34
Number of participants with account balances	2011-01-01	34
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	34
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	20
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	14
Total of all active and inactive participants	2009-01-01	34
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	34
Number of participants with account balances	2009-01-01	34
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	1

Financial Data on CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN

Measure	Date	Value
2019 : CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2019 401k financial data
Total plan liabilities at end of year	2019-12-31	$0
Total plan liabilities at beginning of year	2019-12-31	$0
Total income from all sources	2019-12-31	$468,389
Expenses. Total of all expenses incurred	2019-12-31	$126,908
Benefits paid (including direct rollovers)	2019-12-31	$126,908
Total plan assets at end of year	2019-12-31	$2,675,009
Total plan assets at beginning of year	2019-12-31	$2,333,528
Value of fidelity bond covering the plan	2019-12-31	$300,000
Total contributions received or receivable from participants	2019-12-31	$78,288
Expenses. Other expenses not covered elsewhere	2019-12-31	$0
Contributions received from other sources (not participants or employers)	2019-12-31	$379
Other income received	2019-12-31	$310,969
Noncash contributions received	2019-12-31	$0
Net income (gross income less expenses)	2019-12-31	$341,481
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$2,675,009
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$2,333,528
Assets. Value of participant loans	2019-12-31	$31,776
Total contributions received or receivable from employer(s)	2019-12-31	$78,753
Value of certain deemed distributions of participant loans	2019-12-31	$0
Value of corrective distributions	2019-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
2018 : CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$63,615
Expenses. Total of all expenses incurred	2018-12-31	$618
Benefits paid (including direct rollovers)	2018-12-31	$618
Total plan assets at end of year	2018-12-31	$2,333,528
Total plan assets at beginning of year	2018-12-31	$2,270,531
Value of fidelity bond covering the plan	2018-12-31	$300,000
Total contributions received or receivable from participants	2018-12-31	$78,329
Contributions received from other sources (not participants or employers)	2018-12-31	$0
Other income received	2018-12-31	$-96,844
Net income (gross income less expenses)	2018-12-31	$62,997
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$2,333,528
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$2,270,531
Assets. Value of participant loans	2018-12-31	$49,443
Total contributions received or receivable from employer(s)	2018-12-31	$82,130
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
2017 : CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$333,495
Expenses. Total of all expenses incurred	2017-12-31	$2,724
Benefits paid (including direct rollovers)	2017-12-31	$2,724
Total plan assets at end of year	2017-12-31	$2,270,531
Total plan assets at beginning of year	2017-12-31	$1,939,760
Value of fidelity bond covering the plan	2017-12-31	$300,000
Total contributions received or receivable from participants	2017-12-31	$69,620
Contributions received from other sources (not participants or employers)	2017-12-31	$6,649
Other income received	2017-12-31	$179,898
Net income (gross income less expenses)	2017-12-31	$330,771
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$2,270,531
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$1,939,760
Assets. Value of participant loans	2017-12-31	$28,450
Total contributions received or receivable from employer(s)	2017-12-31	$77,328
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
2016 : CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$271,195
Expenses. Total of all expenses incurred	2016-12-31	$1,194,793
Benefits paid (including direct rollovers)	2016-12-31	$1,194,793
Total plan assets at end of year	2016-12-31	$1,872,644
Total plan assets at beginning of year	2016-12-31	$2,796,242
Value of fidelity bond covering the plan	2016-12-31	$300,000
Total contributions received or receivable from participants	2016-12-31	$86,213
Other income received	2016-12-31	$121,371
Net income (gross income less expenses)	2016-12-31	$-923,598
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$1,872,644
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$2,796,242
Assets. Value of participant loans	2016-12-31	$37,201
Total contributions received or receivable from employer(s)	2016-12-31	$63,611
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
2015 : CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$128,296
Expenses. Total of all expenses incurred	2015-12-31	$6,122
Benefits paid (including direct rollovers)	2015-12-31	$6,122
Total plan assets at end of year	2015-12-31	$2,796,242
Total plan assets at beginning of year	2015-12-31	$2,674,068
Value of fidelity bond covering the plan	2015-12-31	$300,000
Total contributions received or receivable from participants	2015-12-31	$91,523
Other income received	2015-12-31	$-38,818
Net income (gross income less expenses)	2015-12-31	$122,174
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$2,796,242
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$2,674,068
Assets. Value of participant loans	2015-12-31	$37,616
Total contributions received or receivable from employer(s)	2015-12-31	$75,591
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$247,473
Expenses. Total of all expenses incurred	2014-12-31	$386
Benefits paid (including direct rollovers)	2014-12-31	$386
Total plan assets at end of year	2014-12-31	$2,674,068
Total plan assets at beginning of year	2014-12-31	$2,426,981
Value of fidelity bond covering the plan	2014-12-31	$300,000
Total contributions received or receivable from participants	2014-12-31	$88,640
Contributions received from other sources (not participants or employers)	2014-12-31	$3,066
Other income received	2014-12-31	$83,948
Net income (gross income less expenses)	2014-12-31	$247,087
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$2,674,068
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$2,426,981
Assets. Value of participant loans	2014-12-31	$44,142
Total contributions received or receivable from employer(s)	2014-12-31	$71,819
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$340,107
Expenses. Total of all expenses incurred	2013-12-31	$4,460
Benefits paid (including direct rollovers)	2013-12-31	$4,460
Total plan assets at end of year	2013-12-31	$2,426,981
Total plan assets at beginning of year	2013-12-31	$2,091,334
Value of fidelity bond covering the plan	2013-12-31	$225,000
Total contributions received or receivable from participants	2013-12-31	$87,774
Other income received	2013-12-31	$186,111
Net income (gross income less expenses)	2013-12-31	$335,647
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$2,426,981
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$2,091,334
Assets. Value of participant loans	2013-12-31	$50,449
Total contributions received or receivable from employer(s)	2013-12-31	$66,222
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$311,156
Expenses. Total of all expenses incurred	2012-12-31	$37,911
Benefits paid (including direct rollovers)	2012-12-31	$37,911
Total plan assets at end of year	2012-12-31	$2,091,334
Total plan assets at beginning of year	2012-12-31	$1,818,089
Value of fidelity bond covering the plan	2012-12-31	$225,000
Total contributions received or receivable from participants	2012-12-31	$82,322
Other income received	2012-12-31	$162,449
Net income (gross income less expenses)	2012-12-31	$273,245
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$2,091,334
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,818,089
Assets. Value of participant loans	2012-12-31	$41,712
Total contributions received or receivable from employer(s)	2012-12-31	$66,385
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$138,509
Expenses. Total of all expenses incurred	2011-12-31	$806
Benefits paid (including direct rollovers)	2011-12-31	$806
Total plan assets at end of year	2011-12-31	$1,818,089
Total plan assets at beginning of year	2011-12-31	$1,680,386
Value of fidelity bond covering the plan	2011-12-31	$225,000
Total contributions received or receivable from participants	2011-12-31	$75,982
Expenses. Other expenses not covered elsewhere	2011-12-31	$0
Other income received	2011-12-31	$-1,322
Net income (gross income less expenses)	2011-12-31	$137,703
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,818,089
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,680,386
Assets. Value of participant loans	2011-12-31	$29,313
Total contributions received or receivable from employer(s)	2011-12-31	$63,849
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$0
2010 : CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$239,941
Expenses. Total of all expenses incurred	2010-12-31	$5,410
Benefits paid (including direct rollovers)	2010-12-31	$5,410
Total plan assets at end of year	2010-12-31	$1,680,386
Total plan assets at beginning of year	2010-12-31	$1,445,855
Value of fidelity bond covering the plan	2010-12-31	$220,000
Total contributions received or receivable from participants	2010-12-31	$70,610
Expenses. Other expenses not covered elsewhere	2010-12-31	$0
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$109,002
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$234,531
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,680,386
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,445,855
Assets. Value of participant loans	2010-12-31	$11,405
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	2010-12-31	$4,083
Total contributions received or receivable from employer(s)	2010-12-31	$60,329
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$0

Form 5500 Responses for CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN

2019: CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: CLARKSVILLE OB-GYN ASSOCIATES PC 401K PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

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

Policy contract number

69144

Policy instance

Insurance contract or identification number	69144
Number of Individuals Covered	38
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $9,525
Total amount of fees paid to insurance company	USD $2,138
Are there contracts with allocated funds for individual policies?	0
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 $9,525
Insurance broker organization code?	3
Amount paid for insurance broker fees	2138
Additional information about fees paid to insurance broker	TPA FEES AND COMPENSATION

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

Policy contract number

69144

Policy instance

Insurance contract or identification number	69144
Number of Individuals Covered	37
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $7,927
Total amount of fees paid to insurance company	USD $1,167
Are there contracts with allocated funds for individual policies?	0
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 $7,927
Insurance broker organization code?	3
Amount paid for insurance broker fees	1167
Additional information about fees paid to insurance broker	TPA FEES AND COMPENSATION
Insurance broker name	AVINTUS

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Company Name:	CLARKSVILLE OB-GYN ASSOCIATES, P.C.
Employer identification number (EIN):	621036813
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)