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CAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameCAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN
Plan identification number 001

CAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

CAPITAL SURGEONS GROUP, PLLC has sponsored the creation of one or more 401k plans.

Company Name:CAPITAL SURGEONS GROUP, PLLC
Employer identification number (EIN):742787183
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01TIM FAULKENBERRY, MD2019-10-01
0012017-01-01
0012016-01-01DANA FEIST
0012015-01-01
0012014-01-01SUSAN CLARKE
0012013-01-01SUE CLARKE SUE CLARKE2014-10-02
0012012-01-01SUSAN CLARKE SUSAN CLARKE2013-09-17
0012011-01-01SUSAN CLARKE SUSAN CLARKE2012-08-21
0012010-01-01SUSAN CLARKE SUSAN CLARKE2011-06-24
0012009-01-01SUSAN CLARKE SUSAN CLARKE2010-09-16

Plan Statistics for CAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for CAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN

Measure Date Value
2018: CAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0142
Total number of active participants reported on line 7a of the Form 55002018-01-0128
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0113
Total of all active and inactive participants2018-01-0141
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0141
Number of participants with account balances2018-01-0140
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-014
2017: CAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0142
Total number of active participants reported on line 7a of the Form 55002017-01-0126
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0111
Total of all active and inactive participants2017-01-0137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0137
Number of participants with account balances2017-01-0137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-012
2016: CAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0141
Total number of active participants reported on line 7a of the Form 55002016-01-0127
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0111
Total of all active and inactive participants2016-01-0138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0138
Number of participants with account balances2016-01-0138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-014
2015: CAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0142
Total number of active participants reported on line 7a of the Form 55002015-01-0127
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0111
Total of all active and inactive participants2015-01-0138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0138
Number of participants with account balances2015-01-0138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: CAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0133
Total number of active participants reported on line 7a of the Form 55002014-01-0124
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0112
Total of all active and inactive participants2014-01-0136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0136
Number of participants with account balances2014-01-0136
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-013
2013: CAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0135
Total number of active participants reported on line 7a of the Form 55002013-01-0124
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-019
Total of all active and inactive participants2013-01-0133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0133
Number of participants with account balances2013-01-0133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-012
2012: CAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0138
Total number of active participants reported on line 7a of the Form 55002012-01-0125
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-019
Total of all active and inactive participants2012-01-0134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0134
Number of participants with account balances2012-01-0133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-013
2011: CAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0144
Total number of active participants reported on line 7a of the Form 55002011-01-0127
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-019
Total of all active and inactive participants2011-01-0136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0136
Number of participants with account balances2011-01-0134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-014
2010: CAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0137
Total number of active participants reported on line 7a of the Form 55002010-01-0134
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-015
Total of all active and inactive participants2010-01-0139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-0139
Number of participants with account balances2010-01-0138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-015
2009: CAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0132
Total number of active participants reported on line 7a of the Form 55002009-01-0133
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-011
Total of all active and inactive participants2009-01-0134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0134
Number of participants with account balances2009-01-0133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-011

Financial Data on CAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN

Measure Date Value
2018 : CAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources2018-12-31$67,088
Expenses. Total of all expenses incurred2018-12-31$4,523,491
Benefits paid (including direct rollovers)2018-12-31$4,511,160
Total plan assets at end of year2018-12-31$7,053,612
Total plan assets at beginning of year2018-12-31$11,510,015
Value of fidelity bond covering the plan2018-12-31$500,000
Total contributions received or receivable from participants2018-12-31$246,265
Other income received2018-12-31$-522,306
Net income (gross income less expenses)2018-12-31$-4,456,403
Net plan assets at end of year (total assets less liabilities)2018-12-31$7,053,612
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$11,510,015
Assets. Value of assets in partnership/joint-venture interests2018-12-31$0
Total contributions received or receivable from employer(s)2018-12-31$343,129
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$12,331
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : CAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources2017-12-31$2,138,912
Expenses. Total of all expenses incurred2017-12-31$347,341
Benefits paid (including direct rollovers)2017-12-31$329,519
Total plan assets at end of year2017-12-31$11,510,015
Total plan assets at beginning of year2017-12-31$9,718,444
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$239,750
Other income received2017-12-31$1,539,469
Net income (gross income less expenses)2017-12-31$1,791,571
Net plan assets at end of year (total assets less liabilities)2017-12-31$11,510,015
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$9,718,444
Assets. Value of assets in partnership/joint-venture interests2017-12-31$20,023
Total contributions received or receivable from employer(s)2017-12-31$359,693
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$17,822
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : CAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources2016-12-31$1,238,482
Expenses. Total of all expenses incurred2016-12-31$663,783
Benefits paid (including direct rollovers)2016-12-31$648,368
Total plan assets at end of year2016-12-31$9,718,444
Total plan assets at beginning of year2016-12-31$9,143,745
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$243,289
Other income received2016-12-31$608,122
Net income (gross income less expenses)2016-12-31$574,699
Net plan assets at end of year (total assets less liabilities)2016-12-31$9,718,444
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$9,143,745
Assets. Value of assets in partnership/joint-venture interests2016-12-31$14,159
Total contributions received or receivable from employer(s)2016-12-31$387,071
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$15,415
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : CAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources2015-12-31$398,158
Expenses. Total of all expenses incurred2015-12-31$749,404
Benefits paid (including direct rollovers)2015-12-31$734,081
Total plan assets at end of year2015-12-31$9,143,745
Total plan assets at beginning of year2015-12-31$9,494,991
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$256,410
Contributions received from other sources (not participants or employers)2015-12-31$54
Other income received2015-12-31$-222,106
Net income (gross income less expenses)2015-12-31$-351,246
Net plan assets at end of year (total assets less liabilities)2015-12-31$9,143,745
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$9,494,991
Assets. Value of assets in partnership/joint-venture interests2015-12-31$80,381
Total contributions received or receivable from employer(s)2015-12-31$363,800
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$15,323
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : CAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources2014-12-31$948,850
Expenses. Total of all expenses incurred2014-12-31$21,566
Benefits paid (including direct rollovers)2014-12-31$12,861
Total plan assets at end of year2014-12-31$9,494,991
Total plan assets at beginning of year2014-12-31$8,567,707
Value of fidelity bond covering the plan2014-12-31$500,000
Total contributions received or receivable from participants2014-12-31$246,734
Contributions received from other sources (not participants or employers)2014-12-31$30,048
Other income received2014-12-31$363,061
Net income (gross income less expenses)2014-12-31$927,284
Net plan assets at end of year (total assets less liabilities)2014-12-31$9,494,991
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$8,567,707
Assets. Value of assets in partnership/joint-venture interests2014-12-31$107,280
Total contributions received or receivable from employer(s)2014-12-31$309,007
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$8,705
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : CAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources2013-12-31$1,993,552
Expenses. Total of all expenses incurred2013-12-31$41,315
Benefits paid (including direct rollovers)2013-12-31$38,376
Total plan assets at end of year2013-12-31$8,567,707
Total plan assets at beginning of year2013-12-31$6,615,470
Value of fidelity bond covering the plan2013-12-31$500,000
Total contributions received or receivable from participants2013-12-31$203,091
Contributions received from other sources (not participants or employers)2013-12-31$13,169
Other income received2013-12-31$1,488,711
Net income (gross income less expenses)2013-12-31$1,952,237
Net plan assets at end of year (total assets less liabilities)2013-12-31$8,567,707
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$6,615,470
Assets. Value of assets in partnership/joint-venture interests2013-12-31$447,448
Total contributions received or receivable from employer(s)2013-12-31$288,581
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$2,939
2012 : CAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources2012-12-31$1,041,218
Expenses. Total of all expenses incurred2012-12-31$96,468
Benefits paid (including direct rollovers)2012-12-31$94,062
Total plan assets at end of year2012-12-31$6,615,470
Total plan assets at beginning of year2012-12-31$5,670,720
Value of fidelity bond covering the plan2012-12-31$500,000
Total contributions received or receivable from participants2012-12-31$194,695
Other income received2012-12-31$525,588
Net income (gross income less expenses)2012-12-31$944,750
Net plan assets at end of year (total assets less liabilities)2012-12-31$6,615,470
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$5,670,720
Assets. Value of assets in partnership/joint-venture interests2012-12-31$399,513
Total contributions received or receivable from employer(s)2012-12-31$320,935
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$2,406
2011 : CAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources2011-12-31$629,623
Expenses. Total of all expenses incurred2011-12-31$463,360
Benefits paid (including direct rollovers)2011-12-31$460,110
Total plan assets at end of year2011-12-31$5,670,720
Total plan assets at beginning of year2011-12-31$5,504,457
Value of fidelity bond covering the plan2011-12-31$500,000
Total contributions received or receivable from participants2011-12-31$283,371
Other income received2011-12-31$-88,572
Net income (gross income less expenses)2011-12-31$166,263
Net plan assets at end of year (total assets less liabilities)2011-12-31$5,670,720
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$5,504,457
Assets. Value of assets in partnership/joint-venture interests2011-12-31$550,115
Total contributions received or receivable from employer(s)2011-12-31$434,824
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$3,250
2010 : CAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources2010-12-31$1,316,188
Expenses. Total of all expenses incurred2010-12-31$221,890
Benefits paid (including direct rollovers)2010-12-31$218,556
Total plan assets at end of year2010-12-31$5,504,457
Total plan assets at beginning of year2010-12-31$4,410,159
Value of fidelity bond covering the plan2010-12-31$500,000
Total contributions received or receivable from participants2010-12-31$299,206
Other income received2010-12-31$602,745
Net income (gross income less expenses)2010-12-31$1,094,298
Net plan assets at end of year (total assets less liabilities)2010-12-31$5,504,457
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$4,410,159
Assets. Value of assets in partnership/joint-venture interests2010-12-31$550,115
Total contributions received or receivable from employer(s)2010-12-31$414,237
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$3,334

Form 5500 Responses for CAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN

2018: CAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: CAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: CAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: CAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: CAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: CAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: CAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: CAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: CAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: CAPITAL SURGEONS GROUP, PLLC 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number802426
Policy instance 1
Insurance contract or identification number802426
Number of Individuals Covered41
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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 planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number802426
Policy instance 1
Insurance contract or identification number802426
Number of Individuals Covered37
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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 planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number802426
Policy instance 1
Insurance contract or identification number802426
Number of Individuals Covered42
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number802426
Policy instance 1
Insurance contract or identification number802426
Number of Individuals Covered36
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number802426
Policy instance 1
Insurance contract or identification number802426
Number of Individuals Covered33
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contracts With Unallocated Funds Deposit Administration1
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number802426
Policy instance 1
Insurance contract or identification number802426
Number of Individuals Covered33
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contracts With Unallocated Funds Deposit Administration1
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number802426
Policy instance 1
Insurance contract or identification number802426
Number of Individuals Covered34
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contracts With Unallocated Funds Deposit Administration1
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number802426
Policy instance 1
Insurance contract or identification number802426
Number of Individuals Covered38
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contracts With Unallocated Funds Deposit Administration1

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