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DONALD D. DAVENPORT, JR., DO, PA 401K PLAN 401k Plan overview

Plan NameDONALD D. DAVENPORT, JR., DO, PA 401K PLAN
Plan identification number 001

DONALD D. DAVENPORT, JR., DO, PA 401K PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of 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

DONALD D. DAVENPORT, JR., DO, PA has sponsored the creation of one or more 401k plans.

Company Name:DONALD D. DAVENPORT, JR., DO, PA
Employer identification number (EIN):743006517
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DONALD D. DAVENPORT, JR., DO, PA 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01DONALD D. DAVENPORT, JR.2023-05-07 DONALD D. DAVENPORT, JR.2023-05-07
0012021-01-01DONALD D. DAVENPORT, JR.2022-05-08 DONALD D. DAVENPORT, JR.2022-05-08
0012020-01-01DONALD D. DAVENPORT, JR.2021-05-10 DONALD D. DAVENPORT, JR.2021-05-10
0012019-01-01DONALD D. DAVENPORT, JR.2020-04-19 DONALD D. DAVENPORT, JR.2020-04-19
0012018-01-01DONALD D. DAVENPORT, JR.2019-05-27 DONALD D. DAVENPORT, JR.2019-05-27
0012017-01-01DONALD D. DAVENPORT, JR.2018-05-13 DONALD D. DAVENPORT, JR.2018-05-13
0012016-01-01DONALD D. DAVENPORT, JR.2017-06-18 DONALD D. DAVENPORT, JR.2017-06-18
0012015-01-01DONALD D. DAVENPORT, JR.2016-04-30 DONALD D. DAVENPORT, JR.2016-04-30
0012014-01-01DONALD D. DAVENPORT, JR.2015-04-05 DONALD D. DAVENPORT, JR.2015-04-05
0012013-01-01DONALD D. DAVENPORT, JR DONALD D. DAVENPORT, JR2014-04-25
0012012-01-01DONALD D. DAVENPORT, JR DONALD D. DAVENPORT, JR2013-07-10
0012011-01-01DONALD D. DAVENPORT, JR DONALD D. DAVENPORT, JR2012-05-31
0012009-01-01DONALD D. DAVENPORT, JR

Plan Statistics for DONALD D. DAVENPORT, JR., DO, PA 401K PLAN

401k plan membership statisitcs for DONALD D. DAVENPORT, JR., DO, PA 401K PLAN

Measure Date Value
2013: DONALD D. DAVENPORT, JR., DO, PA 401K PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-015
Total number of active participants reported on line 7a of the Form 55002013-01-014
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-014
Number of participants with account balances2013-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: DONALD D. DAVENPORT, JR., DO, PA 401K PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-016
Total number of active participants reported on line 7a of the Form 55002012-01-015
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-011
Total of all active and inactive participants2012-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-016
Number of participants with account balances2012-01-015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: DONALD D. DAVENPORT, JR., DO, PA 401K PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-016
Total number of active participants reported on line 7a of the Form 55002011-01-014
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-011
Total of all active and inactive participants2011-01-015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-015
Number of participants with account balances2011-01-015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: DONALD D. DAVENPORT, JR., DO, PA 401K PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-016
Total number of active participants reported on line 7a of the Form 55002009-01-016
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-016
Number of participants with account balances2009-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on DONALD D. DAVENPORT, JR., DO, PA 401K PLAN

Measure Date Value
2013 : DONALD D. DAVENPORT, JR., DO, PA 401K PLAN 2013 401k financial data
Total income from all sources2013-12-31$351,017
Expenses. Total of all expenses incurred2013-12-31$70,012
Benefits paid (including direct rollovers)2013-12-31$70,012
Total plan assets at end of year2013-12-31$1,313,383
Total plan assets at beginning of year2013-12-31$1,032,378
Value of fidelity bond covering the plan2013-12-31$150,000
Total contributions received or receivable from participants2013-12-31$45,045
Other income received2013-12-31$250,746
Net income (gross income less expenses)2013-12-31$281,005
Net plan assets at end of year (total assets less liabilities)2013-12-31$1,313,383
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$1,032,378
Total contributions received or receivable from employer(s)2013-12-31$55,226
2012 : DONALD D. DAVENPORT, JR., DO, PA 401K PLAN 2012 401k financial data
Total income from all sources2012-12-31$224,482
Expenses. Total of all expenses incurred2012-12-31$0
Total plan assets at end of year2012-12-31$1,032,378
Total plan assets at beginning of year2012-12-31$807,896
Value of fidelity bond covering the plan2012-12-31$150,000
Total contributions received or receivable from participants2012-12-31$43,438
Other income received2012-12-31$126,255
Net income (gross income less expenses)2012-12-31$224,482
Net plan assets at end of year (total assets less liabilities)2012-12-31$1,032,378
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$807,896
Assets. Value of participant loans2012-12-31$577
Total contributions received or receivable from employer(s)2012-12-31$54,789
2011 : DONALD D. DAVENPORT, JR., DO, PA 401K PLAN 2011 401k financial data
Total income from all sources2011-12-31$18,766
Expenses. Total of all expenses incurred2011-12-31$66,537
Benefits paid (including direct rollovers)2011-12-31$61,544
Total plan assets at end of year2011-12-31$807,896
Total plan assets at beginning of year2011-12-31$855,667
Value of fidelity bond covering the plan2011-12-31$100,000
Total contributions received or receivable from participants2011-12-31$43,311
Other income received2011-12-31$-73,695
Net income (gross income less expenses)2011-12-31$-47,771
Net plan assets at end of year (total assets less liabilities)2011-12-31$807,896
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$855,667
Assets. Value of participant loans2011-12-31$5,782
Total contributions received or receivable from employer(s)2011-12-31$49,150
Value of certain deemed distributions of participant loans2011-12-31$4,993
2010 : DONALD D. DAVENPORT, JR., DO, PA 401K PLAN 2010 401k financial data
Total income from all sources2010-12-31$198,621
Expenses. Total of all expenses incurred2010-12-31$0
Total plan assets at end of year2010-12-31$855,667
Total plan assets at beginning of year2010-12-31$657,046
Value of fidelity bond covering the plan2010-12-31$100,000
Total contributions received or receivable from participants2010-12-31$44,505
Other income received2010-12-31$98,984
Net income (gross income less expenses)2010-12-31$198,621
Net plan assets at end of year (total assets less liabilities)2010-12-31$855,667
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$657,046
Assets. Value of participant loans2010-12-31$15,232
Total contributions received or receivable from employer(s)2010-12-31$55,132

Form 5500 Responses for DONALD D. DAVENPORT, JR., DO, PA 401K PLAN

2013: DONALD D. DAVENPORT, JR., DO, PA 401K 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: DONALD D. DAVENPORT, JR., DO, PA 401K 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: DONALD D. DAVENPORT, JR., DO, PA 401K 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
2009: DONALD D. DAVENPORT, JR., DO, PA 401K 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

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-54-KQ09
Policy instance 1
Insurance contract or identification numberGAP-54-KQ09
Number of Individuals Covered4
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $6,150
Total amount of fees paid to insurance companyUSD $3,390
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 Administration0
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?Yes
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
Commission paid to Insurance BrokerUSD $6,150
Insurance broker organization code?4
Amount paid for insurance broker fees3390
Additional information about fees paid to insurance brokerFEES
Insurance broker namePAUL CAIN
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-54-KQ09
Policy instance 1
Insurance contract or identification numberGAP-54-KQ09
Number of Individuals Covered5
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $4,878
Total amount of fees paid to insurance companyUSD $2,627
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 Administration0
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?Yes
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
Commission paid to Insurance BrokerUSD $4,878
Insurance broker organization code?4
Amount paid for insurance broker fees2627
Additional information about fees paid to insurance brokerFEES
Insurance broker namePAUL CAIN
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-54-KQ09
Policy instance 1
Insurance contract or identification numberGAP-54-KQ09
Number of Individuals Covered5
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $4,362
Total amount of fees paid to insurance companyUSD $2,317
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 Administration0
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?Yes
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
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-54-KQ09
Policy instance 1
Insurance contract or identification numberGAP-54-KQ09
Number of Individuals Covered6
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $3,686
Total amount of fees paid to insurance companyUSD $1,911
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 Administration0
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
Commission paid to Insurance BrokerUSD $3,686
Insurance broker organization code?4
Amount paid for insurance broker fees1911
Additional information about fees paid to insurance brokerFEES
Insurance broker namePAUL CAIN

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