401k Plan data: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN plan

PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 401k Plan overview

Plan Name	PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN
Plan identification number	002

PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
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

PULMONARY SPECIALISTS OF TYLER, PA has sponsored the creation of one or more 401k plans.

Company Name: PULMONARY SPECIALISTS OF TYLER, PA

Employer identification number (EIN): 752154420

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2021-01-01 G. DAVID GASS, MD 2022-10-10 G. DAVID GASS, MD 2022-10-10
002 2020-01-01 DAVID JONES, MD 2021-09-23 DAVID JONES, MD 2021-09-23
002 2019-01-01 DAVID JONES, MD 2020-10-07 DAVID JONES, MD 2020-10-07
002 2018-01-01 DAVID JONES, MD 2019-10-09 DAVID JONES, MD 2019-10-09
002 2017-01-01
002 2016-01-01
002 2015-01-01
002 2014-01-01
002 2013-01-01
002 2012-01-01 DAVID JONES, MD DAVID JONES, MD 2013-10-11
002 2011-01-01 DAVID JONES, MD DAVID JONES, MD 2012-10-10
002 2009-01-01 DAVID JONES DAVID JONES 2010-10-11

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2021-01-01	G. DAVID GASS, MD	2022-10-10	G. DAVID GASS, MD	2022-10-10
002	2020-01-01	DAVID JONES, MD	2021-09-23	DAVID JONES, MD	2021-09-23
002	2019-01-01	DAVID JONES, MD	2020-10-07	DAVID JONES, MD	2020-10-07
002	2018-01-01	DAVID JONES, MD	2019-10-09	DAVID JONES, MD	2019-10-09
002	2017-01-01
002	2016-01-01
002	2015-01-01
002	2014-01-01
002	2013-01-01
002	2012-01-01	DAVID JONES, MD		DAVID JONES, MD	2013-10-11
002	2011-01-01	DAVID JONES, MD		DAVID JONES, MD	2012-10-10
002	2009-01-01	DAVID JONES		DAVID JONES	2010-10-11

Plan Statistics for PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN

401k plan membership statisitcs for PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN

Measure Date Value
2021: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 0
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 2
Total of all active and inactive participants 2021-01-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 2
Number of participants with account balances 2021-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 53
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 0
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 17
Total of all active and inactive participants 2020-01-01 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 17
Number of participants with account balances 2020-01-01 17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 61
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 8
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 35
Total of all active and inactive participants 2019-01-01 43
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 43
Number of participants with account balances 2019-01-01 42
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 62
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 48
Number of other retired or separated participants entitled to future benefits 2018-01-01 12
Total of all active and inactive participants 2018-01-01 60
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 60
Number of participants with account balances 2018-01-01 42
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 59
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 43
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 17
Total of all active and inactive participants 2017-01-01 60
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 60
Number of participants with account balances 2017-01-01 50
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 67
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 44
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 13
Total of all active and inactive participants 2016-01-01 57
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 57
Number of participants with account balances 2016-01-01 50
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 68
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 46
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 18
Total of all active and inactive participants 2015-01-01 64
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 64
Number of participants with account balances 2015-01-01 54
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 65
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 42
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 20
Total of all active and inactive participants 2014-01-01 62
Total participants 2014-01-01 62
Number of participants with account balances 2014-01-01 53
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 73
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 41
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 23
Total of all active and inactive participants 2013-01-01 64
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 64
Number of participants with account balances 2013-01-01 56
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 85
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 43
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 25
Total of all active and inactive participants 2012-01-01 68
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 68
Number of participants with account balances 2012-01-01 60
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 3
2011: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 97
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 58
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 28
Total of all active and inactive participants 2011-01-01 86
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 86
Number of participants with account balances 2011-01-01 79
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 7
2009: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 63
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 62
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 16
Total of all active and inactive participants 2009-01-01 78
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 78
Number of participants with account balances 2009-01-01 78
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 5

Measure	Date	Value
2021: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	0
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	2
Total of all active and inactive participants	2021-01-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	2
Number of participants with account balances	2021-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	53
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	0
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	17
Total of all active and inactive participants	2020-01-01	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	17
Number of participants with account balances	2020-01-01	17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	61
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	8
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	35
Total of all active and inactive participants	2019-01-01	43
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	43
Number of participants with account balances	2019-01-01	42
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	62
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	48
Number of other retired or separated participants entitled to future benefits	2018-01-01	12
Total of all active and inactive participants	2018-01-01	60
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	60
Number of participants with account balances	2018-01-01	42
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	59
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	43
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	17
Total of all active and inactive participants	2017-01-01	60
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	60
Number of participants with account balances	2017-01-01	50
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	67
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	44
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	13
Total of all active and inactive participants	2016-01-01	57
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	57
Number of participants with account balances	2016-01-01	50
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	68
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	46
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	18
Total of all active and inactive participants	2015-01-01	64
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	64
Number of participants with account balances	2015-01-01	54
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	65
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	42
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	20
Total of all active and inactive participants	2014-01-01	62
Total participants	2014-01-01	62
Number of participants with account balances	2014-01-01	53
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	73
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	41
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	23
Total of all active and inactive participants	2013-01-01	64
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	64
Number of participants with account balances	2013-01-01	56
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	85
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	43
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	25
Total of all active and inactive participants	2012-01-01	68
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	68
Number of participants with account balances	2012-01-01	60
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	3
2011: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	97
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	58
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	28
Total of all active and inactive participants	2011-01-01	86
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	86
Number of participants with account balances	2011-01-01	79
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	7
2009: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	63
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	62
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	16
Total of all active and inactive participants	2009-01-01	78
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	78
Number of participants with account balances	2009-01-01	78
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	5

Financial Data on PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN

Measure	Date	Value
2021 : PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2021 401k financial data
Transfers to/from the plan	2021-12-31	$0
Total plan liabilities at end of year	2021-12-31	$1,751
Total plan liabilities at beginning of year	2021-12-31	$1,938
Total income from all sources	2021-12-31	$150,288
Expenses. Total of all expenses incurred	2021-12-31	$4,551,434
Benefits paid (including direct rollovers)	2021-12-31	$4,549,033
Total plan assets at end of year	2021-12-31	$1,334,736
Total plan assets at beginning of year	2021-12-31	$5,736,069
Value of fidelity bond covering the plan	2021-12-31	$500,000
Total contributions received or receivable from participants	2021-12-31	$0
Expenses. Other expenses not covered elsewhere	2021-12-31	$0
Contributions received from other sources (not participants or employers)	2021-12-31	$0
Other income received	2021-12-31	$150,288
Noncash contributions received	2021-12-31	$0
Net income (gross income less expenses)	2021-12-31	$-4,401,146
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$1,332,985
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$5,734,131
Assets. Value of assets in partnership/joint-venture interests	2021-12-31	$90,372
Assets. Value of real-estate (other than employer real property)	2021-12-31	$569,000
Total contributions received or receivable from employer(s)	2021-12-31	$0
Value of certain deemed distributions of participant loans	2021-12-31	$0
Value of corrective distributions	2021-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$2,401
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
2020 : PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2020 401k financial data
Transfers to/from the plan	2020-12-31	$0
Total plan liabilities at end of year	2020-12-31	$1,938
Total plan liabilities at beginning of year	2020-12-31	$1,938
Total income from all sources	2020-12-31	$841,730
Expenses. Total of all expenses incurred	2020-12-31	$1,804,857
Benefits paid (including direct rollovers)	2020-12-31	$1,804,518
Total plan assets at end of year	2020-12-31	$5,736,069
Total plan assets at beginning of year	2020-12-31	$6,699,196
Value of fidelity bond covering the plan	2020-12-31	$500,000
Total contributions received or receivable from participants	2020-12-31	$7,344
Expenses. Other expenses not covered elsewhere	2020-12-31	$0
Contributions received from other sources (not participants or employers)	2020-12-31	$0
Other income received	2020-12-31	$827,042
Noncash contributions received	2020-12-31	$0
Net income (gross income less expenses)	2020-12-31	$-963,127
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$5,734,131
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$6,697,258
Assets. Value of participant loans	2020-12-31	$0
Assets. Value of assets in partnership/joint-venture interests	2020-12-31	$134,276
Assets. Value of real-estate (other than employer real property)	2020-12-31	$569,000
Total contributions received or receivable from employer(s)	2020-12-31	$7,344
Value of certain deemed distributions of participant loans	2020-12-31	$339
Value of corrective distributions	2020-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
2019 : PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2019 401k financial data
Total plan liabilities at end of year	2019-12-31	$1,938
Total plan liabilities at beginning of year	2019-12-31	$1,938
Total income from all sources	2019-12-31	$957,288
Expenses. Total of all expenses incurred	2019-12-31	$1,189,577
Benefits paid (including direct rollovers)	2019-12-31	$1,186,606
Total plan assets at end of year	2019-12-31	$6,699,196
Total plan assets at beginning of year	2019-12-31	$6,931,485
Value of fidelity bond covering the plan	2019-12-31	$500,000
Assets. Value of tangible personal property	2019-12-31	$40,000
Total contributions received or receivable from participants	2019-12-31	$194,705
Expenses. Other expenses not covered elsewhere	2019-12-31	$0
Contributions received from other sources (not participants or employers)	2019-12-31	$0
Other income received	2019-12-31	$651,962
Noncash contributions received	2019-12-31	$0
Net income (gross income less expenses)	2019-12-31	$-232,289
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$6,697,258
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$6,929,547
Assets. Value of participant loans	2019-12-31	$66,728
Assets. Value of assets in partnership/joint-venture interests	2019-12-31	$209,989
Assets. Value of real-estate (other than employer real property)	2019-12-31	$569,000
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	2019-12-31	$83,070
Total contributions received or receivable from employer(s)	2019-12-31	$110,621
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	$2,971
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
2018 : PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2018 401k financial data
Transfers to/from the plan	2018-12-31	$0
Total plan liabilities at end of year	2018-12-31	$1,938
Total plan liabilities at beginning of year	2018-12-31	$3,092
Total income from all sources	2018-12-31	$-219,750
Expenses. Total of all expenses incurred	2018-12-31	$571,167
Benefits paid (including direct rollovers)	2018-12-31	$567,455
Total plan assets at end of year	2018-12-31	$6,931,485
Total plan assets at beginning of year	2018-12-31	$7,723,556
Value of fidelity bond covering the plan	2018-12-31	$500,000
Total contributions received or receivable from participants	2018-12-31	$179,572
Expenses. Other expenses not covered elsewhere	2018-12-31	$0
Contributions received from other sources (not participants or employers)	2018-12-31	$0
Other income received	2018-12-31	$-528,322
Noncash contributions received	2018-12-31	$0
Net income (gross income less expenses)	2018-12-31	$-790,917
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$6,929,547
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$7,720,464
Assets. Value of participant loans	2018-12-31	$103,582
Assets. Value of assets in partnership/joint-venture interests	2018-12-31	$533,003
Assets. Value of real-estate (other than employer real property)	2018-12-31	$530,000
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	2018-12-31	$112,333
Total contributions received or receivable from employer(s)	2018-12-31	$129,000
Value of certain deemed distributions of participant loans	2018-12-31	$977
Value of corrective distributions	2018-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$2,735
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
2017 : PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2017 401k financial data
Total plan liabilities at end of year	2017-12-31	$3,092
Total plan liabilities at beginning of year	2017-12-31	$3,221
Total income from all sources	2017-12-31	$1,095,597
Expenses. Total of all expenses incurred	2017-12-31	$184,735
Benefits paid (including direct rollovers)	2017-12-31	$177,884
Total plan assets at end of year	2017-12-31	$7,723,556
Total plan assets at beginning of year	2017-12-31	$6,812,823
Value of fidelity bond covering the plan	2017-12-31	$500,000
Total contributions received or receivable from participants	2017-12-31	$192,668
Expenses. Other expenses not covered elsewhere	2017-12-31	$4,333
Contributions received from other sources (not participants or employers)	2017-12-31	$35,535
Other income received	2017-12-31	$717,061
Noncash contributions received	2017-12-31	$0
Net income (gross income less expenses)	2017-12-31	$910,862
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$7,720,464
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$6,809,602
Assets. Value of participant loans	2017-12-31	$158,665
Assets. Value of assets in partnership/joint-venture interests	2017-12-31	$545,230
Assets. Value of real-estate (other than employer real property)	2017-12-31	$530,000
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2017-12-31	$174,502
Total contributions received or receivable from employer(s)	2017-12-31	$150,333
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$2,518
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
2016 : PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2016 401k financial data
Transfers to/from the plan	2016-12-31	$0
Total plan liabilities at end of year	2016-12-31	$3,221
Total plan liabilities at beginning of year	2016-12-31	$1,937
Total income from all sources	2016-12-31	$777,028
Expenses. Total of all expenses incurred	2016-12-31	$172,738
Benefits paid (including direct rollovers)	2016-12-31	$170,414
Total plan assets at end of year	2016-12-31	$6,812,823
Total plan assets at beginning of year	2016-12-31	$6,207,249
Value of fidelity bond covering the plan	2016-12-31	$500,000
Total contributions received or receivable from participants	2016-12-31	$188,589
Expenses. Other expenses not covered elsewhere	2016-12-31	$0
Contributions received from other sources (not participants or employers)	2016-12-31	$17,775
Other income received	2016-12-31	$425,925
Noncash contributions received	2016-12-31	$0
Net income (gross income less expenses)	2016-12-31	$604,290
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$6,809,602
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$6,205,312
Assets. Value of participant loans	2016-12-31	$172,113
Assets. Value of assets in partnership/joint-venture interests	2016-12-31	$348,648
Assets. Value of real-estate (other than employer real property)	2016-12-31	$530,000
Total contributions received or receivable from employer(s)	2016-12-31	$144,739
Value of certain deemed distributions of participant loans	2016-12-31	$0
Value of corrective distributions	2016-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$2,324
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
2015 : PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2015 401k financial data
Transfers to/from the plan	2015-12-31	$0
Total plan liabilities at end of year	2015-12-31	$1,937
Total plan liabilities at beginning of year	2015-12-31	$0
Total income from all sources	2015-12-31	$-24,814
Expenses. Total of all expenses incurred	2015-12-31	$135,538
Benefits paid (including direct rollovers)	2015-12-31	$134,722
Total plan assets at end of year	2015-12-31	$6,207,249
Total plan assets at beginning of year	2015-12-31	$6,365,664
Value of fidelity bond covering the plan	2015-12-31	$500,000
Total contributions received or receivable from participants	2015-12-31	$193,427
Contributions received from other sources (not participants or employers)	2015-12-31	$0
Other income received	2015-12-31	$-363,504
Noncash contributions received	2015-12-31	$0
Net income (gross income less expenses)	2015-12-31	$-160,352
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$6,205,312
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$6,365,664
Assets. Value of participant loans	2015-12-31	$137,955
Assets. Value of assets in partnership/joint-venture interests	2015-12-31	$452,090
Assets. Value of real-estate (other than employer real property)	2015-12-31	$630,000
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	2015-12-31	$923
Total contributions received or receivable from employer(s)	2015-12-31	$145,263
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$816
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
Total plan liabilities at end of year	2014-12-31	$0
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$-575,468
Expenses. Total of all expenses incurred	2014-12-31	$1,406,823
Benefits paid (including direct rollovers)	2014-12-31	$1,399,707
Total plan assets at end of year	2014-12-31	$6,365,664
Total plan assets at beginning of year	2014-12-31	$8,347,955
Value of fidelity bond covering the plan	2014-12-31	$500,000
Total contributions received or receivable from participants	2014-12-31	$164,846
Expenses. Other expenses not covered elsewhere	2014-12-31	$0
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$-873,646
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$-1,982,291
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$6,365,664
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$8,347,955
Assets. Value of participant loans	2014-12-31	$161,132
Assets. Value of assets in partnership/joint-venture interests	2014-12-31	$400,000
Assets. Value of real-estate (other than employer real property)	2014-12-31	$355,800
Total contributions received or receivable from employer(s)	2014-12-31	$133,332
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$7,116
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
Total plan liabilities at end of year	2013-12-31	$0
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$1,760,921
Expenses. Total of all expenses incurred	2013-12-31	$1,403,557
Benefits paid (including direct rollovers)	2013-12-31	$1,387,129
Total plan assets at end of year	2013-12-31	$8,347,955
Total plan assets at beginning of year	2013-12-31	$7,990,591
Value of fidelity bond covering the plan	2013-12-31	$500,000
Total contributions received or receivable from participants	2013-12-31	$184,972
Expenses. Other expenses not covered elsewhere	2013-12-31	$0
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$1,434,525
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$357,364
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$8,347,955
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$7,990,591
Assets. Value of participant loans	2013-12-31	$140,747
Assets. Value of assets in partnership/joint-venture interests	2013-12-31	$400,000
Assets. Value of real-estate (other than employer real property)	2013-12-31	$355,800
Total contributions received or receivable from employer(s)	2013-12-31	$141,424
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$16,428
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
Total plan liabilities at end of year	2012-12-31	$2,360
Total plan liabilities at beginning of year	2012-12-31	$41,467
Total income from all sources	2012-12-31	$287,153
Expenses. Total of all expenses incurred	2012-12-31	$861,971
Benefits paid (including direct rollovers)	2012-12-31	$843,214
Total plan assets at end of year	2012-12-31	$7,992,951
Total plan assets at beginning of year	2012-12-31	$8,606,876
Value of fidelity bond covering the plan	2012-12-31	$500,000
Total contributions received or receivable from participants	2012-12-31	$181,268
Expenses. Other expenses not covered elsewhere	2012-12-31	$0
Contributions received from other sources (not participants or employers)	2012-12-31	$11,715
Other income received	2012-12-31	$-50,100
Noncash contributions received	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$-574,818
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$7,990,591
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$8,565,409
Assets. Value of participant loans	2012-12-31	$158,173
Assets. Value of assets in partnership/joint-venture interests	2012-12-31	$100,000
Assets. Value of real-estate (other than employer real property)	2012-12-31	$355,800
Total contributions received or receivable from employer(s)	2012-12-31	$144,270
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$18,757
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total plan liabilities at end of year	2011-12-31	$41,467
Total plan liabilities at beginning of year	2011-12-31	$39,440
Total income from all sources	2011-12-31	$724,096
Expenses. Total of all expenses incurred	2011-12-31	$331,671
Benefits paid (including direct rollovers)	2011-12-31	$295,330
Total plan assets at end of year	2011-12-31	$8,606,876
Total plan assets at beginning of year	2011-12-31	$8,212,424
Value of fidelity bond covering the plan	2011-12-31	$800,000
Total contributions received or receivable from participants	2011-12-31	$349,029
Expenses. Other expenses not covered elsewhere	2011-12-31	$6,130
Contributions received from other sources (not participants or employers)	2011-12-31	$122,585
Other income received	2011-12-31	$-30,637
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$392,425
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$8,565,409
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$8,172,984
Assets. Value of participant loans	2011-12-31	$200,861
Assets. Value of real-estate (other than employer real property)	2011-12-31	$355,800
Total contributions received or receivable from employer(s)	2011-12-31	$283,119
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	$30,211
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total plan liabilities at end of year	2010-12-31	$39,440
Total plan liabilities at beginning of year	2010-12-31	$50,000
Total income from all sources	2010-12-31	$2,334,026
Expenses. Total of all expenses incurred	2010-12-31	$947,138
Benefits paid (including direct rollovers)	2010-12-31	$904,937
Total plan assets at end of year	2010-12-31	$8,212,424
Total plan assets at beginning of year	2010-12-31	$6,836,096
Value of fidelity bond covering the plan	2010-12-31	$500,000
Total contributions received or receivable from participants	2010-12-31	$308,831
Contributions received from other sources (not participants or employers)	2010-12-31	$9,433
Other income received	2010-12-31	$1,795,601
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$1,386,888
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$8,172,984
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$6,786,096
Assets. Value of participant loans	2010-12-31	$155,875
Assets. Value of real-estate (other than employer real property)	2010-12-31	$756,130
Total contributions received or receivable from employer(s)	2010-12-31	$220,161
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	$42,201
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN

2021: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT 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: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT 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: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT 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: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT 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: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT 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: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT 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: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT 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: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT 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: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
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: PULMONARY SPECIALISTS OF TYLER, PA 401(K) RETIREMENT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
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

69346

Policy instance

Insurance contract or identification number	69346
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $2,342
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	2342
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker organization code?	5

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

Policy contract number

69346

Policy instance

Insurance contract or identification number	69346
Number of Individuals Covered	17
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Commission paid to Insurance Broker	USD $0
Insurance broker organization code?	1

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

Policy contract number

69346

Policy instance

Insurance contract or identification number	69346
Number of Individuals Covered	50
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Insurance broker organization code?	1

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

Policy contract number

69346

Policy instance

Insurance contract or identification number	69346
Number of Individuals Covered	50
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	1

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

Policy contract number

69346

Policy instance

Insurance contract or identification number	69346
Number of Individuals Covered	58
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	1
Insurance broker name	EDWARD JONES & COMPANY

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Company Name:	PULMONARY SPECIALISTS OF TYLER, PA
Employer identification number (EIN):	752154420
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)