401k Plan data: SANTA YNEZ VALLEY MEDICAL ASSOCIATES 401(K) PLAN plan

SANTA YNEZ VALLEY MEDICAL ASSOCIATES 401(K) PLAN 401k Plan overview

Plan Name	SANTA YNEZ VALLEY MEDICAL ASSOCIATES 401(K) PLAN
Plan identification number	001

SANTA YNEZ VALLEY MEDICAL ASSOCIATES 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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

SANTA YNEZ VALLEY MEDICAL ASSOCIATES has sponsored the creation of one or more 401k plans.

Company Name: SANTA YNEZ VALLEY MEDICAL ASSOCIATES

Employer identification number (EIN): 770514467

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SANTA YNEZ VALLEY MEDICAL ASSOCIATES 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 ROGER I. LANE, M.D. 2023-09-25
001 2021-01-01 ROGER I. LANE, M.D. 2022-06-07
001 2020-01-01 ROGER I. LANE, MD 2021-04-12
001 2018-01-01 ROGER I. LANE, MD 2019-03-05
001 2017-01-01 ROGER I. LANE, MD 2018-04-29
001 2016-01-01 ROGER LANE 2017-07-31 ROGER LANE 2017-07-31
001 2015-01-01
001 2014-01-01
001 2013-01-01 ROGER I. LANE, M.D.
001 2012-01-01 ROGER I. LANE, M.D.
001 2011-01-01 ROGER I. LANE, M.D.
001 2009-01-01 DOUGLAS S. HENDRY

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	ROGER I. LANE, M.D.	2023-09-25
001	2021-01-01	ROGER I. LANE, M.D.	2022-06-07
001	2020-01-01	ROGER I. LANE, MD	2021-04-12
001	2018-01-01	ROGER I. LANE, MD	2019-03-05
001	2017-01-01	ROGER I. LANE, MD	2018-04-29
001	2016-01-01	ROGER LANE	2017-07-31	ROGER LANE	2017-07-31
001	2015-01-01
001	2014-01-01
001	2013-01-01	ROGER I. LANE, M.D.
001	2012-01-01	ROGER I. LANE, M.D.
001	2011-01-01	ROGER I. LANE, M.D.
001	2009-01-01	DOUGLAS S. HENDRY

Plan Statistics for SANTA YNEZ VALLEY MEDICAL ASSOCIATES 401(K) PLAN

401k plan membership statisitcs for SANTA YNEZ VALLEY MEDICAL ASSOCIATES 401(K) PLAN

Measure Date Value
2014: SANTA YNEZ VALLEY MEDICAL ASSOCIATES 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 13
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 0
Total of all active and inactive participants 2014-01-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 13
Number of participants with account balances 2014-01-01 13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: SANTA YNEZ VALLEY MEDICAL ASSOCIATES 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 12
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 2
Total of all active and inactive participants 2013-01-01 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 14
Number of participants with account balances 2013-01-01 14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 2
2012: SANTA YNEZ VALLEY MEDICAL ASSOCIATES 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 13
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 2
Total of all active and inactive participants 2012-01-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 15
Number of participants with account balances 2012-01-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 1
2011: SANTA YNEZ VALLEY MEDICAL ASSOCIATES 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 18
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 14
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 0
Total of all active and inactive participants 2011-01-01 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 14
Number of participants with account balances 2011-01-01 14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: SANTA YNEZ VALLEY MEDICAL ASSOCIATES 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 20
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 16
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 2
Total of all active and inactive participants 2009-01-01 18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 18
Number of participants with account balances 2009-01-01 18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2014: SANTA YNEZ VALLEY MEDICAL ASSOCIATES 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	13
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	0
Total of all active and inactive participants	2014-01-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	13
Number of participants with account balances	2014-01-01	13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: SANTA YNEZ VALLEY MEDICAL ASSOCIATES 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	12
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	2
Total of all active and inactive participants	2013-01-01	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	14
Number of participants with account balances	2013-01-01	14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	2
2012: SANTA YNEZ VALLEY MEDICAL ASSOCIATES 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	13
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	2
Total of all active and inactive participants	2012-01-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	15
Number of participants with account balances	2012-01-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	1
2011: SANTA YNEZ VALLEY MEDICAL ASSOCIATES 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	18
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	14
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	0
Total of all active and inactive participants	2011-01-01	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	14
Number of participants with account balances	2011-01-01	14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: SANTA YNEZ VALLEY MEDICAL ASSOCIATES 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	20
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	16
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	2
Total of all active and inactive participants	2009-01-01	18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	18
Number of participants with account balances	2009-01-01	18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on SANTA YNEZ VALLEY MEDICAL ASSOCIATES 401(K) PLAN

Measure	Date	Value
2014 : SANTA YNEZ VALLEY MEDICAL ASSOCIATES 401(K) 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	$230,382
Expenses. Total of all expenses incurred	2014-12-31	$57,240
Benefits paid (including direct rollovers)	2014-12-31	$57,180
Total plan assets at end of year	2014-12-31	$1,328,334
Total plan assets at beginning of year	2014-12-31	$1,155,192
Value of fidelity bond covering the plan	2014-12-31	$150,000
Total contributions received or receivable from participants	2014-12-31	$83,168
Expenses. Other expenses not covered elsewhere	2014-12-31	$60
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$48,704
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$173,142
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,328,334
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,155,192
Total contributions received or receivable from employer(s)	2014-12-31	$98,510
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	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : SANTA YNEZ VALLEY MEDICAL ASSOCIATES 401(K) 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	$99
Total income from all sources	2013-12-31	$389,804
Expenses. Total of all expenses incurred	2013-12-31	$128,310
Benefits paid (including direct rollovers)	2013-12-31	$128,190
Total plan assets at end of year	2013-12-31	$1,155,192
Total plan assets at beginning of year	2013-12-31	$893,797
Value of fidelity bond covering the plan	2013-12-31	$100,000
Total contributions received or receivable from participants	2013-12-31	$80,468
Expenses. Other expenses not covered elsewhere	2013-12-31	$120
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$211,970
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$261,494
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,155,192
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$893,698
Total contributions received or receivable from employer(s)	2013-12-31	$97,366
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	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : SANTA YNEZ VALLEY MEDICAL ASSOCIATES 401(K) PLAN 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
Total plan liabilities at end of year	2012-12-31	$99
Total plan liabilities at beginning of year	2012-12-31	$99
Total income from all sources	2012-12-31	$262,759
Expenses. Total of all expenses incurred	2012-12-31	$32,724
Benefits paid (including direct rollovers)	2012-12-31	$32,364
Total plan assets at end of year	2012-12-31	$893,797
Total plan assets at beginning of year	2012-12-31	$663,762
Value of fidelity bond covering the plan	2012-12-31	$100,000
Total contributions received or receivable from participants	2012-12-31	$76,616
Expenses. Other expenses not covered elsewhere	2012-12-31	$360
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$91,809
Noncash contributions received	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$230,035
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$893,698
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$663,663
Total contributions received or receivable from employer(s)	2012-12-31	$94,334
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	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : SANTA YNEZ VALLEY MEDICAL ASSOCIATES 401(K) PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total plan liabilities at end of year	2011-12-31	$99
Total plan liabilities at beginning of year	2011-12-31	$134
Total income from all sources	2011-12-31	$141,785
Expenses. Total of all expenses incurred	2011-12-31	$43,180
Benefits paid (including direct rollovers)	2011-12-31	$43,120
Total plan assets at end of year	2011-12-31	$663,762
Total plan assets at beginning of year	2011-12-31	$565,192
Value of fidelity bond covering the plan	2011-12-31	$100,000
Total contributions received or receivable from participants	2011-12-31	$79,056
Expenses. Other expenses not covered elsewhere	2011-12-31	$60
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-29,726
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$98,605
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$663,663
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$565,058
Total contributions received or receivable from employer(s)	2011-12-31	$92,455
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : SANTA YNEZ VALLEY MEDICAL ASSOCIATES 401(K) PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total plan liabilities at end of year	2010-12-31	$134
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$211,713
Expenses. Total of all expenses incurred	2010-12-31	$72,211
Benefits paid (including direct rollovers)	2010-12-31	$71,996
Total plan assets at end of year	2010-12-31	$565,192
Total plan assets at beginning of year	2010-12-31	$425,556
Value of fidelity bond covering the plan	2010-12-31	$100,000
Total contributions received or receivable from participants	2010-12-31	$70,983
Expenses. Other expenses not covered elsewhere	2010-12-31	$215
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$51,051
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$139,502
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$565,058
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$425,556
Total contributions received or receivable from employer(s)	2010-12-31	$89,679
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : SANTA YNEZ VALLEY MEDICAL ASSOCIATES 401(K) 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 SANTA YNEZ VALLEY MEDICAL ASSOCIATES 401(K) PLAN

2014: SANTA YNEZ VALLEY MEDICAL ASSOCIATES 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: SANTA YNEZ VALLEY MEDICAL ASSOCIATES 401(K) 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 – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: SANTA YNEZ VALLEY MEDICAL ASSOCIATES 401(K) 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 – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: SANTA YNEZ VALLEY MEDICAL ASSOCIATES 401(K) 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 – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: SANTA YNEZ VALLEY MEDICAL ASSOCIATES 401(K) 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 – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	SANTA YNEZ VALLEY MEDICAL ASSOCIATES
Employer identification number (EIN):	770514467
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)