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WORLDSTER LEE, M.D., LLC 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameWORLDSTER LEE, M.D., LLC 401(K) PROFIT SHARING PLAN
Plan identification number 003

WORLDSTER LEE, M.D., LLC 401(K) PROFIT SHARING 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.
  • 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.
  • 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

WORLDSTER LEE, M.D., LLC has sponsored the creation of one or more 401k plans.

Company Name:WORLDSTER LEE, M.D., LLC
Employer identification number (EIN):810762373
NAIC Classification:621320
NAIC Description:Offices of Optometrists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WORLDSTER LEE, M.D., LLC 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0032022-01-01
0032021-01-01
0032020-01-01
0032019-01-01

Plan Statistics for WORLDSTER LEE, M.D., LLC 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for WORLDSTER LEE, M.D., LLC 401(K) PROFIT SHARING PLAN

Measure Date Value
2022: WORLDSTER LEE, M.D., LLC 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0123
Total number of active participants reported on line 7a of the Form 55002022-01-0118
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-017
Total of all active and inactive participants2022-01-0125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0125
Number of participants with account balances2022-01-0121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: WORLDSTER LEE, M.D., LLC 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0125
Total number of active participants reported on line 7a of the Form 55002021-01-0115
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-016
Total of all active and inactive participants2021-01-0121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0121
Number of participants with account balances2021-01-0121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: WORLDSTER LEE, M.D., LLC 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0129
Total number of active participants reported on line 7a of the Form 55002020-01-0118
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-017
Total of all active and inactive participants2020-01-0125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0125
Number of participants with account balances2020-01-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: WORLDSTER LEE, M.D., LLC 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0128
Total number of active participants reported on line 7a of the Form 55002019-01-0123
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-013
Total of all active and inactive participants2019-01-0126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0126
Number of participants with account balances2019-01-0123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010

Financial Data on WORLDSTER LEE, M.D., LLC 401(K) PROFIT SHARING PLAN

Measure Date Value
2022 : WORLDSTER LEE, M.D., LLC 401(K) PROFIT SHARING PLAN 2022 401k financial data
Transfers to/from the plan2022-12-31$0
Total plan liabilities at end of year2022-12-31$0
Total plan liabilities at beginning of year2022-12-31$0
Total income from all sources2022-12-31$-818,885
Expenses. Total of all expenses incurred2022-12-31$392,921
Benefits paid (including direct rollovers)2022-12-31$330,873
Total plan assets at end of year2022-12-31$8,221,738
Total plan assets at beginning of year2022-12-31$9,433,544
Value of fidelity bond covering the plan2022-12-31$750,000
Total contributions received or receivable from participants2022-12-31$116,381
Expenses. Other expenses not covered elsewhere2022-12-31$6,050
Contributions received from other sources (not participants or employers)2022-12-31$0
Other income received2022-12-31$-995,891
Noncash contributions received2022-12-31$0
Net income (gross income less expenses)2022-12-31$-1,211,806
Net plan assets at end of year (total assets less liabilities)2022-12-31$8,221,738
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$9,433,544
Assets. Value of participant loans2022-12-31$23,880
Assets. Value of real-estate (other than employer real property)2022-12-31$1,789,800
Total contributions received or receivable from employer(s)2022-12-31$60,625
Value of certain deemed distributions of participant loans2022-12-31$0
Value of corrective distributions2022-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$55,998
2021 : WORLDSTER LEE, M.D., LLC 401(K) PROFIT SHARING PLAN 2021 401k financial data
Transfers to/from the plan2021-12-31$0
Total plan liabilities at end of year2021-12-31$0
Total plan liabilities at beginning of year2021-12-31$0
Total income from all sources2021-12-31$1,049,814
Expenses. Total of all expenses incurred2021-12-31$678,330
Benefits paid (including direct rollovers)2021-12-31$608,042
Total plan assets at end of year2021-12-31$9,433,544
Total plan assets at beginning of year2021-12-31$9,062,060
Value of fidelity bond covering the plan2021-12-31$750,000
Total contributions received or receivable from participants2021-12-31$91,562
Expenses. Other expenses not covered elsewhere2021-12-31$6,600
Contributions received from other sources (not participants or employers)2021-12-31$0
Other income received2021-12-31$906,879
Noncash contributions received2021-12-31$0
Net income (gross income less expenses)2021-12-31$371,484
Net plan assets at end of year (total assets less liabilities)2021-12-31$9,433,544
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$9,062,060
Assets. Value of participant loans2021-12-31$34,734
Assets. Value of real-estate (other than employer real property)2021-12-31$1,379,500
Total contributions received or receivable from employer(s)2021-12-31$51,373
Value of certain deemed distributions of participant loans2021-12-31$0
Value of corrective distributions2021-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$63,688
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
2020 : WORLDSTER LEE, M.D., LLC 401(K) PROFIT SHARING PLAN 2020 401k financial data
Transfers to/from the plan2020-12-31$0
Total plan liabilities at end of year2020-12-31$0
Total plan liabilities at beginning of year2020-12-31$0
Total income from all sources2020-12-31$1,078,072
Expenses. Total of all expenses incurred2020-12-31$1,251,964
Benefits paid (including direct rollovers)2020-12-31$1,190,864
Total plan assets at end of year2020-12-31$9,062,060
Total plan assets at beginning of year2020-12-31$9,235,952
Value of fidelity bond covering the plan2020-12-31$750,000
Total contributions received or receivable from participants2020-12-31$123,314
Expenses. Other expenses not covered elsewhere2020-12-31$9,598
Contributions received from other sources (not participants or employers)2020-12-31$0
Other income received2020-12-31$902,357
Noncash contributions received2020-12-31$0
Net income (gross income less expenses)2020-12-31$-173,892
Net plan assets at end of year (total assets less liabilities)2020-12-31$9,062,060
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$9,235,952
Assets. Value of participant loans2020-12-31$53,315
Assets. Value of real-estate (other than employer real property)2020-12-31$1,422,800
Total contributions received or receivable from employer(s)2020-12-31$52,401
Value of certain deemed distributions of participant loans2020-12-31$0
Value of corrective distributions2020-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$51,502
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
2019 : WORLDSTER LEE, M.D., LLC 401(K) PROFIT SHARING PLAN 2019 401k financial data
Transfers to/from the plan2019-12-31$0
Total plan liabilities at end of year2019-12-31$0
Total plan liabilities at beginning of year2019-12-31$0
Total income from all sources2019-12-31$1,590,269
Expenses. Total of all expenses incurred2019-12-31$466,503
Benefits paid (including direct rollovers)2019-12-31$378,958
Total plan assets at end of year2019-12-31$9,235,952
Total plan assets at beginning of year2019-12-31$8,112,186
Value of fidelity bond covering the plan2019-12-31$750,000
Total contributions received or receivable from participants2019-12-31$161,738
Expenses. Other expenses not covered elsewhere2019-12-31$43,024
Contributions received from other sources (not participants or employers)2019-12-31$0
Other income received2019-12-31$1,373,845
Noncash contributions received2019-12-31$0
Net income (gross income less expenses)2019-12-31$1,123,766
Net plan assets at end of year (total assets less liabilities)2019-12-31$9,235,952
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$8,112,186
Assets. Value of participant loans2019-12-31$83,820
Assets. Value of real-estate (other than employer real property)2019-12-31$1,422,800
Total contributions received or receivable from employer(s)2019-12-31$54,686
Value of certain deemed distributions of participant loans2019-12-31$0
Value of corrective distributions2019-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$44,521

Form 5500 Responses for WORLDSTER LEE, M.D., LLC 401(K) PROFIT SHARING PLAN

2022: WORLDSTER LEE, M.D., LLC 401(K) PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: WORLDSTER LEE, M.D., LLC 401(K) PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: WORLDSTER LEE, M.D., LLC 401(K) PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: WORLDSTER LEE, M.D., LLC 401(K) PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract numberE63 6761
Policy instance 1
Insurance contract or identification numberE63 6761
Number of Individuals Covered22
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $4,423
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,423
Amount paid for insurance broker fees0
Insurance broker organization code?4
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract numberE63 6761
Policy instance 1
Insurance contract or identification numberE63 6761
Number of Individuals Covered23
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $4,423
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,423
Amount paid for insurance broker fees0
Insurance broker organization code?4

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