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PARK SURGICAL SPECIALISTS, LLC 401k Plan overview

Plan NamePARK SURGICAL SPECIALISTS, LLC
Plan identification number 501

PARK SURGICAL SPECIALISTS, LLC Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

PARK SURGICAL SPECIALISTS, LLC has sponsored the creation of one or more 401k plans.

Company Name:PARK SURGICAL SPECIALISTS, LLC
Employer identification number (EIN):823326655
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Additional information about PARK SURGICAL SPECIALISTS, LLC

Jurisdiction of Incorporation: Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number: 17117197

More information about PARK SURGICAL SPECIALISTS, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PARK SURGICAL SPECIALISTS, LLC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-05-01
5012021-05-01
5012020-08-01

Plan Statistics for PARK SURGICAL SPECIALISTS, LLC

401k plan membership statisitcs for PARK SURGICAL SPECIALISTS, LLC

Measure Date Value
2022: PARK SURGICAL SPECIALISTS, LLC 2022 401k membership
Total participants, beginning-of-year2022-05-017
Total number of active participants reported on line 7a of the Form 55002022-05-017
Number of retired or separated participants receiving benefits2022-05-010
Number of other retired or separated participants entitled to future benefits2022-05-010
Total of all active and inactive participants2022-05-017
2021: PARK SURGICAL SPECIALISTS, LLC 2021 401k membership
Total participants, beginning-of-year2021-05-016
Total number of active participants reported on line 7a of the Form 55002021-05-015
Number of retired or separated participants receiving benefits2021-05-010
Number of other retired or separated participants entitled to future benefits2021-05-010
Total of all active and inactive participants2021-05-015
2020: PARK SURGICAL SPECIALISTS, LLC 2020 401k membership
Total participants, beginning-of-year2020-08-017
Total number of active participants reported on line 7a of the Form 55002020-08-017
Number of retired or separated participants receiving benefits2020-08-010
Number of other retired or separated participants entitled to future benefits2020-08-010
Total of all active and inactive participants2020-08-017

Financial Data on PARK SURGICAL SPECIALISTS, LLC

Measure Date Value
2023 : PARK SURGICAL SPECIALISTS, LLC 2023 401k financial data
Total income from all sources2023-04-30$74,463
Expenses. Total of all expenses incurred2023-04-30$84,944
Benefits paid (including direct rollovers)2023-04-30$46,605
Total plan assets at end of year2023-04-30$3,455
Total plan assets at beginning of year2023-04-30$13,936
Value of fidelity bond covering the plan2023-04-30$5,000
Expenses. Other expenses not covered elsewhere2023-04-30$38,339
Net income (gross income less expenses)2023-04-30$-10,481
Net plan assets at end of year (total assets less liabilities)2023-04-30$3,455
Net plan assets at beginning of year (total assets less liabilities)2023-04-30$13,936
Total contributions received or receivable from employer(s)2023-04-30$74,463
2022 : PARK SURGICAL SPECIALISTS, LLC 2022 401k financial data
Total income from all sources2022-04-30$68,960
Expenses. Total of all expenses incurred2022-04-30$55,024
Benefits paid (including direct rollovers)2022-04-30$19,771
Total plan assets at end of year2022-04-30$13,936
Value of fidelity bond covering the plan2022-04-30$4,000
Expenses. Other expenses not covered elsewhere2022-04-30$35,253
Net income (gross income less expenses)2022-04-30$13,936
Net plan assets at end of year (total assets less liabilities)2022-04-30$13,936
Net plan assets at beginning of year (total assets less liabilities)2022-04-30$0
Total contributions received or receivable from employer(s)2022-04-30$68,960
2021 : PARK SURGICAL SPECIALISTS, LLC 2021 401k financial data
Total income from all sources2021-04-30$64,915
Expenses. Total of all expenses incurred2021-04-30$64,915
Benefits paid (including direct rollovers)2021-04-30$31,688
Value of fidelity bond covering the plan2021-04-30$10,000
Expenses. Other expenses not covered elsewhere2021-04-30$33,227
Net income (gross income less expenses)2021-04-30$0
Net plan assets at end of year (total assets less liabilities)2021-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2021-04-30$0
Total contributions received or receivable from employer(s)2021-04-30$64,915

Form 5500 Responses for PARK SURGICAL SPECIALISTS, LLC

2022: PARK SURGICAL SPECIALISTS, LLC 2022 form 5500 responses
2022-05-01Type of plan entitySingle employer plan
2022-05-01Submission has been amendedNo
2022-05-01This submission is the final filingNo
2022-05-01This return/report is a short plan year return/report (less than 12 months)No
2022-05-01Plan is a collectively bargained planNo
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan funding arrangement – TrustYes
2022-05-01Plan benefit arrangement – InsuranceYes
2022-05-01Plan benefit arrangement - TrustYes
2021: PARK SURGICAL SPECIALISTS, LLC 2021 form 5500 responses
2021-05-01Type of plan entitySingle employer plan
2021-05-01Submission has been amendedNo
2021-05-01This submission is the final filingNo
2021-05-01This return/report is a short plan year return/report (less than 12 months)No
2021-05-01Plan is a collectively bargained planNo
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan funding arrangement – TrustYes
2021-05-01Plan benefit arrangement – InsuranceYes
2021-05-01Plan benefit arrangement - TrustYes
2020: PARK SURGICAL SPECIALISTS, LLC 2020 form 5500 responses
2020-08-01Type of plan entitySingle employer plan
2020-08-01First time form 5500 has been submittedYes
2020-08-01Submission has been amendedNo
2020-08-01This submission is the final filingNo
2020-08-01This return/report is a short plan year return/report (less than 12 months)Yes
2020-08-01Plan is a collectively bargained planNo
2020-08-01Plan funding arrangement – InsuranceYes
2020-08-01Plan funding arrangement – TrustYes
2020-08-01Plan benefit arrangement – InsuranceYes
2020-08-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number75000 NFA 0794
Policy instance 1
Insurance contract or identification number75000 NFA 0794
Number of Individuals Covered12
Insurance policy start date2022-08-01
Insurance policy end date2023-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $31,794
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number75000 NFA 0794
Policy instance 1
Insurance contract or identification number75000 NFA 0794
Number of Individuals Covered12
Insurance policy start date2021-08-01
Insurance policy end date2022-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $29,607
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number75000 NFA 0794
Policy instance 1
Insurance contract or identification number75000 NFA 0794
Number of Individuals Covered19
Insurance policy start date2020-08-01
Insurance policy end date2021-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $27,434
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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