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GEM CITY BONE & JOINT, P.C. 401K PLAN 401k Plan overview

Plan NameGEM CITY BONE & JOINT, P.C. 401K PLAN
Plan identification number 003

GEM CITY BONE & JOINT, P.C. 401K PLAN Benefits

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

401k Sponsoring company profile

GEM CITY BONE & JOINT, P.C. has sponsored the creation of one or more 401k plans.

Company Name:GEM CITY BONE & JOINT, P.C.
Employer identification number (EIN):830219655
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GEM CITY BONE & JOINT, P.C. 401K 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
0032019-01-01
0032018-01-01
0032017-01-01THOMAS WOLFE
0032017-01-01THOMAS WOLFE
0032016-01-01THOMAS WOLFE
0032015-01-01THOMAS WOLFE
0032014-01-01JAY CARSON
0032013-01-01THOMAS WOLFE
0032012-01-01THOMAS WOLFE2015-03-18
0032011-01-01LAWRENCE JENKINS2012-09-11
0032010-01-01LAWRENCE JENKINS2011-09-29
0032009-01-01LAWRENCE JENKINS
0032009-01-01LAWRENCE JENKINS

Plan Statistics for GEM CITY BONE & JOINT, P.C. 401K PLAN

401k plan membership statisitcs for GEM CITY BONE & JOINT, P.C. 401K PLAN

Measure Date Value
2022: GEM CITY BONE & JOINT, P.C. 401K PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01201
Total number of active participants reported on line 7a of the Form 55002022-01-01129
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0181
Total of all active and inactive participants2022-01-01210
Total participants2022-01-01210
Number of participants with account balances2022-01-01209
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0122
2021: GEM CITY BONE & JOINT, P.C. 401K PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01163
Total number of active participants reported on line 7a of the Form 55002021-01-01104
Number of retired or separated participants receiving benefits2021-01-0110
Number of other retired or separated participants entitled to future benefits2021-01-0160
Total of all active and inactive participants2021-01-01174
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01174
Number of participants with account balances2021-01-01174
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0119
2020: GEM CITY BONE & JOINT, P.C. 401K PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01141
Total number of active participants reported on line 7a of the Form 55002020-01-01104
Number of retired or separated participants receiving benefits2020-01-014
Number of other retired or separated participants entitled to future benefits2020-01-0145
Total of all active and inactive participants2020-01-01153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01153
Number of participants with account balances2020-01-01153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-018
2019: GEM CITY BONE & JOINT, P.C. 401K PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01136
Total number of active participants reported on line 7a of the Form 55002019-01-0195
Number of retired or separated participants receiving benefits2019-01-014
Number of other retired or separated participants entitled to future benefits2019-01-0137
Total of all active and inactive participants2019-01-01136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01136
Number of participants with account balances2019-01-01136
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0111
2018: GEM CITY BONE & JOINT, P.C. 401K PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01125
Total number of active participants reported on line 7a of the Form 55002018-01-0187
Number of retired or separated participants receiving benefits2018-01-013
Number of other retired or separated participants entitled to future benefits2018-01-0135
Total of all active and inactive participants2018-01-01125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01125
Number of participants with account balances2018-01-01125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0110
2017: GEM CITY BONE & JOINT, P.C. 401K PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01126
Total number of active participants reported on line 7a of the Form 55002017-01-0182
Number of retired or separated participants receiving benefits2017-01-012
Number of other retired or separated participants entitled to future benefits2017-01-0137
Total of all active and inactive participants2017-01-01121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01121
Number of participants with account balances2017-01-01121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-016
2016: GEM CITY BONE & JOINT, P.C. 401K PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01121
Total number of active participants reported on line 7a of the Form 55002016-01-0179
Number of retired or separated participants receiving benefits2016-01-013
Number of other retired or separated participants entitled to future benefits2016-01-0136
Total of all active and inactive participants2016-01-01118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01118
Number of participants with account balances2016-01-01118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0110
2015: GEM CITY BONE & JOINT, P.C. 401K PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01130
Total number of active participants reported on line 7a of the Form 55002015-01-0179
Number of retired or separated participants receiving benefits2015-01-015
Number of other retired or separated participants entitled to future benefits2015-01-0130
Total of all active and inactive participants2015-01-01114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-011
Total participants2015-01-01115
Number of participants with account balances2015-01-01115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-018
2014: GEM CITY BONE & JOINT, P.C. 401K PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01112
Total number of active participants reported on line 7a of the Form 55002014-01-0182
Number of retired or separated participants receiving benefits2014-01-017
Number of other retired or separated participants entitled to future benefits2014-01-0131
Total of all active and inactive participants2014-01-01120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01120
Number of participants with account balances2014-01-01120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-017
2013: GEM CITY BONE & JOINT, P.C. 401K PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01126
Total number of active participants reported on line 7a of the Form 55002013-01-0178
Number of retired or separated participants receiving benefits2013-01-016
Number of other retired or separated participants entitled to future benefits2013-01-0130
Total of all active and inactive participants2013-01-01114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01114
Number of participants with account balances2013-01-01114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-016
2009: GEM CITY BONE & JOINT, P.C. 401K PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0190
Total number of active participants reported on line 7a of the Form 55002009-01-0175
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-018
Total of all active and inactive participants2009-01-0183
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0183
Number of participants with account balances2009-01-0155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on GEM CITY BONE & JOINT, P.C. 401K PLAN

Measure Date Value
2022 : GEM CITY BONE & JOINT, P.C. 401K PLAN 2022 401k financial data
Total income from all sources (including contributions)2022-12-31$-1,689,430
Total of all expenses incurred2022-12-31$1,997,359
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,892,639
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,087,247
Value of total assets at end of year2022-12-31$14,002,817
Value of total assets at beginning of year2022-12-31$17,689,606
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$104,720
Total interest from all sources2022-12-31$10,795
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$445,730
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$104,720
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$631,199
Participant contributions at end of year2022-12-31$86,251
Participant contributions at beginning of year2022-12-31$121,543
Participant contributions at end of year2022-12-31$0
Participant contributions at beginning of year2022-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$51,885
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$-10
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$2,696
Other income not declared elsewhere2022-12-31$0
Total non interest bearing cash at end of year2022-12-31$0
Total non interest bearing cash at beginning of year2022-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Income. Non cash contributions2022-12-31$0
Value of net income/loss2022-12-31$-3,686,789
Value of net assets at end of year (total assets less liabilities)2022-12-31$14,002,817
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$17,689,606
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$13,276,381
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$16,146,891
Income. Interest from loans (other than to participants)2022-12-31$5,783
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$123,428
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$123,428
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$5,012
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$236,022
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$37,863
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-3,233,202
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$404,163
Employer contributions (assets) at end of year2022-12-31$404,173
Employer contributions (assets) at beginning of year2022-12-31$377,401
Income. Dividends from preferred stock2022-12-31$445,730
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,892,639
Assets. Corporate common stocks other than exployer securities at end of year2022-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2022-12-31$879,784
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31SOUKUP BUSH & ASSOCIATES, CPAS, P.C
Accountancy firm EIN2022-12-31841128248
2021 : GEM CITY BONE & JOINT, P.C. 401K PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$136,009
Total income from all sources (including contributions)2021-12-31$3,256,195
Total loss/gain on sale of assets2021-12-31$31,223
Total of all expenses incurred2021-12-31$1,625,568
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,519,760
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$970,492
Value of total assets at end of year2021-12-31$17,689,606
Value of total assets at beginning of year2021-12-31$16,194,988
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$105,808
Total interest from all sources2021-12-31$8,851
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$778,127
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$759,604
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$588,000
Participant contributions at end of year2021-12-31$121,543
Participant contributions at beginning of year2021-12-31$128,109
Participant contributions at end of year2021-12-31$0
Participant contributions at beginning of year2021-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$5,092
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$2,696
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$369
Administrative expenses (other) incurred2021-12-31$0
Total non interest bearing cash at end of year2021-12-31$0
Total non interest bearing cash at beginning of year2021-12-31$422
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Income. Non cash contributions2021-12-31$0
Value of net income/loss2021-12-31$1,630,627
Value of net assets at end of year (total assets less liabilities)2021-12-31$17,689,606
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$16,058,979
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$46,589
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$16,146,891
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$14,723,320
Interest on participant loans2021-12-31$8,105
Interest earned on other investments2021-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$123,428
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$255,294
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$255,294
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$746
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$37,863
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$37,339
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$1,467,502
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31Yes
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$377,400
Employer contributions (assets) at end of year2021-12-31$377,401
Employer contributions (assets) at beginning of year2021-12-31$371,930
Income. Dividends from common stock2021-12-31$18,523
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$1,519,760
Contract administrator fees2021-12-31$59,219
Assets. Corporate common stocks other than exployer securities at end of year2021-12-31$879,784
Assets. Corporate common stocks other than exployer securities at beginning of year2021-12-31$678,205
Liabilities. Value of benefit claims payable at end of year2021-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$136,009
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Aggregate proceeds on sale of assets2021-12-31$31,223
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31SOUKUP BUSH & ASSOCIATES, CPAS, P.C
Accountancy firm EIN2021-12-31841128248
2020 : GEM CITY BONE & JOINT, P.C. 401K PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$136,009
Expenses. Interest paid2020-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022020-12-31$0
Total income from all sources (including contributions)2020-12-31$2,648,589
Total loss/gain on sale of assets2020-12-31$-158,962
Total of all expenses incurred2020-12-31$1,593,564
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$1,498,683
Expenses. Certain deemed distributions of participant loans2020-12-31$0
Value of total corrective distributions2020-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$958,451
Value of total assets at end of year2020-12-31$16,194,988
Value of total assets at beginning of year2020-12-31$15,003,954
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$94,881
Total interest from all sources2020-12-31$5,542
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$366,396
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$365,974
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$578,730
Participant contributions at end of year2020-12-31$128,109
Participant contributions at beginning of year2020-12-31$76,128
Participant contributions at end of year2020-12-31$0
Participant contributions at beginning of year2020-12-31$962
Assets. Other investments not covered elsewhere at end of year2020-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$7,422
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$369
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$16
Total non interest bearing cash at end of year2020-12-31$422
Total non interest bearing cash at beginning of year2020-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Income. Non cash contributions2020-12-31$0
Value of net income/loss2020-12-31$1,055,025
Value of net assets at end of year (total assets less liabilities)2020-12-31$16,058,979
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$15,003,954
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$35,971
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$14,723,320
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$14,383,125
Interest on participant loans2020-12-31$4,667
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$255,294
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$184,157
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$184,157
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$875
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$37,339
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$36,694
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$1,477,162
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31Yes
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$372,299
Employer contributions (assets) at end of year2020-12-31$371,930
Employer contributions (assets) at beginning of year2020-12-31$322,872
Income. Dividends from common stock2020-12-31$422
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$1,498,683
Contract administrator fees2020-12-31$58,910
Assets. Corporate common stocks other than exployer securities at end of year2020-12-31$678,205
Liabilities. Value of benefit claims payable at end of year2020-12-31$136,009
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$-158,962
Aggregate carrying amount (costs) on sale of assets2020-12-31$0
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31SOUKUP BUSH & ASSOCIATES, CPAS, P.C
Accountancy firm EIN2020-12-31841128248
2019 : GEM CITY BONE & JOINT, P.C. 401K PLAN 2019 401k financial data
Expenses. Interest paid2019-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022019-12-31$0
Total income from all sources (including contributions)2019-12-31$3,434,801
Total loss/gain on sale of assets2019-12-31$41,440
Total of all expenses incurred2019-12-31$617,603
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$535,700
Expenses. Certain deemed distributions of participant loans2019-12-31$0
Value of total corrective distributions2019-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$877,856
Value of total assets at end of year2019-12-31$15,003,954
Value of total assets at beginning of year2019-12-31$12,186,756
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$81,903
Total interest from all sources2019-12-31$6,598
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$562,692
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$562,692
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$541,778
Participant contributions at end of year2019-12-31$76,128
Participant contributions at beginning of year2019-12-31$80,406
Participant contributions at end of year2019-12-31$962
Participant contributions at beginning of year2019-12-31$20,233
Assets. Other investments not covered elsewhere at end of year2019-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$2,768
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$13,206
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$16
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$1,199
Administrative expenses (other) incurred2019-12-31$0
Total non interest bearing cash at end of year2019-12-31$0
Total non interest bearing cash at beginning of year2019-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Income. Non cash contributions2019-12-31$0
Value of net income/loss2019-12-31$2,817,198
Value of net assets at end of year (total assets less liabilities)2019-12-31$15,003,954
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$12,186,756
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$33,384
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$14,383,125
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$11,576,525
Value of interest in pooled separate accounts at beginning of year2019-12-31$0
Interest on participant loans2019-12-31$4,483
Interest earned on other investments2019-12-31$22
Income. Interest from US Government securities2019-12-31$86
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$184,157
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$173,588
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$173,588
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$2,007
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$36,694
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$35,986
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$1,946,215
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31Yes
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$322,872
Employer contributions (assets) at end of year2019-12-31$322,872
Employer contributions (assets) at beginning of year2019-12-31$296,051
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$535,700
Contract administrator fees2019-12-31$48,519
Assets. Corporate common stocks other than exployer securities at beginning of year2019-12-31$0
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$41,440
Aggregate carrying amount (costs) on sale of assets2019-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31SOUKUP BUSH & ASSOCIATES, CPAS, P.C
Accountancy firm EIN2019-12-31841128248
2018 : GEM CITY BONE & JOINT, P.C. 401K PLAN 2018 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$-186,189
Total loss/gain on sale of assets2018-12-31$-21,719
Total of all expenses incurred2018-12-31$495,207
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$403,390
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$783,189
Value of total assets at end of year2018-12-31$12,186,756
Value of total assets at beginning of year2018-12-31$12,868,152
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$91,817
Total interest from all sources2018-12-31$6,703
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$805,431
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$805,431
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$487,138
Participant contributions at end of year2018-12-31$80,406
Participant contributions at beginning of year2018-12-31$86,122
Participant contributions at end of year2018-12-31$20,233
Participant contributions at beginning of year2018-12-31$26,241
Assets. Other investments not covered elsewhere at end of year2018-12-31$2,768
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$1,199
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$0
Total non interest bearing cash at end of year2018-12-31$0
Total non interest bearing cash at beginning of year2018-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Income. Non cash contributions2018-12-31$0
Value of net income/loss2018-12-31$-681,396
Value of net assets at end of year (total assets less liabilities)2018-12-31$12,186,756
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$12,868,152
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$32,254
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$11,576,525
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$12,260,398
Value of interest in pooled separate accounts at end of year2018-12-31$0
Value of interest in pooled separate accounts at beginning of year2018-12-31$0
Interest on participant loans2018-12-31$4,428
Interest earned on other investments2018-12-31$421
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$173,588
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$120,346
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$120,346
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$1,854
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$35,986
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$99,598
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-1,759,793
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31Yes
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$296,051
Employer contributions (assets) at end of year2018-12-31$296,051
Employer contributions (assets) at beginning of year2018-12-31$275,447
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$403,390
Contract administrator fees2018-12-31$59,563
Assets. Corporate common stocks other than exployer securities at end of year2018-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2018-12-31$0
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Aggregate proceeds on sale of assets2018-12-31$-21,719
Aggregate carrying amount (costs) on sale of assets2018-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31SOUKUP BUSH & ASSOCIATES, CPAS, P.C
Accountancy firm EIN2018-12-31841128248
2017 : GEM CITY BONE & JOINT, P.C. 401K PLAN 2017 401k financial data
Total transfer of assets to this plan2017-12-31$0
Total transfer of assets from this plan2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Expenses. Interest paid2017-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022017-12-31$0
Total income from all sources (including contributions)2017-12-31$2,442,284
Total loss/gain on sale of assets2017-12-31$63,715
Total of all expenses incurred2017-12-31$2,884,623
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$2,817,497
Expenses. Certain deemed distributions of participant loans2017-12-31$0
Value of total corrective distributions2017-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$740,222
Value of total assets at end of year2017-12-31$12,868,152
Value of total assets at beginning of year2017-12-31$13,310,491
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$67,126
Total interest from all sources2017-12-31$6,367
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$183,212
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$183,212
Administrative expenses professional fees incurred2017-12-31$0
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$2,659,672
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$435,851
Participant contributions at end of year2017-12-31$86,122
Participant contributions at beginning of year2017-12-31$80,633
Participant contributions at end of year2017-12-31$26,241
Participant contributions at beginning of year2017-12-31$8,926
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$28,924
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$2,238
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$0
Other income not declared elsewhere2017-12-31$0
Administrative expenses (other) incurred2017-12-31$0
Total non interest bearing cash at end of year2017-12-31$0
Total non interest bearing cash at beginning of year2017-12-31$1,605
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Income. Non cash contributions2017-12-31$0
Value of net income/loss2017-12-31$-442,339
Value of net assets at end of year (total assets less liabilities)2017-12-31$12,868,152
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$13,310,491
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$34,003
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$12,260,398
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$10,185,640
Value of interest in pooled separate accounts at end of year2017-12-31$0
Value of interest in pooled separate accounts at beginning of year2017-12-31$0
Interest on participant loans2017-12-31$3,680
Interest earned on other investments2017-12-31$568
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$120,346
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$113,207
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$113,207
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$2,119
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$99,598
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$1,448,768
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31Yes
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$275,447
Employer contributions (assets) at end of year2017-12-31$275,447
Employer contributions (assets) at beginning of year2017-12-31$313,399
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$2,817,497
Contract administrator fees2017-12-31$33,123
Assets. Corporate common stocks other than exployer securities at end of year2017-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2017-12-31$2,604,843
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$63,715
Aggregate carrying amount (costs) on sale of assets2017-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31ANTON COLLINS MITCHELL LLP
Accountancy firm EIN2017-12-31010724563
2016 : GEM CITY BONE & JOINT, P.C. 401K PLAN 2016 401k financial data
Total transfer of assets to this plan2016-12-31$0
Total transfer of assets from this plan2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$30
Total income from all sources (including contributions)2016-12-31$2,087,809
Total loss/gain on sale of assets2016-12-31$34,060
Total of all expenses incurred2016-12-31$543,094
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$447,984
Expenses. Certain deemed distributions of participant loans2016-12-31$0
Value of total corrective distributions2016-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,043,864
Value of total assets at end of year2016-12-31$13,310,491
Value of total assets at beginning of year2016-12-31$11,765,806
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$95,110
Total interest from all sources2016-12-31$4,315
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$173,288
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$173,288
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$433,109
Participant contributions at end of year2016-12-31$80,633
Participant contributions at beginning of year2016-12-31$83,347
Participant contributions at end of year2016-12-31$8,926
Participant contributions at beginning of year2016-12-31$815
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$297,356
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$2,238
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$1,625
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$30
Administrative expenses (other) incurred2016-12-31$3,233
Total non interest bearing cash at end of year2016-12-31$1,605
Total non interest bearing cash at beginning of year2016-12-31$53,123
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Income. Non cash contributions2016-12-31$0
Value of net income/loss2016-12-31$1,544,715
Value of net assets at end of year (total assets less liabilities)2016-12-31$13,310,491
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$11,765,776
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$47,086
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$10,185,640
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$8,502,792
Value of interest in pooled separate accounts at end of year2016-12-31$0
Value of interest in pooled separate accounts at beginning of year2016-12-31$0
Interest on participant loans2016-12-31$4,271
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$113,207
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$280,391
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$280,391
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$44
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$0
Asset value of US Government securities at beginning of year2016-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$832,282
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$313,399
Employer contributions (assets) at end of year2016-12-31$313,399
Employer contributions (assets) at beginning of year2016-12-31$350,327
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$447,984
Asset. Corporate debt instrument preferred debt at beginning of year2016-12-31$0
Contract administrator fees2016-12-31$44,791
Assets. Corporate common stocks other than exployer securities at end of year2016-12-31$2,604,843
Assets. Corporate common stocks other than exployer securities at beginning of year2016-12-31$2,493,386
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Aggregate proceeds on sale of assets2016-12-31$34,060
Aggregate carrying amount (costs) on sale of assets2016-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31ANTON COLLINS MITCHELL LLP
Accountancy firm EIN2016-12-31010724563
2015 : GEM CITY BONE & JOINT, P.C. 401K PLAN 2015 401k financial data
Total transfer of assets to this plan2015-12-31$0
Total transfer of assets from this plan2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$30
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$2,104
Total income from all sources (including contributions)2015-12-31$547,884
Total loss/gain on sale of assets2015-12-31$-6,291
Total of all expenses incurred2015-12-31$848,727
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$762,283
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$781,108
Value of total assets at end of year2015-12-31$11,765,806
Value of total assets at beginning of year2015-12-31$12,068,723
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$86,444
Total interest from all sources2015-12-31$1,549
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$168,540
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$120,047
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$413,711
Participant contributions at end of year2015-12-31$83,347
Participant contributions at beginning of year2015-12-31$24,129
Participant contributions at end of year2015-12-31$815
Participant contributions at beginning of year2015-12-31$1,558
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$17,070
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$1,625
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$35,760
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$30
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$2,104
Other income not declared elsewhere2015-12-31$0
Administrative expenses (other) incurred2015-12-31$7,579
Total non interest bearing cash at end of year2015-12-31$53,123
Total non interest bearing cash at beginning of year2015-12-31$39,524
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Income. Non cash contributions2015-12-31$0
Value of net income/loss2015-12-31$-300,843
Value of net assets at end of year (total assets less liabilities)2015-12-31$11,765,776
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$12,066,619
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$43,861
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$8,502,792
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$8,951,019
Value of interest in pooled separate accounts at end of year2015-12-31$0
Interest on participant loans2015-12-31$1,524
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$280,391
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$822,006
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$822,006
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$25
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$86,753
Asset value of US Government securities at end of year2015-12-31$0
Asset value of US Government securities at beginning of year2015-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-397,022
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31Yes
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$350,327
Employer contributions (assets) at end of year2015-12-31$350,327
Employer contributions (assets) at beginning of year2015-12-31$0
Income. Dividends from common stock2015-12-31$48,493
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$762,283
Asset. Corporate debt instrument preferred debt at end of year2015-12-31$0
Contract administrator fees2015-12-31$35,004
Assets. Corporate common stocks other than exployer securities at end of year2015-12-31$2,493,386
Assets. Corporate common stocks other than exployer securities at beginning of year2015-12-31$2,107,974
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$-6,291
Aggregate carrying amount (costs) on sale of assets2015-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31ANTON COLLINS MITCHELL LLP
Accountancy firm EIN2015-12-31010724563
2014 : GEM CITY BONE & JOINT, P.C. 401K PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$2,104
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$2,476
Expenses. Interest paid2014-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022014-12-31$0
Total income from all sources (including contributions)2014-12-31$1,192,607
Total loss/gain on sale of assets2014-12-31$21,913
Total of all expenses incurred2014-12-31$1,906,359
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,826,989
Expenses. Certain deemed distributions of participant loans2014-12-31$0
Value of total corrective distributions2014-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$856,336
Value of total assets at end of year2014-12-31$12,068,723
Value of total assets at beginning of year2014-12-31$12,782,847
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$79,370
Total income from rents2014-12-31$0
Total interest from all sources2014-12-31$9,505
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$137,247
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$98,656
Administrative expenses professional fees incurred2014-12-31$0
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$121,576
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$413,485
Participant contributions at end of year2014-12-31$24,129
Participant contributions at beginning of year2014-12-31$50,892
Participant contributions at end of year2014-12-31$1,558
Participant contributions at beginning of year2014-12-31$10,568
Assets. Other investments not covered elsewhere at end of year2014-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$170,885
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$78,248
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$35,760
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$2,391
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$2,104
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$2,476
Other income not declared elsewhere2014-12-31$1,972
Administrative expenses (other) incurred2014-12-31$3,034
Total non interest bearing cash at end of year2014-12-31$39,524
Total non interest bearing cash at beginning of year2014-12-31$533,837
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Income. Non cash contributions2014-12-31$0
Value of net income/loss2014-12-31$-713,752
Value of net assets at end of year (total assets less liabilities)2014-12-31$12,066,619
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$12,780,371
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$38,699
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$8,951,019
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$7,562,406
Interest on participant loans2014-12-31$1,692
Income. Interest from loans (other than to participants)2014-12-31$0
Income. Interest from US Government securities2014-12-31$0
Income. Interest from corporate debt instruments2014-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$822,006
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$2,287,257
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$2,287,257
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$7,813
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$86,753
Asset value of US Government securities at end of year2014-12-31$0
Asset value of US Government securities at beginning of year2014-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$165,634
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$364,603
Employer contributions (assets) at end of year2014-12-31$0
Employer contributions (assets) at beginning of year2014-12-31$107,874
Income. Dividends from preferred stock2014-12-31$0
Income. Dividends from common stock2014-12-31$38,591
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$1,826,989
Contract administrator fees2014-12-31$37,637
Assets. Corporate common stocks other than exployer securities at end of year2014-12-31$2,107,974
Assets. Corporate common stocks other than exployer securities at beginning of year2014-12-31$2,056,737
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$21,913
Aggregate carrying amount (costs) on sale of assets2014-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31MADER TSCHACHER PETERSON & CO., LLC
Accountancy firm EIN2014-12-31830244838
2013 : GEM CITY BONE & JOINT, P.C. 401K PLAN 2013 401k financial data
Total transfer of assets to this plan2013-12-31$0
Total transfer of assets from this plan2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$2,476
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$1,202
Expenses. Interest paid2013-12-31$109
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022013-12-31$109
Total income from all sources (including contributions)2013-12-31$2,683,718
Total loss/gain on sale of assets2013-12-31$993,339
Total of all expenses incurred2013-12-31$1,075,444
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,000,357
Expenses. Certain deemed distributions of participant loans2013-12-31$0
Value of total corrective distributions2013-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,224,408
Value of total assets at end of year2013-12-31$12,790,336
Value of total assets at beginning of year2013-12-31$11,180,788
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$74,978
Total interest from all sources2013-12-31$5,788
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$86,881
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$77,159
Administrative expenses professional fees incurred2013-12-31$75,319
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$338,645
Participant contributions at end of year2013-12-31$50,892
Participant contributions at beginning of year2013-12-31$48,454
Participant contributions at end of year2013-12-31$12,088
Participant contributions at beginning of year2013-12-31$2,641
Assets. Other investments not covered elsewhere at end of year2013-12-31$170,885
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$176,166
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$284,371
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$8,360
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$2,476
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$1,202
Administrative expenses (other) incurred2013-12-31$74,978
Total non interest bearing cash at end of year2013-12-31$533,836
Total non interest bearing cash at beginning of year2013-12-31$40,641
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Income. Non cash contributions2013-12-31$0
Value of net income/loss2013-12-31$1,608,274
Value of net assets at end of year (total assets less liabilities)2013-12-31$12,787,860
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$11,179,586
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$7,654,517
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$8,070,381
Interest on participant loans2013-12-31$3,449
Interest earned on other investments2013-12-31$2,215
Income. Interest from corporate debt instruments2013-12-31$18
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$2,287,257
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$2,675,895
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$2,675,895
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$124
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$0
Asset value of US Government securities at end of year2013-12-31$0
Asset value of US Government securities at beginning of year2013-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$373,302
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31Yes
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$601,392
Employer contributions (assets) at end of year2013-12-31$107,874
Employer contributions (assets) at beginning of year2013-12-31$82,555
Income. Dividends from common stock2013-12-31$9,722
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$1,000,357
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31Yes
Assets. Corporate common stocks other than exployer securities at end of year2013-12-31$1,964,627
Assets. Corporate common stocks other than exployer securities at beginning of year2013-12-31$84,055
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$993,339
Aggregate carrying amount (costs) on sale of assets2013-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31MADER TSCHACHER PETERSON & CO., LLC
Accountancy firm EIN2013-12-31830244838
2009 : GEM CITY BONE & JOINT, P.C. 401K PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for GEM CITY BONE & JOINT, P.C. 401K PLAN

2022: GEM CITY BONE & JOINT, P.C. 401K 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 – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: GEM CITY BONE & JOINT, P.C. 401K PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: GEM CITY BONE & JOINT, P.C. 401K PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
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: GEM CITY BONE & JOINT, P.C. 401K PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: GEM CITY BONE & JOINT, P.C. 401K PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: GEM CITY BONE & JOINT, P.C. 401K PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: GEM CITY BONE & JOINT, P.C. 401K PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: GEM CITY BONE & JOINT, P.C. 401K PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: GEM CITY BONE & JOINT, P.C. 401K PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: GEM CITY BONE & JOINT, P.C. 401K PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2009: GEM CITY BONE & JOINT, P.C. 401K PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number143-80024
Policy instance 1
Insurance contract or identification number143-80024
Number of Individuals Covered209
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker organization code?7
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-CP-FM7Z
Policy instance 1
Insurance contract or identification numberGAP-CP-FM7Z
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $183
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 $0
Amount paid for insurance broker fees183
Insurance broker organization code?7
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-CP-FM7Z
Policy instance 1
Insurance contract or identification numberGAP-CP-FM7Z
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of fees paid to insurance companyUSD $172
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
Amount paid for insurance broker fees172
Insurance broker organization code?7
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-CP-FM7Z
Policy instance 1
Insurance contract or identification numberGAP-CP-FM7Z
Number of Individuals Covered1
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $167
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees167
Additional information about fees paid to insurance brokerADMIN CHARGE
Insurance broker organization code?7
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-CP-FM7Z
Policy instance 1
Insurance contract or identification numberGAP-CP-FM7Z
Number of Individuals Covered1
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $166
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees166
Insurance broker organization code?7
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-CP-FM7Z
Policy instance 1
Insurance contract or identification numberGAP-CP-FM7Z
Number of Individuals Covered2
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
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 $0
Amount paid for insurance broker fees0
Insurance broker organization code?7
Insurance broker nameTODD A KADING
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-CP-FM7Z
Policy instance 1
Insurance contract or identification numberGAP-CP-FM7Z
Number of Individuals Covered2
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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
Insurance broker organization code?7
Insurance broker nameTODD A KADING
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberP02835
Policy instance 3
Insurance contract or identification numberP02835
Insurance policy start date2014-01-01
Insurance policy end date2014-03-17
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract numberBO5762
Policy instance 2
Insurance contract or identification numberBO5762
Insurance policy start date2013-07-03
Insurance policy end date2014-07-03
Total amount of fees paid to insurance companyUSD $60
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Amount paid for insurance broker fees60
Additional information about fees paid to insurance brokerADMINISTRATION FEES
Insurance broker organization code?3
Insurance broker nameMICHAEL E THEIS
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-CP-FM7Z
Policy instance 1
Insurance contract or identification numberGAP-CP-FM7Z
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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
Insurance broker organization code?7
Insurance broker nameTODD A KADING
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberP02835
Policy instance 3
Insurance contract or identification numberP02835
Number of Individuals Covered1
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract numberBO5762
Policy instance 2
Insurance contract or identification numberBO5762
Number of Individuals Covered1
Insurance policy start date2012-07-03
Insurance policy end date2013-07-03
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $60
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees60
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES & CHARGES
Insurance broker organization code?3
Insurance broker nameMICHAEL E THEIS
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-CP-FM7Z
Policy instance 1
Insurance contract or identification numberGAP-CP-FM7Z
Number of Individuals Covered126
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $2,899
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees2899
Additional information about fees paid to insurance brokerADMINISTRATIVE CHARGE BY CARRIER
Insurance broker organization code?7
Insurance broker nameTODD A KADING

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