401k Plan data: AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN plan

AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN 401k Plan overview

Plan Name	AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN
Plan identification number	003

AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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

AGAVE SURGICAL ASSOCIATES, P.C. has sponsored the creation of one or more 401k plans.

Company Name: AGAVE SURGICAL ASSOCIATES, P.C.

Employer identification number (EIN): 860938962

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2022-01-01 JOLYON SCHILLING 2023-05-23 JOLYON SCHILLING 2023-05-23
003 2021-01-01 JOLYON D. SCHILLING, MD 2022-07-25 JOLYON D. SCHILLING, MD 2022-07-25
003 2020-01-01 SHEILA PETROWSKI 2021-07-27 SHEILA PETROWSKI 2021-07-27
003 2019-01-01
003 2018-01-01 JOLYON SCHILLING JOLYON SCHILLING 2019-04-25
003 2017-01-01 JOLYON SCHILLING JOLYON SCHILLING 2018-03-22
003 2016-01-01 JOLYON SCHILLING JOLYON SCHILLING 2017-06-30
003 2015-01-01 SHEILA PETROWSKI SHEILA PETROWSKI 2016-10-11
003 2014-01-01 JOLYON SCHILLING JOLYON SCHILLING 2015-08-13
003 2013-01-01 JOLYON SCHILLING JOLYON SCHILLING 2014-10-14
003 2012-01-01 JOLYON SCHILLING 2013-06-06 JOLYON SCHILLING 2013-06-06
003 2011-01-01 JOLYON SCHILLING 2012-06-15 JOLYON SCHILLING 2012-06-15
003 2010-01-01 JOLYON SCHILLING 2011-06-20 JOLYON SCHILLING 2011-06-20

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
003	2022-01-01	JOLYON SCHILLING	2023-05-23	JOLYON SCHILLING	2023-05-23
003	2021-01-01	JOLYON D. SCHILLING, MD	2022-07-25	JOLYON D. SCHILLING, MD	2022-07-25
003	2020-01-01	SHEILA PETROWSKI	2021-07-27	SHEILA PETROWSKI	2021-07-27
003	2019-01-01
003	2018-01-01	JOLYON SCHILLING		JOLYON SCHILLING	2019-04-25
003	2017-01-01	JOLYON SCHILLING		JOLYON SCHILLING	2018-03-22
003	2016-01-01	JOLYON SCHILLING		JOLYON SCHILLING	2017-06-30
003	2015-01-01	SHEILA PETROWSKI		SHEILA PETROWSKI	2016-10-11
003	2014-01-01	JOLYON SCHILLING		JOLYON SCHILLING	2015-08-13
003	2013-01-01	JOLYON SCHILLING		JOLYON SCHILLING	2014-10-14
003	2012-01-01	JOLYON SCHILLING	2013-06-06	JOLYON SCHILLING	2013-06-06
003	2011-01-01	JOLYON SCHILLING	2012-06-15	JOLYON SCHILLING	2012-06-15
003	2010-01-01	JOLYON SCHILLING	2011-06-20	JOLYON SCHILLING	2011-06-20

Plan Statistics for AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN

401k plan membership statisitcs for AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN

Measure Date Value
2019: AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 24
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 17
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 5
Total of all active and inactive participants 2019-01-01 22
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 22
Number of participants with account balances 2019-01-01 22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 25
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 15
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 7
Total of all active and inactive participants 2018-01-01 22
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 22
Number of participants with account balances 2018-01-01 22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 4
2017: AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 25
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 17
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 4
Total of all active and inactive participants 2017-01-01 21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 21
Number of participants with account balances 2017-01-01 21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 3
2016: AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 22
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 20
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 4
Total of all active and inactive participants 2016-01-01 24
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 24
Number of participants with account balances 2016-01-01 24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 2
2015: AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 19
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 13
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 5
Total of all active and inactive participants 2015-01-01 18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 18
Number of participants with account balances 2015-01-01 18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 2
2014: AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 20
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 13
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 4
Total of all active and inactive participants 2014-01-01 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 17
Number of participants with account balances 2014-01-01 17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 19
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 12
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 7
Total of all active and inactive participants 2013-01-01 19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 19
Number of participants with account balances 2013-01-01 19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 2

Measure	Date	Value
2019: AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	24
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	17
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	5
Total of all active and inactive participants	2019-01-01	22
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	22
Number of participants with account balances	2019-01-01	22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	25
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	15
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	7
Total of all active and inactive participants	2018-01-01	22
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	22
Number of participants with account balances	2018-01-01	22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	4
2017: AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	25
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	17
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	4
Total of all active and inactive participants	2017-01-01	21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	21
Number of participants with account balances	2017-01-01	21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	3
2016: AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	22
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	20
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	4
Total of all active and inactive participants	2016-01-01	24
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	24
Number of participants with account balances	2016-01-01	24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	2
2015: AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	19
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	13
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	5
Total of all active and inactive participants	2015-01-01	18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	18
Number of participants with account balances	2015-01-01	18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	2
2014: AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	20
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	13
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	4
Total of all active and inactive participants	2014-01-01	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	17
Number of participants with account balances	2014-01-01	17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	19
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	12
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	7
Total of all active and inactive participants	2013-01-01	19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	19
Number of participants with account balances	2013-01-01	19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	2

Financial Data on AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN

Measure	Date	Value
2019 : AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2019 401k financial data
Total income from all sources	2019-12-31	$544,446
Expenses. Total of all expenses incurred	2019-12-31	$69,849
Benefits paid (including direct rollovers)	2019-12-31	$63,067
Total plan assets at end of year	2019-12-31	$2,981,307
Total plan assets at beginning of year	2019-12-31	$2,506,710
Value of fidelity bond covering the plan	2019-12-31	$350,000
Total contributions received or receivable from participants	2019-12-31	$71,600
Expenses. Other expenses not covered elsewhere	2019-12-31	$0
Contributions received from other sources (not participants or employers)	2019-12-31	$0
Other income received	2019-12-31	$340,754
Net income (gross income less expenses)	2019-12-31	$474,597
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$2,981,307
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$2,506,710
Total contributions received or receivable from employer(s)	2019-12-31	$132,092
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$6,782
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
2018 : AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$68,268
Expenses. Total of all expenses incurred	2018-12-31	$753,382
Benefits paid (including direct rollovers)	2018-12-31	$744,808
Total plan assets at end of year	2018-12-31	$2,506,710
Total plan assets at beginning of year	2018-12-31	$3,191,824
Value of fidelity bond covering the plan	2018-12-31	$350,000
Total contributions received or receivable from participants	2018-12-31	$69,500
Expenses. Other expenses not covered elsewhere	2018-12-31	$0
Contributions received from other sources (not participants or employers)	2018-12-31	$0
Other income received	2018-12-31	$-130,851
Net income (gross income less expenses)	2018-12-31	$-685,114
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$2,506,710
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$3,191,824
Assets. Value of assets in partnership/joint-venture interests	2018-12-31	$0
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2018-12-31	$1,944
Total contributions received or receivable from employer(s)	2018-12-31	$129,619
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$8,574
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
2017 : AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$106,353
Expenses. Total of all expenses incurred	2017-12-31	$21,016
Benefits paid (including direct rollovers)	2017-12-31	$9,453
Total plan assets at end of year	2017-12-31	$3,191,824
Total plan assets at beginning of year	2017-12-31	$3,106,487
Value of fidelity bond covering the plan	2017-12-31	$350,000
Total contributions received or receivable from participants	2017-12-31	$80,836
Expenses. Other expenses not covered elsewhere	2017-12-31	$0
Contributions received from other sources (not participants or employers)	2017-12-31	$0
Other income received	2017-12-31	$-103,702
Net income (gross income less expenses)	2017-12-31	$85,337
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$3,191,824
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$3,106,487
Assets. Value of assets in partnership/joint-venture interests	2017-12-31	$0
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2017-12-31	$1,944
Total contributions received or receivable from employer(s)	2017-12-31	$129,219
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$11,563
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
2016 : AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2016 401k financial data
Transfers to/from the plan	2016-12-31	$0
Total income from all sources	2016-12-31	$598,161
Expenses. Total of all expenses incurred	2016-12-31	$163,014
Benefits paid (including direct rollovers)	2016-12-31	$152,645
Total plan assets at end of year	2016-12-31	$3,106,487
Total plan assets at beginning of year	2016-12-31	$2,671,340
Value of fidelity bond covering the plan	2016-12-31	$350,000
Total contributions received or receivable from participants	2016-12-31	$111,100
Expenses. Other expenses not covered elsewhere	2016-12-31	$0
Contributions received from other sources (not participants or employers)	2016-12-31	$176,937
Other income received	2016-12-31	$147,801
Noncash contributions received	2016-12-31	$0
Net income (gross income less expenses)	2016-12-31	$435,147
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$3,106,487
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$2,671,340
Assets. Value of assets in partnership/joint-venture interests	2016-12-31	$300,000
Total contributions received or receivable from employer(s)	2016-12-31	$162,323
Value of certain deemed distributions of participant loans	2016-12-31	$0
Value of corrective distributions	2016-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$10,369
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
2015 : AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$234,568
Expenses. Total of all expenses incurred	2015-12-31	$96,450
Benefits paid (including direct rollovers)	2015-12-31	$87,735
Total plan assets at end of year	2015-12-31	$2,671,340
Total plan assets at beginning of year	2015-12-31	$2,533,222
Value of fidelity bond covering the plan	2015-12-31	$242,000
Total contributions received or receivable from participants	2015-12-31	$80,072
Expenses. Other expenses not covered elsewhere	2015-12-31	$0
Contributions received from other sources (not participants or employers)	2015-12-31	$76,771
Other income received	2015-12-31	$-47,633
Net income (gross income less expenses)	2015-12-31	$138,118
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$2,671,340
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$2,533,222
Assets. Value of assets in partnership/joint-venture interests	2015-12-31	$200,000
Total contributions received or receivable from employer(s)	2015-12-31	$125,358
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$8,715
2014 : AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
Total income from all sources	2014-12-31	$159,029
Expenses. Total of all expenses incurred	2014-12-31	$15,828
Benefits paid (including direct rollovers)	2014-12-31	$6,601
Total plan assets at end of year	2014-12-31	$2,533,222
Total plan assets at beginning of year	2014-12-31	$2,390,021
Value of fidelity bond covering the plan	2014-12-31	$253,322
Total contributions received or receivable from participants	2014-12-31	$85,200
Expenses. Other expenses not covered elsewhere	2014-12-31	$0
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$-19,221
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$143,201
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$2,533,222
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$2,390,021
Assets. Value of assets in partnership/joint-venture interests	2014-12-31	$200,000
Total contributions received or receivable from employer(s)	2014-12-31	$93,050
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$9,227
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$286,107
Expenses. Total of all expenses incurred	2013-12-31	$193,988
Benefits paid (including direct rollovers)	2013-12-31	$186,083
Total plan assets at end of year	2013-12-31	$2,390,021
Total plan assets at beginning of year	2013-12-31	$2,297,902
Value of fidelity bond covering the plan	2013-12-31	$200,000
Total contributions received or receivable from participants	2013-12-31	$87,390
Contributions received from other sources (not participants or employers)	2013-12-31	$48,337
Other income received	2013-12-31	$51,862
Net income (gross income less expenses)	2013-12-31	$92,119
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$2,390,021
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$2,297,902
Assets. Value of assets in partnership/joint-venture interests	2013-12-31	$200,000
Total contributions received or receivable from employer(s)	2013-12-31	$98,518
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$7,905
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$5

Form 5500 Responses for AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN

2019: AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: AGAVE SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

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

Policy contract number

108481

Policy instance

Insurance contract or identification number	108481
Number of Individuals Covered	22
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $5,271
Total amount of fees paid to insurance company	USD $880
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 Broker	USD $5,271
Insurance broker organization code?	4
Amount paid for insurance broker fees	880

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

Policy contract number

108481

Policy instance

Insurance contract or identification number	108481
Number of Individuals Covered	22
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $4,811
Total amount of fees paid to insurance company	USD $803
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 Broker	USD $4,811
Insurance broker organization code?	4
Amount paid for insurance broker fees	803

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

Policy contract number

108481

Policy instance

Insurance contract or identification number	108481
Number of Individuals Covered	21
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $4,176
Total amount of fees paid to insurance company	USD $691
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 Broker	USD $4,176
Insurance broker organization code?	4
Amount paid for insurance broker fees	691
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker name	PINNACLE PLAN DESIGN, LLC

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

Policy contract number

108481

Policy instance

Insurance contract or identification number	108481
Number of Individuals Covered	16
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $3,466
Total amount of fees paid to insurance company	USD $534
Commission paid to Insurance Broker	USD $3,466
Additional information about fees paid to insurance broker	BROKER COMMISSION
Insurance broker organization code?	4
Amount paid for insurance broker fees	534
Insurance broker name	PINNACLE PLAN DESIGN, LLC

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

Policy contract number

108481

Policy instance

Insurance contract or identification number	108481
Number of Individuals Covered	16
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $2,874
Total amount of fees paid to insurance company	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,874
Insurance broker organization code?	4
Insurance broker name	LPL FINANCIAL CORPORATION

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

Policy contract number

108481

Policy instance

Insurance contract or identification number	108481
Number of Individuals Covered	15
Insurance policy start date	2013-01-16
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $6,627
Commission paid to Insurance Broker	USD $6,627
Insurance broker organization code?	4
Insurance broker name	LPL FINANCIAL CORPORATION

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Company Name:	AGAVE SURGICAL ASSOCIATES, P.C.
Employer identification number (EIN):	860938962
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)