401k Plan data: FAMILY PRACTICE OF GLENDALE, A MEDICAL CORPORATION 401(K) PLAN plan

FAMILY PRACTICE OF GLENDALE, A MEDICAL CORPORATION 401(K) PLAN 401k Plan overview

Plan Name	FAMILY PRACTICE OF GLENDALE, A MEDICAL CORPORATION 401(K) PLAN
Plan identification number	001

FAMILY PRACTICE OF GLENDALE, A MEDICAL CORPORATION 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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan covering Self-Employed individuals.
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

FAMILY PRACTICE OF GLENDALE, A MEDICAL CORPORATION has sponsored the creation of one or more 401k plans.

Company Name: FAMILY PRACTICE OF GLENDALE, A MEDICAL CORPORATION

Employer identification number (EIN): 954237609

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FAMILY PRACTICE OF GLENDALE, A MEDICAL CORPORATION 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-01-01 JAMIE LLOYD 2022-09-14
001 2020-01-01 JAMIE LLOYD 2021-10-12
001 2018-01-01 RICHARD SADJA 2019-09-16
001 2017-01-01 RICHARD SADJA 2018-10-12
001 2016-01-01 RICHARD SADJA 2017-10-10
001 2015-01-01 RICHARD SADJA 2016-10-06
001 2014-01-01 RICHARD SADJA 2015-06-08
001 2013-01-01 RICHARD SADJA 2014-05-30
001 2012-01-01 RICHARD SADJA 2013-07-11
001 2011-01-01 RICHARD SADJA
001 2010-01-01 RICHARD SADJA
001 2009-01-01
001 2009-01-01 RICHARD A SADJA

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2021-01-01	JAMIE LLOYD	2022-09-14
001	2020-01-01	JAMIE LLOYD	2021-10-12
001	2018-01-01	RICHARD SADJA	2019-09-16
001	2017-01-01	RICHARD SADJA	2018-10-12
001	2016-01-01	RICHARD SADJA	2017-10-10
001	2015-01-01	RICHARD SADJA	2016-10-06
001	2014-01-01	RICHARD SADJA	2015-06-08
001	2013-01-01	RICHARD SADJA	2014-05-30
001	2012-01-01	RICHARD SADJA	2013-07-11
001	2011-01-01	RICHARD SADJA
001	2010-01-01	RICHARD SADJA
001	2009-01-01
001	2009-01-01	RICHARD A SADJA

Plan Statistics for FAMILY PRACTICE OF GLENDALE, A MEDICAL CORPORATION 401(K) PLAN

401k plan membership statisitcs for FAMILY PRACTICE OF GLENDALE, A MEDICAL CORPORATION 401(K) PLAN

Measure Date Value
2011: FAMILY PRACTICE OF GLENDALE, A MEDICAL CORPORATION 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 93
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 73
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 20
Total of all active and inactive participants 2011-01-01 93
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 93
Number of participants with account balances 2011-01-01 93
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: FAMILY PRACTICE OF GLENDALE, A MEDICAL CORPORATION 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 94
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 72
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 21
Total of all active and inactive participants 2010-01-01 93
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 93
Number of participants with account balances 2010-01-01 93
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: FAMILY PRACTICE OF GLENDALE, A MEDICAL CORPORATION 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 96
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 73
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 21
Total of all active and inactive participants 2009-01-01 94
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 94
Number of participants with account balances 2009-01-01 94
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2011: FAMILY PRACTICE OF GLENDALE, A MEDICAL CORPORATION 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	93
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	73
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	20
Total of all active and inactive participants	2011-01-01	93
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	93
Number of participants with account balances	2011-01-01	93
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: FAMILY PRACTICE OF GLENDALE, A MEDICAL CORPORATION 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	94
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	72
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	21
Total of all active and inactive participants	2010-01-01	93
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	93
Number of participants with account balances	2010-01-01	93
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: FAMILY PRACTICE OF GLENDALE, A MEDICAL CORPORATION 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	96
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	73
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	21
Total of all active and inactive participants	2009-01-01	94
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	94
Number of participants with account balances	2009-01-01	94
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on FAMILY PRACTICE OF GLENDALE, A MEDICAL CORPORATION 401(K) PLAN

Measure	Date	Value
2011 : FAMILY PRACTICE OF GLENDALE, A MEDICAL CORPORATION 401(K) PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$276,415
Expenses. Total of all expenses incurred	2011-12-31	$63,625
Benefits paid (including direct rollovers)	2011-12-31	$60,153
Total plan assets at end of year	2011-12-31	$5,601,523
Total plan assets at beginning of year	2011-12-31	$5,388,733
Value of fidelity bond covering the plan	2011-12-31	$600,000
Total contributions received or receivable from participants	2011-12-31	$248,420
Other income received	2011-12-31	$-87,626
Net income (gross income less expenses)	2011-12-31	$212,790
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$5,601,523
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$5,388,733
Assets. Value of participant loans	2011-12-31	$99,205
Total contributions received or receivable from employer(s)	2011-12-31	$115,621
Value of certain deemed distributions of participant loans	2011-12-31	$-35
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$3,507
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : FAMILY PRACTICE OF GLENDALE, A MEDICAL CORPORATION 401(K) PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$891,446
Expenses. Total of all expenses incurred	2010-12-31	$191,598
Benefits paid (including direct rollovers)	2010-12-31	$170,902
Total plan assets at end of year	2010-12-31	$5,388,733
Total plan assets at beginning of year	2010-12-31	$4,688,885
Value of fidelity bond covering the plan	2010-12-31	$450,000
Total contributions received or receivable from participants	2010-12-31	$237,206
Contributions received from other sources (not participants or employers)	2010-12-31	$13,716
Other income received	2010-12-31	$527,462
Net income (gross income less expenses)	2010-12-31	$699,848
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$5,388,733
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$4,688,885
Assets. Value of participant loans	2010-12-31	$111,454
Total contributions received or receivable from employer(s)	2010-12-31	$113,062
Value of certain deemed distributions of participant loans	2010-12-31	$19,399
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$1,297
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : FAMILY PRACTICE OF GLENDALE, A MEDICAL CORPORATION 401(K) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for FAMILY PRACTICE OF GLENDALE, A MEDICAL CORPORATION 401(K) PLAN

2011: FAMILY PRACTICE OF GLENDALE, A MEDICAL CORPORATION 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: FAMILY PRACTICE OF GLENDALE, A MEDICAL CORPORATION 401(K) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: FAMILY PRACTICE OF GLENDALE, A MEDICAL CORPORATION 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

38773001

Policy instance

Insurance contract or identification number	38773001
Number of Individuals Covered	93
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $9,790
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

38773001

Policy instance

Insurance contract or identification number	38773001
Number of Individuals Covered	93
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $14,565
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	14565
Additional information about fees paid to insurance broker	SERVICES TO INSURER OR PLAN
Insurance broker organization code?	4
Insurance broker name	STEPHEN TOW AND ASSOCIATES

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Company Name:	FAMILY PRACTICE OF GLENDALE, A MEDICAL CORPORATION
Employer identification number (EIN):	954237609
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)