2023 Form 5500 filing — The 401(K) Plan And Trust Of Physicians Endoscopy, LLC
Plain-English filing summary
According to public Form 5500 filings published through the U.S. Department of Labor (DOL) Employee Benefits Security Administration (EBSA) via the EFAST2 system, this is the 2023 Form 5500 filing (EFAST2 acknowledgement 20241212164548NAL0012762401001) for The 401(K) Plan And Trust Of Physicians Endoscopy, LLC, reported by Physicians Endoscopy, LLC under EIN 91-1882702 and plan number 001. It reports 1,079 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
Form 5500 3 · 2023
Filing snapshot
Net assets (EOY)$54.8MReported net assets$54,800,686
Participants1.1K1,079
Provider compensation$227.7K4 Schedule C row(s)$227,740
Schedules filedSchedule H, Schedule CLoaded schedules
- EFAST2 acknowledgement
- 20241212164548NAL0012762401001
- Plan sponsor
- Physicians Endoscopy, LLC
- EIN
- 91-1882702
- Plan number
- 001
- Location
- Eden Prairie, MN
- Received date
- not reported in the loaded dataset
Schedule H · 2023
Reported financial snapshot
Reported figures as filed, in whole dollars. Only fields the filing reports are shown.
Reported balance (end of year)$54.8M total assets
Net assets$54.8MLiabilities$0
Full reported line items
- Total assets (EOY)
- $54,800,686
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $54,800,686
- Employer contributions
- $3,033,987
- Participant contributions
- $4,822,568
- Total income / additions
- $15,319,850
- Benefits paid
- $4,421,714
- Administrative expenses
- $209,492
- Total expenses
- $4,631,206
- Net increase / (decrease)
- $10,688,644
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Principal Life Insurance Company | CONTRACT ADMINISTRATOR | $102,411 | $0 |
| N A Falcone & Associates, Inc. | CONTRACT ADMINISTRATO | $60,156 | $18,145 |
| Merrill Lynch Pierce Fenner & Smith | CONSULTANT | $46,900 | $103 |
| Fidelity Invst Instnl Oprtn Co. LLC | RECORDKEEPER | $25 | $0 |