Back to top
FORM 5500 DATA

Colorado OB/GYN Partners, PLLC 401k Profit Sharing Plan

Overview

Plan Information

  • Plan Year01/01/2017 — 12/31/2017
  • Date of Plan01/01/2013
  • Net Assets as of 12/31/2017 $17,653,353
  • Plan Number2
  • Plan Type Single Employer
  • Is the plan collectively bargained? No
  • Did the plan file for an extension of time or the DFVC Program?Yes
  • Plan Funding ArrangementInsurance Trust
  • Plan Benefit ArrangementInsurance Trust

Participant Information as of 12/31/2017

  • Active (Eligible) Participants123
  • Retired or separated participants receiving benefits0
  • Other retired or separated participants entitled to future benefits32
  • Subtotal155
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits0
  • Total155
  • Total number of participants as of 01/01/2017217
  • Number of participants with account balances155
  • Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested4

Expenses

  • Total Benefit Payments$0
  • Corrective Distributions$0
  • Administrative Service Providers$0
  • Other Expenses$0
  • Total Expenses$0
  • Total Transfers$0

Sponsor Information

  • Address9195 Grant Street, Suite 410
  • CityDenver
  • StateCO
  • Zip80229
  • Telephone(303) 280-2229
  • EIN45-1588625
  • Industry Code621111
  • Named AdministratorPatricia Giuffre

Audit Information

  • Audit StatusAudited
  • AuditorJds Professional Group
  • Auditor EIN20-8019714
  • Audit Opinion Disclaimer
  • Audit TypeLimited Scope Audit

Benefits Provided Under the Plan

Code Benefit Description
2A 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 threshold or additional rate allowed under the permitted disparity rules of section 401(l)
2E Profit-sharing A defined contribution plan that allows employer discretionary contributions. These plans often contain a 401(k) feature.
2F ERISA section 404(c) Plan This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
2G 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.
2J 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.
2K 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 contributions 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.
2T Participant-directed Account Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
3D 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.

Questions and Answers

Question Answer Amount
During the plan year did the employer fail to transmit to the plan any participant contributions within the time period described in 29 CFT 2510.3-102? No
Were any loans by the plan or fixed income obligations due the plan in default as of the close of plan year or classified during the year as uncollectible? Disregard participant loans secured by participant's account balance. No
Were any leases to which the plan was a party in default or classified during the year as uncollectible? No
Were there any nonexempt transactions with any party-in-interest? No
Was this plan covered by a fidelity bond? Yes $500,000
Did the plan have a loss, whether or not reimbursed by the plan's fidelity bond, that was caused by fraud or dishonesty? No
Did the plan hold any assets whose current value was neither readily determinable on an established market nor set by an independent third party appraiser? No
Did the plan receive any noncash contributions whose value was neither readily determinable on an established market nor set by an independent third party appraiser? No
Did the plan have assets held for investment? Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of plan assets? No
Were all the plan assets either distributed to participants or beneficiaries, transferred to another plan, or brought under the control of the PBGC? No
Has the plan failed to provide any benefit when due under the plan? No
If this is an individual account plan, was there a blackout period? No
If there was a blackout period, have you either provided the required notice or one of the exceptions to providing the notice applied under 29 CFR 2520.101-3? No

Financials

Income and Expense Statement

Income $4,156,225
Contributions $1,553,594
Cash Contributions $1,553,594
Cash from Employers $737,817
Cash from Participants $803,298
Others (including rollovers) $12,479
Noncash Contributions $0
Total Earnings on Investments $2,602,631
Total Interest $11,925
Interest-Bearing Cash $0
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $7,720
Interest from Other Investments $4,205
Total Dividends $34,524
Preferred Stock $0
Common Stock $0
Rents $0
Net gain (loss) on sale of assets $0
Aggregate Proceeds $0
Aggregate Carrying Amount $0
Total Unrealized Appreciation (depreciation) of assets $0
Real Estate $0
Other $0
Net investment gain (loss) from common/collective trusts $1,459,738
Net investment gain (loss) from pooled separate accounts $442,425
Net investment gain (loss) from master trust investment accounts $0
Net investment gain (loss) from 103-12 investment entities $0
Net investment gain (loss) from registered investment companies $654,019
Other Income $0
Expenses $1,318,771
Total Benefit Payments $1,250,408
Directly to participants or beneficiaries, including direct rollovers $1,250,408
To insurance carriers for the provision of benefits $0
Other Benefit Payment Fees $0
Corrective Distributions $0
Certain deemed distributions of participant loans $0
Interest expense $0
Total Administrative Expenses $68,363
Professional Fees $8,500
Contract Administrator Fees $59,863
Investment Advisory and management fees $0
Other Administrative Fees $0
Net Income $2,837,454
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $0

Asset and Liability Statement

12/31/2017 12/31/2016 Change YOY
Total Assets $17,653,746 $14,816,292 19.15%
Total noninterest-bearing cash $0 $0 0.0%
Receivables $382,014 $340,292 12.26%
Employer Contributions $337,492 $312,149 8.12%
Participant Contributions $44,522 $28,143 58.20%
Other Contributions $0 $0 0.0%
General Investments $0 $0 0.0%
Interest-bearing cash $0 $0 0.0%
U.S. Government Securities $0 $0 0.0%
Corporate Debt Instruments $0 $0 0.0%
Preferred $0 $0 0.0%
All Other $0 $0 0.0%
Corporate Stocks $0 $0 0.0%
Preferred $0 $0 0.0%
Common $0 $0 0.0%
Partnership/joint venture interests $0 $0 0.0%
Real estate (other than employer real property) $0 $0 0.0%
Loans (other than to participants) $0 $0 0.0%
Participants Loans $166,484 $117,199 42.05%
Value of interest in common/collective trusts $10,248,634 $9,342,160 9.70%
Value of interest in pooled separate accounts $2,505,135 $0 0.0%
Value of interest in master trust investment accounts $0 $0 0.0%
Value of interest in 103-12 investment entities $0 $0 0.0%
Value of interest in registered investment companies $4,042,786 $4,718,110 -14.31%
Value of funds held in insurance co. general account $308,693 $298,531 3.40%
Other Investments $0 $0 0.0%
Employer-related Investments $0 $0 0.0%
Employer Securities $0 $0 0.0%
Employer Real Property $0 $0 0.0%
Buildings and other property used in plan operation $0 $0 0.0%
Total Liabilities $393 $393 0.00%
Benefit Claims Payable (1) $0 $0 0.0%
Operating Payables (1) $0 $0 0.0%
Acquisition Indebtedness (1) $0 $0 0.0%
Other liabilities (1) $393 $393 0.00%
Net Assets $17,653,353 $14,815,899 19.15%

Service Providers

Persons Receiving Only Eligible Indirect Compensation

There is no information on eligible indirect compensation for this plan.

Other Service Providers Receiving Direct or Indirect Compensation

Name Nature of Service Relationship to Plan Sponsor Direct Compensation Paid by Plan Indirect Compensation Paid by Plan Total Compensation
Principal Life Insurance Company Contract Administrator, Participant loan processing, Direct payment from the plan, Recordkeeping fees Contract Administrator $48,526 $0 $48,526
Principal Securities Inc Other services, Other commissions, Other fees Other Services $0 $27,178 $27,178
First Western Trust Bank Other services, Other fees, Contract Administrator, Direct payment from the plan Other Services $14,441 $7,329 $21,770
Jds Professional Group Accounting (including auditing), Direct payment from the plan Accountant $8,500 $0 $8,500
Wilshire Associates Incorporated Investment advisory (plan), Other investment fees and expenses Investment Advisory $0 $0 $0
Total $71,467 $34,507 $105,974

Indirect Compensation

Name Source of Indirect Compensation* Nature of Service Description of Indirect Compensation Indirect Compensation Paid by Plan
Wilshire Associates Incorporated Colorado Ob Gyn Partners, PLLC Investment advisory (plan), Other investment fees and expenses 1 Basis Point Annually On Total Plan Assets In Wilshire's 3(21) Investment Fiduciary Service Per Client's Signed Agreement With Wilshire. $0
Principal Securities Inc Principal Life Insurance Company Other services, Other commissions, Other fees Commissions and Referral/Service Fee $27,178
First Western Trust Bank Principal Life Insurance Company Other services, Other fees, Contract Administrator, Direct payment from the plan Referral/Service Fee $7,329
*As outlined by the Form 5500 Instructions for service providers with indirect compensation.

Service Providers Who Fail or Refuse to Provide Information

There are no service providers who failed or refused to provide information.

Termination Information on Accountants and Enrolled Actuaries

There is no termination information for this plan.

Investments

Investments

Name of Investment Investment Manager Type of Investment Dollar Value
Prin Lifetime Hybr 2035 Cit Z Principal Global Investors Trust Co DFE: Common/Collective Trust $3,224,270
Prin Lifetime Hybr 2020 Cit Z Principal Global Investors Trust Co DFE: Common/Collective Trust $2,574,256
Prin Lifetime Hybr 2040 Cit Z Principal Global Investors Trust Co DFE: Common/Collective Trust $1,306,270
Prin Lgcp S&P 500 Index Sa-Z Principal Life Insurance Company DFE: Common/Collective Trust $1,304,960
Prin Lifetime Hybr 2030 Cit Z Principal Global Investors Trust Co DFE: Common/Collective Trust $1,034,212
Prin Lifetime Hybr 2025 Cit Z Principal Global Investors Trust Co DFE: Common/Collective Trust $866,991
Prin Lifetime Hybr 2045 Cit Z Principal Global Investors Trust Co DFE: Common/Collective Trust $730,920
Prin Midcap S&P 400 Idx Sa-Z Principal Life Insurance Company DFE: Pooled Separate Account $605,988
Prin Smcap S&P 600 Index Sa-Z Principal Life Insurance Company DFE: Pooled Separate Account $594,187
Prin Lifetime Hybr 2050 Cit Z Principal Global Investors Trust Co DFE: Common/Collective Trust $437,356
Prin Liftime Hybr 2055 Cit Z Principal Global Investors Trust Co DFE: Common/Collective Trust $55,866
Prin Lifetime Hybr 2060 Cit Z Principal Global Investors Trust Co DFE: Common/Collective Trust $16,831
Prin Lifetime Hybr 2010 Cit Z Principal Global Investors Trust Co DFE: Common/Collective Trust $1,661
Prin Lifetime Hybr Inc Cit Z Principal Global Investors Trust Co DFE: Common/Collective Trust $0
Total $12,753,768

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
Principal Life Insurance Company 158
EIN 42-0127290
Industry Code 61271
Contract Number 613953
Contract Year 01/01/2017 — 12/31/2017
Value in General Account at Year End $0
Value in Separate Accounts at Year End $0
Insurance Fees and Commissions $904
Persons Receiving Commissions and Fees
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
Principal Securities Inc 711 High St Des Moines, IA 50392 -0001 Insurance Agent or Broker $567 $0 REFERRAL/SERVICE FEE
First Western Trust Bank 1900 16th St. Ste. 1200 Denver, CO 80202 -5251 Insurance Agent or Broker $0 $151 REFERRAL/SERVICE FEE
Goodside, Mark S. Stanford Place II Denver, CO 80237 -2843 Insurance Agent or Broker $65 $0 REFERRAL/SERVICE FEE
Soicher, Marc D. 7979 E Tufts Ave Denver, CO 80237 -2843 Insurance Agent or Broker $65 $0 REFERRAL/SERVICE FEE
Flora, James H. 7979 E Tufts Ave Denver, CO 80237 -2843 Insurance Agent or Broker $56 $0 REFERRAL/SERVICE FEE
Allocated Funds
Type of Contract Unspecified
Basis of premium rates
Premiums paid to carrier $0
Premiums due but unpaid at the end of the year $0
If the carrier, service, or other organization incurred any specific costs in connection with the acquisition or retention of the contract or policy, enter amount $0
Specify the nature of the costs
Unallocated Funds
Type of Contract CUSTODIAL GUARANTEED INTEREST CONTRACT
Balance at the end of the previous year $22,195
Additions $314,705
Contributions Deposited during the year $4,308
Dividends and credits $0
Interest credited during the year $4,205
Transferred from separate account $0
Other $306,192
Total of Balance and Additions $336,900
Deductions $304,543
Disbursed from fund to pay benefits or purchase annuities during the year $0
Administration charge made by carrier $1,195
Transferred to Separate Account $0
Other $303,348
Balance at the end of the current year $32,357