Original filing (PDF)20231013153307NAL0068216322001

TRI-STATE SURGICAL ASSOCIATES, PLLC

Name: TRI-STATE SURGICAL ASSOCIATES, PLLC — TRI-STATE SURGICAL ASSOCIATES, PLLC 401(K) PLAN, Form 5500 (2022)
Creator: TRI-STATE SURGICAL ASSOCIATES, PLLC

Form 5500-SF

FILING_RECEIVED

TRI-STATE SURGICAL ASSOCIATES, PLLC 401(K) PLAN

401(k) retirement plan

Active participants

Accounts w/ balance

Plan assets (EOY)

$3.3M

Net assets (EOY)

$3.3M

Plan health score (directional)

/ 100

Grade A

Top-tier plan health

Directional indicator computed from public Form 5500 data — compliance, concentration, cost, vendor stack and participation. Not a fiduciary tool.

Compliance & disclosures

100

Concentration risk

Total plan cost

Vendor stack

100

Participation health

Decision-maker contacts

CFO / Head of HR / Benefits Manager — verified email + LinkedIn for TRI-STATE SURGICAL ASSOCIATES, PLLC.

Plan sponsor

Name

TRI-STATE SURGICAL ASSOCIATES, PLLC

EIN

20-4679131

Address

384 CRYSTAL RUN ROAD · SUITE 201 · MIDDLETOWN, NY · 10941

Phone

(845) 547-0804

Industry

Offices of Physicians· Health Care & Social Assistancesee all

Plan administrator

Same as plan sponsor.

Plan characteristics

Plan number

001

Plan year

2022

Plan year begin

2022-01-01

Tax period

2022-12-31

Filed

2023-10-13

Pension benefit codes

2A · Age/service weighted or new comparability

2E · Profit-sharing

2F · ERISA section 404(c)

2G · Total participant-directed accounts

2J · 401(k) feature

2T · Default investment account (QDIA)

3B · Covers self-employed individuals

3D · Pre-approved plan (master / prototype / VS)

Service providers (Schedule C)

Small plans don't disclose service providers

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