# NEW JERSEY UROLOGY, LLC 401(K) PROFIT SHARING PLAN

DOL Acknowledgment ID: 20251014200316NAL0007336082001
Plan number: 003
Plan effective date: 2004-01-01
Form year: 2024

## Sponsor

- Name: NEW JERSEY UROLOGY, LLC
- EIN: 412257491
- Address: 1 DIAMOND HILL ROAD, BERKELEY HEIGHTS, NJ, 07922
- Phone: 9082778967
- Business code: 621111

## Administrator

- Name: —
- EIN: —
- Phone: —

## Participation

- Total participants (beginning of year): 188
- Active participants: 132
- Retired / separated receiving benefits: 33
- Beneficiaries receiving benefits: 0
- Participants with account balance: 165

## Plan types

### Pension benefits
- 2A2E2F2G2J3D3H: 2A2E2F2G2J3D3H

### Welfare benefits
—

## Funding & flags

- Funding sources: Insurance contracts, Trust
- Collective bargaining: No
- Amended filing: No
- Final filing: No

## Source

- DOL EFAST2 filing lookup: https://efast.dol.gov/5500Search/PlanFilings.aspx?AckID=20251014200316NAL0007336082001
- IRS BMF (sponsor): https://api.morvs.ai/nonprofit/412257491