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| Plan Name | PEDIATRIC CARDIOLOGY ASSOCIATES PROFIT SHARING PLAN |
| Plan identification number | 002 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | PEDIATRIC CARDIOLOGY ASSOCIATES |
| Employer identification number (EIN): | 010379764 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 002 | 2019-01-01 | ||||
| 002 | 2018-01-01 | ||||
| 002 | 2017-01-01 | ||||
| 002 | 2016-01-01 | ||||
| 002 | 2015-01-01 | ||||
| 002 | 2014-01-01 | ||||
| 002 | 2013-01-01 | ||||
| 002 | 2012-01-01 | JON DONNELLY, M.D. | 2013-05-31 | JON DONNELLY, M.D. | 2013-05-31 |
| 002 | 2011-01-01 | JON DONNELLY, M.D. | 2012-05-14 | JON DONNELLY, M.D. | 2012-05-14 |
| 002 | 2009-01-01 | JON DONNELLY, M.D. | JON DONNELLY, M.D. | 2010-07-30 |
| Measure | Date | Value |
|---|---|---|
| 2009: PEDIATRIC CARDIOLOGY ASSOCIATES PROFIT SHARING PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-01-01 | 12 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 10 |
| Total of all active and inactive participants | 2009-01-01 | 10 |
| Total participants | 2009-01-01 | 10 |
| Number of participants with account balances | 2009-01-01 | 10 |
| Measure | Date | Value |
|---|---|---|
| 2010 : PEDIATRIC CARDIOLOGY ASSOCIATES PROFIT SHARING PLAN 2010 401k financial data | ||
| Total income from all sources | 2010-12-31 | $602,701 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $23,127 |
| Benefits paid (including direct rollovers) | 2010-12-31 | $15,693 |
| Total plan assets at end of year | 2010-12-31 | $3,949,604 |
| Total plan assets at beginning of year | 2010-12-31 | $3,370,030 |
| Value of fidelity bond covering the plan | 2010-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2010-12-31 | $22,000 |
| Other income received | 2010-12-31 | $293,233 |
| Net income (gross income less expenses) | 2010-12-31 | $579,574 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $3,949,604 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $3,370,030 |
| Assets. Value of participant loans | 2010-12-31 | $1,810 |
| Total contributions received or receivable from employer(s) | 2010-12-31 | $287,468 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2010-12-31 | $7,434 |
| 2009: PEDIATRIC CARDIOLOGY ASSOCIATES PROFIT SHARING PLAN 2009 form 5500 responses | ||
|---|---|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | Plan funding arrangement – Trust | Yes |
| 2009-01-01 | Plan benefit arrangement - Trust | Yes |
| JOHN HANCOCK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 90425 ) | |||||||||||||||||||||||||||||
| Policy contract number | 2750349 | ||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||
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