401k Plan data: GALES FERRY PEDIATRICS INC. EMPLOYEES 401(K) PS RETIREMENT P plan

GALES FERRY PEDIATRICS INC. EMPLOYEES 401(K) PS RETIREMENT P 401k Plan overview

Plan Name	GALES FERRY PEDIATRICS INC. EMPLOYEES 401(K) PS RETIREMENT P
Plan identification number	001

GALES FERRY PEDIATRICS INC. EMPLOYEES 401(K) PS RETIREMENT P Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
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.
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.
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 contribtions 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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan covering Self-Employed individuals.
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.

401k Sponsoring company profile

GALES FERRY PEDIATRICS, INC. has sponsored the creation of one or more 401k plans.

Company Name: GALES FERRY PEDIATRICS, INC.

Employer identification number (EIN): 061223645

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GALES FERRY PEDIATRICS INC. EMPLOYEES 401(K) PS RETIREMENT P

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 CHARLES ESPOSITO
001 2013-01-01 CHARLES ESPOSITO
001 2011-01-01 CHRISTOPHER GOVIL 2012-07-30
001 2010-01-01 DORENE HAROLD 2011-10-12

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2014-01-01	CHARLES ESPOSITO
001	2013-01-01	CHARLES ESPOSITO
001	2011-01-01	CHRISTOPHER GOVIL	2012-07-30
001	2010-01-01	DORENE HAROLD	2011-10-12

Plan Statistics for GALES FERRY PEDIATRICS INC. EMPLOYEES 401(K) PS RETIREMENT P

401k plan membership statisitcs for GALES FERRY PEDIATRICS INC. EMPLOYEES 401(K) PS RETIREMENT P

Measure Date Value
2014: GALES FERRY PEDIATRICS INC. EMPLOYEES 401(K) PS RETIREMENT P 2014 401k membership
Total participants, beginning-of-year 2014-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 0
Number of participants with account balances 2014-01-01 0
2013: GALES FERRY PEDIATRICS INC. EMPLOYEES 401(K) PS RETIREMENT P 2013 401k membership
Total participants, beginning-of-year 2013-01-01 41
Number of other retired or separated participants entitled to future benefits 2013-01-01 5
Total of all active and inactive participants 2013-01-01 5
Total participants 2013-01-01 5
Number of participants with account balances 2013-01-01 5

Measure	Date	Value
2014: GALES FERRY PEDIATRICS INC. EMPLOYEES 401(K) PS RETIREMENT P 2014 401k membership
Total participants, beginning-of-year	2014-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	0
Number of participants with account balances	2014-01-01	0
2013: GALES FERRY PEDIATRICS INC. EMPLOYEES 401(K) PS RETIREMENT P 2013 401k membership
Total participants, beginning-of-year	2013-01-01	41
Number of other retired or separated participants entitled to future benefits	2013-01-01	5
Total of all active and inactive participants	2013-01-01	5
Total participants	2013-01-01	5
Number of participants with account balances	2013-01-01	5

Financial Data on GALES FERRY PEDIATRICS INC. EMPLOYEES 401(K) PS RETIREMENT P

Measure	Date	Value
2014 : GALES FERRY PEDIATRICS INC. EMPLOYEES 401(K) PS RETIREMENT P 2014 401k financial data
Transfers to/from the plan	2014-12-18	$0
Total plan liabilities at end of year	2014-12-18	$0
Total plan liabilities at beginning of year	2014-12-18	$0
Total income from all sources	2014-12-18	$761
Expenses. Total of all expenses incurred	2014-12-18	$36,689
Benefits paid (including direct rollovers)	2014-12-18	$33,479
Total plan assets at end of year	2014-12-18	$0
Total plan assets at beginning of year	2014-12-18	$35,928
Value of fidelity bond covering the plan	2014-12-18	$267,000
Total contributions received or receivable from participants	2014-12-18	$0
Expenses. Other expenses not covered elsewhere	2014-12-18	$0
Contributions received from other sources (not participants or employers)	2014-12-18	$0
Other income received	2014-12-18	$761
Noncash contributions received	2014-12-18	$0
Net income (gross income less expenses)	2014-12-18	$-35,928
Net plan assets at end of year (total assets less liabilities)	2014-12-18	$0
Net plan assets at beginning of year (total assets less liabilities)	2014-12-18	$35,928
Total contributions received or receivable from employer(s)	2014-12-18	$0
Value of certain deemed distributions of participant loans	2014-12-18	$0
Value of corrective distributions	2014-12-18	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-18	$3,210
2013 : GALES FERRY PEDIATRICS INC. EMPLOYEES 401(K) PS RETIREMENT P 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
Total plan liabilities at end of year	2013-12-31	$0
Total income from all sources	2013-12-31	$174,541
Expenses. Total of all expenses incurred	2013-12-31	$3,331,055
Benefits paid (including direct rollovers)	2013-12-31	$3,330,772
Total plan assets at end of year	2013-12-31	$35,928
Total plan assets at beginning of year	2013-12-31	$3,192,442
Value of fidelity bond covering the plan	2013-12-31	$267,000
Total contributions received or receivable from participants	2013-12-31	$20,529
Expenses. Other expenses not covered elsewhere	2013-12-31	$0
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$154,012
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$-3,156,514
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$35,928
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$3,192,442
Assets. Value of participant loans	2013-12-31	$0
Total contributions received or receivable from employer(s)	2013-12-31	$0
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$283

Form 5500 Responses for GALES FERRY PEDIATRICS INC. EMPLOYEES 401(K) PS RETIREMENT P

2014: GALES FERRY PEDIATRICS INC. EMPLOYEES 401(K) PS RETIREMENT P 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	Yes
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: GALES FERRY PEDIATRICS INC. EMPLOYEES 401(K) PS RETIREMENT P 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	GALES FERRY PEDIATRICS, INC.
Employer identification number (EIN):	061223645
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)