401k Plan data: PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN plan

PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 401k Plan overview

Plan Name	PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN
Plan identification number	004

PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 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.
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

PEDIATRIC ASSOCIATES HOLDING COMPANY has sponsored the creation of one or more 401k plans.

Company Name: PEDIATRIC ASSOCIATES HOLDING COMPANY

Employer identification number (EIN): 204729025

NAIC Classification: 624410
NAIC Description: Child Day Care Services

Additional information about PEDIATRIC ASSOCIATES HOLDING COMPANY

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 2006-04-19

Company Identification Number: P06000056069

Legal Registered Office Address: 900 S. Pine Island Road, Suite 800

PLANTATION

33324

More information about PEDIATRIC ASSOCIATES HOLDING COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
004 2022-01-01 KEVIN REYNOLDS 2023-10-16
004 2022-01-01 NIKKIRABON 2024-01-17
004 2021-01-01 BETH GORELICK 2022-12-30
004 2020-01-01 BETH GORELICK 2021-10-13
004 2019-01-01 SCOTT FARR 2020-09-22
004 2018-01-01 SCOTT FARR 2019-10-02
004 2017-01-01

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
004	2022-01-01	KEVIN REYNOLDS	2023-10-16
004	2022-01-01	NIKKIRABON	2024-01-17
004	2021-01-01	BETH GORELICK	2022-12-30
004	2020-01-01	BETH GORELICK	2021-10-13
004	2019-01-01	SCOTT FARR	2020-09-22
004	2018-01-01	SCOTT FARR	2019-10-02
004	2017-01-01

Plan Statistics for PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN

401k plan membership statisitcs for PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN

Measure Date Value
2022: PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 1,931
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 2,407
Number of retired or separated participants receiving benefits 2022-01-01 18
Number of other retired or separated participants entitled to future benefits 2022-01-01 363
Total of all active and inactive participants 2022-01-01 2,788
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 2,788
Number of participants with account balances 2022-01-01 2,788
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 355
2021: PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 1,859
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 1,551
Number of retired or separated participants receiving benefits 2021-01-01 15
Number of other retired or separated participants entitled to future benefits 2021-01-01 365
Total of all active and inactive participants 2021-01-01 1,931
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 1,931
Number of participants with account balances 2021-01-01 1,818
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 121
2020: PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 2,004
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 1,344
Number of retired or separated participants receiving benefits 2020-01-01 67
Number of other retired or separated participants entitled to future benefits 2020-01-01 448
Total of all active and inactive participants 2020-01-01 1,859
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 1,859
Number of participants with account balances 2020-01-01 1,766
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 248
2019: PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 1,904
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 1,594
Number of retired or separated participants receiving benefits 2019-01-01 26
Number of other retired or separated participants entitled to future benefits 2019-01-01 349
Total of all active and inactive participants 2019-01-01 1,969
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 1,969
Number of participants with account balances 2019-01-01 1,837
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 250
2018: PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 1,703
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 1,536
Number of retired or separated participants receiving benefits 2018-01-01 25
Number of other retired or separated participants entitled to future benefits 2018-01-01 303
Total of all active and inactive participants 2018-01-01 1,864
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 1,864
Number of participants with account balances 2018-01-01 1,724
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 258
2017: PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 1,668
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 1,413
Number of retired or separated participants receiving benefits 2017-01-01 27
Number of other retired or separated participants entitled to future benefits 2017-01-01 243
Total of all active and inactive participants 2017-01-01 1,683
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 1,683
Number of participants with account balances 2017-01-01 1,551
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 222

Measure	Date	Value
2022: PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	1,931
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	2,407
Number of retired or separated participants receiving benefits	2022-01-01	18
Number of other retired or separated participants entitled to future benefits	2022-01-01	363
Total of all active and inactive participants	2022-01-01	2,788
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	2,788
Number of participants with account balances	2022-01-01	2,788
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	355
2021: PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	1,859
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	1,551
Number of retired or separated participants receiving benefits	2021-01-01	15
Number of other retired or separated participants entitled to future benefits	2021-01-01	365
Total of all active and inactive participants	2021-01-01	1,931
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	1,931
Number of participants with account balances	2021-01-01	1,818
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	121
2020: PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	2,004
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	1,344
Number of retired or separated participants receiving benefits	2020-01-01	67
Number of other retired or separated participants entitled to future benefits	2020-01-01	448
Total of all active and inactive participants	2020-01-01	1,859
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	1,859
Number of participants with account balances	2020-01-01	1,766
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	248
2019: PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	1,904
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	1,594
Number of retired or separated participants receiving benefits	2019-01-01	26
Number of other retired or separated participants entitled to future benefits	2019-01-01	349
Total of all active and inactive participants	2019-01-01	1,969
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	1,969
Number of participants with account balances	2019-01-01	1,837
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	250
2018: PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	1,703
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	1,536
Number of retired or separated participants receiving benefits	2018-01-01	25
Number of other retired or separated participants entitled to future benefits	2018-01-01	303
Total of all active and inactive participants	2018-01-01	1,864
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	1,864
Number of participants with account balances	2018-01-01	1,724
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	258
2017: PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	1,668
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	1,413
Number of retired or separated participants receiving benefits	2017-01-01	27
Number of other retired or separated participants entitled to future benefits	2017-01-01	243
Total of all active and inactive participants	2017-01-01	1,683
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	1,683
Number of participants with account balances	2017-01-01	1,551
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	222

Financial Data on PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN

Measure	Date	Value
2022 : PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total transfer of assets to this plan	2022-12-31	$2,223,142
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$909,298
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$2,381
Total income from all sources (including contributions)	2022-12-31	$13,729,403
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$3,512,724
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$3,039,743
Expenses. Certain deemed distributions of participant loans	2022-12-31	$60,631
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$22,866,926
Value of total assets at end of year	2022-12-31	$77,600,680
Value of total assets at beginning of year	2022-12-31	$64,253,942
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$412,350
Total interest from all sources	2022-12-31	$76,630
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$9,133,351
Participant contributions at end of year	2022-12-31	$2,061,175
Participant contributions at beginning of year	2022-12-31	$1,732,583
Participant contributions at end of year	2022-12-31	$1,673
Participant contributions at beginning of year	2022-12-31	$1,673
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$9,833,981
Value of other receiveables (less allowance for doubtful accounts) at end of year	2022-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2022-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2022-12-31	$909,298
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2022-12-31	$2,381
Administrative expenses (other) incurred	2022-12-31	$196,185
Total non interest bearing cash at end of year	2022-12-31	$1,324,850
Total non interest bearing cash at beginning of year	2022-12-31	$621,821
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$10,216,679
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$76,691,382
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$64,251,561
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$70,055,408
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$60,113,510
Interest on participant loans	2022-12-31	$76,630
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$4,157,574
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$1,784,307
Net gain/loss from 103.12 investment entities	2022-12-31	$-9,214,153
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$3,899,594
Employer contributions (assets) at end of year	2022-12-31	$0
Employer contributions (assets) at beginning of year	2022-12-31	$48
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$3,039,743
Contract administrator fees	2022-12-31	$216,165
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Disclaimer
Accountancy firm name	2022-12-31	GERSON, PRESTON, KLEIN, LIPS, ETAL.
Accountancy firm EIN	2022-12-31	591262947
2021 : PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$2,381
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$2,381
Total income from all sources (including contributions)	2021-12-31	$18,443,947
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$5,319,682
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$4,899,713
Expenses. Certain deemed distributions of participant loans	2021-12-31	$30,238
Value of total corrective distributions	2021-12-31	$170,303
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$9,307,053
Value of total assets at end of year	2021-12-31	$64,253,942
Value of total assets at beginning of year	2021-12-31	$51,129,677
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$219,428
Total interest from all sources	2021-12-31	$67,529
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Administrative expenses professional fees incurred	2021-12-31	$38,557
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$5,932,950
Participant contributions at end of year	2021-12-31	$1,732,583
Participant contributions at beginning of year	2021-12-31	$1,558,450
Participant contributions at end of year	2021-12-31	$1,673
Participant contributions at beginning of year	2021-12-31	$1,673
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$808,260
Value of other receiveables (less allowance for doubtful accounts) at end of year	2021-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2021-12-31	$98
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-12-31	$2,381
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-12-31	$2,381
Other income not declared elsewhere	2021-12-31	$413,007
Total non interest bearing cash at end of year	2021-12-31	$621,821
Total non interest bearing cash at beginning of year	2021-12-31	$935,218
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$13,124,265
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$64,251,561
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$51,127,296
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$60,113,510
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$47,078,738
Interest on participant loans	2021-12-31	$67,529
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$1,784,307
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$1,555,493
Net gain/loss from 103.12 investment entities	2021-12-31	$8,656,358
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$2,565,843
Employer contributions (assets) at end of year	2021-12-31	$48
Employer contributions (assets) at beginning of year	2021-12-31	$7
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$4,899,713
Contract administrator fees	2021-12-31	$180,871
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Disclaimer
Accountancy firm name	2021-12-31	GERSON, PRESTON, KLEIN, LIPS, ETAL.
Accountancy firm EIN	2021-12-31	591262947
2020 : PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$2,381
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$2,749
Total income from all sources (including contributions)	2020-12-31	$10,927,135
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$3,297,791
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$2,909,704
Expenses. Certain deemed distributions of participant loans	2020-12-31	$114,802
Value of total corrective distributions	2020-12-31	$94,752
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$5,614,963
Value of total assets at end of year	2020-12-31	$51,129,677
Value of total assets at beginning of year	2020-12-31	$43,500,701
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$178,533
Total interest from all sources	2020-12-31	$69,628
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Administrative expenses professional fees incurred	2020-12-31	$37,565
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$4,805,955
Participant contributions at end of year	2020-12-31	$1,558,450
Participant contributions at beginning of year	2020-12-31	$1,590,701
Participant contributions at end of year	2020-12-31	$1,673
Participant contributions at beginning of year	2020-12-31	$79,347
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$280,985
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-12-31	$98
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-12-31	$98
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-12-31	$2,381
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-12-31	$2,749
Other income not declared elsewhere	2020-12-31	$529,048
Administrative expenses (other) incurred	2020-12-31	$3,613
Total non interest bearing cash at end of year	2020-12-31	$935,218
Total non interest bearing cash at beginning of year	2020-12-31	$460,680
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$7,629,344
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$51,127,296
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$43,497,952
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$47,078,738
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$40,784,017
Interest on participant loans	2020-12-31	$69,628
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$1,555,493
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$585,920
Net gain/loss from 103.12 investment entities	2020-12-31	$4,713,496
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$528,023
Employer contributions (assets) at end of year	2020-12-31	$7
Employer contributions (assets) at beginning of year	2020-12-31	$-62
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$2,909,704
Contract administrator fees	2020-12-31	$137,355
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	GERSON, PRESTON, KLEIN, LIPS, ETAL.
Accountancy firm EIN	2020-12-31	591262947
2019 : PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$2,749
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$2,381
Total income from all sources (including contributions)	2019-12-31	$13,554,731
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$2,187,852
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$1,902,317
Expenses. Certain deemed distributions of participant loans	2019-12-31	$86,673
Value of total corrective distributions	2019-12-31	$29,780
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$5,944,335
Value of total assets at end of year	2019-12-31	$43,500,701
Value of total assets at beginning of year	2019-12-31	$32,133,454
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$169,082
Total interest from all sources	2019-12-31	$71,859
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Administrative expenses professional fees incurred	2019-12-31	$48,697
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$4,582,251
Participant contributions at end of year	2019-12-31	$1,590,701
Participant contributions at beginning of year	2019-12-31	$1,290,241
Participant contributions at end of year	2019-12-31	$79,347
Participant contributions at beginning of year	2019-12-31	$1,666
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$778,269
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$98
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$98
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$2,749
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$2,381
Other income not declared elsewhere	2019-12-31	$316,785
Total non interest bearing cash at end of year	2019-12-31	$460,680
Total non interest bearing cash at beginning of year	2019-12-31	$134,412
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$11,366,879
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$43,497,952
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$32,131,073
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$40,784,017
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$30,232,836
Interest on participant loans	2019-12-31	$71,859
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$585,920
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$474,263
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$7,221,752
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$583,815
Employer contributions (assets) at end of year	2019-12-31	$-62
Employer contributions (assets) at beginning of year	2019-12-31	$-62
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$1,902,317
Contract administrator fees	2019-12-31	$120,385
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	GERSON, PRESTON, KLEIN, LIPS, ETAL.
Accountancy firm EIN	2019-12-31	591262947
2018 : PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$2,381
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$2,381
Total income from all sources (including contributions)	2018-12-31	$2,515,733
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$1,898,254
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$1,786,442
Expenses. Certain deemed distributions of participant loans	2018-12-31	$50,020
Value of total corrective distributions	2018-12-31	$19,029
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$4,948,046
Value of total assets at end of year	2018-12-31	$32,133,454
Value of total assets at beginning of year	2018-12-31	$31,515,975
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$42,763
Total interest from all sources	2018-12-31	$56,023
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Administrative expenses professional fees incurred	2018-12-31	$33,389
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$4,109,867
Participant contributions at end of year	2018-12-31	$1,290,241
Participant contributions at beginning of year	2018-12-31	$1,097,896
Participant contributions at end of year	2018-12-31	$1,666
Participant contributions at beginning of year	2018-12-31	$59,267
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$318,621
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-12-31	$98
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-12-31	$98
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2018-12-31	$2,381
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$2,381
Other income not declared elsewhere	2018-12-31	$37,128
Total non interest bearing cash at end of year	2018-12-31	$134,412
Total non interest bearing cash at beginning of year	2018-12-31	$91,313
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$617,479
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$32,131,073
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$31,513,594
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$30,232,836
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$29,943,278
Interest on participant loans	2018-12-31	$56,023
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$474,263
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$324,185
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-2,525,464
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$519,558
Employer contributions (assets) at end of year	2018-12-31	$-62
Employer contributions (assets) at beginning of year	2018-12-31	$-62
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$1,786,442
Contract administrator fees	2018-12-31	$9,374
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	GERSON, PRESTON, KLEIN, LIPS, ETAL.
Accountancy firm EIN	2018-12-31	591262947
2017 : PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$2,381
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$1,057
Total income from all sources (including contributions)	2017-12-31	$8,021,740
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$1,298,730
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$1,218,685
Expenses. Certain deemed distributions of participant loans	2017-12-31	$20,008
Value of total corrective distributions	2017-12-31	$25,985
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$3,816,674
Value of total assets at end of year	2017-12-31	$31,515,975
Value of total assets at beginning of year	2017-12-31	$24,791,641
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$34,052
Total interest from all sources	2017-12-31	$38,155
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Administrative expenses professional fees incurred	2017-12-31	$29,433
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$3,301,429
Participant contributions at end of year	2017-12-31	$1,097,896
Participant contributions at beginning of year	2017-12-31	$796,042
Participant contributions at end of year	2017-12-31	$59,267
Participant contributions at beginning of year	2017-12-31	$14,988
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$66,003
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-12-31	$98
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-12-31	$98
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-12-31	$2,381
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-12-31	$1,057
Other income not declared elsewhere	2017-12-31	$28,018
Total non interest bearing cash at end of year	2017-12-31	$91,313
Total non interest bearing cash at beginning of year	2017-12-31	$31,824
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$6,723,010
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$31,513,594
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$24,790,584
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$29,943,278
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$23,599,481
Interest on participant loans	2017-12-31	$38,155
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$324,185
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$290,440
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$4,138,893
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$449,242
Employer contributions (assets) at end of year	2017-12-31	$-62
Employer contributions (assets) at beginning of year	2017-12-31	$58,768
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$1,218,685
Contract administrator fees	2017-12-31	$4,619
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	GERSON, PRESTON, KLEIN, LIPS, ETAL.
Accountancy firm EIN	2017-12-31	591262947

Form 5500 Responses for PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN

2022: PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

1260197-01

Policy instance

Insurance contract or identification number	1260197-01
Number of Individuals Covered	1321
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

1260197-01

Policy instance

Insurance contract or identification number	1260197-01
Number of Individuals Covered	946
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

1260197-01

Policy instance

Insurance contract or identification number	1260197-01
Number of Individuals Covered	897
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

1260197-01

Policy instance

Insurance contract or identification number	1260197-01
Number of Individuals Covered	893
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $6
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6
Insurance broker organization code?	3

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

1260197-01

Policy instance

Insurance contract or identification number	1260197-01
Number of Individuals Covered	857
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $25
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $25
Insurance broker organization code?	3

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

1260197-01

Policy instance

Insurance contract or identification number	1260197-01
Number of Individuals Covered	819
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $12
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $12
Insurance broker organization code?	3
Insurance broker name	MERRILL LYNCH LIFE AGENCY INC.

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Company Name:	PEDIATRIC ASSOCIATES HOLDING COMPANY
Employer identification number (EIN):	204729025
NAIC Classification:	624410
NAIC Description:	Child Day Care Services

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	2006-04-19
Company Identification Number:	P06000056069
Legal Registered Office Address:	900 S. Pine Island Road, Suite 800 PLANTATION 33324