401k Plan data: PEDIATRIC ASSOCIATES, P.C. 401(K) PLAN plan

PEDIATRIC ASSOCIATES, P.C. 401(K) PLAN 401k Plan overview

Plan Name	PEDIATRIC ASSOCIATES, P.C. 401(K) PLAN
Plan identification number	001

PEDIATRIC ASSOCIATES, P.C. 401(K) 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 has sponsored the creation of one or more 401k plans.

Company Name: PEDIATRIC ASSOCIATES

Employer identification number (EIN): 208055180

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PEDIATRIC ASSOCIATES, P.C. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2012-01-01 CAROL PERKINS
001 2011-01-01 CAROL PERKINS
001 2010-01-01 CAROL PERKINS
001 2009-01-01 CAROL PERKINS

Plan id#	Filing Submission Date	Name of Administrator
001	2012-01-01	CAROL PERKINS
001	2011-01-01	CAROL PERKINS
001	2010-01-01	CAROL PERKINS
001	2009-01-01	CAROL PERKINS

Plan Statistics for PEDIATRIC ASSOCIATES, P.C. 401(K) PLAN

401k plan membership statisitcs for PEDIATRIC ASSOCIATES, P.C. 401(K) PLAN

Measure Date Value
2012: PEDIATRIC ASSOCIATES, P.C. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 18
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 0
Number of participants with account balances 2012-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: PEDIATRIC ASSOCIATES, P.C. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 19
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 0
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 17
Total of all active and inactive participants 2011-01-01 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 17
Number of participants with account balances 2011-01-01 17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: PEDIATRIC ASSOCIATES, P.C. 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 19
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 18
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 1
Total of all active and inactive participants 2010-01-01 19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 19
Number of participants with account balances 2010-01-01 19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: PEDIATRIC ASSOCIATES, P.C. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 19
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 19
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 19
Number of participants with account balances 2009-01-01 19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2012: PEDIATRIC ASSOCIATES, P.C. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	18
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	0
Number of participants with account balances	2012-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: PEDIATRIC ASSOCIATES, P.C. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	19
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	0
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	17
Total of all active and inactive participants	2011-01-01	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	17
Number of participants with account balances	2011-01-01	17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: PEDIATRIC ASSOCIATES, P.C. 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	19
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	18
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	1
Total of all active and inactive participants	2010-01-01	19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	19
Number of participants with account balances	2010-01-01	19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: PEDIATRIC ASSOCIATES, P.C. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	19
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	19
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	19
Number of participants with account balances	2009-01-01	19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on PEDIATRIC ASSOCIATES, P.C. 401(K) PLAN

Measure	Date	Value
2012 : PEDIATRIC ASSOCIATES, P.C. 401(K) PLAN 2012 401k financial data
Total income from all sources	2012-04-02	$190,858
Expenses. Total of all expenses incurred	2012-04-02	$1,947,550
Benefits paid (including direct rollovers)	2012-04-02	$1,947,550
Total plan assets at end of year	2012-04-02	$0
Total plan assets at beginning of year	2012-04-02	$1,756,692
Value of fidelity bond covering the plan	2012-04-02	$150,000
Contributions received from other sources (not participants or employers)	2012-04-02	$44,606
Other income received	2012-04-02	$146,252
Net income (gross income less expenses)	2012-04-02	$-1,756,692
Net plan assets at end of year (total assets less liabilities)	2012-04-02	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-04-02	$1,756,692
Assets. Value of participant loans	2012-04-02	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-04-02	$0
2011 : PEDIATRIC ASSOCIATES, P.C. 401(K) PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$189,916
Expenses. Total of all expenses incurred	2011-12-31	$232,167
Benefits paid (including direct rollovers)	2011-12-31	$232,167
Total plan assets at end of year	2011-12-31	$1,756,692
Total plan assets at beginning of year	2011-12-31	$1,798,943
Value of fidelity bond covering the plan	2011-12-31	$150,000
Total contributions received or receivable from participants	2011-12-31	$130,856
Other income received	2011-12-31	$-46,322
Net income (gross income less expenses)	2011-12-31	$-42,251
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,756,692
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,798,943
Assets. Value of participant loans	2011-12-31	$4,573
Total contributions received or receivable from employer(s)	2011-12-31	$105,382
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : PEDIATRIC ASSOCIATES, P.C. 401(K) PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$430,571
Expenses. Total of all expenses incurred	2010-12-31	$175
Total plan assets at end of year	2010-12-31	$1,798,943
Total plan assets at beginning of year	2010-12-31	$1,368,547
Value of fidelity bond covering the plan	2010-12-31	$150,000
Total contributions received or receivable from participants	2010-12-31	$140,887
Other income received	2010-12-31	$223,295
Net income (gross income less expenses)	2010-12-31	$430,396
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,798,943
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,368,547
Assets. Value of participant loans	2010-12-31	$5,397
Total contributions received or receivable from employer(s)	2010-12-31	$66,389
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$175
2009 : PEDIATRIC ASSOCIATES, P.C. 401(K) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for PEDIATRIC ASSOCIATES, P.C. 401(K) PLAN

2012: PEDIATRIC ASSOCIATES, P.C. 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	Yes
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: PEDIATRIC ASSOCIATES, P.C. 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: PEDIATRIC ASSOCIATES, P.C. 401(K) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: PEDIATRIC ASSOCIATES, P.C. 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	PEDIATRIC ASSOCIATES
Employer identification number (EIN):	208055180
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)