401k Plan data: ANESTHESIA CONSULTANTS OF INDIANAPOLIS, LLC 401K PROFIT SHARING PLAN plan

ANESTHESIA CONSULTANTS OF INDIANAPOLIS, LLC 401K PROFIT SHARING PLAN 401k Plan overview

Plan Name	ANESTHESIA CONSULTANTS OF INDIANAPOLIS, LLC 401K PROFIT SHARING PLAN
Plan identification number	001

ANESTHESIA CONSULTANTS OF INDIANAPOLIS, LLC 401K PROFIT SHARING 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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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

ANESTHESIA CONSULTANTS OF INDIANAPOLIS, LLC has sponsored the creation of one or more 401k plans.

Company Name: ANESTHESIA CONSULTANTS OF INDIANAPOLIS, LLC

Employer identification number (EIN): 352120414

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ANESTHESIA CONSULTANTS OF INDIANAPOLIS, LLC 401K PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2019-01-01
001 2019-01-01
001 2018-01-01 BARB MAHONEY 2019-10-15
001 2017-01-01 BARB MAHONEY 2018-10-15
001 2016-01-01
001 2016-01-01 BARB MAHONEY 2018-10-15
001 2015-01-01 BARB MAHONEY 2018-10-15
001 2015-01-01
001 2014-01-01 WAYNE J. AMBROUS, MD 2015-10-14
001 2013-01-01 WAYNE J. AMBROUS, MD 2014-10-15
001 2012-01-01 WAYNE J. AMBROUS, MD 2013-10-15
001 2011-01-01 WAYNE J. AMBROUS, MD 2012-10-15
001 2010-01-01 WAYNE J. AMBROUS, MD 2011-07-28

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2019-01-01
001	2019-01-01
001	2018-01-01	BARB MAHONEY	2019-10-15
001	2017-01-01	BARB MAHONEY	2018-10-15
001	2016-01-01
001	2016-01-01	BARB MAHONEY	2018-10-15
001	2015-01-01	BARB MAHONEY	2018-10-15
001	2015-01-01
001	2014-01-01	WAYNE J. AMBROUS, MD	2015-10-14
001	2013-01-01	WAYNE J. AMBROUS, MD	2014-10-15
001	2012-01-01	WAYNE J. AMBROUS, MD	2013-10-15
001	2011-01-01	WAYNE J. AMBROUS, MD	2012-10-15
001	2010-01-01	WAYNE J. AMBROUS, MD	2011-07-28

Plan Statistics for ANESTHESIA CONSULTANTS OF INDIANAPOLIS, LLC 401K PROFIT SHARING PLAN

401k plan membership statisitcs for ANESTHESIA CONSULTANTS OF INDIANAPOLIS, LLC 401K PROFIT SHARING PLAN

Measure Date Value
2019: ANESTHESIA CONSULTANTS OF INDIANAPOLIS, LLC 401K PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 122
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 119
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 13
Total of all active and inactive participants 2019-01-01 132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 132
Number of participants with account balances 2019-01-01 124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0

Measure	Date	Value
2019: ANESTHESIA CONSULTANTS OF INDIANAPOLIS, LLC 401K PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	122
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	119
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	13
Total of all active and inactive participants	2019-01-01	132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	132
Number of participants with account balances	2019-01-01	124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0

Financial Data on ANESTHESIA CONSULTANTS OF INDIANAPOLIS, LLC 401K PROFIT SHARING PLAN

Measure	Date	Value
2019 : ANESTHESIA CONSULTANTS OF INDIANAPOLIS, LLC 401K PROFIT SHARING PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
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	$61,578
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$61,578
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$31,152
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$31,152
Total income from all sources (including contributions)	2019-12-31	$20,535,832
Total income from all sources (including contributions)	2019-12-31	$20,535,832
Total loss/gain on sale of assets	2019-12-31	$0
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$5,512,805
Total of all expenses incurred	2019-12-31	$5,512,805
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$5,101,928
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$5,101,928
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$5,982,440
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$5,982,440
Value of total assets at end of year	2019-12-31	$87,630,205
Value of total assets at end of year	2019-12-31	$87,630,205
Value of total assets at beginning of year	2019-12-31	$72,576,752
Value of total assets at beginning of year	2019-12-31	$72,576,752
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$410,877
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$410,877
Total interest from all sources	2019-12-31	$6,284
Total interest from all sources	2019-12-31	$6,284
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$341,338
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$341,338
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$341,338
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$341,338
Administrative expenses professional fees incurred	2019-12-31	$198
Administrative expenses professional fees incurred	2019-12-31	$198
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
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
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
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$2,211,406
Contributions received from participants	2019-12-31	$2,211,406
Participant contributions at end of year	2019-12-31	$166,944
Participant contributions at end of year	2019-12-31	$166,944
Participant contributions at beginning of year	2019-12-31	$189,080
Participant contributions at beginning of year	2019-12-31	$189,080
Participant contributions at end of year	2019-12-31	$194,267
Participant contributions at end of year	2019-12-31	$194,267
Participant contributions at beginning of year	2019-12-31	$0
Participant contributions at beginning of year	2019-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2019-12-31	$73,410,072
Assets. Other investments not covered elsewhere at end of year	2019-12-31	$73,410,072
Assets. Other investments not covered elsewhere at beginning of year	2019-12-31	$62,731,444
Assets. Other investments not covered elsewhere at beginning of year	2019-12-31	$62,731,444
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$22,848
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$22,848
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$61,578
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$61,578
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$31,152
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$31,152
Other income not declared elsewhere	2019-12-31	$12,100,205
Other income not declared elsewhere	2019-12-31	$12,100,205
Administrative expenses (other) incurred	2019-12-31	$3,631
Administrative expenses (other) incurred	2019-12-31	$3,631
Total non interest bearing cash at end of year	2019-12-31	$375,132
Total non interest bearing cash at end of year	2019-12-31	$375,132
Total non interest bearing cash at beginning of year	2019-12-31	$36,816
Total non interest bearing cash at beginning of year	2019-12-31	$36,816
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
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	$15,023,027
Value of net income/loss	2019-12-31	$15,023,027
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$87,568,627
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$87,568,627
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$72,545,600
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$72,545,600
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
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 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
Investment advisory and management fees	2019-12-31	$407,048
Investment advisory and management fees	2019-12-31	$407,048
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$12,078,167
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$12,078,167
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$8,605,323
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$8,605,323
Interest on participant loans	2019-12-31	$6,284
Interest on participant loans	2019-12-31	$6,284
Value of interest in common/collective trusts at end of year	2019-12-31	$1,114,850
Value of interest in common/collective trusts at end of year	2019-12-31	$1,114,850
Value of interest in common/collective trusts at beginning of year	2019-12-31	$1,014,089
Value of interest in common/collective trusts at beginning of year	2019-12-31	$1,014,089
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$2,082,509
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$2,082,509
Net investment gain or loss from common/collective trusts	2019-12-31	$23,056
Net investment gain or loss from common/collective trusts	2019-12-31	$23,056
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
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
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
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	$3,748,186
Contributions received in cash from employer	2019-12-31	$3,748,186
Employer contributions (assets) at end of year	2019-12-31	$290,773
Employer contributions (assets) at end of year	2019-12-31	$290,773
Employer contributions (assets) at beginning of year	2019-12-31	$0
Employer contributions (assets) at beginning of year	2019-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$5,101,928
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$5,101,928
Did the plan have assets held for investment	2019-12-31	Yes
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
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
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	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	No
Opinion of an independent qualified public accountant for this plan	2019-12-31	Unqualified
Opinion of an independent qualified public accountant for this plan	2019-12-31	Unqualified
Accountancy firm name	2019-12-31	SOMERSET CPAS, P.C.
Accountancy firm name	2019-12-31	SOMERSET CPAS, P.C.
Accountancy firm EIN	2019-12-31	201717681
Accountancy firm EIN	2019-12-31	201717681

Form 5500 Responses for ANESTHESIA CONSULTANTS OF INDIANAPOLIS, LLC 401K PROFIT SHARING PLAN

2019: ANESTHESIA CONSULTANTS OF INDIANAPOLIS, LLC 401K PROFIT SHARING 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 – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	ANESTHESIA CONSULTANTS OF INDIANAPOLIS, LLC
Employer identification number (EIN):	352120414
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)