401k Plan data: SOUTH ATLANTA KIDNEY CARE CENTER, LLC DEFINED BENEFIT PENSION PLAN plan

SOUTH ATLANTA KIDNEY CARE CENTER, LLC DEFINED BENEFIT PENSION PLAN 401k Plan overview

Plan Name	SOUTH ATLANTA KIDNEY CARE CENTER, LLC DEFINED BENEFIT PENSION PLAN
Plan identification number	001

SOUTH ATLANTA KIDNEY CARE CENTER, LLC DEFINED BENEFIT PENSION PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily flat dollar (includes dollars per year of service)
Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).
Plan covering Self-Employed individuals.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

SOUTH ATLANTA KIDNEY CARE CENTER LLC has sponsored the creation of one or more 401k plans.

Company Name: SOUTH ATLANTA KIDNEY CARE CENTER LLC

Employer identification number (EIN): 412144959

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

Additional information about SOUTH ATLANTA KIDNEY CARE CENTER LLC

Jurisdiction of Incorporation: Georgia Department of States Corporations Division

Incorporation Date:

Company Identification Number: 289094

More information about SOUTH ATLANTA KIDNEY CARE CENTER LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SOUTH ATLANTA KIDNEY CARE CENTER, LLC DEFINED BENEFIT PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2012-01-01 WAINDEL BELIZAIRE 2013-06-13
001 2011-01-01 WAINDEL BELIZAIRE
001 2010-01-01 WAINDEL BELIZAIRE 2011-07-19

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2012-01-01	WAINDEL BELIZAIRE	2013-06-13
001	2011-01-01	WAINDEL BELIZAIRE
001	2010-01-01	WAINDEL BELIZAIRE	2011-07-19

Plan Statistics for SOUTH ATLANTA KIDNEY CARE CENTER, LLC DEFINED BENEFIT PENSION PLAN

401k plan membership statisitcs for SOUTH ATLANTA KIDNEY CARE CENTER, LLC DEFINED BENEFIT PENSION PLAN

Measure Date Value
2011: SOUTH ATLANTA KIDNEY CARE CENTER, LLC DEFINED BENEFIT PENSION PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 3
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 0
Total of all active and inactive participants 2011-01-01 3
Total participants 2011-01-01 3

Measure	Date	Value
2011: SOUTH ATLANTA KIDNEY CARE CENTER, LLC DEFINED BENEFIT PENSION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	3
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	0
Total of all active and inactive participants	2011-01-01	3
Total participants	2011-01-01	3

Financial Data on SOUTH ATLANTA KIDNEY CARE CENTER, LLC DEFINED BENEFIT PENSION PLAN

Measure	Date	Value
2011 : SOUTH ATLANTA KIDNEY CARE CENTER, LLC DEFINED BENEFIT PENSION PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$116,311
Expenses. Total of all expenses incurred	2011-12-31	$1,756
Benefits paid (including direct rollovers)	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$285,675
Total plan assets at beginning of year	2011-12-31	$171,120
Total contributions received or receivable from participants	2011-12-31	$0
Expenses. Other expenses not covered elsewhere	2011-12-31	$1,756
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$1,504
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$114,555
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$285,675
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$171,120
Total contributions received or receivable from employer(s)	2011-12-31	$114,807
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0

Form 5500 Responses for SOUTH ATLANTA KIDNEY CARE CENTER, LLC DEFINED BENEFIT PENSION PLAN

2011: SOUTH ATLANTA KIDNEY CARE CENTER, LLC DEFINED BENEFIT PENSION PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )

Policy contract number

VARIOUS

Policy instance

Insurance contract or identification number	VARIOUS
Number of Individuals Covered	1
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

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Company Name:	SOUTH ATLANTA KIDNEY CARE CENTER LLC
Employer identification number (EIN):	412144959
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Jurisdiction of Incorporation:	Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number:	289094