401k Plan data: HEMATOLOGY & ONCOLOGY CONSULTANTS OF TAMPA BAY,P. A. 401(K) & PROFIT SHARING PLAN plan

HEMATOLOGY & ONCOLOGY CONSULTANTS OF TAMPA BAY,P. A. 401(K) & PROFIT SHARING PLAN 401k Plan overview

Plan Name	HEMATOLOGY & ONCOLOGY CONSULTANTS OF TAMPA BAY,P. A. 401(K) & PROFIT SHARING PLAN
Plan identification number	003

HEMATOLOGY & ONCOLOGY CONSULTANTS OF TAMPA BAY,P. A. 401(K) & PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
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.

401k Sponsoring company profile

HEMATOLOGY & ONCOLOGY CONSULTANTS OF TAMPA BAY, P. A. has sponsored the creation of one or more 401k plans.

Company Name: HEMATOLOGY & ONCOLOGY CONSULTANTS OF TAMPA BAY, P. A.

Employer identification number (EIN): 591674575

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEMATOLOGY & ONCOLOGY CONSULTANTS OF TAMPA BAY,P. A. 401(K) & PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2012-07-01 HAFEEZ T. CHATOOR
003 2011-07-01 HAFEEZ T. CHATOOR
003 2010-07-01 HAFEEZ T. CHATOOR HAFEEZ T. CHATOOR 2012-04-11
003 2009-07-01 LEWIS E. AUERBACH LEWIS E. AUERBACH 2011-04-12

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
003	2012-07-01	HAFEEZ T. CHATOOR
003	2011-07-01	HAFEEZ T. CHATOOR
003	2010-07-01	HAFEEZ T. CHATOOR	HAFEEZ T. CHATOOR	2012-04-11
003	2009-07-01	LEWIS E. AUERBACH	LEWIS E. AUERBACH	2011-04-12

Plan Statistics for HEMATOLOGY & ONCOLOGY CONSULTANTS OF TAMPA BAY,P. A. 401(K) & PROFIT SHARING PLAN

401k plan membership statisitcs for HEMATOLOGY & ONCOLOGY CONSULTANTS OF TAMPA BAY,P. A. 401(K) & PROFIT SHARING PLAN

Measure Date Value
2012: HEMATOLOGY & ONCOLOGY CONSULTANTS OF TAMPA BAY,P. A. 401(K) & PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 17
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 0
Number of retired or separated participants receiving benefits 2012-07-01 0
Number of other retired or separated participants entitled to future benefits 2012-07-01 0
Total of all active and inactive participants 2012-07-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-07-01 0
Total participants 2012-07-01 0
Number of participants with account balances 2012-07-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-07-01 0
2011: HEMATOLOGY & ONCOLOGY CONSULTANTS OF TAMPA BAY,P. A. 401(K) & PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 36
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 17
Number of retired or separated participants receiving benefits 2011-07-01 0
Number of other retired or separated participants entitled to future benefits 2011-07-01 0
Total of all active and inactive participants 2011-07-01 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 0
Total participants 2011-07-01 17
Number of participants with account balances 2011-07-01 17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-07-01 0
2010: HEMATOLOGY & ONCOLOGY CONSULTANTS OF TAMPA BAY,P. A. 401(K) & PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-07-01 38
Total number of active participants reported on line 7a of the Form 5500 2010-07-01 31
Number of retired or separated participants receiving benefits 2010-07-01 0
Number of other retired or separated participants entitled to future benefits 2010-07-01 5
Total of all active and inactive participants 2010-07-01 36
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-07-01 0
Total participants 2010-07-01 36
Number of participants with account balances 2010-07-01 27
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-07-01 0
2009: HEMATOLOGY & ONCOLOGY CONSULTANTS OF TAMPA BAY,P. A. 401(K) & PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 39
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 32
Number of retired or separated participants receiving benefits 2009-07-01 0
Number of other retired or separated participants entitled to future benefits 2009-07-01 5
Total of all active and inactive participants 2009-07-01 37
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 0
Total participants 2009-07-01 37
Number of participants with account balances 2009-07-01 30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-07-01 0

Measure	Date	Value
2012: HEMATOLOGY & ONCOLOGY CONSULTANTS OF TAMPA BAY,P. A. 401(K) & PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	17
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	0
Number of retired or separated participants receiving benefits	2012-07-01	0
Number of other retired or separated participants entitled to future benefits	2012-07-01	0
Total of all active and inactive participants	2012-07-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-01	0
Total participants	2012-07-01	0
Number of participants with account balances	2012-07-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-01	0
2011: HEMATOLOGY & ONCOLOGY CONSULTANTS OF TAMPA BAY,P. A. 401(K) & PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	36
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	17
Number of retired or separated participants receiving benefits	2011-07-01	0
Number of other retired or separated participants entitled to future benefits	2011-07-01	0
Total of all active and inactive participants	2011-07-01	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
Total participants	2011-07-01	17
Number of participants with account balances	2011-07-01	17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-07-01	0
2010: HEMATOLOGY & ONCOLOGY CONSULTANTS OF TAMPA BAY,P. A. 401(K) & PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-07-01	38
Total number of active participants reported on line 7a of the Form 5500	2010-07-01	31
Number of retired or separated participants receiving benefits	2010-07-01	0
Number of other retired or separated participants entitled to future benefits	2010-07-01	5
Total of all active and inactive participants	2010-07-01	36
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-07-01	0
Total participants	2010-07-01	36
Number of participants with account balances	2010-07-01	27
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-07-01	0
2009: HEMATOLOGY & ONCOLOGY CONSULTANTS OF TAMPA BAY,P. A. 401(K) & PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	39
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	32
Number of retired or separated participants receiving benefits	2009-07-01	0
Number of other retired or separated participants entitled to future benefits	2009-07-01	5
Total of all active and inactive participants	2009-07-01	37
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	0
Total participants	2009-07-01	37
Number of participants with account balances	2009-07-01	30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-07-01	0

Financial Data on HEMATOLOGY & ONCOLOGY CONSULTANTS OF TAMPA BAY,P. A. 401(K) & PROFIT SHARING PLAN

Measure	Date	Value
2012 : HEMATOLOGY & ONCOLOGY CONSULTANTS OF TAMPA BAY,P. A. 401(K) & PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-09-30	$-2,086
Expenses. Total of all expenses incurred	2012-09-30	$14,904
Benefits paid (including direct rollovers)	2012-09-30	$14,904
Total plan assets at end of year	2012-09-30	$0
Total plan assets at beginning of year	2012-09-30	$16,990
Value of fidelity bond covering the plan	2012-09-30	$300,000
Other income received	2012-09-30	$-2,086
Net income (gross income less expenses)	2012-09-30	$-16,990
Net plan assets at end of year (total assets less liabilities)	2012-09-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-09-30	$16,990
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-09-30	$0
Total income from all sources	2012-06-30	$-95,486
Expenses. Total of all expenses incurred	2012-06-30	$3,269,663
Benefits paid (including direct rollovers)	2012-06-30	$3,255,064
Total plan assets at end of year	2012-06-30	$16,990
Total plan assets at beginning of year	2012-06-30	$3,382,139
Value of fidelity bond covering the plan	2012-06-30	$300,000
Other income received	2012-06-30	$-95,486
Net income (gross income less expenses)	2012-06-30	$-3,365,149
Net plan assets at end of year (total assets less liabilities)	2012-06-30	$16,990
Net plan assets at beginning of year (total assets less liabilities)	2012-06-30	$3,382,139
Expenses. Administrative service providers (salaries,fees and commissions)	2012-06-30	$14,599
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-06-30	$0
2011 : HEMATOLOGY & ONCOLOGY CONSULTANTS OF TAMPA BAY,P. A. 401(K) & PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-06-30	$543,950
Expenses. Total of all expenses incurred	2011-06-30	$104,942
Benefits paid (including direct rollovers)	2011-06-30	$87,279
Total plan assets at end of year	2011-06-30	$3,382,139
Total plan assets at beginning of year	2011-06-30	$2,943,131
Value of fidelity bond covering the plan	2011-06-30	$300,000
Total contributions received or receivable from participants	2011-06-30	$31,479
Expenses. Other expenses not covered elsewhere	2011-06-30	$0
Contributions received from other sources (not participants or employers)	2011-06-30	$0
Other income received	2011-06-30	$512,471
Noncash contributions received	2011-06-30	$0
Net income (gross income less expenses)	2011-06-30	$439,008
Net plan assets at end of year (total assets less liabilities)	2011-06-30	$3,382,139
Net plan assets at beginning of year (total assets less liabilities)	2011-06-30	$2,943,131
Total contributions received or receivable from employer(s)	2011-06-30	$0
Value of certain deemed distributions of participant loans	2011-06-30	$0
Value of corrective distributions	2011-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-06-30	$17,663
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-06-30	$0
2010 : HEMATOLOGY & ONCOLOGY CONSULTANTS OF TAMPA BAY,P. A. 401(K) & PROFIT SHARING PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-06-30	$0

Form 5500 Responses for HEMATOLOGY & ONCOLOGY CONSULTANTS OF TAMPA BAY,P. A. 401(K) & PROFIT SHARING PLAN

2012: HEMATOLOGY & ONCOLOGY CONSULTANTS OF TAMPA BAY,P. A. 401(K) & PROFIT SHARING PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	Yes
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan funding arrangement – Trust	Yes
2012-07-01	Plan benefit arrangement - Trust	Yes
2011: HEMATOLOGY & ONCOLOGY CONSULTANTS OF TAMPA BAY,P. A. 401(K) & PROFIT SHARING PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan funding arrangement – Trust	Yes
2011-07-01	Plan benefit arrangement - Trust	Yes
2010: HEMATOLOGY & ONCOLOGY CONSULTANTS OF TAMPA BAY,P. A. 401(K) & PROFIT SHARING PLAN 2010 form 5500 responses
2010-07-01	Type of plan entity	Single employer plan
2010-07-01	Submission has been amended	No
2010-07-01	This submission is the final filing	No
2010-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-07-01	Plan is a collectively bargained plan	No
2010-07-01	Plan funding arrangement – Insurance	Yes
2010-07-01	Plan funding arrangement – Trust	Yes
2010-07-01	Plan benefit arrangement - Trust	Yes
2009: HEMATOLOGY & ONCOLOGY CONSULTANTS OF TAMPA BAY,P. A. 401(K) & PROFIT SHARING PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan funding arrangement – Trust	Yes
2009-07-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

PHN994

Policy instance

Insurance contract or identification number	PHN994
Number of Individuals Covered	26
Insurance policy start date	2012-07-01
Insurance policy end date	2012-09-30
Total amount of commissions paid to insurance broker	USD $8
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
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
Commission paid to Insurance Broker	USD $8
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	3
Insurance broker name	PLANNING CORPORATION OF AMERICA

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

PHN994

Policy instance

Insurance contract or identification number	PHN994
Number of Individuals Covered	17
Insurance policy start date	2011-07-01
Insurance policy end date	2012-06-30
Total amount of commissions paid to insurance broker	USD $950
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
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

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

PHN994

Policy instance

Insurance contract or identification number	PHN994
Number of Individuals Covered	30
Insurance policy start date	2010-07-01
Insurance policy end date	2011-06-30
Total amount of commissions paid to insurance broker	USD $2,270
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes

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Company Name:	HEMATOLOGY & ONCOLOGY CONSULTANTS OF TAMPA BAY, P. A.
Employer identification number (EIN):	591674575
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)