401k Plan data: EAR, NOSE & THROAT CENTER,PA PENSION PLAN (FROZEN) plan

EAR, NOSE & THROAT CENTER,PA PENSION PLAN (FROZEN) 401k Plan overview

Plan Name	EAR, NOSE & THROAT CENTER,PA PENSION PLAN (FROZEN)
Plan identification number	002

EAR, NOSE & THROAT CENTER,PA PENSION PLAN (FROZEN) Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Money purchase (other than target benefit)
Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
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

EAR, NOSE & THROAT CENTER, PA has sponsored the creation of one or more 401k plans.

Company Name: EAR, NOSE & THROAT CENTER, PA

Employer identification number (EIN): 630638727

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EAR, NOSE & THROAT CENTER,PA PENSION PLAN (FROZEN)

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2011-11-01 JOHN S KEEBLER, MD JOHN S KEEBLER, MD 2013-08-14
002 2009-11-01 JOHN S KEEBLER, MD JOHN S KEEBLER, MD 2011-02-22
002 2008-11-01

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2011-11-01	JOHN S KEEBLER, MD	JOHN S KEEBLER, MD	2013-08-14
002	2009-11-01	JOHN S KEEBLER, MD	JOHN S KEEBLER, MD	2011-02-22
002	2008-11-01

Plan Statistics for EAR, NOSE & THROAT CENTER,PA PENSION PLAN (FROZEN)

401k plan membership statisitcs for EAR, NOSE & THROAT CENTER,PA PENSION PLAN (FROZEN)

Measure Date Value
2011: EAR, NOSE & THROAT CENTER,PA PENSION PLAN (FROZEN) 2011 401k membership
Total participants, beginning-of-year 2011-11-01 11
Total number of active participants reported on line 7a of the Form 5500 2011-11-01 0
Number of retired or separated participants receiving benefits 2011-11-01 0
Number of other retired or separated participants entitled to future benefits 2011-11-01 10
Total of all active and inactive participants 2011-11-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-11-01 0
Total participants 2011-11-01 10
Number of participants with account balances 2011-11-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-11-01 0
2009: EAR, NOSE & THROAT CENTER,PA PENSION PLAN (FROZEN) 2009 401k membership
Total participants, beginning-of-year 2009-11-01 11
Total number of active participants reported on line 7a of the Form 5500 2009-11-01 4
Number of retired or separated participants receiving benefits 2009-11-01 0
Number of other retired or separated participants entitled to future benefits 2009-11-01 7
Total of all active and inactive participants 2009-11-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-11-01 0
Total participants 2009-11-01 11
Number of participants with account balances 2009-11-01 11

Measure	Date	Value
2011: EAR, NOSE & THROAT CENTER,PA PENSION PLAN (FROZEN) 2011 401k membership
Total participants, beginning-of-year	2011-11-01	11
Total number of active participants reported on line 7a of the Form 5500	2011-11-01	0
Number of retired or separated participants receiving benefits	2011-11-01	0
Number of other retired or separated participants entitled to future benefits	2011-11-01	10
Total of all active and inactive participants	2011-11-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-11-01	0
Total participants	2011-11-01	10
Number of participants with account balances	2011-11-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-11-01	0
2009: EAR, NOSE & THROAT CENTER,PA PENSION PLAN (FROZEN) 2009 401k membership
Total participants, beginning-of-year	2009-11-01	11
Total number of active participants reported on line 7a of the Form 5500	2009-11-01	4
Number of retired or separated participants receiving benefits	2009-11-01	0
Number of other retired or separated participants entitled to future benefits	2009-11-01	7
Total of all active and inactive participants	2009-11-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-11-01	0
Total participants	2009-11-01	11
Number of participants with account balances	2009-11-01	11

Financial Data on EAR, NOSE & THROAT CENTER,PA PENSION PLAN (FROZEN)

Measure	Date	Value
2012 : EAR, NOSE & THROAT CENTER,PA PENSION PLAN (FROZEN) 2012 401k financial data
Total income from all sources	2012-10-31	$32,728
Expenses. Total of all expenses incurred	2012-10-31	$138,449
Benefits paid (including direct rollovers)	2012-10-31	$131,846
Total plan assets at end of year	2012-10-31	$1,856,593
Total plan assets at beginning of year	2012-10-31	$1,962,314
Expenses. Other expenses not covered elsewhere	2012-10-31	$6,603
Other income received	2012-10-31	$32,728
Net income (gross income less expenses)	2012-10-31	$-105,721
Net plan assets at end of year (total assets less liabilities)	2012-10-31	$1,856,593
Net plan assets at beginning of year (total assets less liabilities)	2012-10-31	$1,962,314
Assets. Value of participant loans	2012-10-31	$22,101
2011 : EAR, NOSE & THROAT CENTER,PA PENSION PLAN (FROZEN) 2011 401k financial data
Total income from all sources	2011-10-31	$105,785
Expenses. Total of all expenses incurred	2011-10-31	$1,628
Total plan assets at end of year	2011-10-31	$1,962,314
Total plan assets at beginning of year	2011-10-31	$1,858,157
Value of fidelity bond covering the plan	2011-10-31	$250,000
Expenses. Other expenses not covered elsewhere	2011-10-31	$1,628
Other income received	2011-10-31	$105,785
Net income (gross income less expenses)	2011-10-31	$104,157
Net plan assets at end of year (total assets less liabilities)	2011-10-31	$1,962,314
Net plan assets at beginning of year (total assets less liabilities)	2011-10-31	$1,858,157
Assets. Value of participant loans	2011-10-31	$22,101

Form 5500 Responses for EAR, NOSE & THROAT CENTER,PA PENSION PLAN (FROZEN)

2011: EAR, NOSE & THROAT CENTER,PA PENSION PLAN (FROZEN) 2011 form 5500 responses
2011-11-01	Type of plan entity	Single employer plan
2011-11-01	Plan funding arrangement – Insurance	Yes
2011-11-01	Plan funding arrangement – Trust	Yes
2011-11-01	Plan benefit arrangement – Insurance	Yes
2011-11-01	Plan benefit arrangement - Trust	Yes
2009: EAR, NOSE & THROAT CENTER,PA PENSION PLAN (FROZEN) 2009 form 5500 responses
2009-11-01	Type of plan entity	Single employer plan
2009-11-01	Plan funding arrangement – Insurance	Yes
2009-11-01	Plan funding arrangement – Trust	Yes
2009-11-01	Plan benefit arrangement – Insurance	Yes
2009-11-01	Plan benefit arrangement - Trust	Yes
2008: EAR, NOSE & THROAT CENTER,PA PENSION PLAN (FROZEN) 2008 form 5500 responses
2008-11-01	Type of plan entity	Single employer plan
2008-11-01	Submission has been amended	No
2008-11-01	This submission is the final filing	No
2008-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-11-01	Plan is a collectively bargained plan	No

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Company Name:	EAR, NOSE & THROAT CENTER, PA
Employer identification number (EIN):	630638727