401k Plan data: PEDIATRIC ASSOCIATES OF LAREDO, P.A. 401(K) PLAN plan

PEDIATRIC ASSOCIATES OF LAREDO, P.A. 401(K) PLAN 401k Plan overview

Plan Name	PEDIATRIC ASSOCIATES OF LAREDO, P.A. 401(K) PLAN
Plan identification number	001

PEDIATRIC ASSOCIATES OF LAREDO, P.A. 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.
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

PEDIATRIC ASSOCIATES OF LAREDO, P.A. has sponsored the creation of one or more 401k plans.

Company Name: PEDIATRIC ASSOCIATES OF LAREDO, P.A.

Employer identification number (EIN): 741816714

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 OF LAREDO, P.A. 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 MIGUEL CAVAZOS JR.
001 2011-01-01 MIGUEL CAVAZOS JR.
001 2009-01-01 MIGUEL CAVAZOS JR. M.D.

Plan id#	Filing Submission Date	Name of Administrator
001	2012-01-01	MIGUEL CAVAZOS JR.
001	2011-01-01	MIGUEL CAVAZOS JR.
001	2009-01-01	MIGUEL CAVAZOS JR. M.D.

Plan Statistics for PEDIATRIC ASSOCIATES OF LAREDO, P.A. 401(K) PLAN

401k plan membership statisitcs for PEDIATRIC ASSOCIATES OF LAREDO, P.A. 401(K) PLAN

Measure Date Value
2012: PEDIATRIC ASSOCIATES OF LAREDO, P.A. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 12
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 3
Total of all active and inactive participants 2012-01-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 15
Number of participants with account balances 2012-01-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: PEDIATRIC ASSOCIATES OF LAREDO, P.A. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 12
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 3
Total of all active and inactive participants 2011-01-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 15
Number of participants with account balances 2011-01-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: PEDIATRIC ASSOCIATES OF LAREDO, P.A. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 20
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 12
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 3
Total of all active and inactive participants 2009-01-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 15
Number of participants with account balances 2009-01-01 15
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 OF LAREDO, P.A. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	12
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	3
Total of all active and inactive participants	2012-01-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	15
Number of participants with account balances	2012-01-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: PEDIATRIC ASSOCIATES OF LAREDO, P.A. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	12
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	3
Total of all active and inactive participants	2011-01-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	15
Number of participants with account balances	2011-01-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: PEDIATRIC ASSOCIATES OF LAREDO, P.A. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	20
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	12
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	3
Total of all active and inactive participants	2009-01-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	15
Number of participants with account balances	2009-01-01	15
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 OF LAREDO, P.A. 401(K) PLAN

Measure	Date	Value
2012 : PEDIATRIC ASSOCIATES OF LAREDO, P.A. 401(K) PLAN 2012 401k financial data
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$27,319
Expenses. Total of all expenses incurred	2012-12-31	$5,093
Total plan assets at end of year	2012-12-31	$490,789
Total plan assets at beginning of year	2012-12-31	$468,563
Value of fidelity bond covering the plan	2012-12-31	$120,000
Expenses. Other expenses not covered elsewhere	2012-12-31	$5,093
Other income received	2012-12-31	$27,319
Net income (gross income less expenses)	2012-12-31	$22,226
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$490,789
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$468,563
Assets. Value of participant loans	2012-12-31	$35,274
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : PEDIATRIC ASSOCIATES OF LAREDO, P.A. 401(K) PLAN 2011 401k financial data
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	$17,058
Expenses. Total of all expenses incurred	2011-12-31	$115,436
Benefits paid (including direct rollovers)	2011-12-31	$108,750
Total plan assets at end of year	2011-12-31	$468,563
Total plan assets at beginning of year	2011-12-31	$566,941
Value of fidelity bond covering the plan	2011-12-31	$600,000
Total contributions received or receivable from participants	2011-12-31	$16,500
Expenses. Other expenses not covered elsewhere	2011-12-31	$6,686
Other income received	2011-12-31	$-9,242
Net income (gross income less expenses)	2011-12-31	$-98,378
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$468,563
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$566,941
Assets. Value of participant loans	2011-12-31	$49,222
Total contributions received or receivable from employer(s)	2011-12-31	$9,800
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 OF LAREDO, P.A. 401(K) PLAN 2010 401k financial data
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$108,495
Expenses. Total of all expenses incurred	2010-12-31	$114,115
Benefits paid (including direct rollovers)	2010-12-31	$106,500
Total plan assets at end of year	2010-12-31	$566,941
Total plan assets at beginning of year	2010-12-31	$572,561
Value of fidelity bond covering the plan	2010-12-31	$600,000
Total contributions received or receivable from participants	2010-12-31	$16,500
Expenses. Other expenses not covered elsewhere	2010-12-31	$7,615
Other income received	2010-12-31	$82,195
Net income (gross income less expenses)	2010-12-31	$-5,620
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$566,941
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$572,561
Assets. Value of participant loans	2010-12-31	$42,473
Total contributions received or receivable from employer(s)	2010-12-31	$9,800
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0

Form 5500 Responses for PEDIATRIC ASSOCIATES OF LAREDO, P.A. 401(K) PLAN

2012: PEDIATRIC ASSOCIATES OF LAREDO, P.A. 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	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: PEDIATRIC ASSOCIATES OF LAREDO, P.A. 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 is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: PEDIATRIC ASSOCIATES OF LAREDO, P.A. 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 OF LAREDO, P.A.
Employer identification number (EIN):	741816714
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)