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| Plan Name | NORTH IDAHO ENDOSCOPY CENTER, LLC RETIREMENT PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | NORTH IDAHO ENDOSCOPY CENTER, LLC |
| Employer identification number (EIN): | 820535579 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2014-01-01 | ||||
| 001 | 2013-01-01 | ||||
| 001 | 2012-01-01 | GAVIN YOUNG | 2013-04-22 | GAVIN YOUNG | 2013-04-22 |
| 001 | 2011-01-01 | GAVIN YOUNG | 2012-10-08 | GAVIN YOUNG | 2012-10-08 |
| 001 | 2010-01-01 | GAVIN YOUNG | GAVIN YOUNG | 2011-10-17 |
| Measure | Date | Value |
|---|---|---|
| 2010: NORTH IDAHO ENDOSCOPY CENTER, LLC RETIREMENT PLAN 2010 401k membership | ||
| Total participants, beginning-of-year | 2010-01-01 | 19 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 16 |
| Total of all active and inactive participants | 2010-01-01 | 16 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2010-01-01 | 1 |
| Total participants | 2010-01-01 | 17 |
| Number of participants with account balances | 2010-01-01 | 16 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2010-01-01 | 4 |
| Number of employers contributing to the scheme | 2010-01-01 | 1 |
| Measure | Date | Value |
|---|---|---|
| 2010 : NORTH IDAHO ENDOSCOPY CENTER, LLC RETIREMENT PLAN 2010 401k financial data | ||
| Total income from all sources | 2010-12-31 | $180,384 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $359,111 |
| Benefits paid (including direct rollovers) | 2010-12-31 | $356,519 |
| Total plan assets at end of year | 2010-12-31 | $888,073 |
| Total plan assets at beginning of year | 2010-12-31 | $1,066,800 |
| Value of fidelity bond covering the plan | 2010-12-31 | $100,000 |
| Total contributions received or receivable from participants | 2010-12-31 | $31,950 |
| Other income received | 2010-12-31 | $79,728 |
| Noncash contributions received | 2010-12-31 | $0 |
| Net income (gross income less expenses) | 2010-12-31 | $-178,727 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $888,073 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $1,066,800 |
| Assets. Value of participant loans | 2010-12-31 | $14,163 |
| Total contributions received or receivable from employer(s) | 2010-12-31 | $68,706 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2010-12-31 | $2,592 |
| 2010: NORTH IDAHO ENDOSCOPY CENTER, LLC RETIREMENT PLAN 2010 form 5500 responses | ||
|---|---|---|
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Submission has been amended | No |
| 2010-01-01 | This submission is the final filing | No |
| 2010-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2010-01-01 | Plan is a collectively bargained plan | No |
| 2010-01-01 | Plan funding arrangement – Trust | Yes |
| 2010-01-01 | Plan benefit arrangement - Trust | Yes |
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