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PAUL M. PETELIN, M.D., F.A.C.S., LTD. DEFINED BENEFIT PENSION PLAN 401k Plan overview

Plan NamePAUL M. PETELIN, M.D., F.A.C.S., LTD. DEFINED BENEFIT PENSION PLAN
Plan identification number 001

PAUL M. PETELIN, M.D., F.A.C.S., LTD. DEFINED BENEFIT PENSION PLAN Benefits

401k Plan TypeDefined Benefit Pension
Plan Features/Benefits
  • Benefits are primarily pay related
  • 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).

401k Sponsoring company profile

PAUL M. PETELIN, M.D., F.A.C.S., LTD. has sponsored the creation of one or more 401k plans.

Company Name:PAUL M. PETELIN, M.D., F.A.C.S., LTD.
Employer identification number (EIN):860810032
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PAUL M. PETELIN, M.D., F.A.C.S., LTD. DEFINED BENEFIT PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012010-01-01LARRY BUTCHER PREPARER2011-10-10
0012009-01-01 PAUL PETELIN2010-10-07

Plan Statistics for PAUL M. PETELIN, M.D., F.A.C.S., LTD. DEFINED BENEFIT PENSION PLAN

401k plan membership statisitcs for PAUL M. PETELIN, M.D., F.A.C.S., LTD. DEFINED BENEFIT PENSION PLAN

Measure Date Value
2009: PAUL M. PETELIN, M.D., F.A.C.S., LTD. DEFINED BENEFIT PENSION PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-016
Total number of active participants reported on line 7a of the Form 55002009-01-013
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-011
Total of all active and inactive participants2009-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Form 5500 Responses for PAUL M. PETELIN, M.D., F.A.C.S., LTD. DEFINED BENEFIT PENSION PLAN

2009: PAUL M. PETELIN, M.D., F.A.C.S., LTD. DEFINED BENEFIT PENSION PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

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