401k Plan data: BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN plan

BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN
Plan identification number	004

BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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

BEVERLY SURGICAL ASSOCIATES, INC. has sponsored the creation of one or more 401k plans.

Company Name: BEVERLY SURGICAL ASSOCIATES, INC.

Employer identification number (EIN): 042473298

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
004 2017-01-01
004 2016-01-01 CAROL NARANJO CAROL NARANJO 2017-06-22
004 2015-01-01 CAROL NARANJO CAROL NARANJO 2016-05-20
004 2014-01-01 GEORGE KACOYANIS GEORGE KACOYANIS 2015-06-02
004 2013-01-01 GEORGE KACOYANIS GEORGE KACOYANIS 2014-06-30
004 2012-01-01 GEORGE KACOYANIS GEORGE KACOYANIS 2014-06-30
004 2011-01-01 GEORGE KACOYANIS GEORGE KACOYANIS 2012-04-19
004 2010-01-01 GEORGE KACOYANIS GEORGE KACOYANIS 2011-06-16
004 2009-01-01 GEORGE KACOYANIS GEORGE KACOYANIS 2010-07-22

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
004	2017-01-01
004	2016-01-01	CAROL NARANJO	CAROL NARANJO	2017-06-22
004	2015-01-01	CAROL NARANJO	CAROL NARANJO	2016-05-20
004	2014-01-01	GEORGE KACOYANIS	GEORGE KACOYANIS	2015-06-02
004	2013-01-01	GEORGE KACOYANIS	GEORGE KACOYANIS	2014-06-30
004	2012-01-01	GEORGE KACOYANIS	GEORGE KACOYANIS	2014-06-30
004	2011-01-01	GEORGE KACOYANIS	GEORGE KACOYANIS	2012-04-19
004	2010-01-01	GEORGE KACOYANIS	GEORGE KACOYANIS	2011-06-16
004	2009-01-01	GEORGE KACOYANIS	GEORGE KACOYANIS	2010-07-22

Plan Statistics for BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2017: BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
Total participants 2017-01-01 0
Number of participants with account balances 2017-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 18
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 8
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 6
Total of all active and inactive participants 2016-01-01 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 1
Total participants 2016-01-01 15
Number of participants with account balances 2016-01-01 15
2015: BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 19
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 10
Number of other retired or separated participants entitled to future benefits 2015-01-01 8
Total of all active and inactive participants 2015-01-01 18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 1
Total participants 2015-01-01 19
Number of participants with account balances 2015-01-01 18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 1
2014: BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 21
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 14
Number of other retired or separated participants entitled to future benefits 2014-01-01 4
Total of all active and inactive participants 2014-01-01 18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 1
Total participants 2014-01-01 19
Number of participants with account balances 2014-01-01 19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 20
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 13
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 5
Total of all active and inactive participants 2013-01-01 18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 1
Total participants 2013-01-01 19
Number of participants with account balances 2013-01-01 19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 23
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 13
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 5
Total of all active and inactive participants 2012-01-01 18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 1
Total participants 2012-01-01 19
Number of participants with account balances 2012-01-01 19
2011: BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 25
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 10
Total of all active and inactive participants 2011-01-01 22
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 1
Total participants 2011-01-01 23
Number of participants with account balances 2011-01-01 22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 1
2010: BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 24
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 14
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 10
Total of all active and inactive participants 2010-01-01 24
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 24
Number of participants with account balances 2010-01-01 24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 1
2009: BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 25
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 18
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 5
Total of all active and inactive participants 2009-01-01 23
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 23
Number of participants with account balances 2009-01-01 23
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 1

Measure	Date	Value
2017: BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
Total participants	2017-01-01	0
Number of participants with account balances	2017-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	18
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	8
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	6
Total of all active and inactive participants	2016-01-01	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	1
Total participants	2016-01-01	15
Number of participants with account balances	2016-01-01	15
2015: BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	19
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	10
Number of other retired or separated participants entitled to future benefits	2015-01-01	8
Total of all active and inactive participants	2015-01-01	18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	1
Total participants	2015-01-01	19
Number of participants with account balances	2015-01-01	18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	1
2014: BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	21
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	14
Number of other retired or separated participants entitled to future benefits	2014-01-01	4
Total of all active and inactive participants	2014-01-01	18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	1
Total participants	2014-01-01	19
Number of participants with account balances	2014-01-01	19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	20
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	13
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	5
Total of all active and inactive participants	2013-01-01	18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	1
Total participants	2013-01-01	19
Number of participants with account balances	2013-01-01	19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	23
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	13
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	5
Total of all active and inactive participants	2012-01-01	18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	1
Total participants	2012-01-01	19
Number of participants with account balances	2012-01-01	19
2011: BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	25
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	10
Total of all active and inactive participants	2011-01-01	22
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	1
Total participants	2011-01-01	23
Number of participants with account balances	2011-01-01	22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	1
2010: BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	24
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	14
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	10
Total of all active and inactive participants	2010-01-01	24
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	24
Number of participants with account balances	2010-01-01	24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	1
2009: BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	25
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	18
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	5
Total of all active and inactive participants	2009-01-01	23
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	23
Number of participants with account balances	2009-01-01	23
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	1

Financial Data on BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2017 : BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2017 401k financial data
Transfers to/from the plan	2017-10-31	$0
Total income from all sources	2017-10-31	$503,141
Expenses. Total of all expenses incurred	2017-10-31	$3,211,140
Benefits paid (including direct rollovers)	2017-10-31	$3,211,053
Total plan assets at end of year	2017-10-31	$0
Total plan assets at beginning of year	2017-10-31	$2,707,999
Total contributions received or receivable from participants	2017-10-31	$42,024
Contributions received from other sources (not participants or employers)	2017-10-31	$0
Other income received	2017-10-31	$461,117
Net income (gross income less expenses)	2017-10-31	$-2,707,999
Net plan assets at end of year (total assets less liabilities)	2017-10-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2017-10-31	$2,707,999
Expenses. Administrative service providers (salaries,fees and commissions)	2017-10-31	$87
2016 : BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$276,794
Expenses. Total of all expenses incurred	2016-12-31	$995,323
Benefits paid (including direct rollovers)	2016-12-31	$995,210
Total plan assets at end of year	2016-12-31	$2,707,999
Total plan assets at beginning of year	2016-12-31	$3,426,528
Value of fidelity bond covering the plan	2016-12-31	$400,000
Total contributions received or receivable from participants	2016-12-31	$60,788
Other income received	2016-12-31	$186,621
Net income (gross income less expenses)	2016-12-31	$-718,529
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$2,707,999
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$3,426,528
Assets. Value of participant loans	2016-12-31	$34,094
Total contributions received or receivable from employer(s)	2016-12-31	$29,385
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$113
2015 : BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$126,440
Expenses. Total of all expenses incurred	2015-12-31	$284,296
Benefits paid (including direct rollovers)	2015-12-31	$284,196
Total plan assets at end of year	2015-12-31	$3,426,528
Total plan assets at beginning of year	2015-12-31	$3,584,384
Value of fidelity bond covering the plan	2015-12-31	$500,000
Total contributions received or receivable from participants	2015-12-31	$54,788
Other income received	2015-12-31	$53,926
Net income (gross income less expenses)	2015-12-31	$-157,856
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$3,426,528
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$3,584,384
Assets. Value of participant loans	2015-12-31	$92,610
Total contributions received or receivable from employer(s)	2015-12-31	$17,726
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$100
2014 : BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$386,683
Expenses. Total of all expenses incurred	2014-12-31	$751,514
Benefits paid (including direct rollovers)	2014-12-31	$751,451
Total plan assets at end of year	2014-12-31	$3,584,384
Total plan assets at beginning of year	2014-12-31	$3,949,215
Value of fidelity bond covering the plan	2014-12-31	$500,000
Total contributions received or receivable from participants	2014-12-31	$62,569
Contributions received from other sources (not participants or employers)	2014-12-31	$69,222
Other income received	2014-12-31	$226,246
Net income (gross income less expenses)	2014-12-31	$-364,831
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$3,584,384
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$3,949,215
Assets. Value of participant loans	2014-12-31	$17,609
Total contributions received or receivable from employer(s)	2014-12-31	$28,646
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$63
2013 : BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$899,059
Expenses. Total of all expenses incurred	2013-12-31	$566,773
Benefits paid (including direct rollovers)	2013-12-31	$566,773
Total plan assets at end of year	2013-12-31	$3,949,215
Total plan assets at beginning of year	2013-12-31	$3,616,929
Value of fidelity bond covering the plan	2013-12-31	$500,000
Total contributions received or receivable from participants	2013-12-31	$65,852
Other income received	2013-12-31	$800,373
Net income (gross income less expenses)	2013-12-31	$332,286
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$3,949,215
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$3,616,929
Assets. Value of participant loans	2013-12-31	$10,045
Total contributions received or receivable from employer(s)	2013-12-31	$32,834
2012 : BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$707,138
Expenses. Total of all expenses incurred	2012-12-31	$649,953
Benefits paid (including direct rollovers)	2012-12-31	$649,953
Total plan assets at end of year	2012-12-31	$3,616,460
Total plan assets at beginning of year	2012-12-31	$3,559,275
Value of fidelity bond covering the plan	2012-12-31	$500,000
Total contributions received or receivable from participants	2012-12-31	$68,666
Other income received	2012-12-31	$500,807
Net income (gross income less expenses)	2012-12-31	$57,185
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$3,616,460
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$3,559,275
Assets. Value of participant loans	2012-12-31	$97,589
Total contributions received or receivable from employer(s)	2012-12-31	$137,665
2011 : BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$32,885
Expenses. Total of all expenses incurred	2011-12-31	$525,779
Benefits paid (including direct rollovers)	2011-12-31	$525,779
Total plan assets at end of year	2011-12-31	$3,559,275
Total plan assets at beginning of year	2011-12-31	$4,052,169
Value of fidelity bond covering the plan	2011-12-31	$500,000
Total contributions received or receivable from participants	2011-12-31	$59,155
Contributions received from other sources (not participants or employers)	2011-12-31	$2,102
Other income received	2011-12-31	$-67,372
Net income (gross income less expenses)	2011-12-31	$-492,894
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$3,559,275
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$4,052,169
Assets. Value of participant loans	2011-12-31	$85,681
Total contributions received or receivable from employer(s)	2011-12-31	$39,000
2010 : BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$710,368
Expenses. Total of all expenses incurred	2010-12-31	$2,416,282
Benefits paid (including direct rollovers)	2010-12-31	$2,416,282
Total plan assets at end of year	2010-12-31	$4,052,169
Total plan assets at beginning of year	2010-12-31	$5,758,083
Value of fidelity bond covering the plan	2010-12-31	$500,000
Total contributions received or receivable from participants	2010-12-31	$67,917
Other income received	2010-12-31	$600,251
Net income (gross income less expenses)	2010-12-31	$-1,705,914
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$4,052,169
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$5,758,083
Assets. Value of participant loans	2010-12-31	$93,462
Total contributions received or receivable from employer(s)	2010-12-31	$42,200

Form 5500 Responses for BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN

2017: BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
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: BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING 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
2010: BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING 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
2009: BEVERLY SURGICAL ASSOCIATES, INC. 401(K) PROFIT SHARING 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:	BEVERLY SURGICAL ASSOCIATES, INC.
Employer identification number (EIN):	042473298
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)