401k Plan data: BRIDGEWATER GODDARD PARK EMPLOYEE SAVINGS AND RETIREMENT PLAN plan

BRIDGEWATER GODDARD PARK EMPLOYEE SAVINGS AND RETIREMENT PLAN 401k Plan overview

Plan Name	BRIDGEWATER GODDARD PARK EMPLOYEE SAVINGS AND RETIREMENT PLAN
Plan identification number	002

BRIDGEWATER GODDARD PARK EMPLOYEE SAVINGS AND RETIREMENT 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.
Participant-directed brokerage accounts provided as an investment option under the plan.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

BRIDGEWATER GODDARD PARK MEDICAL ASSOCIATES, INC. has sponsored the creation of one or more 401k plans.

Company Name: BRIDGEWATER GODDARD PARK MEDICAL ASSOCIATES, INC.

Employer identification number (EIN): 042530255

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BRIDGEWATER GODDARD PARK EMPLOYEE SAVINGS AND RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2015-01-01 KATHLEEN BARRACK
002 2014-01-01 KATHLEEN BARRACK
002 2013-01-01 KATHLEEN BARRACK
002 2012-01-01 KATHLEEN BARRACK
002 2011-01-01 KATHLEEN BARRACK KATHLEEN BARRACK 2012-10-12
002 2009-01-01 KATHLEEN BARRACK KATHLEEN BARRACK 2010-10-15

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2015-01-01	KATHLEEN BARRACK
002	2014-01-01	KATHLEEN BARRACK
002	2013-01-01	KATHLEEN BARRACK
002	2012-01-01	KATHLEEN BARRACK
002	2011-01-01	KATHLEEN BARRACK	KATHLEEN BARRACK	2012-10-12
002	2009-01-01	KATHLEEN BARRACK	KATHLEEN BARRACK	2010-10-15

Plan Statistics for BRIDGEWATER GODDARD PARK EMPLOYEE SAVINGS AND RETIREMENT PLAN

401k plan membership statisitcs for BRIDGEWATER GODDARD PARK EMPLOYEE SAVINGS AND RETIREMENT PLAN

Measure Date Value
2015: BRIDGEWATER GODDARD PARK EMPLOYEE SAVINGS AND RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 56
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 0
Number of participants with account balances 2015-01-01 0
2014: BRIDGEWATER GODDARD PARK EMPLOYEE SAVINGS AND RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 268
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 54
Total of all active and inactive participants 2014-01-01 54
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 2
Total participants 2014-01-01 56
Number of participants with account balances 2014-01-01 56
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 1
2013: BRIDGEWATER GODDARD PARK EMPLOYEE SAVINGS AND RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 380
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 260
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 63
Total of all active and inactive participants 2013-01-01 323
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 2
Total participants 2013-01-01 325
Number of participants with account balances 2013-01-01 268
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: BRIDGEWATER GODDARD PARK EMPLOYEE SAVINGS AND RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 415
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 277
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 82
Total of all active and inactive participants 2012-01-01 359
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 2
Total participants 2012-01-01 361
Number of participants with account balances 2012-01-01 302
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 6
2011: BRIDGEWATER GODDARD PARK EMPLOYEE SAVINGS AND RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 446
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 304
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 87
Total of all active and inactive participants 2011-01-01 391
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 2
Total participants 2011-01-01 393
Number of participants with account balances 2011-01-01 320
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 9
2009: BRIDGEWATER GODDARD PARK EMPLOYEE SAVINGS AND RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 497
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 385
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 99
Total of all active and inactive participants 2009-01-01 484
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 2
Total participants 2009-01-01 486
Number of participants with account balances 2009-01-01 367
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 17

Measure	Date	Value
2015: BRIDGEWATER GODDARD PARK EMPLOYEE SAVINGS AND RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	56
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	0
Number of participants with account balances	2015-01-01	0
2014: BRIDGEWATER GODDARD PARK EMPLOYEE SAVINGS AND RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	268
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	54
Total of all active and inactive participants	2014-01-01	54
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	2
Total participants	2014-01-01	56
Number of participants with account balances	2014-01-01	56
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	1
2013: BRIDGEWATER GODDARD PARK EMPLOYEE SAVINGS AND RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	380
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	260
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	63
Total of all active and inactive participants	2013-01-01	323
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	2
Total participants	2013-01-01	325
Number of participants with account balances	2013-01-01	268
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: BRIDGEWATER GODDARD PARK EMPLOYEE SAVINGS AND RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	415
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	277
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	82
Total of all active and inactive participants	2012-01-01	359
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	2
Total participants	2012-01-01	361
Number of participants with account balances	2012-01-01	302
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	6
2011: BRIDGEWATER GODDARD PARK EMPLOYEE SAVINGS AND RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	446
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	304
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	87
Total of all active and inactive participants	2011-01-01	391
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	2
Total participants	2011-01-01	393
Number of participants with account balances	2011-01-01	320
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	9
2009: BRIDGEWATER GODDARD PARK EMPLOYEE SAVINGS AND RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	497
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	385
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	99
Total of all active and inactive participants	2009-01-01	484
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	2
Total participants	2009-01-01	486
Number of participants with account balances	2009-01-01	367
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	17

Financial Data on BRIDGEWATER GODDARD PARK EMPLOYEE SAVINGS AND RETIREMENT PLAN

Measure	Date	Value
2015 : BRIDGEWATER GODDARD PARK EMPLOYEE SAVINGS AND RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-09-30	$0
Total transfer of assets from this plan	2015-09-30	$12,842,843
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-09-30	$0
Total income from all sources (including contributions)	2015-09-30	$-252,439
Total loss/gain on sale of assets	2015-09-30	$0
Total of all expenses incurred	2015-09-30	$16,654,124
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-09-30	$16,643,345
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-09-30	$0
Value of total assets at end of year	2015-09-30	$0
Value of total assets at beginning of year	2015-09-30	$29,749,406
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-09-30	$10,779
Total interest from all sources	2015-09-30	$4,200
Total dividends received (eg from common stock, registered investment company shares)	2015-09-30	$33,658
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-09-30	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2015-09-30	$0
Total dividends received from registered investment company shares (eg mutual funds)	2015-09-30	$33,658
Was this plan covered by a fidelity bond	2015-09-30	Yes
Value of fidelity bond cover	2015-09-30	$1,000,000
If this is an individual account plan, was there a blackout period	2015-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2015-09-30	No
Participant contributions at end of year	2015-09-30	$0
Participant contributions at beginning of year	2015-09-30	$56,103
Assets. Other investments not covered elsewhere at end of year	2015-09-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2015-09-30	$2,049,361
Other income not declared elsewhere	2015-09-30	$-1,123,059
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-09-30	No
Value of net income/loss	2015-09-30	$-16,906,563
Value of net assets at end of year (total assets less liabilities)	2015-09-30	$0
Value of net assets at beginning of year (total assets less liabilities)	2015-09-30	$29,749,406
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-09-30	No
Were any leases to which the plan was party in default or uncollectible	2015-09-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-09-30	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-09-30	$23,502,079
Interest on participant loans	2015-09-30	$4,200
Value of interest in common/collective trusts at end of year	2015-09-30	$0
Value of interest in common/collective trusts at beginning of year	2015-09-30	$1,672,389
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-09-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-09-30	$2,469,474
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-09-30	$2,469,474
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-09-30	$784,403
Net investment gain or loss from common/collective trusts	2015-09-30	$48,359
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-09-30	No
Was there a failure to transmit to the plan any participant contributions	2015-09-30	No
Has the plan failed to provide any benefit when due under the plan	2015-09-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-09-30	$16,643,345
Contract administrator fees	2015-09-30	$10,779
Did the plan have assets held for investment	2015-09-30	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-09-30	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-09-30	Disclaimer
Accountancy firm name	2015-09-30	PECK ASSOCIATES, P.C.
Accountancy firm EIN	2015-09-30	042619067
2014 : BRIDGEWATER GODDARD PARK EMPLOYEE SAVINGS AND RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$2,098,139
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$14,874,170
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$14,748,138
Expenses. Certain deemed distributions of participant loans	2014-12-31	$120,724
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$34,333
Value of total assets at end of year	2014-12-31	$29,749,406
Value of total assets at beginning of year	2014-12-31	$42,525,437
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$5,308
Total interest from all sources	2014-12-31	$8,169
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$336,171
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$336,171
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Participant contributions at end of year	2014-12-31	$56,103
Participant contributions at beginning of year	2014-12-31	$216,274
Assets. Other investments not covered elsewhere at end of year	2014-12-31	$2,049,361
Assets. Other investments not covered elsewhere at beginning of year	2014-12-31	$2,311,203
Other income not declared elsewhere	2014-12-31	$87,515
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$-12,776,031
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$29,749,406
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$42,525,437
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$23,502,079
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$37,496,225
Interest on participant loans	2014-12-31	$6,768
Value of interest in common/collective trusts at end of year	2014-12-31	$1,672,389
Value of interest in common/collective trusts at beginning of year	2014-12-31	$2,501,735
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$2,469,474
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$1,401
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$1,379,162
Net investment gain or loss from common/collective trusts	2014-12-31	$252,789
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$34,333
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$14,748,138
Contract administrator fees	2014-12-31	$5,308
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	PECK ASSOCIATES, P.C.
Accountancy firm EIN	2014-12-31	042619067
2013 : BRIDGEWATER GODDARD PARK EMPLOYEE SAVINGS AND RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$9,379,193
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$5,841,257
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$5,826,186
Expenses. Certain deemed distributions of participant loans	2013-12-31	$10,483
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$1,756,006
Value of total assets at end of year	2013-12-31	$42,525,437
Value of total assets at beginning of year	2013-12-31	$38,987,501
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$4,588
Total interest from all sources	2013-12-31	$13,477
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$328,965
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$328,965
Administrative expenses professional fees incurred	2013-12-31	$3,296
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$1,457,375
Participant contributions at end of year	2013-12-31	$216,274
Participant contributions at beginning of year	2013-12-31	$453,055
Assets. Other investments not covered elsewhere at end of year	2013-12-31	$2,311,203
Assets. Other investments not covered elsewhere at beginning of year	2013-12-31	$1,960,567
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$3,602
Other income not declared elsewhere	2013-12-31	$469,068
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$3,537,936
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$42,525,437
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$38,987,501
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$37,496,225
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$29,536,334
Interest on participant loans	2013-12-31	$13,477
Value of interest in common/collective trusts at end of year	2013-12-31	$2,501,735
Value of interest in common/collective trusts at beginning of year	2013-12-31	$1,942,484
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$5,095,061
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$6,186,001
Net investment gain or loss from common/collective trusts	2013-12-31	$625,676
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$295,029
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$5,826,186
Contract administrator fees	2013-12-31	$1,292
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	PECK ASSOCIATES, P.C.
Accountancy firm EIN	2013-12-31	042619067
2012 : BRIDGEWATER GODDARD PARK EMPLOYEE SAVINGS AND RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$6,087,296
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$2,233,897
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$2,227,133
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$1,919,493
Value of total assets at end of year	2012-12-31	$38,987,501
Value of total assets at beginning of year	2012-12-31	$35,134,102
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$6,764
Total interest from all sources	2012-12-31	$18,084
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$451,324
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$451,324
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$1,581,904
Participant contributions at end of year	2012-12-31	$453,055
Participant contributions at beginning of year	2012-12-31	$370,704
Assets. Other investments not covered elsewhere at end of year	2012-12-31	$1,960,567
Assets. Other investments not covered elsewhere at beginning of year	2012-12-31	$1,787,841
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$3,435
Other income not declared elsewhere	2012-12-31	$246,266
Administrative expenses (other) incurred	2012-12-31	$420
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$3,853,399
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$38,987,501
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$35,134,102
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$33
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$29,536,334
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$26,800,992
Interest on participant loans	2012-12-31	$18,084
Value of interest in common/collective trusts at end of year	2012-12-31	$1,942,484
Value of interest in common/collective trusts at beginning of year	2012-12-31	$1,538,644
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$5,095,061
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$4,635,921
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$3,198,491
Net investment gain or loss from common/collective trusts	2012-12-31	$253,638
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$334,154
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$2,227,133
Contract administrator fees	2012-12-31	$6,311
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	PECK ASSOCIATES, P.C.
Accountancy firm EIN	2012-12-31	042619067
2011 : BRIDGEWATER GODDARD PARK EMPLOYEE SAVINGS AND RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$1,896,428
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$3,696,377
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$3,682,154
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$1,889,985
Value of total assets at end of year	2011-12-31	$35,134,102
Value of total assets at beginning of year	2011-12-31	$36,934,051
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$14,223
Total interest from all sources	2011-12-31	$19,626
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$432,928
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$432,928
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$1,569,268
Participant contributions at end of year	2011-12-31	$370,704
Participant contributions at beginning of year	2011-12-31	$407,500
Assets. Other investments not covered elsewhere at end of year	2011-12-31	$1,787,841
Assets. Other investments not covered elsewhere at beginning of year	2011-12-31	$1,809,115
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$862
Other income not declared elsewhere	2011-12-31	$133,603
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-1,799,949
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$35,134,102
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$36,934,051
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$9,898
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$26,800,992
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$29,076,828
Interest on participant loans	2011-12-31	$19,626
Value of interest in common/collective trusts at end of year	2011-12-31	$1,538,644
Value of interest in common/collective trusts at beginning of year	2011-12-31	$1,618,820
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$4,635,921
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$4,021,788
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-620,167
Net investment gain or loss from common/collective trusts	2011-12-31	$40,453
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$319,855
Income. Dividends from common stock	2011-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$3,682,154
Contract administrator fees	2011-12-31	$4,325
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	PECK ASSOCIATES, P.C.
Accountancy firm EIN	2011-12-31	042619067
2010 : BRIDGEWATER GODDARD PARK EMPLOYEE SAVINGS AND RETIREMENT PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$6,222,170
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$4,534,516
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$4,457,300
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$2,227,408
Value of total assets at end of year	2010-12-31	$36,934,051
Value of total assets at beginning of year	2010-12-31	$35,246,397
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$77,216
Total interest from all sources	2010-12-31	$23,772
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$397,267
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$397,267
Administrative expenses professional fees incurred	2010-12-31	$32,023
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$1,758,433
Participant contributions at end of year	2010-12-31	$407,500
Participant contributions at beginning of year	2010-12-31	$388,857
Assets. Other investments not covered elsewhere at end of year	2010-12-31	$1,809,115
Assets. Other investments not covered elsewhere at beginning of year	2010-12-31	$1,722,926
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$80,918
Other income not declared elsewhere	2010-12-31	$293,770
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$1,687,654
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$36,934,051
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$35,246,397
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Investment advisory and management fees	2010-12-31	$34,375
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$29,076,828
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$25,642,985
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$5,507,001
Interest on participant loans	2010-12-31	$23,772
Value of interest in common/collective trusts at end of year	2010-12-31	$1,618,820
Value of interest in common/collective trusts at beginning of year	2010-12-31	$1,453,522
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$4,021,788
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$531,106
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$2,729,158
Net investment gain/loss from pooled separate accounts	2010-12-31	$336,983
Net investment gain or loss from common/collective trusts	2010-12-31	$213,812
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$388,057
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$4,457,300
Contract administrator fees	2010-12-31	$10,818
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	PECK ASSOCIATES, P.C.
Accountancy firm EIN	2010-12-31	042619067

Form 5500 Responses for BRIDGEWATER GODDARD PARK EMPLOYEE SAVINGS AND RETIREMENT PLAN

2015: BRIDGEWATER GODDARD PARK EMPLOYEE SAVINGS AND RETIREMENT 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	Yes
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
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: BRIDGEWATER GODDARD PARK EMPLOYEE SAVINGS AND RETIREMENT 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: BRIDGEWATER GODDARD PARK EMPLOYEE SAVINGS AND RETIREMENT 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 – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: BRIDGEWATER GODDARD PARK EMPLOYEE SAVINGS AND RETIREMENT 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 – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: BRIDGEWATER GODDARD PARK EMPLOYEE SAVINGS AND RETIREMENT 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 – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: BRIDGEWATER GODDARD PARK EMPLOYEE SAVINGS AND RETIREMENT 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 – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

GA28017

Policy instance

Insurance contract or identification number	GA28017
Number of Individuals Covered	268
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

GA28017

Policy instance

Insurance contract or identification number	GA28017
Number of Individuals Covered	302
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

GA28017

Policy instance

Insurance contract or identification number	GA28017
Number of Individuals Covered	320
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

3050

Policy instance

Insurance contract or identification number	3050
Number of Individuals Covered	0
Insurance policy start date	2010-01-01
Insurance policy end date	2010-11-01
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

GA28017

Policy instance

Insurance contract or identification number	GA28017
Number of Individuals Covered	348
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	BRIDGEWATER GODDARD PARK MEDICAL ASSOCIATES, INC.
Employer identification number (EIN):	042530255
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)