EMPLOYEE WELFARE PLAN 401k Plan overview

EMPLOYEE WELFARE PLAN Benefits

401k Sponsoring company profile

Company Name:	QUEENS LONG ISLAND MEDICAL GROUP PC
Employer identification number (EIN):	113039101
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
503	2015-01-01
503	2014-01-01	JOSEPH ZEITLIN M.D.
503	2013-01-01	ADAM BOOKSIN
503	2012-01-01	ADAM BOOKSIN
503	2011-01-01	ADAM BOOKSIN
503	2010-01-01	NIKI KALAITZIS
503	2009-01-01	CLAUDIA BLANDI

Plan Statistics for EMPLOYEE WELFARE PLAN

Measure	Date	Value
2015: EMPLOYEE WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	288
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
2014: EMPLOYEE WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	552
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	288
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	0
Total of all active and inactive participants	2014-01-01	288
2013: EMPLOYEE WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	807
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	533
Number of retired or separated participants receiving benefits	2013-01-01	19
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	552
2012: EMPLOYEE WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	778
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,035
Number of retired or separated participants receiving benefits	2012-01-01	5
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	1,040
2011: EMPLOYEE WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	807
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	772
Number of retired or separated participants receiving benefits	2011-01-01	6
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	778
2010: EMPLOYEE WELFARE PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	834
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	789
Number of retired or separated participants receiving benefits	2010-01-01	18
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	807
2009: EMPLOYEE WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	856
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	811
Number of retired or separated participants receiving benefits	2009-01-01	23
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	834

Form 5500 Responses for EMPLOYEE WELFARE PLAN

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