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BTSA 401(K) PLAN 401k Plan overview

Plan NameBTSA 401(K) PLAN
Plan identification number 001

BTSA 401(K) PLAN Benefits

401k Plan TypeDefined 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.
  • 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

BUFFALO THORACIC SURGICAL ASSOCIATES, P.C. has sponsored the creation of one or more 401k plans.

Company Name:BUFFALO THORACIC SURGICAL ASSOCIATES, P.C.
Employer identification number (EIN):161493984
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BTSA 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012013-01-01JANERO ALDRRIDGE2013-06-10
0012012-01-01JANERO ALDRIDGE
0012011-01-01LU JEAN JENNINGS, M.D.

Plan Statistics for BTSA 401(K) PLAN

401k plan membership statisitcs for BTSA 401(K) PLAN

Measure Date Value
2012: BTSA 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0112
Total number of active participants reported on line 7a of the Form 55002012-01-010
Number of retired or separated participants receiving benefits2012-01-013
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-013
Number of participants with account balances2012-01-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: BTSA 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0112
Total number of active participants reported on line 7a of the Form 55002011-01-0110
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-012
Total of all active and inactive participants2011-01-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0112
Number of participants with account balances2011-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-011

Financial Data on BTSA 401(K) PLAN

Measure Date Value
2012 : BTSA 401(K) PLAN 2012 401k financial data
Transfers to/from the plan2012-12-31$0
Total plan liabilities at end of year2012-12-31$0
Total plan liabilities at beginning of year2012-12-31$0
Total income from all sources2012-12-31$249,231
Expenses. Total of all expenses incurred2012-12-31$2,068,561
Benefits paid (including direct rollovers)2012-12-31$2,054,708
Total plan assets at end of year2012-12-31$770,439
Total plan assets at beginning of year2012-12-31$2,589,769
Value of fidelity bond covering the plan2012-12-31$229,000
Total contributions received or receivable from participants2012-12-31$14,840
Expenses. Other expenses not covered elsewhere2012-12-31$0
Contributions received from other sources (not participants or employers)2012-12-31$0
Other income received2012-12-31$234,391
Noncash contributions received2012-12-31$0
Net income (gross income less expenses)2012-12-31$-1,819,330
Net plan assets at end of year (total assets less liabilities)2012-12-31$770,439
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$2,589,769
Total contributions received or receivable from employer(s)2012-12-31$0
Value of certain deemed distributions of participant loans2012-12-31$0
Value of corrective distributions2012-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$13,853
2011 : BTSA 401(K) PLAN 2011 401k financial data
Transfers to/from the plan2011-12-31$0
Total plan liabilities at end of year2011-12-31$0
Total plan liabilities at beginning of year2011-12-31$0
Total income from all sources2011-12-31$90,297
Expenses. Total of all expenses incurred2011-12-31$42,901
Benefits paid (including direct rollovers)2011-12-31$9,219
Total plan assets at end of year2011-12-31$2,589,769
Total plan assets at beginning of year2011-12-31$2,542,373
Value of fidelity bond covering the plan2011-12-31$229,000
Total contributions received or receivable from participants2011-12-31$86,960
Expenses. Other expenses not covered elsewhere2011-12-31$0
Contributions received from other sources (not participants or employers)2011-12-31$0
Other income received2011-12-31$-5,631
Noncash contributions received2011-12-31$0
Net income (gross income less expenses)2011-12-31$47,396
Net plan assets at end of year (total assets less liabilities)2011-12-31$2,589,769
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$2,542,373
Assets. Value of participant loans2011-12-31$13,247
Total contributions received or receivable from employer(s)2011-12-31$8,968
Value of certain deemed distributions of participant loans2011-12-31$0
Value of corrective distributions2011-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$33,682
2010 : BTSA 401(K) PLAN 2010 401k financial data
Total income from all sources2010-12-31$308,248
Expenses. Total of all expenses incurred2010-12-31$47,710
Total plan assets at end of year2010-12-31$2,542,373
Total plan assets at beginning of year2010-12-31$2,281,835
Value of fidelity bond covering the plan2010-12-31$229,000
Total contributions received or receivable from participants2010-12-31$96,376
Other income received2010-12-31$195,325
Net income (gross income less expenses)2010-12-31$260,538
Net plan assets at end of year (total assets less liabilities)2010-12-31$2,542,373
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$2,281,835
Assets. Value of participant loans2010-12-31$13,676
Total contributions received or receivable from employer(s)2010-12-31$16,547
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$47,710

Form 5500 Responses for BTSA 401(K) PLAN

2012: BTSA 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: BTSA 401(K) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract numberGP16703
Policy instance 1
Insurance contract or identification numberGP16703
Number of Individuals Covered3
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $3,506
Total amount of fees paid to insurance companyUSD $26
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,680
Amount paid for insurance broker fees13
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION TO SALES REP
Insurance broker organization code?4
Insurance broker nameLASALLE STREET SECURITIES LLC
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract numberGP16703
Policy instance 1
Insurance contract or identification numberGP16703
Number of Individuals Covered11
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $1,628
Total amount of fees paid to insurance companyUSD $44
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract numberGP35782
Policy instance 1
Insurance contract or identification numberGP35782
Number of Individuals Covered12
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $2,918
Total amount of fees paid to insurance companyUSD $1,162
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
Commission paid to Insurance BrokerUSD $2,918
Insurance broker organization code?4
Amount paid for insurance broker fees1142
Additional information about fees paid to insurance brokerTPA SUBSIDY
Insurance broker nameLASALLE STREET SECURITIES, INC.

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