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ORTHOPEDIC SURGEONS OF WISCONSIN, S.C. EMPLOYEES PENSION PLAN 401k Plan overview

Plan NameORTHOPEDIC SURGEONS OF WISCONSIN, S.C. EMPLOYEES PENSION PLAN
Plan identification number 003

ORTHOPEDIC SURGEONS OF WISCONSIN, S.C. EMPLOYEES PENSION PLAN Benefits

401k Plan TypeDefined Benefit Pension
Plan Features/Benefits
  • Benefits are primarily flat dollar (includes dollars per year of service)
  • Cash balance or similar plan - Plan has a "cash balance" formula. For this purpose, a "cash balance" formula is a benefit formula in a defined benefit plan by whatever name (for example, personal account plan, pension equity plan, life cycle plan, cash account plan, etc.) that rather than, or in addition to, expressing the accrued benefit as a life annuity commencing at normal retirement age, defines benefits for each employee in terms more common to a defined contribution plan such as a single sum distribution amount (for example, 10 percent of final average pay times years of service, or the amount of the employee's hypothetical account balance).
  • Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).

401k Sponsoring company profile

ORTHOPEDIC SURGEONS OF WISCONSIN, S.C. has sponsored the creation of one or more 401k plans.

Company Name:ORTHOPEDIC SURGEONS OF WISCONSIN, S.C.
Employer identification number (EIN):200217581
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ORTHOPEDIC SURGEONS OF WISCONSIN, S.C. EMPLOYEES PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0032017-01-01
0032016-01-01
0032016-01-01STEVEN R. TRINKL, M.D.2017-10-11
0032015-01-01
0032014-01-01JAMES W. STONE, M.D.
0032013-01-01JAMES W. STONE, M.D.
0032012-01-01BINDU BAMRAH
0032011-01-01JAMES W. STONE
0032010-01-01JAMES W. STONE2011-10-13

Plan Statistics for ORTHOPEDIC SURGEONS OF WISCONSIN, S.C. EMPLOYEES PENSION PLAN

401k plan membership statisitcs for ORTHOPEDIC SURGEONS OF WISCONSIN, S.C. EMPLOYEES PENSION PLAN

Measure Date Value
2017: ORTHOPEDIC SURGEONS OF WISCONSIN, S.C. EMPLOYEES PENSION PLAN 2017 401k membership
Market value of plan assets2017-12-316,429,133
Acturial value of plan assets2017-12-316,429,133
Funding target for retired participants and beneficiaries receiving payment2017-12-310
Number of terminated vested participants2017-12-3160
Fundng target for terminated vested participants2017-12-31135,632
Active participant vested funding target2017-12-314,645,631
Number of active participants2017-12-31102
Total funding liabilities for active participants2017-12-314,645,631
Total participant count2017-12-31162
Total funding target for all participants2017-12-314,781,263
Balance at beginning of prior year after applicable adjustments2017-12-31354,375
Prefunding balance at beginning of prior year after applicable adjustments2017-12-31264,507
Carryover balanced portion elected for use to offset prior years funding requirement2017-12-310
Prefunding balanced used to offset prior years funding requirement2017-12-310
Amount remaining of carryover balance2017-12-31354,375
Amount remaining of prefunding balance2017-12-31264,507
Present value of excess contributions2017-12-31503,643
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2017-12-31533,358
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2017-12-310
Reductions in caryover balances due to elections or deemed elections2017-12-310
Reductions in prefunding balances due to elections or deemed elections2017-12-310
Balance of carryovers at beginning of current year2017-12-31377,693
Balance of prefunding at beginning of current year2017-12-31281,912
Contributions allocated toward unpaid minimum require contributions from prior years2017-12-310
Contributions made to avoid restrictions adjusted to valuation date2017-12-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2017-12-310
Unpaid minimum required contributions for all prior years2017-12-310
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2017-12-310
Remaining amount of unpaid minimum required contributions2017-12-310
Minimum required contributions for current year target normal cost2017-12-3148,153
Net shortfall amortization installment of oustanding balance2017-12-310
Waiver amortization installment2017-12-310
Total funding amount beforereflecting carryover/prefunding balances2017-12-310
Carryover balance elected to use to offset funding requirement2017-12-310
Prefunding balance elected to use to offset funding requirement2017-12-310
Additional cash requirement2017-12-310
Contributions allocatedtoward minimum required contributions for current year2017-12-310
Unpaid minimum required contributions for current year2017-12-310
Unpaid minimum required contributions for all years2017-12-310
Total participants, beginning-of-year2017-01-01161
Total number of active participants reported on line 7a of the Form 55002017-01-010
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-010
Number of participants with account balances2017-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: ORTHOPEDIC SURGEONS OF WISCONSIN, S.C. EMPLOYEES PENSION PLAN 2016 401k membership
Market value of plan assets2016-12-315,686,409
Acturial value of plan assets2016-12-315,686,409
Funding target for retired participants and beneficiaries receiving payment2016-12-310
Number of terminated vested participants2016-12-3163
Fundng target for terminated vested participants2016-12-31113,332
Active participant vested funding target2016-12-314,144,815
Number of active participants2016-12-31126
Total funding liabilities for active participants2016-12-314,207,620
Total participant count2016-12-31189
Total funding target for all participants2016-12-314,320,952
Balance at beginning of prior year after applicable adjustments2016-12-31371,579
Prefunding balance at beginning of prior year after applicable adjustments2016-12-31277,348
Carryover balanced portion elected for use to offset prior years funding requirement2016-12-310
Prefunding balanced used to offset prior years funding requirement2016-12-310
Amount remaining of carryover balance2016-12-31371,579
Amount remaining of prefunding balance2016-12-31277,348
Present value of excess contributions2016-12-31468,680
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2016-12-31497,457
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2016-12-310
Reductions in caryover balances due to elections or deemed elections2016-12-310
Reductions in prefunding balances due to elections or deemed elections2016-12-310
Balance of carryovers at beginning of current year2016-12-31354,375
Balance of prefunding at beginning of current year2016-12-31264,507
Total employer contributions2016-12-31520,266
Total employee contributions2016-12-310
Contributions allocated toward unpaid minimum require contributions from prior years2016-12-310
Contributions made to avoid restrictions adjusted to valuation date2016-12-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2016-12-31503,643
Unpaid minimum required contributions for all prior years2016-12-310
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2016-12-310
Remaining amount of unpaid minimum required contributions2016-12-310
Minimum required contributions for current year target normal cost2016-12-31417,797
Net shortfall amortization installment of oustanding balance2016-12-310
Waiver amortization installment2016-12-310
Total funding amount beforereflecting carryover/prefunding balances2016-12-310
Carryover balance elected to use to offset funding requirement2016-12-310
Prefunding balance elected to use to offset funding requirement2016-12-310
Additional cash requirement2016-12-310
Contributions allocatedtoward minimum required contributions for current year2016-12-31503,643
Unpaid minimum required contributions for current year2016-12-310
Unpaid minimum required contributions for all years2016-12-310
Total participants, beginning-of-year2016-01-01180
Total number of active participants reported on line 7a of the Form 55002016-01-0192
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0169
Total of all active and inactive participants2016-01-01161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-012
2015: ORTHOPEDIC SURGEONS OF WISCONSIN, S.C. EMPLOYEES PENSION PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01172
Total number of active participants reported on line 7a of the Form 55002015-01-01122
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0154
Total of all active and inactive participants2015-01-01176
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-016
2014: ORTHOPEDIC SURGEONS OF WISCONSIN, S.C. EMPLOYEES PENSION PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01170
Total number of active participants reported on line 7a of the Form 55002014-01-01127
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0137
Total of all active and inactive participants2014-01-01164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-011
Total participants2014-01-01165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0111
2013: ORTHOPEDIC SURGEONS OF WISCONSIN, S.C. EMPLOYEES PENSION PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01178
Total number of active participants reported on line 7a of the Form 55002013-01-01130
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0139
Total of all active and inactive participants2013-01-01169
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-011
Total participants2013-01-01170
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-016
2012: ORTHOPEDIC SURGEONS OF WISCONSIN, S.C. EMPLOYEES PENSION PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01167
Total number of active participants reported on line 7a of the Form 55002012-01-01137
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0134
Total of all active and inactive participants2012-01-01171
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-011
Total participants2012-01-01172
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-0112
2011: ORTHOPEDIC SURGEONS OF WISCONSIN, S.C. EMPLOYEES PENSION PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01152
Total number of active participants reported on line 7a of the Form 55002011-01-01130
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0130
Total of all active and inactive participants2011-01-01160
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-011
Total participants2011-01-01161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-012

Financial Data on ORTHOPEDIC SURGEONS OF WISCONSIN, S.C. EMPLOYEES PENSION PLAN

Measure Date Value
2017 : ORTHOPEDIC SURGEONS OF WISCONSIN, S.C. EMPLOYEES PENSION PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$116,749
Total unrealized appreciation/depreciation of assets2017-12-31$116,749
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$164,841
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$6,624,240
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$6,598,323
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$0
Value of total assets at end of year2017-12-31$0
Value of total assets at beginning of year2017-12-31$6,459,399
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$25,917
Total interest from all sources2017-12-31$32,508
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$7,179
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2017-12-31$0
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Other income not declared elsewhere2017-12-31$8,405
Administrative expenses (other) incurred2017-12-31$3,035
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-6,459,399
Value of net assets at end of year (total assets less liabilities)2017-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$6,459,399
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Assets. partnership/joint venture interests at end of year2017-12-31$0
Assets. partnership/joint venture interests at beginning of year2017-12-31$140,340
Investment advisory and management fees2017-12-31$22,882
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$2,198,859
Income. Interest from corporate debt instruments2017-12-31$17,434
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$851,099
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$851,099
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$15,074
Asset value of US Government securities at end of year2017-12-31$0
Asset value of US Government securities at beginning of year2017-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Employer contributions (assets) at end of year2017-12-31$0
Employer contributions (assets) at beginning of year2017-12-31$30,266
Income. Dividends from common stock2017-12-31$7,179
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$6,598,323
Asset. Corporate debt instrument debt (other) at end of year2017-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2017-12-31$2,011,952
Assets. Corporate common stocks other than exployer securities at end of year2017-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2017-12-31$1,226,883
Did the plan have assets held for investment2017-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31WINTER, KLOMAN, MOTER & REPP, SC
Accountancy firm EIN2017-12-31391275499
2016 : ORTHOPEDIC SURGEONS OF WISCONSIN, S.C. EMPLOYEES PENSION PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$273,667
Total unrealized appreciation/depreciation of assets2016-12-31$273,667
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$906,246
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$133,256
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$85,102
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$520,266
Value of total assets at end of year2016-12-31$6,459,399
Value of total assets at beginning of year2016-12-31$5,686,409
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$48,154
Total interest from all sources2016-12-31$70,566
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$21,870
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Other income not declared elsewhere2016-12-31$3,342
Administrative expenses (other) incurred2016-12-31$5,875
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$772,990
Value of net assets at end of year (total assets less liabilities)2016-12-31$6,459,399
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$5,686,409
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Assets. partnership/joint venture interests at end of year2016-12-31$140,340
Assets. partnership/joint venture interests at beginning of year2016-12-31$29,038
Investment advisory and management fees2016-12-31$42,279
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$2,198,859
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$1,488,406
Income. Interest from US Government securities2016-12-31$14,237
Income. Interest from corporate debt instruments2016-12-31$55,813
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$851,099
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$302,829
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$302,829
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$516
Asset value of US Government securities at end of year2016-12-31$0
Asset value of US Government securities at beginning of year2016-12-31$730,814
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$16,535
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$520,266
Employer contributions (assets) at end of year2016-12-31$30,266
Employer contributions (assets) at beginning of year2016-12-31$0
Income. Dividends from common stock2016-12-31$21,870
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$85,102
Asset. Corporate debt instrument debt (other) at end of year2016-12-31$2,011,952
Asset. Corporate debt instrument debt (other) at beginning of year2016-12-31$2,146,754
Assets. Corporate common stocks other than exployer securities at end of year2016-12-31$1,226,883
Assets. Corporate common stocks other than exployer securities at beginning of year2016-12-31$988,568
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31WINTER, KLOMAN, MOTER & REPP, SC
Accountancy firm EIN2016-12-31391275499
2015 : ORTHOPEDIC SURGEONS OF WISCONSIN, S.C. EMPLOYEES PENSION PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-381,988
Total unrealized appreciation/depreciation of assets2015-12-31$-381,988
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$221,819
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$270,888
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$223,664
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$490,000
Value of total assets at end of year2015-12-31$5,686,409
Value of total assets at beginning of year2015-12-31$5,735,478
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$47,224
Total interest from all sources2015-12-31$51,754
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$45,439
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Administrative expenses (other) incurred2015-12-31$5,606
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-49,069
Value of net assets at end of year (total assets less liabilities)2015-12-31$5,686,409
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$5,735,478
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Assets. partnership/joint venture interests at end of year2015-12-31$29,038
Assets. partnership/joint venture interests at beginning of year2015-12-31$0
Investment advisory and management fees2015-12-31$41,618
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$1,488,406
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$1,847,797
Income. Interest from US Government securities2015-12-31$13,419
Income. Interest from corporate debt instruments2015-12-31$38,185
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$302,829
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$433,666
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$433,666
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$150
Asset value of US Government securities at end of year2015-12-31$730,814
Asset value of US Government securities at beginning of year2015-12-31$491,089
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$16,614
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$490,000
Income. Dividends from common stock2015-12-31$45,439
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$223,664
Asset. Corporate debt instrument debt (other) at end of year2015-12-31$2,146,754
Asset. Corporate debt instrument debt (other) at beginning of year2015-12-31$754,772
Assets. Corporate common stocks other than exployer securities at end of year2015-12-31$988,568
Assets. Corporate common stocks other than exployer securities at beginning of year2015-12-31$2,208,154
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31WINTER, KLOMAN, MOTER & REPP, SC
Accountancy firm EIN2015-12-31391275499
2014 : ORTHOPEDIC SURGEONS OF WISCONSIN, S.C. EMPLOYEES PENSION PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$168,213
Total unrealized appreciation/depreciation of assets2014-12-31$168,213
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$638,401
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$73,994
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$28,409
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$344,000
Value of total assets at end of year2014-12-31$5,735,478
Value of total assets at beginning of year2014-12-31$5,171,071
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$45,585
Total interest from all sources2014-12-31$40,453
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$67,522
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Administrative expenses (other) incurred2014-12-31$5,275
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$564,407
Value of net assets at end of year (total assets less liabilities)2014-12-31$5,735,478
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$5,171,071
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$40,310
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$1,847,797
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$1,080,555
Income. Interest from US Government securities2014-12-31$9,178
Income. Interest from corporate debt instruments2014-12-31$29,807
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$433,666
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$402,042
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$402,042
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$1,468
Asset value of US Government securities at end of year2014-12-31$491,089
Asset value of US Government securities at beginning of year2014-12-31$455,937
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$18,213
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$344,000
Income. Dividends from preferred stock2014-12-31$2,040
Income. Dividends from common stock2014-12-31$65,482
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$28,409
Asset. Corporate debt instrument debt (other) at end of year2014-12-31$754,772
Asset. Corporate debt instrument debt (other) at beginning of year2014-12-31$764,491
Assets. Corporate common stocks other than exployer securities at end of year2014-12-31$2,208,154
Assets. Corporate common stocks other than exployer securities at beginning of year2014-12-31$2,468,046
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31WINTER, KLOMAN, MOTER & REPP, SC
Accountancy firm EIN2014-12-31391275499
2013 : ORTHOPEDIC SURGEONS OF WISCONSIN, S.C. EMPLOYEES PENSION PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$579,545
Total unrealized appreciation/depreciation of assets2013-12-31$579,545
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$1,214,554
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$43,493
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$6,004
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$490,000
Value of total assets at end of year2013-12-31$5,171,071
Value of total assets at beginning of year2013-12-31$4,000,010
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$37,489
Total interest from all sources2013-12-31$38,235
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$59,345
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Administrative expenses (other) incurred2013-12-31$4,106
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$1,171,061
Value of net assets at end of year (total assets less liabilities)2013-12-31$5,171,071
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$4,000,010
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$33,383
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$1,080,555
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$948,100
Income. Interest from US Government securities2013-12-31$7,904
Income. Interest from corporate debt instruments2013-12-31$28,187
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$402,042
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$299,316
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$299,316
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$2,144
Asset value of US Government securities at end of year2013-12-31$455,937
Asset value of US Government securities at beginning of year2013-12-31$354,246
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$47,429
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$490,000
Income. Dividends from common stock2013-12-31$59,345
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$6,004
Asset. Corporate debt instrument debt (other) at end of year2013-12-31$764,491
Asset. Corporate debt instrument debt (other) at beginning of year2013-12-31$679,932
Assets. Corporate common stocks other than exployer securities at end of year2013-12-31$2,468,046
Assets. Corporate common stocks other than exployer securities at beginning of year2013-12-31$1,718,416
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31WINTER, KLOMAN, MOTER & REPP, SC
Accountancy firm EIN2013-12-31391275499
2012 : ORTHOPEDIC SURGEONS OF WISCONSIN, S.C. EMPLOYEES PENSION PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$147,085
Total unrealized appreciation/depreciation of assets2012-12-31$147,085
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$754,513
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$34,019
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$3,422
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$455,000
Value of total assets at end of year2012-12-31$4,000,010
Value of total assets at beginning of year2012-12-31$3,279,516
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$30,597
Total interest from all sources2012-12-31$34,657
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$39,299
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Assets. Corporate prefeered stocks other than exployer securities at end of year2012-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2012-12-31$0
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Assets. Other investments not covered elsewhere at end of year2012-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$477,835
Administrative expenses (other) incurred2012-12-31$4,989
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$720,494
Value of net assets at end of year (total assets less liabilities)2012-12-31$4,000,010
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$3,279,516
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$25,608
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$948,100
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$0
Value of interest in pooled separate accounts at end of year2012-12-31$0
Value of interest in pooled separate accounts at beginning of year2012-12-31$2,692,312
Income. Interest from US Government securities2012-12-31$7,483
Income. Interest from corporate debt instruments2012-12-31$24,651
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$299,316
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$109,369
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$109,369
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$2,523
Asset value of US Government securities at end of year2012-12-31$354,246
Asset value of US Government securities at beginning of year2012-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$22,473
Net investment gain/loss from pooled separate accounts2012-12-31$55,999
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$455,000
Income. Dividends from common stock2012-12-31$39,299
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$3,422
Asset. Corporate debt instrument debt (other) at end of year2012-12-31$679,932
Asset. Corporate debt instrument debt (other) at beginning of year2012-12-31$0
Assets. Corporate common stocks other than exployer securities at end of year2012-12-31$1,718,416
Assets. Corporate common stocks other than exployer securities at beginning of year2012-12-31$0
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31WINTER, KLOMAN, MOTER & REPP, SC
Accountancy firm EIN2012-12-31391275499
2011 : ORTHOPEDIC SURGEONS OF WISCONSIN, S.C. EMPLOYEES PENSION PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$12,219
Total unrealized appreciation/depreciation of assets2011-12-31$12,219
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$370,137
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$1,698
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$450,000
Value of total assets at end of year2011-12-31$3,279,516
Value of total assets at beginning of year2011-12-31$2,911,077
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$1,698
Total interest from all sources2011-12-31$4,157
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$2,637
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Assets. Corporate prefeered stocks other than exployer securities at end of year2011-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2011-12-31$23,314
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Assets. Other investments not covered elsewhere at end of year2011-12-31$477,835
Administrative expenses (other) incurred2011-12-31$1,698
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$368,439
Value of net assets at end of year (total assets less liabilities)2011-12-31$3,279,516
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$2,911,077
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in pooled separate accounts at end of year2011-12-31$2,692,312
Income. Interest from US Government securities2011-12-31$190
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$109,369
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$1,831,818
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$1,831,818
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$3,967
Asset value of US Government securities at end of year2011-12-31$0
Asset value of US Government securities at beginning of year2011-12-31$45,839
Net investment gain/loss from pooled separate accounts2011-12-31$-98,876
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$450,000
Income. Dividends from preferred stock2011-12-31$306
Income. Dividends from common stock2011-12-31$2,331
Asset. Corporate debt instrument debt (other) at end of year2011-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2011-12-31$116,058
Assets. Corporate common stocks other than exployer securities at end of year2011-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2011-12-31$894,048
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31WINTER, KLOMAN, MOTER & REPP, SC
Accountancy firm EIN2011-12-31391275499

Form 5500 Responses for ORTHOPEDIC SURGEONS OF WISCONSIN, S.C. EMPLOYEES PENSION PLAN

2017: ORTHOPEDIC SURGEONS OF WISCONSIN, S.C. EMPLOYEES PENSION PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingYes
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: ORTHOPEDIC SURGEONS OF WISCONSIN, S.C. EMPLOYEES PENSION PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedYes
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: ORTHOPEDIC SURGEONS OF WISCONSIN, S.C. EMPLOYEES PENSION PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: ORTHOPEDIC SURGEONS OF WISCONSIN, S.C. EMPLOYEES PENSION PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: ORTHOPEDIC SURGEONS OF WISCONSIN, S.C. EMPLOYEES PENSION PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: ORTHOPEDIC SURGEONS OF WISCONSIN, S.C. EMPLOYEES PENSION PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: ORTHOPEDIC SURGEONS OF WISCONSIN, S.C. EMPLOYEES PENSION PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number987473-000
Policy instance 1
Insurance contract or identification number987473-000
Number of Individuals Covered161
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $10,382
Total amount of fees paid to insurance companyUSD $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 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

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