401k Plan data: OWENSBORO ANESTHESIA SERVICES, PLLC RETIREMENT PLAN plan

OWENSBORO ANESTHESIA SERVICES, PLLC RETIREMENT PLAN 401k Plan overview

Plan Name	OWENSBORO ANESTHESIA SERVICES, PLLC RETIREMENT PLAN
Plan identification number	001

OWENSBORO ANESTHESIA SERVICES, PLLC 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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

OWENSBORO ANESTHESIA SERVICES, PLLC has sponsored the creation of one or more 401k plans.

Company Name: OWENSBORO ANESTHESIA SERVICES, PLLC

Employer identification number (EIN): 203283159

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OWENSBORO ANESTHESIA SERVICES, PLLC RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 HOLLY CECIL
001 2014-01-01 HOLLY CECIL
001 2013-01-01 HOLLY CECIL
001 2012-01-01 HOLLY CECIL
001 2011-01-01 BILL SMITH 2012-07-06
001 2010-01-01 BILL SMITH 2011-08-09 BILL SMITH 2011-08-09

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2015-01-01	HOLLY CECIL
001	2014-01-01	HOLLY CECIL
001	2013-01-01	HOLLY CECIL
001	2012-01-01	HOLLY CECIL
001	2011-01-01	BILL SMITH	2012-07-06
001	2010-01-01	BILL SMITH	2011-08-09	BILL SMITH	2011-08-09

Plan Statistics for OWENSBORO ANESTHESIA SERVICES, PLLC RETIREMENT PLAN

401k plan membership statisitcs for OWENSBORO ANESTHESIA SERVICES, PLLC RETIREMENT PLAN

Measure Date Value
2015: OWENSBORO ANESTHESIA SERVICES, PLLC RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 39
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
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: OWENSBORO ANESTHESIA SERVICES, PLLC RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 36
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 38
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 1
Total of all active and inactive participants 2014-01-01 39
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 39
Number of participants with account balances 2014-01-01 39
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: OWENSBORO ANESTHESIA SERVICES, PLLC RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 37
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 35
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 1
Total of all active and inactive participants 2013-01-01 36
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 36
Number of participants with account balances 2013-01-01 36
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: OWENSBORO ANESTHESIA SERVICES, PLLC RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 37
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 37
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 0
Total of all active and inactive participants 2012-01-01 37
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 37
Number of participants with account balances 2012-01-01 37
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0

Measure	Date	Value
2015: OWENSBORO ANESTHESIA SERVICES, PLLC RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	39
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
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: OWENSBORO ANESTHESIA SERVICES, PLLC RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	36
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	38
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	1
Total of all active and inactive participants	2014-01-01	39
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	39
Number of participants with account balances	2014-01-01	39
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: OWENSBORO ANESTHESIA SERVICES, PLLC RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	37
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	35
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	1
Total of all active and inactive participants	2013-01-01	36
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	36
Number of participants with account balances	2013-01-01	36
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: OWENSBORO ANESTHESIA SERVICES, PLLC RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	37
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	37
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	0
Total of all active and inactive participants	2012-01-01	37
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	37
Number of participants with account balances	2012-01-01	37
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0

Financial Data on OWENSBORO ANESTHESIA SERVICES, PLLC RETIREMENT PLAN

Measure	Date	Value
2015 : OWENSBORO ANESTHESIA SERVICES, PLLC RETIREMENT PLAN 2015 401k financial data
Transfers to/from the plan	2015-09-21	$0
Total plan liabilities at end of year	2015-09-21	$0
Total plan liabilities at beginning of year	2015-09-21	$0
Total income from all sources	2015-09-21	$168,528
Expenses. Total of all expenses incurred	2015-09-21	$11,944,814
Benefits paid (including direct rollovers)	2015-09-21	$11,944,708
Total plan assets at end of year	2015-09-21	$0
Total plan assets at beginning of year	2015-09-21	$11,776,286
Value of fidelity bond covering the plan	2015-09-21	$500,000
Total contributions received or receivable from participants	2015-09-21	$30,920
Expenses. Other expenses not covered elsewhere	2015-09-21	$0
Contributions received from other sources (not participants or employers)	2015-09-21	$0
Other income received	2015-09-21	$-22,522
Noncash contributions received	2015-09-21	$0
Net income (gross income less expenses)	2015-09-21	$-11,776,286
Net plan assets at end of year (total assets less liabilities)	2015-09-21	$0
Net plan assets at beginning of year (total assets less liabilities)	2015-09-21	$11,776,286
Assets. Value of participant loans	2015-09-21	$0
Total contributions received or receivable from employer(s)	2015-09-21	$160,130
Value of certain deemed distributions of participant loans	2015-09-21	$0
Value of corrective distributions	2015-09-21	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-09-21	$106
2014 : OWENSBORO ANESTHESIA SERVICES, PLLC RETIREMENT PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
Total plan liabilities at end of year	2014-12-31	$0
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$1,988,569
Expenses. Total of all expenses incurred	2014-12-31	$1,106,806
Benefits paid (including direct rollovers)	2014-12-31	$1,106,306
Total plan assets at end of year	2014-12-31	$11,776,286
Total plan assets at beginning of year	2014-12-31	$10,894,523
Value of fidelity bond covering the plan	2014-12-31	$500,000
Total contributions received or receivable from participants	2014-12-31	$408,234
Expenses. Other expenses not covered elsewhere	2014-12-31	$0
Contributions received from other sources (not participants or employers)	2014-12-31	$28,822
Other income received	2014-12-31	$695,580
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$881,763
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$11,776,286
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$10,894,523
Assets. Value of participant loans	2014-12-31	$117,459
Total contributions received or receivable from employer(s)	2014-12-31	$855,933
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$500
2013 : OWENSBORO ANESTHESIA SERVICES, PLLC RETIREMENT PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
Total plan liabilities at end of year	2013-12-31	$0
Total income from all sources	2013-12-31	$2,819,657
Expenses. Total of all expenses incurred	2013-12-31	$647,503
Benefits paid (including direct rollovers)	2013-12-31	$647,043
Total plan assets at end of year	2013-12-31	$10,894,523
Total plan assets at beginning of year	2013-12-31	$8,722,369
Value of fidelity bond covering the plan	2013-12-31	$500,000
Total contributions received or receivable from participants	2013-12-31	$404,167
Expenses. Other expenses not covered elsewhere	2013-12-31	$0
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$1,589,592
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$2,172,154
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$10,894,523
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$8,722,369
Assets. Value of participant loans	2013-12-31	$115,365
Total contributions received or receivable from employer(s)	2013-12-31	$825,898
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$460
2012 : OWENSBORO ANESTHESIA SERVICES, PLLC RETIREMENT PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$2,365,305
Expenses. Total of all expenses incurred	2012-12-31	$301,853
Benefits paid (including direct rollovers)	2012-12-31	$301,753
Total plan assets at end of year	2012-12-31	$8,722,369
Total plan assets at beginning of year	2012-12-31	$6,658,917
Value of fidelity bond covering the plan	2012-12-31	$500,000
Total contributions received or receivable from participants	2012-12-31	$374,006
Other income received	2012-12-31	$1,160,507
Net income (gross income less expenses)	2012-12-31	$2,063,452
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$8,722,369
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$6,658,917
Assets. Value of participant loans	2012-12-31	$99,293
Total contributions received or receivable from employer(s)	2012-12-31	$830,792
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$100
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0

Form 5500 Responses for OWENSBORO ANESTHESIA SERVICES, PLLC RETIREMENT PLAN

2015: OWENSBORO ANESTHESIA SERVICES, PLLC 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: OWENSBORO ANESTHESIA SERVICES, PLLC 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: OWENSBORO ANESTHESIA SERVICES, PLLC 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 – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: OWENSBORO ANESTHESIA SERVICES, PLLC 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 – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	OWENSBORO ANESTHESIA SERVICES, PLLC
Employer identification number (EIN):	203283159
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)