401k Plan data: PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW plan

PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW 401k Plan overview

Plan Name	PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW
Plan identification number	001

PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW 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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

ANESTHESIA SCHEDULING SERVICES, INC has sponsored the creation of one or more 401k plans.

Company Name: ANESTHESIA SCHEDULING SERVICES, INC

Employer identification number (EIN): 205920098

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01
001 2016-01-01
001 2015-01-01 ROBERT LEHEW
001 2014-01-01 ROBERT LEHEW
001 2013-01-01
001 2012-01-01 ROBERT LEHEW ROBERT LEHEW 2013-10-10
001 2011-01-01 ROBERT LEHEW ROBERT LEHEW 2012-10-11
001 2009-01-01 ROBERT LEHEW

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2017-01-01
001	2016-01-01
001	2015-01-01	ROBERT LEHEW
001	2014-01-01	ROBERT LEHEW
001	2013-01-01
001	2012-01-01	ROBERT LEHEW	ROBERT LEHEW	2013-10-10
001	2011-01-01	ROBERT LEHEW	ROBERT LEHEW	2012-10-11
001	2009-01-01	ROBERT LEHEW

Plan Statistics for PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW

401k plan membership statisitcs for PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW

Measure Date Value
2017: PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW 2017 401k membership
Total participants, beginning-of-year 2017-01-01 1
Total of all active and inactive participants 2017-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 0
Number of participants with account balances 2017-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW 2016 401k membership
Total participants, beginning-of-year 2016-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 1
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 1
Number of participants with account balances 2016-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 1
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 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 1
Number of participants with account balances 2015-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1
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 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 1
Number of participants with account balances 2014-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1
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 0
Total of all active and inactive participants 2013-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 1
Number of participants with account balances 2013-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1
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 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 1
Number of participants with account balances 2012-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1
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 0
Total of all active and inactive participants 2011-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 1
Number of participants with account balances 2011-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1
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 0
Total of all active and inactive participants 2009-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 1
Number of participants with account balances 2009-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2017: PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW 2017 401k membership
Total participants, beginning-of-year	2017-01-01	1
Total of all active and inactive participants	2017-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	0
Number of participants with account balances	2017-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW 2016 401k membership
Total participants, beginning-of-year	2016-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	1
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	1
Number of participants with account balances	2016-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	1
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	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	1
Number of participants with account balances	2015-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1
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	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	1
Number of participants with account balances	2014-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1
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	0
Total of all active and inactive participants	2013-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	1
Number of participants with account balances	2013-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1
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	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	1
Number of participants with account balances	2012-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1
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	0
Total of all active and inactive participants	2011-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	1
Number of participants with account balances	2011-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1
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	0
Total of all active and inactive participants	2009-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	1
Number of participants with account balances	2009-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW

Measure	Date	Value
2017 : PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW 2017 401k financial data
Transfers to/from the plan	2017-12-31	$452,447
Total income from all sources	2017-12-31	$0
Expenses. Total of all expenses incurred	2017-12-31	$0
Total plan assets at end of year	2017-12-31	$0
Total plan assets at beginning of year	2017-12-31	$452,447
Value of fidelity bond covering the plan	2017-12-31	$500,000
Net income (gross income less expenses)	2017-12-31	$0
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$452,447
2016 : PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW 2016 401k financial data
Total income from all sources	2016-12-31	$41,357
Expenses. Total of all expenses incurred	2016-12-31	$0
Total plan assets at end of year	2016-12-31	$452,447
Total plan assets at beginning of year	2016-12-31	$411,090
Value of fidelity bond covering the plan	2016-12-31	$500,000
Other income received	2016-12-31	$41,357
Net income (gross income less expenses)	2016-12-31	$41,357
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$452,447
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$411,090
2015 : PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW 2015 401k financial data
Total income from all sources	2015-12-31	$-15,463
Expenses. Total of all expenses incurred	2015-12-31	$0
Total plan assets at end of year	2015-12-31	$411,090
Total plan assets at beginning of year	2015-12-31	$426,553
Value of fidelity bond covering the plan	2015-12-31	$500,000
Other income received	2015-12-31	$-15,463
Net income (gross income less expenses)	2015-12-31	$-15,463
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$411,090
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$426,553
Total contributions received or receivable from employer(s)	2015-12-31	$0
2014 : PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW 2014 401k financial data
Total income from all sources	2014-12-31	$37,305
Expenses. Total of all expenses incurred	2014-12-31	$0
Total plan assets at end of year	2014-12-31	$426,553
Total plan assets at beginning of year	2014-12-31	$389,248
Value of fidelity bond covering the plan	2014-12-31	$500,000
Other income received	2014-12-31	$13,305
Net income (gross income less expenses)	2014-12-31	$37,305
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$426,553
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$389,248
Total contributions received or receivable from employer(s)	2014-12-31	$24,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW 2013 401k financial data
Total income from all sources	2013-12-31	$80,909
Expenses. Total of all expenses incurred	2013-12-31	$4,545
Total plan assets at end of year	2013-12-31	$389,248
Total plan assets at beginning of year	2013-12-31	$312,884
Other income received	2013-12-31	$56,909
Net income (gross income less expenses)	2013-12-31	$76,364
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$389,248
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$312,884
Total contributions received or receivable from employer(s)	2013-12-31	$24,000
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$4,545
2012 : PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW 2012 401k financial data
Total income from all sources	2012-12-31	$63,340
Expenses. Total of all expenses incurred	2012-12-31	$3,680
Total plan assets at end of year	2012-12-31	$312,884
Total plan assets at beginning of year	2012-12-31	$253,224
Other income received	2012-12-31	$39,340
Net income (gross income less expenses)	2012-12-31	$59,660
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$312,884
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$253,224
Total contributions received or receivable from employer(s)	2012-12-31	$24,000
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$3,680
2011 : PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW 2011 401k financial data
Total income from all sources	2011-12-31	$-29,730
Expenses. Total of all expenses incurred	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$253,224
Total plan assets at beginning of year	2011-12-31	$282,954
Other income received	2011-12-31	$-51,730
Net income (gross income less expenses)	2011-12-31	$-29,730
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$253,224
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$282,954
Total contributions received or receivable from employer(s)	2011-12-31	$22,000
2010 : PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW 2010 401k financial data
Total income from all sources	2010-12-31	$235,072
Expenses. Total of all expenses incurred	2010-12-31	$1,118
Total plan assets at end of year	2010-12-31	$282,954
Total plan assets at beginning of year	2010-12-31	$49,000
Contributions received from other sources (not participants or employers)	2010-12-31	$158,482
Other income received	2010-12-31	$27,590
Net income (gross income less expenses)	2010-12-31	$233,954
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$282,954
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$49,000
Total contributions received or receivable from employer(s)	2010-12-31	$49,000
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$1,118
2009 : PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW

2017: PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW 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	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
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: PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW 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: PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW 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: PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW 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
2011: PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW 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 – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: PSP OF ANESTHESIA SCHEDULING SERVICES, INC FBO LEHEW 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	First time form 5500 has been submitted	Yes
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 – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	ANESTHESIA SCHEDULING SERVICES, INC
Employer identification number (EIN):	205920098
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)