401k Plan data: BLAIR MEDICAL ASSOCIATES, P.A. 401(K) PLAN plan

BLAIR MEDICAL ASSOCIATES, P.A. 401(K) PLAN 401k Plan overview

Plan Name	BLAIR MEDICAL ASSOCIATES, P.A. 401(K) PLAN
Plan identification number	002

BLAIR MEDICAL ASSOCIATES, P.A. 401(K) 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.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
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

BLAIR MEDICAL ASSOCIATES, P.A. has sponsored the creation of one or more 401k plans.

Company Name: BLAIR MEDICAL ASSOCIATES, P.A.

Employer identification number (EIN): 221906090

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLAIR MEDICAL ASSOCIATES, P.A. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2016-01-01 DONNA BAILEY 2017-08-11
002 2015-01-01 DONNA BAILEY 2016-06-27
002 2014-01-01 DONNA BAILEY 2015-07-09
002 2013-01-01 DONNA BAILEY 2014-06-06
002 2012-01-01 DONNA BAILEY 2013-06-14
002 2011-01-01 DONNA BAILEY 2012-06-13
002 2010-01-01 DONNA BAILEY 2011-06-21
002 2009-01-01 DONNA BAILEY

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2016-01-01	DONNA BAILEY	2017-08-11
002	2015-01-01	DONNA BAILEY	2016-06-27
002	2014-01-01	DONNA BAILEY	2015-07-09
002	2013-01-01	DONNA BAILEY	2014-06-06
002	2012-01-01	DONNA BAILEY	2013-06-14
002	2011-01-01	DONNA BAILEY	2012-06-13
002	2010-01-01	DONNA BAILEY	2011-06-21
002	2009-01-01	DONNA BAILEY

Plan Statistics for BLAIR MEDICAL ASSOCIATES, P.A. 401(K) PLAN

401k plan membership statisitcs for BLAIR MEDICAL ASSOCIATES, P.A. 401(K) PLAN

Measure Date Value
2009: BLAIR MEDICAL ASSOCIATES, P.A. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 13
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 3
Total of all active and inactive participants 2009-01-01 16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 16
Number of participants with account balances 2009-01-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2009: BLAIR MEDICAL ASSOCIATES, P.A. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	13
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	3
Total of all active and inactive participants	2009-01-01	16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	16
Number of participants with account balances	2009-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Form 5500 Responses for BLAIR MEDICAL ASSOCIATES, P.A. 401(K) PLAN

2009: BLAIR MEDICAL ASSOCIATES, P.A. 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
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:	BLAIR MEDICAL ASSOCIATES, P.A.
Employer identification number (EIN):	221906090
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)