401k Plan data: PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN plan

PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN
Plan identification number	001

PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

PEDIATRIC SPECIALTY CARE, P.C. has sponsored the creation of one or more 401k plans.

Company Name: PEDIATRIC SPECIALTY CARE, P.C.

Employer identification number (EIN): 233038243

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2018-01-01 KEVIN J KELLY
001 2017-01-01 KEVIN J KELLY
001 2016-01-01 KEVIN J KELLY
001 2015-01-01 KEVIN J KELLY
001 2014-01-01 KEVIN J KELLY
001 2013-01-01 KEVIN J KELLY
001 2012-01-01 KEVIN J KELLY
001 2011-01-01 KEVIN J KELLY

Plan id#	Filing Submission Date	Name of Administrator
001	2018-01-01	KEVIN J KELLY
001	2017-01-01	KEVIN J KELLY
001	2016-01-01	KEVIN J KELLY
001	2015-01-01	KEVIN J KELLY
001	2014-01-01	KEVIN J KELLY
001	2013-01-01	KEVIN J KELLY
001	2012-01-01	KEVIN J KELLY
001	2011-01-01	KEVIN J KELLY

Plan Statistics for PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN

Measure Date Value
2018: PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 4
Total of all active and inactive participants 2018-01-01 0
Total participants 2018-01-01 0
2017: PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 4
Total of all active and inactive participants 2017-01-01 4
Total participants 2017-01-01 4
Number of participants with account balances 2017-01-01 4
2016: PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 4
Total of all active and inactive participants 2016-01-01 4
Total participants 2016-01-01 4
Number of participants with account balances 2016-01-01 4
2015: PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 4
Total of all active and inactive participants 2015-01-01 4
Total participants 2015-01-01 4
Number of participants with account balances 2015-01-01 4
2014: PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 4
Total of all active and inactive participants 2014-01-01 4
Total participants 2014-01-01 4
2013: PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 4
Total of all active and inactive participants 2013-01-01 4
Total participants 2013-01-01 4
Number of participants with account balances 2013-01-01 4
2012: PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 4
Total of all active and inactive participants 2012-01-01 4
Total participants 2012-01-01 4
Number of participants with account balances 2012-01-01 4
2011: PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 4
Total of all active and inactive participants 2011-01-01 4
Total participants 2011-01-01 4
Number of participants with account balances 2011-01-01 4

Measure	Date	Value
2018: PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	4
Total of all active and inactive participants	2018-01-01	0
Total participants	2018-01-01	0
2017: PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	4
Total of all active and inactive participants	2017-01-01	4
Total participants	2017-01-01	4
Number of participants with account balances	2017-01-01	4
2016: PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	4
Total of all active and inactive participants	2016-01-01	4
Total participants	2016-01-01	4
Number of participants with account balances	2016-01-01	4
2015: PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	4
Total of all active and inactive participants	2015-01-01	4
Total participants	2015-01-01	4
Number of participants with account balances	2015-01-01	4
2014: PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	4
Total of all active and inactive participants	2014-01-01	4
Total participants	2014-01-01	4
2013: PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	4
Total of all active and inactive participants	2013-01-01	4
Total participants	2013-01-01	4
Number of participants with account balances	2013-01-01	4
2012: PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	4
Total of all active and inactive participants	2012-01-01	4
Total participants	2012-01-01	4
Number of participants with account balances	2012-01-01	4
2011: PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	4
Total of all active and inactive participants	2011-01-01	4
Total participants	2011-01-01	4
Number of participants with account balances	2011-01-01	4

Financial Data on PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2018 : PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$-57,952
Expenses. Total of all expenses incurred	2018-12-31	$1,049,318
Benefits paid (including direct rollovers)	2018-12-31	$1,038,068
Total plan assets at end of year	2018-12-31	$0
Total plan assets at beginning of year	2018-12-31	$1,107,270
Value of fidelity bond covering the plan	2018-12-31	$120,000
Total contributions received or receivable from participants	2018-12-31	$2,090
Expenses. Other expenses not covered elsewhere	2018-12-31	$11,250
Other income received	2018-12-31	$-61,533
Net income (gross income less expenses)	2018-12-31	$-1,107,270
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$1,107,270
Total contributions received or receivable from employer(s)	2018-12-31	$1,491
2017 : PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$171,124
Expenses. Total of all expenses incurred	2017-12-31	$9,452
Total plan assets at end of year	2017-12-31	$1,107,270
Total plan assets at beginning of year	2017-12-31	$945,598
Value of fidelity bond covering the plan	2017-12-31	$120,000
Total contributions received or receivable from participants	2017-12-31	$13,384
Expenses. Other expenses not covered elsewhere	2017-12-31	$9,452
Other income received	2017-12-31	$148,129
Net income (gross income less expenses)	2017-12-31	$161,672
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$1,107,270
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$945,598
Total contributions received or receivable from employer(s)	2017-12-31	$9,611
2016 : PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$74,996
Expenses. Total of all expenses incurred	2016-12-31	$8,851
Total plan assets at end of year	2016-12-31	$945,598
Total plan assets at beginning of year	2016-12-31	$879,453
Value of fidelity bond covering the plan	2016-12-31	$100,000
Total contributions received or receivable from participants	2016-12-31	$28,985
Expenses. Other expenses not covered elsewhere	2016-12-31	$8,851
Other income received	2016-12-31	$33,417
Net income (gross income less expenses)	2016-12-31	$66,145
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$945,598
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$879,453
Total contributions received or receivable from employer(s)	2016-12-31	$12,594
2015 : PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$29,317
Expenses. Total of all expenses incurred	2015-12-31	$8,358
Total plan assets at end of year	2015-12-31	$879,453
Total plan assets at beginning of year	2015-12-31	$858,494
Value of fidelity bond covering the plan	2015-12-31	$100,000
Total contributions received or receivable from participants	2015-12-31	$29,181
Expenses. Other expenses not covered elsewhere	2015-12-31	$8,358
Other income received	2015-12-31	$-12,536
Net income (gross income less expenses)	2015-12-31	$20,959
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$879,453
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$858,494
Total contributions received or receivable from employer(s)	2015-12-31	$12,672
2014 : PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$150,879
Expenses. Total of all expenses incurred	2014-12-31	$7,135
Total plan assets at end of year	2014-12-31	$858,494
Total plan assets at beginning of year	2014-12-31	$714,750
Value of fidelity bond covering the plan	2014-12-31	$100,000
Total contributions received or receivable from participants	2014-12-31	$35,339
Expenses. Other expenses not covered elsewhere	2014-12-31	$7,135
Other income received	2014-12-31	$73,305
Net income (gross income less expenses)	2014-12-31	$143,744
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$858,494
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$714,750
Total contributions received or receivable from employer(s)	2014-12-31	$42,235
2013 : PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$175,215
Expenses. Total of all expenses incurred	2013-12-31	$5,455
Total plan assets at end of year	2013-12-31	$714,750
Total plan assets at beginning of year	2013-12-31	$544,990
Value of fidelity bond covering the plan	2013-12-31	$100,000
Total contributions received or receivable from participants	2013-12-31	$50,886
Expenses. Other expenses not covered elsewhere	2013-12-31	$5,455
Other income received	2013-12-31	$81,469
Net income (gross income less expenses)	2013-12-31	$169,760
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$714,750
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$544,990
Total contributions received or receivable from employer(s)	2013-12-31	$42,860
2012 : PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$135,495
Expenses. Total of all expenses incurred	2012-12-31	$4,061
Total plan assets at end of year	2012-12-31	$544,990
Total plan assets at beginning of year	2012-12-31	$413,556
Value of fidelity bond covering the plan	2012-12-31	$100,000
Total contributions received or receivable from participants	2012-12-31	$50,451
Expenses. Other expenses not covered elsewhere	2012-12-31	$4,061
Other income received	2012-12-31	$42,403
Net income (gross income less expenses)	2012-12-31	$131,434
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$544,990
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$413,556
Total contributions received or receivable from employer(s)	2012-12-31	$42,641
2011 : PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$333,677
Total income from all sources	2011-12-31	$83,278
Expenses. Total of all expenses incurred	2011-12-31	$3,399
Total plan assets at end of year	2011-12-31	$413,556
Value of fidelity bond covering the plan	2011-12-31	$100,000
Total contributions received or receivable from participants	2011-12-31	$49,246
Expenses. Other expenses not covered elsewhere	2011-12-31	$3,399
Other income received	2011-12-31	$-8,047
Net income (gross income less expenses)	2011-12-31	$79,879
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$413,556
Total contributions received or receivable from employer(s)	2011-12-31	$42,079

Form 5500 Responses for PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN

2018: PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	This submission is the final filing	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: PEDIATRIC SPECIALTY CARE PC 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	First time form 5500 has been submitted	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	PEDIATRIC SPECIALTY CARE, P.C.
Employer identification number (EIN):	233038243
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)