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| Plan Name | EAR NOSE AND THROAT SPECIALISTS INC 401K PLAN |
| Plan identification number | 003 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | EAR NOSE AND THROAT SOECIALISTS INC |
| Employer identification number (EIN): | 310987560 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 003 | 2012-07-01 | JEFFREY W. WILLBRAND | 2014-02-03 | ||
| 003 | 2011-07-01 | NEIL H. OKUM | 2012-10-31 | ||
| 003 | 2009-07-01 | NEIL H. OKUM |
| Measure | Date | Value |
|---|---|---|
| 2009: EAR NOSE AND THROAT SPECIALISTS INC 401K PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-07-01 | 18 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-07-01 | 16 |
| Number of retired or separated participants receiving benefits | 2009-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2009-07-01 | 1 |
| Total of all active and inactive participants | 2009-07-01 | 17 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2009-07-01 | 0 |
| Total participants | 2009-07-01 | 17 |
| Number of participants with account balances | 2009-07-01 | 17 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2009-07-01 | 0 |
| Measure | Date | Value |
|---|---|---|
| 2011 : EAR NOSE AND THROAT SPECIALISTS INC 401K PLAN 2011 401k financial data | ||
| Total income from all sources | 2011-06-30 | $464,198 |
| Expenses. Total of all expenses incurred | 2011-06-30 | $37,973 |
| Benefits paid (including direct rollovers) | 2011-06-30 | $36,635 |
| Total plan assets at end of year | 2011-06-30 | $4,677,587 |
| Total plan assets at beginning of year | 2011-06-30 | $4,251,362 |
| Value of fidelity bond covering the plan | 2011-06-30 | $500,000 |
| Total contributions received or receivable from participants | 2011-06-30 | $28,652 |
| Expenses. Other expenses not covered elsewhere | 2011-06-30 | $1,338 |
| Other income received | 2011-06-30 | $435,546 |
| Net income (gross income less expenses) | 2011-06-30 | $426,225 |
| Net plan assets at end of year (total assets less liabilities) | 2011-06-30 | $4,677,587 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-06-30 | $4,251,362 |
| Assets. Value of participant loans | 2011-06-30 | $184,380 |
| Assets. Value of assets in partnership/joint-venture interests | 2011-06-30 | $75,810 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2011-06-30 | $0 |
| 2009: EAR NOSE AND THROAT SPECIALISTS INC 401K PLAN 2009 form 5500 responses | ||
|---|---|---|
| 2009-07-01 | Type of plan entity | Single employer plan |
| 2009-07-01 | Submission has been amended | No |
| 2009-07-01 | This submission is the final filing | No |
| 2009-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-07-01 | Plan is a collectively bargained plan | No |
| 2009-07-01 | Plan funding arrangement – Insurance | Yes |
| 2009-07-01 | Plan funding arrangement – Trust | Yes |
| 2009-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-07-01 | Plan benefit arrangement - Trust | Yes |
| JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 ) | |||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 55217 | ||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||
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