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| Plan Name | FIELD SURGICAL ASSOC WELFARE BENEFIT PLAN PRIME WELFARE BENEFIT TRUST |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | FIELD SURGICAL ASSOCIATES, LTD. |
| Employer identification number (EIN): | 363769553 |
| 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 |
|---|---|---|---|---|---|
| 501 | 2016-01-01 | DIRK VAN BEEK | 2017-06-07 | ||
| 501 | 2015-01-01 | DIRK VAN BEEK | 2016-10-11 | ||
| 501 | 2014-01-01 | DIRK VAN BEEK | 2015-09-29 | ||
| 501 | 2013-01-01 | DIRK VAN BEEK | 2014-09-25 | ||
| 501 | 2012-01-01 | DIRK VAN BEEK | 2013-10-10 | ||
| 501 | 2011-01-01 | DIRK VAN BEEK | 2012-08-15 | ||
| 501 | 2010-01-01 | TIMOTHY FIELD | 2011-09-28 | ||
| 501 | 2009-01-01 | TIMOTHY FIELD | TIMOTHY FIELD | 2010-09-22 |
| Measure | Date | Value |
|---|---|---|
| 2009: FIELD SURGICAL ASSOC WELFARE BENEFIT PLAN PRIME WELFARE BENEFIT TRUST 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-01-01 | 3 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 3 |
| 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 | 3 |
| 2009: FIELD SURGICAL ASSOC WELFARE BENEFIT PLAN PRIME WELFARE BENEFIT TRUST 2009 form 5500 responses | ||
|---|---|---|
| 2009-01-01 | Type of plan entity | Mulitple 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 – Insurance | Yes |
| 2009-01-01 | Plan funding arrangement – Trust | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement - Trust | Yes |
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