401k Plan data: BONUTTI ORTHOPEDIC EMPLOYEE MEDICAL PLAN plan

BONUTTI ORTHOPEDIC EMPLOYEE MEDICAL PLAN 401k Plan overview

Plan Name	BONUTTI ORTHOPEDIC EMPLOYEE MEDICAL PLAN
Plan identification number	501

BONUTTI ORTHOPEDIC EMPLOYEE MEDICAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental

401k Sponsoring company profile

BONUTTI ORTHOPEDIC CLINIC, LTD. has sponsored the creation of one or more 401k plans.

Company Name: BONUTTI ORTHOPEDIC CLINIC, LTD.

Employer identification number (EIN): 371257387

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BONUTTI ORTHOPEDIC EMPLOYEE MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2016-08-01 PETER BONUTTI PETER BONUTTI 2018-02-08
501 2015-08-01 PETER BONUTTI PETER BONUTTI 2017-05-15
501 2014-08-01 PETER BONUTTI PETER BONUTTI 2016-05-12
501 2013-08-01 PETER BONUTTI PETER BONUTTI 2015-05-15
501 2012-08-01 PETER BONUTTI PETER BONUTTI 2014-05-15
501 2011-08-01 PETER BONUTTI PETER BONUTTI 2013-05-10
501 2009-08-01 PETER BONUTTI PETER BONUTTI 2011-03-31

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2016-08-01	PETER BONUTTI	PETER BONUTTI	2018-02-08
501	2015-08-01	PETER BONUTTI	PETER BONUTTI	2017-05-15
501	2014-08-01	PETER BONUTTI	PETER BONUTTI	2016-05-12
501	2013-08-01	PETER BONUTTI	PETER BONUTTI	2015-05-15
501	2012-08-01	PETER BONUTTI	PETER BONUTTI	2014-05-15
501	2011-08-01	PETER BONUTTI	PETER BONUTTI	2013-05-10
501	2009-08-01	PETER BONUTTI	PETER BONUTTI	2011-03-31

Plan Statistics for BONUTTI ORTHOPEDIC EMPLOYEE MEDICAL PLAN

401k plan membership statisitcs for BONUTTI ORTHOPEDIC EMPLOYEE MEDICAL PLAN

Measure Date Value
2016: BONUTTI ORTHOPEDIC EMPLOYEE MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year 2016-08-01 307
Total number of active participants reported on line 7a of the Form 5500 2016-08-01 299
Number of retired or separated participants receiving benefits 2016-08-01 0
Number of other retired or separated participants entitled to future benefits 2016-08-01 0
Total of all active and inactive participants 2016-08-01 299
2015: BONUTTI ORTHOPEDIC EMPLOYEE MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-08-01 300
Total number of active participants reported on line 7a of the Form 5500 2015-08-01 307
Number of retired or separated participants receiving benefits 2015-08-01 0
Number of other retired or separated participants entitled to future benefits 2015-08-01 0
Total of all active and inactive participants 2015-08-01 307
2014: BONUTTI ORTHOPEDIC EMPLOYEE MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year 2014-08-01 137
Total number of active participants reported on line 7a of the Form 5500 2014-08-01 300
Number of retired or separated participants receiving benefits 2014-08-01 0
Number of other retired or separated participants entitled to future benefits 2014-08-01 0
Total of all active and inactive participants 2014-08-01 300
2013: BONUTTI ORTHOPEDIC EMPLOYEE MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year 2013-08-01 161
Total number of active participants reported on line 7a of the Form 5500 2013-08-01 137
Total of all active and inactive participants 2013-08-01 137
2012: BONUTTI ORTHOPEDIC EMPLOYEE MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-08-01 175
Total number of active participants reported on line 7a of the Form 5500 2012-08-01 161
Total of all active and inactive participants 2012-08-01 161
2011: BONUTTI ORTHOPEDIC EMPLOYEE MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-08-01 183
Total number of active participants reported on line 7a of the Form 5500 2011-08-01 175
Total of all active and inactive participants 2011-08-01 175
2009: BONUTTI ORTHOPEDIC EMPLOYEE MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year 2009-08-01 152
Total number of active participants reported on line 7a of the Form 5500 2009-08-01 148
Total of all active and inactive participants 2009-08-01 148

Measure	Date	Value
2016: BONUTTI ORTHOPEDIC EMPLOYEE MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year	2016-08-01	307
Total number of active participants reported on line 7a of the Form 5500	2016-08-01	299
Number of retired or separated participants receiving benefits	2016-08-01	0
Number of other retired or separated participants entitled to future benefits	2016-08-01	0
Total of all active and inactive participants	2016-08-01	299
2015: BONUTTI ORTHOPEDIC EMPLOYEE MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-08-01	300
Total number of active participants reported on line 7a of the Form 5500	2015-08-01	307
Number of retired or separated participants receiving benefits	2015-08-01	0
Number of other retired or separated participants entitled to future benefits	2015-08-01	0
Total of all active and inactive participants	2015-08-01	307
2014: BONUTTI ORTHOPEDIC EMPLOYEE MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year	2014-08-01	137
Total number of active participants reported on line 7a of the Form 5500	2014-08-01	300
Number of retired or separated participants receiving benefits	2014-08-01	0
Number of other retired or separated participants entitled to future benefits	2014-08-01	0
Total of all active and inactive participants	2014-08-01	300
2013: BONUTTI ORTHOPEDIC EMPLOYEE MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-08-01	161
Total number of active participants reported on line 7a of the Form 5500	2013-08-01	137
Total of all active and inactive participants	2013-08-01	137
2012: BONUTTI ORTHOPEDIC EMPLOYEE MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-08-01	175
Total number of active participants reported on line 7a of the Form 5500	2012-08-01	161
Total of all active and inactive participants	2012-08-01	161
2011: BONUTTI ORTHOPEDIC EMPLOYEE MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-08-01	183
Total number of active participants reported on line 7a of the Form 5500	2011-08-01	175
Total of all active and inactive participants	2011-08-01	175
2009: BONUTTI ORTHOPEDIC EMPLOYEE MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year	2009-08-01	152
Total number of active participants reported on line 7a of the Form 5500	2009-08-01	148
Total of all active and inactive participants	2009-08-01	148

Form 5500 Responses for BONUTTI ORTHOPEDIC EMPLOYEE MEDICAL PLAN

2016: BONUTTI ORTHOPEDIC EMPLOYEE MEDICAL PLAN 2016 form 5500 responses
2016-08-01	Type of plan entity	Multi-employer plan
2016-08-01	Plan funding arrangement – Insurance	Yes
2016-08-01	Plan benefit arrangement – Insurance	Yes
2015: BONUTTI ORTHOPEDIC EMPLOYEE MEDICAL PLAN 2015 form 5500 responses
2015-08-01	Type of plan entity	Multi-employer plan
2015-08-01	Plan funding arrangement – Insurance	Yes
2015-08-01	Plan benefit arrangement – Insurance	Yes
2014: BONUTTI ORTHOPEDIC EMPLOYEE MEDICAL PLAN 2014 form 5500 responses
2014-08-01	Type of plan entity	Multi-employer plan
2014-08-01	Plan funding arrangement – Insurance	Yes
2014-08-01	Plan benefit arrangement – Insurance	Yes
2013: BONUTTI ORTHOPEDIC EMPLOYEE MEDICAL PLAN 2013 form 5500 responses
2013-08-01	Type of plan entity	Multi-employer plan
2013-08-01	Plan funding arrangement – Insurance	Yes
2013-08-01	Plan benefit arrangement – Insurance	Yes
2013-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: BONUTTI ORTHOPEDIC EMPLOYEE MEDICAL PLAN 2012 form 5500 responses
2012-08-01	Type of plan entity	Multi-employer plan
2012-08-01	Plan funding arrangement – Insurance	Yes
2012-08-01	Plan benefit arrangement – Insurance	Yes
2012-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: BONUTTI ORTHOPEDIC EMPLOYEE MEDICAL PLAN 2011 form 5500 responses
2011-08-01	Type of plan entity	Multi-employer plan
2011-08-01	Plan funding arrangement – Insurance	Yes
2011-08-01	Plan benefit arrangement – Insurance	Yes
2011-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: BONUTTI ORTHOPEDIC EMPLOYEE MEDICAL PLAN 2009 form 5500 responses
2009-08-01	Type of plan entity	Multi-employer plan
2009-08-01	Plan funding arrangement – Insurance	Yes
2009-08-01	Plan benefit arrangement – Insurance	Yes
2009-08-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	BONUTTI ORTHOPEDIC CLINIC, LTD.
Employer identification number (EIN):	371257387
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)