401k Plan data: PEDIATRIC ASSOCIATES, INC. PROFIT-SHARING RETIREMENT PLAN plan

PEDIATRIC ASSOCIATES, INC. PROFIT-SHARING RETIREMENT PLAN 401k Plan overview

Plan Name	PEDIATRIC ASSOCIATES, INC. PROFIT-SHARING RETIREMENT PLAN
Plan identification number	002

PEDIATRIC ASSOCIATES, INC. PROFIT-SHARING RETIREMENT 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.
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 ASSOCIATES, INC. has sponsored the creation of one or more 401k plans.

Company Name: PEDIATRIC ASSOCIATES, INC.

Employer identification number (EIN): 540975433

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 ASSOCIATES, INC. PROFIT-SHARING RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2014-01-01 BOBBY GARRISON, MD
002 2013-01-01 BOBBY GARRISON, MD
002 2012-01-01 CAROLYN RIEGLE
002 2011-01-01 CAROLYN RIEGLE
002 2009-01-01 RACHEL KITCHEN

Plan id#	Filing Submission Date	Name of Administrator
002	2014-01-01	BOBBY GARRISON, MD
002	2013-01-01	BOBBY GARRISON, MD
002	2012-01-01	CAROLYN RIEGLE
002	2011-01-01	CAROLYN RIEGLE
002	2009-01-01	RACHEL KITCHEN

Plan Statistics for PEDIATRIC ASSOCIATES, INC. PROFIT-SHARING RETIREMENT PLAN

401k plan membership statisitcs for PEDIATRIC ASSOCIATES, INC. PROFIT-SHARING RETIREMENT PLAN

Measure Date Value
2014: PEDIATRIC ASSOCIATES, INC. PROFIT-SHARING RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 0
Number of participants with account balances 2014-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: PEDIATRIC ASSOCIATES, INC. PROFIT-SHARING RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 15
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 15
Number of participants with account balances 2013-01-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: PEDIATRIC ASSOCIATES, INC. PROFIT-SHARING RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 16
Total of all active and inactive participants 2012-01-01 16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 16
Number of participants with account balances 2012-01-01 16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: PEDIATRIC ASSOCIATES, INC. PROFIT-SHARING RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 18
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 10
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 7
Total of all active and inactive participants 2011-01-01 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 17
Number of participants with account balances 2011-01-01 17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: PEDIATRIC ASSOCIATES, INC. PROFIT-SHARING RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 20
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 0
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 20
Total of all active and inactive participants 2009-01-01 20
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 20
Number of participants with account balances 2009-01-01 20
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2014: PEDIATRIC ASSOCIATES, INC. PROFIT-SHARING RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	0
Number of participants with account balances	2014-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: PEDIATRIC ASSOCIATES, INC. PROFIT-SHARING RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	15
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	15
Number of participants with account balances	2013-01-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: PEDIATRIC ASSOCIATES, INC. PROFIT-SHARING RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	16
Total of all active and inactive participants	2012-01-01	16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	16
Number of participants with account balances	2012-01-01	16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: PEDIATRIC ASSOCIATES, INC. PROFIT-SHARING RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	18
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	10
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	7
Total of all active and inactive participants	2011-01-01	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	17
Number of participants with account balances	2011-01-01	17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: PEDIATRIC ASSOCIATES, INC. PROFIT-SHARING RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	20
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	0
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	20
Total of all active and inactive participants	2009-01-01	20
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	20
Number of participants with account balances	2009-01-01	20
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on PEDIATRIC ASSOCIATES, INC. PROFIT-SHARING RETIREMENT PLAN

Measure	Date	Value
2014 : PEDIATRIC ASSOCIATES, INC. PROFIT-SHARING RETIREMENT PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$905
Expenses. Total of all expenses incurred	2014-12-31	$4,208
Total plan assets at end of year	2014-12-31	$0
Total plan assets at beginning of year	2014-12-31	$3,303
Value of fidelity bond covering the plan	2014-12-31	$500,000
Other income received	2014-12-31	$905
Net income (gross income less expenses)	2014-12-31	$-3,303
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$3,303
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$4,208
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : PEDIATRIC ASSOCIATES, INC. PROFIT-SHARING RETIREMENT PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$30,697
Expenses. Total of all expenses incurred	2013-12-31	$2,707,301
Benefits paid (including direct rollovers)	2013-12-31	$2,703,001
Total plan assets at end of year	2013-12-31	$3,303
Total plan assets at beginning of year	2013-12-31	$2,679,907
Value of fidelity bond covering the plan	2013-12-31	$500,000
Other income received	2013-12-31	$30,697
Net income (gross income less expenses)	2013-12-31	$-2,676,604
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$3,303
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$2,679,907
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$4,300
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : PEDIATRIC ASSOCIATES, INC. PROFIT-SHARING RETIREMENT PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$62,063
Expenses. Total of all expenses incurred	2012-12-31	$210,662
Benefits paid (including direct rollovers)	2012-12-31	$181,701
Total plan assets at end of year	2012-12-31	$2,679,907
Total plan assets at beginning of year	2012-12-31	$2,828,506
Value of fidelity bond covering the plan	2012-12-31	$500,000
Other income received	2012-12-31	$62,063
Net income (gross income less expenses)	2012-12-31	$-148,599
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$2,679,907
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$2,828,506
Value of certain deemed distributions of participant loans	2012-12-31	$28,961
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : PEDIATRIC ASSOCIATES, INC. PROFIT-SHARING RETIREMENT PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$-16,035
Expenses. Total of all expenses incurred	2011-12-31	$245,834
Benefits paid (including direct rollovers)	2011-12-31	$202,819
Total plan assets at end of year	2011-12-31	$2,828,506
Total plan assets at beginning of year	2011-12-31	$3,090,375
Value of fidelity bond covering the plan	2011-12-31	$500,000
Other income received	2011-12-31	$-16,035
Net income (gross income less expenses)	2011-12-31	$-261,869
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$2,828,506
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$3,090,375
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$43,015
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : PEDIATRIC ASSOCIATES, INC. PROFIT-SHARING RETIREMENT PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$209,842
Expenses. Total of all expenses incurred	2010-12-31	$210,819
Benefits paid (including direct rollovers)	2010-12-31	$171,408
Total plan assets at end of year	2010-12-31	$3,090,375
Total plan assets at beginning of year	2010-12-31	$3,091,352
Value of fidelity bond covering the plan	2010-12-31	$500,000
Other income received	2010-12-31	$209,842
Net income (gross income less expenses)	2010-12-31	$-977
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$3,090,375
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$3,091,352
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$39,411
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : PEDIATRIC ASSOCIATES, INC. PROFIT-SHARING RETIREMENT PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for PEDIATRIC ASSOCIATES, INC. PROFIT-SHARING RETIREMENT PLAN

2014: PEDIATRIC ASSOCIATES, INC. PROFIT-SHARING RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	Yes
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: PEDIATRIC ASSOCIATES, INC. PROFIT-SHARING RETIREMENT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: PEDIATRIC ASSOCIATES, INC. PROFIT-SHARING RETIREMENT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: PEDIATRIC ASSOCIATES, INC. PROFIT-SHARING RETIREMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: PEDIATRIC ASSOCIATES, INC. PROFIT-SHARING RETIREMENT 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:	PEDIATRIC ASSOCIATES, INC.
Employer identification number (EIN):	540975433
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)