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PEDIATRIC ASSOCIATES, P.S.C. PROFIT SHARING AND 401(K) PLAN 401k Plan overview

Plan NamePEDIATRIC ASSOCIATES, P.S.C. PROFIT SHARING AND 401(K) PLAN
Plan identification number 001

PEDIATRIC ASSOCIATES, P.S.C. PROFIT SHARING AND 401(K) PLAN Benefits

401k Plan TypeDefined 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.
  • 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.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan covering Self-Employed individuals.
  • 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, P.S.C. has sponsored the creation of one or more 401k plans.

Company Name:PEDIATRIC ASSOCIATES, P.S.C.
Employer identification number (EIN):611211051
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, P.S.C. PROFIT SHARING AND 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01ERIC L. BOSLEY, MD2023-08-15
0012021-01-01ERIC L. BOSLEY, MD2022-06-15
0012020-01-01ERIC L. BOSLEY, MD2021-05-24
0012019-01-01ERIC L. BOSLEY, MD2020-06-18
0012018-01-01ERIC L. BOSLEY, MD2019-06-10
0012017-01-01ERIC L. BOSLEY, MD2018-06-25
0012016-01-01ERIC L. BOSLEY, MD2017-06-06
0012015-01-01ERIC L. BOSLEY, MD2016-08-09
0012014-01-01ERIC L. BOSLEY, MD2015-06-03
0012013-01-01ERIC L. BOSLEY, MD2014-06-30
0012012-01-01ERIC L. BOSLEY, MD2013-09-12
0012011-01-01ERIC L. BOSLEY, MD ERIC L. BOSLEY, MD2012-06-22
0012009-01-012010-08-17
0012009-01-01CHRISTOPHER A. CUNHA, MD CHRISTOPHER A. CUNHA, MD2010-08-17

Plan Statistics for PEDIATRIC ASSOCIATES, P.S.C. PROFIT SHARING AND 401(K) PLAN

401k plan membership statisitcs for PEDIATRIC ASSOCIATES, P.S.C. PROFIT SHARING AND 401(K) PLAN

Measure Date Value
2011: PEDIATRIC ASSOCIATES, P.S.C. PROFIT SHARING AND 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0185
Total number of active participants reported on line 7a of the Form 55002011-01-0179
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-0179
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0179
Number of participants with account balances2011-01-0173
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: PEDIATRIC ASSOCIATES, P.S.C. PROFIT SHARING AND 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0168
Total number of active participants reported on line 7a of the Form 55002009-01-0158
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-016
Total of all active and inactive participants2009-01-0164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0164
Number of participants with account balances2009-01-0164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-011

Financial Data on PEDIATRIC ASSOCIATES, P.S.C. PROFIT SHARING AND 401(K) PLAN

Measure Date Value
2011 : PEDIATRIC ASSOCIATES, P.S.C. PROFIT SHARING AND 401(K) PLAN 2011 401k financial data
Total income from all sources2011-12-31$421,862
Expenses. Total of all expenses incurred2011-12-31$37,150
Benefits paid (including direct rollovers)2011-12-31$36,950
Total plan assets at end of year2011-12-31$5,153,299
Total plan assets at beginning of year2011-12-31$4,768,587
Value of fidelity bond covering the plan2011-12-31$500,000
Total contributions received or receivable from participants2011-12-31$284,980
Expenses. Other expenses not covered elsewhere2011-12-31$200
Contributions received from other sources (not participants or employers)2011-12-31$0
Other income received2011-12-31$-276,782
Net income (gross income less expenses)2011-12-31$384,712
Net plan assets at end of year (total assets less liabilities)2011-12-31$5,153,299
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$4,768,587
Assets. Value of participant loans2011-12-31$0
Total contributions received or receivable from employer(s)2011-12-31$413,664
Value of certain deemed distributions of participant loans2011-12-31$0
Value of corrective distributions2011-12-31$0
Funding deficiency by the employer to the plan for this plan year2011-12-31$0
Minimum employer required contribution for this plan year2011-12-31$0
Amount contributed by the employer to the plan for this plan year2011-12-31$0
2010 : PEDIATRIC ASSOCIATES, P.S.C. PROFIT SHARING AND 401(K) PLAN 2010 401k financial data
Transfers to/from the plan2010-12-31$0
Total income from all sources2010-12-31$1,103,934
Expenses. Total of all expenses incurred2010-12-31$11,054
Benefits paid (including direct rollovers)2010-12-31$10,879
Total plan assets at end of year2010-12-31$4,768,587
Total plan assets at beginning of year2010-12-31$3,675,707
Value of fidelity bond covering the plan2010-12-31$375,000
Total contributions received or receivable from participants2010-12-31$280,819
Expenses. Other expenses not covered elsewhere2010-12-31$175
Contributions received from other sources (not participants or employers)2010-12-31$8,495
Other income received2010-12-31$444,620
Net income (gross income less expenses)2010-12-31$1,092,880
Net plan assets at end of year (total assets less liabilities)2010-12-31$4,768,587
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$3,675,707
Assets. Value of participant loans2010-12-31$0
Total contributions received or receivable from employer(s)2010-12-31$370,000
Value of certain deemed distributions of participant loans2010-12-31$0
Value of corrective distributions2010-12-31$0
Funding deficiency by the employer to the plan for this plan year2010-12-31$0
Minimum employer required contribution for this plan year2010-12-31$0
Amount contributed by the employer to the plan for this plan year2010-12-31$0
2009 : PEDIATRIC ASSOCIATES, P.S.C. PROFIT SHARING AND 401(K) PLAN 2009 401k financial data
Funding deficiency by the employer to the plan for this plan year2009-12-31$0
Minimum employer required contribution for this plan year2009-12-31$0
Amount contributed by the employer to the plan for this plan year2009-12-31$0

Form 5500 Responses for PEDIATRIC ASSOCIATES, P.S.C. PROFIT SHARING AND 401(K) PLAN

2011: PEDIATRIC ASSOCIATES, P.S.C. PROFIT SHARING AND 401(K) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedYes
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: PEDIATRIC ASSOCIATES, P.S.C. PROFIT SHARING AND 401(K) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-827545
Policy instance 1
Insurance contract or identification numberGA-827545
Number of Individuals Covered73
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $18,235
Total amount of fees paid to insurance companyUSD $119
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-710460
Policy instance 1
Insurance contract or identification numberGA-710460
Number of Individuals Covered68
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $15,612
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,612
Insurance broker organization code?3
Insurance broker nameMERRILL LYNCH LIFE AGENCY

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