401k Plan data: NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN plan

NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN 401k Plan overview

Plan Name	NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN
Plan identification number	004

NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN Benefits

401k Plan Type	Defined Benefit Pension
Plan Features/Benefits	Benefits are primarily pay related 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

NARENDRA K. MAHESHWARI, M.D., P.A. has sponsored the creation of one or more 401k plans.

Company Name: NARENDRA K. MAHESHWARI, M.D., P.A.

Employer identification number (EIN): 650495596

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

Additional information about NARENDRA K. MAHESHWARI, M.D., P.A.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 1994-04-04

Company Identification Number: P94000025402

Legal Registered Office Address: 5540 NE 33RD AVENUE

FORT LAUDERDALE

33308

More information about NARENDRA K. MAHESHWARI, M.D., P.A.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
004 2018-01-01 NARENDRA K. MAHESHWARI
004 2017-01-01 NARENDRA K. MAHESHWARI
004 2016-01-01 NARENDRA K. MAHESHWARI
004 2015-01-01 NARENDRA K. MAHESHWARI
004 2014-01-01 NARENDRA K. MAHESHWARI
004 2013-01-01 NARENDRA K. MAHESHWARI
004 2012-01-01 NARENDRA K. MAHESHWARI
004 2011-01-01 NARENDRA K. MAHESHWARI
004 2010-01-01 NARENDRA MAHESHWARI

Plan id#	Filing Submission Date	Name of Administrator
004	2018-01-01	NARENDRA K. MAHESHWARI
004	2017-01-01	NARENDRA K. MAHESHWARI
004	2016-01-01	NARENDRA K. MAHESHWARI
004	2015-01-01	NARENDRA K. MAHESHWARI
004	2014-01-01	NARENDRA K. MAHESHWARI
004	2013-01-01	NARENDRA K. MAHESHWARI
004	2012-01-01	NARENDRA K. MAHESHWARI
004	2011-01-01	NARENDRA K. MAHESHWARI
004	2010-01-01	NARENDRA MAHESHWARI

Plan Statistics for NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN

401k plan membership statisitcs for NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN

Measure Date Value
2018: NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN 2018 401k membership
Market value of plan assets 2018-12-31 3,203,983
Acturial value of plan assets 2018-12-31 3,203,983
Funding target for retired participants and beneficiaries receiving payment 2018-12-31 0
Number of terminated vested participants 2018-12-31 0
Fundng target for terminated vested participants 2018-12-31 0
Active participant vested funding target 2018-12-31 2,985,609
Number of active participants 2018-12-31 2
Total funding liabilities for active participants 2018-12-31 2,985,609
Total participant count 2018-12-31 2
Total funding target for all participants 2018-12-31 2,985,609
Balance at beginning of prior year after applicable adjustments 2018-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2018-12-31 196,793
Amount remaining of carryover balance 2018-12-31 0
Amount remaining of prefunding balance 2018-12-31 196,793
Present value of excess contributions 2018-12-31 97,637
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2018-12-31 102,773
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2018-12-31 102,773
Reductions in caryover balances due to elections or deemed elections 2018-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2018-12-31 25,502
Balance of carryovers at beginning of current year 2018-12-31 0
Balance of prefunding at beginning of current year 2018-12-31 306,771
Total employer contributions 2018-12-31 393,500
Total employee contributions 2018-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2018-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2018-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2018-12-31 372,869
Unpaid minimum required contributions for all prior years 2018-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2018-12-31 0
Remaining amount of unpaid minimum required contributions 2018-12-31 0
Minimum required contributions for current year target normal cost 2018-12-31 42,008
Net shortfall amortization installment of oustanding balance 2018-12-31 263,898
Waiver amortization installment 2018-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2018-12-31 95,115
Carryover balance elected to use to offset funding requirement 2018-12-31 0
Prefunding balance elected to use to offset funding requirement 2018-12-31 0
Additional cash requirement 2018-12-31 95,115
Contributions allocatedtoward minimum required contributions for current year 2018-12-31 372,869
Unpaid minimum required contributions for current year 2018-12-31 0
Unpaid minimum required contributions for all years 2018-12-31 0
Total participants, beginning-of-year 2018-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 0
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN 2017 401k membership
Market value of plan assets 2017-12-31 2,706,018
Acturial value of plan assets 2017-12-31 2,706,018
Funding target for retired participants and beneficiaries receiving payment 2017-12-31 0
Number of terminated vested participants 2017-12-31 1
Fundng target for terminated vested participants 2017-12-31 95,114
Active participant vested funding target 2017-12-31 2,712,242
Number of active participants 2017-12-31 4
Total funding liabilities for active participants 2017-12-31 2,716,020
Total participant count 2017-12-31 5
Total funding target for all participants 2017-12-31 2,811,134
Balance at beginning of prior year after applicable adjustments 2017-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2017-12-31 171,834
Carryover balanced portion elected for use to offset prior years funding requirement 2017-12-31 0
Prefunding balanced used to offset prior years funding requirement 2017-12-31 0
Amount remaining of carryover balance 2017-12-31 0
Amount remaining of prefunding balance 2017-12-31 171,834
Present value of excess contributions 2017-12-31 24,214
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2017-12-31 25,492
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2017-12-31 25,492
Reductions in caryover balances due to elections or deemed elections 2017-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2017-12-31 0
Balance of carryovers at beginning of current year 2017-12-31 0
Balance of prefunding at beginning of current year 2017-12-31 196,793
Total employer contributions 2017-12-31 250,000
Total employee contributions 2017-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2017-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2017-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2017-12-31 226,636
Unpaid minimum required contributions for all prior years 2017-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2017-12-31 0
Remaining amount of unpaid minimum required contributions 2017-12-31 0
Minimum required contributions for current year target normal cost 2017-12-31 75,892
Net shortfall amortization installment of oustanding balance 2017-12-31 301,909
Waiver amortization installment 2017-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2017-12-31 128,999
Additional cash requirement 2017-12-31 128,999
Contributions allocatedtoward minimum required contributions for current year 2017-12-31 226,636
Unpaid minimum required contributions for current year 2017-12-31 0
Unpaid minimum required contributions for all years 2017-12-31 0
Total participants, beginning-of-year 2017-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 2
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 2
2016: NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN 2016 401k membership
Market value of plan assets 2016-12-31 2,362,269
Acturial value of plan assets 2016-12-31 2,362,269
Funding target for retired participants and beneficiaries receiving payment 2016-12-31 0
Number of terminated vested participants 2016-12-31 0
Fundng target for terminated vested participants 2016-12-31 0
Active participant vested funding target 2016-12-31 2,372,081
Number of active participants 2016-12-31 5
Total funding liabilities for active participants 2016-12-31 2,372,081
Total participant count 2016-12-31 5
Total funding target for all participants 2016-12-31 2,372,081
Balance at beginning of prior year after applicable adjustments 2016-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2016-12-31 155,362
Amount remaining of carryover balance 2016-12-31 0
Amount remaining of prefunding balance 2016-12-31 155,362
Present value of excess contributions 2016-12-31 11,048
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2016-12-31 11,733
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2016-12-31 11,733
Reductions in caryover balances due to elections or deemed elections 2016-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2016-12-31 0
Balance of carryovers at beginning of current year 2016-12-31 0
Balance of prefunding at beginning of current year 2016-12-31 171,834
Total employer contributions 2016-12-31 350,000
Total employee contributions 2016-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2016-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2016-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2016-12-31 321,541
Unpaid minimum required contributions for all prior years 2016-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2016-12-31 0
Remaining amount of unpaid minimum required contributions 2016-12-31 0
Minimum required contributions for current year target normal cost 2016-12-31 267,315
Net shortfall amortization installment of oustanding balance 2016-12-31 181,646
Waiver amortization installment 2016-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2016-12-31 297,327
Additional cash requirement 2016-12-31 297,327
Contributions allocatedtoward minimum required contributions for current year 2016-12-31 321,541
Unpaid minimum required contributions for current year 2016-12-31 0
Unpaid minimum required contributions for all years 2016-12-31 0
Total participants, beginning-of-year 2016-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 4
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 1
Total of all active and inactive participants 2016-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 3
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 3
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 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 3
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 1
Total of all active and inactive participants 2013-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 4
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 0
Total of all active and inactive participants 2012-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 4
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 0
Total of all active and inactive participants 2011-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 4
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0

Measure	Date	Value
2018: NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN 2018 401k membership
Market value of plan assets	2018-12-31	3,203,983
Acturial value of plan assets	2018-12-31	3,203,983
Funding target for retired participants and beneficiaries receiving payment	2018-12-31	0
Number of terminated vested participants	2018-12-31	0
Fundng target for terminated vested participants	2018-12-31	0
Active participant vested funding target	2018-12-31	2,985,609
Number of active participants	2018-12-31	2
Total funding liabilities for active participants	2018-12-31	2,985,609
Total participant count	2018-12-31	2
Total funding target for all participants	2018-12-31	2,985,609
Balance at beginning of prior year after applicable adjustments	2018-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2018-12-31	196,793
Amount remaining of carryover balance	2018-12-31	0
Amount remaining of prefunding balance	2018-12-31	196,793
Present value of excess contributions	2018-12-31	97,637
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2018-12-31	102,773
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2018-12-31	102,773
Reductions in caryover balances due to elections or deemed elections	2018-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2018-12-31	25,502
Balance of carryovers at beginning of current year	2018-12-31	0
Balance of prefunding at beginning of current year	2018-12-31	306,771
Total employer contributions	2018-12-31	393,500
Total employee contributions	2018-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2018-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2018-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2018-12-31	372,869
Unpaid minimum required contributions for all prior years	2018-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2018-12-31	0
Remaining amount of unpaid minimum required contributions	2018-12-31	0
Minimum required contributions for current year target normal cost	2018-12-31	42,008
Net shortfall amortization installment of oustanding balance	2018-12-31	263,898
Waiver amortization installment	2018-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2018-12-31	95,115
Carryover balance elected to use to offset funding requirement	2018-12-31	0
Prefunding balance elected to use to offset funding requirement	2018-12-31	0
Additional cash requirement	2018-12-31	95,115
Contributions allocatedtoward minimum required contributions for current year	2018-12-31	372,869
Unpaid minimum required contributions for current year	2018-12-31	0
Unpaid minimum required contributions for all years	2018-12-31	0
Total participants, beginning-of-year	2018-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	0
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN 2017 401k membership
Market value of plan assets	2017-12-31	2,706,018
Acturial value of plan assets	2017-12-31	2,706,018
Funding target for retired participants and beneficiaries receiving payment	2017-12-31	0
Number of terminated vested participants	2017-12-31	1
Fundng target for terminated vested participants	2017-12-31	95,114
Active participant vested funding target	2017-12-31	2,712,242
Number of active participants	2017-12-31	4
Total funding liabilities for active participants	2017-12-31	2,716,020
Total participant count	2017-12-31	5
Total funding target for all participants	2017-12-31	2,811,134
Balance at beginning of prior year after applicable adjustments	2017-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2017-12-31	171,834
Carryover balanced portion elected for use to offset prior years funding requirement	2017-12-31	0
Prefunding balanced used to offset prior years funding requirement	2017-12-31	0
Amount remaining of carryover balance	2017-12-31	0
Amount remaining of prefunding balance	2017-12-31	171,834
Present value of excess contributions	2017-12-31	24,214
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2017-12-31	25,492
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2017-12-31	25,492
Reductions in caryover balances due to elections or deemed elections	2017-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2017-12-31	0
Balance of carryovers at beginning of current year	2017-12-31	0
Balance of prefunding at beginning of current year	2017-12-31	196,793
Total employer contributions	2017-12-31	250,000
Total employee contributions	2017-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2017-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2017-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2017-12-31	226,636
Unpaid minimum required contributions for all prior years	2017-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2017-12-31	0
Remaining amount of unpaid minimum required contributions	2017-12-31	0
Minimum required contributions for current year target normal cost	2017-12-31	75,892
Net shortfall amortization installment of oustanding balance	2017-12-31	301,909
Waiver amortization installment	2017-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2017-12-31	128,999
Additional cash requirement	2017-12-31	128,999
Contributions allocatedtoward minimum required contributions for current year	2017-12-31	226,636
Unpaid minimum required contributions for current year	2017-12-31	0
Unpaid minimum required contributions for all years	2017-12-31	0
Total participants, beginning-of-year	2017-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	2
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	2
2016: NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN 2016 401k membership
Market value of plan assets	2016-12-31	2,362,269
Acturial value of plan assets	2016-12-31	2,362,269
Funding target for retired participants and beneficiaries receiving payment	2016-12-31	0
Number of terminated vested participants	2016-12-31	0
Fundng target for terminated vested participants	2016-12-31	0
Active participant vested funding target	2016-12-31	2,372,081
Number of active participants	2016-12-31	5
Total funding liabilities for active participants	2016-12-31	2,372,081
Total participant count	2016-12-31	5
Total funding target for all participants	2016-12-31	2,372,081
Balance at beginning of prior year after applicable adjustments	2016-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2016-12-31	155,362
Amount remaining of carryover balance	2016-12-31	0
Amount remaining of prefunding balance	2016-12-31	155,362
Present value of excess contributions	2016-12-31	11,048
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2016-12-31	11,733
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2016-12-31	11,733
Reductions in caryover balances due to elections or deemed elections	2016-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2016-12-31	0
Balance of carryovers at beginning of current year	2016-12-31	0
Balance of prefunding at beginning of current year	2016-12-31	171,834
Total employer contributions	2016-12-31	350,000
Total employee contributions	2016-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2016-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2016-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2016-12-31	321,541
Unpaid minimum required contributions for all prior years	2016-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2016-12-31	0
Remaining amount of unpaid minimum required contributions	2016-12-31	0
Minimum required contributions for current year target normal cost	2016-12-31	267,315
Net shortfall amortization installment of oustanding balance	2016-12-31	181,646
Waiver amortization installment	2016-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2016-12-31	297,327
Additional cash requirement	2016-12-31	297,327
Contributions allocatedtoward minimum required contributions for current year	2016-12-31	321,541
Unpaid minimum required contributions for current year	2016-12-31	0
Unpaid minimum required contributions for all years	2016-12-31	0
Total participants, beginning-of-year	2016-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	4
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	1
Total of all active and inactive participants	2016-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	3
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	3
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	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	3
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	1
Total of all active and inactive participants	2013-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	4
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	0
Total of all active and inactive participants	2012-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	4
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	0
Total of all active and inactive participants	2011-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	4
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0

Financial Data on NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN

Measure	Date	Value
2018 : NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN 2018 401k financial data
Total plan liabilities at end of year	2018-12-31	$0
Total plan liabilities at beginning of year	2018-12-31	$0
Total income from all sources	2018-12-31	$378,013
Expenses. Total of all expenses incurred	2018-12-31	$3,588,988
Benefits paid (including direct rollovers)	2018-12-31	$3,586,610
Total plan assets at end of year	2018-12-31	$0
Total plan assets at beginning of year	2018-12-31	$3,210,975
Total contributions received or receivable from participants	2018-12-31	$0
Assets. Value of loans (other than to participants)	2018-12-31	$0
Expenses. Other expenses not covered elsewhere	2018-12-31	$331
Contributions received from other sources (not participants or employers)	2018-12-31	$0
Other income received	2018-12-31	$-15,487
Noncash contributions received	2018-12-31	$0
Net income (gross income less expenses)	2018-12-31	$-3,210,975
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$3,210,975
Total contributions received or receivable from employer(s)	2018-12-31	$393,500
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$2,047
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
2017 : NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN 2017 401k financial data
Total plan liabilities at end of year	2017-12-31	$0
Total plan liabilities at beginning of year	2017-12-31	$0
Total income from all sources	2017-12-31	$683,584
Expenses. Total of all expenses incurred	2017-12-31	$190,109
Benefits paid (including direct rollovers)	2017-12-31	$173,191
Total plan assets at end of year	2017-12-31	$3,210,975
Total plan assets at beginning of year	2017-12-31	$2,717,500
Value of fidelity bond covering the plan	2017-12-31	$100,000
Assets. Value of loans (other than to participants)	2017-12-31	$450,000
Expenses. Other expenses not covered elsewhere	2017-12-31	$325
Other income received	2017-12-31	$433,584
Net income (gross income less expenses)	2017-12-31	$493,475
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$3,210,975
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$2,717,500
Total contributions received or receivable from employer(s)	2017-12-31	$250,000
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$16,593
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
2016 : NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN 2016 401k financial data
Total plan liabilities at end of year	2016-12-31	$0
Total plan liabilities at beginning of year	2016-12-31	$0
Total income from all sources	2016-12-31	$357,720
Expenses. Total of all expenses incurred	2016-12-31	$14,392
Total plan assets at end of year	2016-12-31	$2,717,500
Total plan assets at beginning of year	2016-12-31	$2,374,172
Value of fidelity bond covering the plan	2016-12-31	$100,000
Assets. Value of loans (other than to participants)	2016-12-31	$716,625
Expenses. Other expenses not covered elsewhere	2016-12-31	$325
Other income received	2016-12-31	$7,720
Net income (gross income less expenses)	2016-12-31	$343,328
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$2,717,500
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$2,374,172
Total contributions received or receivable from employer(s)	2016-12-31	$350,000
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$14,067
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
2015 : NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN 2015 401k financial data
Total plan liabilities at end of year	2015-12-31	$0
Total plan liabilities at beginning of year	2015-12-31	$0
Total income from all sources	2015-12-31	$360,310
Expenses. Total of all expenses incurred	2015-12-31	$14,834
Total plan assets at end of year	2015-12-31	$2,374,172
Total plan assets at beginning of year	2015-12-31	$2,028,696
Value of fidelity bond covering the plan	2015-12-31	$100,000
Assets. Value of loans (other than to participants)	2015-12-31	$314,972
Other income received	2015-12-31	$70,310
Net income (gross income less expenses)	2015-12-31	$345,476
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$2,374,172
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$2,028,696
Total contributions received or receivable from employer(s)	2015-12-31	$290,000
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$14,834
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN 2014 401k financial data
Total plan liabilities at end of year	2014-12-31	$0
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$449,415
Expenses. Total of all expenses incurred	2014-12-31	$48,520
Benefits paid (including direct rollovers)	2014-12-31	$40,337
Total plan assets at end of year	2014-12-31	$2,028,696
Total plan assets at beginning of year	2014-12-31	$1,627,801
Value of fidelity bond covering the plan	2014-12-31	$100,000
Assets. Value of loans (other than to participants)	2014-12-31	$314,972
Other income received	2014-12-31	$149,415
Net income (gross income less expenses)	2014-12-31	$400,895
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$2,028,696
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,627,801
Total contributions received or receivable from employer(s)	2014-12-31	$300,000
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$8,183
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN 2013 401k financial data
Total plan liabilities at end of year	2013-12-31	$0
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$321,566
Expenses. Total of all expenses incurred	2013-12-31	$5,953
Total plan assets at end of year	2013-12-31	$1,627,801
Total plan assets at beginning of year	2013-12-31	$1,312,188
Value of fidelity bond covering the plan	2013-12-31	$100,000
Assets. Value of loans (other than to participants)	2013-12-31	$518,491
Other income received	2013-12-31	$121,566
Net income (gross income less expenses)	2013-12-31	$315,613
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,627,801
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,312,188
Total contributions received or receivable from employer(s)	2013-12-31	$200,000
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$5,953
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$329,654
Expenses. Total of all expenses incurred	2012-12-31	$6,434
Benefits paid (including direct rollovers)	2012-12-31	$0
Total plan assets at end of year	2012-12-31	$1,312,188
Total plan assets at beginning of year	2012-12-31	$988,968
Value of fidelity bond covering the plan	2012-12-31	$100,000
Total contributions received or receivable from participants	2012-12-31	$0
Assets. Value of loans (other than to participants)	2012-12-31	$526,162
Expenses. Other expenses not covered elsewhere	2012-12-31	$0
Other income received	2012-12-31	$79,654
Noncash contributions received	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$323,220
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,312,188
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$988,968
Total contributions received or receivable from employer(s)	2012-12-31	$250,000
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$6,434
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN 2011 401k financial data
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$293,265
Expenses. Total of all expenses incurred	2011-12-31	$6,325
Benefits paid (including direct rollovers)	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$988,968
Total plan assets at beginning of year	2011-12-31	$702,028
Value of fidelity bond covering the plan	2011-12-31	$100,000
Total contributions received or receivable from participants	2011-12-31	$0
Assets. Value of loans (other than to participants)	2011-12-31	$284,961
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-6,735
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$286,940
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$988,968
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$702,028
Total contributions received or receivable from employer(s)	2011-12-31	$300,000
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$6,325
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN 2010 401k financial data
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$208,175
Expenses. Total of all expenses incurred	2010-12-31	$5,749
Benefits paid (including direct rollovers)	2010-12-31	$0
Total plan assets at end of year	2010-12-31	$702,028
Total plan assets at beginning of year	2010-12-31	$499,602
Value of fidelity bond covering the plan	2010-12-31	$20,000
Total contributions received or receivable from participants	2010-12-31	$0
Assets. Value of loans (other than to participants)	2010-12-31	$141,121
Expenses. Other expenses not covered elsewhere	2010-12-31	$0
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$43,175
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$202,426
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$702,028
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$499,602
Total contributions received or receivable from employer(s)	2010-12-31	$165,000
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$5,749

Form 5500 Responses for NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN

2018: NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	Yes
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT 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	No
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: NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT 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: NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT 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: NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT 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
2010: NARENDRA K. MAHESHWARI, M.D., P.A. DEFINED BENEFIT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

E0917505

Policy instance

Insurance contract or identification number	E0917505
Number of Individuals Covered	2
Insurance policy start date	2017-10-16
Insurance policy end date	2018-10-15
Total amount of commissions paid to insurance broker	USD $315
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $315
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	3

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

E0917505

Policy instance

Insurance contract or identification number	E0917505
Number of Individuals Covered	2
Insurance policy start date	2016-10-16
Insurance policy end date	2017-10-15
Total amount of commissions paid to insurance broker	USD $304
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $304
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	3
Insurance broker name	MORGAN STANLEY SMITH BARNEY

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

E0917505

Policy instance

Insurance contract or identification number	E0917505
Number of Individuals Covered	1
Insurance policy start date	2014-10-16
Insurance policy end date	2015-10-15
Total amount of commissions paid to insurance broker	USD $315
Total amount of fees paid to insurance company	USD $157
Are there contracts with allocated funds for individual policies?	Yes
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $315
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	3
Insurance broker name	MORGAN STANLEY SMITH BARNEY

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

E0917505

Policy instance

Insurance contract or identification number	E0917505
Number of Individuals Covered	1
Insurance policy start date	2013-10-16
Insurance policy end date	2014-10-15
Total amount of commissions paid to insurance broker	USD $287
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	Yes
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $212
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	3
Insurance broker name	JEAN-PHILIPPE GARCY

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

E0917505

Policy instance

Insurance contract or identification number	E0917505
Number of Individuals Covered	1
Insurance policy start date	2012-10-16
Insurance policy end date	2013-10-15
Total amount of commissions paid to insurance broker	USD $263
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	Yes
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $263
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	3
Insurance broker name	BIMAL K. SHAH

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

E0917505

Policy instance

Insurance contract or identification number	E0917505
Number of Individuals Covered	1
Insurance policy start date	2011-10-16
Insurance policy end date	2012-10-15
Total amount of commissions paid to insurance broker	USD $277
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	Yes
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $277
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	3
Insurance broker name	BIMAL K. SHAH

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

E0917505

Policy instance

Insurance contract or identification number	E0917505
Number of Individuals Covered	1
Insurance policy start date	2010-10-16
Insurance policy end date	2011-10-15
Total amount of commissions paid to insurance broker	USD $4,611
Total amount of fees paid to insurance company	USD $33
Are there contracts with allocated funds for individual policies?	Yes
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

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Company Name:	NARENDRA K. MAHESHWARI, M.D., P.A.
Employer identification number (EIN):	650495596
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	1994-04-04
Company Identification Number:	P94000025402
Legal Registered Office Address:	5540 NE 33RD AVENUE FORT LAUDERDALE 33308