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| Plan Name | DR. RAFAEL O. KIDD SALAZAR PENSION PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | RAFAEL O. KIID SALAZAR |
| Employer identification number (EIN): | 660597341 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2014-01-01 | ||||
| 001 | 2012-01-01 | RAFAEL O KID SALAZAR | 2013-07-31 | ||
| 001 | 2011-01-01 | OSCAR KIDD SALAZAR | 2012-08-16 |
| Measure | Date | Value |
|---|---|---|
| 2014: DR. RAFAEL O. KIDD SALAZAR PENSION PLAN 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-01-01 | 1 |
| 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 | 1 |
| Total of all active and inactive participants | 2014-01-01 | 1 |
| Total participants | 2014-01-01 | 1 |
| Number of participants with account balances | 2014-01-01 | 0 |
| Measure | Date | Value |
|---|---|---|
| 2014 : DR. RAFAEL O. KIDD SALAZAR PENSION PLAN 2014 401k financial data | ||
| Total plan liabilities at beginning of year | 2014-12-31 | $0 |
| Total income from all sources | 2014-12-31 | $4,530 |
| Expenses. Total of all expenses incurred | 2014-12-31 | $299,456 |
| Benefits paid (including direct rollovers) | 2014-12-31 | $299,456 |
| Total plan assets at end of year | 2014-12-31 | $0 |
| Total plan assets at beginning of year | 2014-12-31 | $294,926 |
| Other income received | 2014-12-31 | $4,530 |
| Net income (gross income less expenses) | 2014-12-31 | $-294,926 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-12-31 | $294,926 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2014-12-31 | $235,800 |
| Minimum employer required contribution for this plan year | 2014-12-31 | $0 |
| Amount contributed by the employer to the plan for this plan year | 2014-12-31 | $0 |
| 2014: DR. RAFAEL O. KIDD SALAZAR PENSION PLAN 2014 form 5500 responses | ||
|---|---|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | This submission is the final filing | Yes |
| 2014-01-01 | Plan funding arrangement – Trust | Yes |
| 2014-01-01 | Plan benefit arrangement - Trust | Yes |
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