401k Plan data: TEXAS STATE BILLING SERVICES, INC. CASH BALANCE PLAN plan

TEXAS STATE BILLING SERVICES, INC. CASH BALANCE PLAN 401k Plan overview

Plan Name	TEXAS STATE BILLING SERVICES, INC. CASH BALANCE PLAN
Plan identification number	002

TEXAS STATE BILLING SERVICES, INC. CASH BALANCE PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily pay related
Cash balance or similar plan - Plan has a "cash balance" formula. For this purpose, a "cash balance" formula is a benefit formula in a defined benefit plan by whatever name (for example, personal account plan, pension equity plan, life cycle plan, cash account plan, etc.) that rather than, or in addition to, expressing the accrued benefit as a life annuity commencing at normal retirement age, defines benefits for each employee in terms more common to a defined contribution plan such as a single sum distribution amount (for example, 10 percent of final average pay times years of service, or the amount of the employee's hypothetical account balance).
Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).

401k Sponsoring company profile

TEXAS STATE BILLING SERVICES, IN has sponsored the creation of one or more 401k plans.

Company Name: TEXAS STATE BILLING SERVICES, IN

Employer identification number (EIN): 742898177

NAIC Classification: 561900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TEXAS STATE BILLING SERVICES, INC. CASH BALANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2013-01-01 ROBERT EWEN
002 2012-01-01 ROBERT EWEN
002 2011-01-01 ROBERT W. EWEN

Plan id#	Filing Submission Date	Name of Administrator
002	2013-01-01	ROBERT EWEN
002	2012-01-01	ROBERT EWEN
002	2011-01-01	ROBERT W. EWEN

Plan Statistics for TEXAS STATE BILLING SERVICES, INC. CASH BALANCE PLAN

401k plan membership statisitcs for TEXAS STATE BILLING SERVICES, INC. CASH BALANCE PLAN

Measure Date Value
2013: TEXAS STATE BILLING SERVICES, INC. CASH BALANCE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: TEXAS STATE BILLING SERVICES, INC. CASH BALANCE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 13
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 2
Total of all active and inactive participants 2012-01-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 2
2011: TEXAS STATE BILLING SERVICES, INC. CASH BALANCE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 13
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 2
Total of all active and inactive participants 2011-01-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 1

Measure	Date	Value
2013: TEXAS STATE BILLING SERVICES, INC. CASH BALANCE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: TEXAS STATE BILLING SERVICES, INC. CASH BALANCE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	13
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	2
Total of all active and inactive participants	2012-01-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	2
2011: TEXAS STATE BILLING SERVICES, INC. CASH BALANCE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	13
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	2
Total of all active and inactive participants	2011-01-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	1

Financial Data on TEXAS STATE BILLING SERVICES, INC. CASH BALANCE PLAN

Measure	Date	Value
2013 : TEXAS STATE BILLING SERVICES, INC. CASH BALANCE PLAN 2013 401k financial data
Transfers to/from the plan	2013-07-15	$0
Total plan liabilities at end of year	2013-07-15	$0
Total plan liabilities at beginning of year	2013-07-15	$0
Total income from all sources	2013-07-15	$22,513
Expenses. Total of all expenses incurred	2013-07-15	$559,240
Benefits paid (including direct rollovers)	2013-07-15	$558,220
Total plan assets at end of year	2013-07-15	$0
Total plan assets at beginning of year	2013-07-15	$536,727
Value of fidelity bond covering the plan	2013-07-15	$25,000
Total contributions received or receivable from participants	2013-07-15	$0
Expenses. Other expenses not covered elsewhere	2013-07-15	$1,020
Contributions received from other sources (not participants or employers)	2013-07-15	$0
Other income received	2013-07-15	$22,513
Noncash contributions received	2013-07-15	$0
Net income (gross income less expenses)	2013-07-15	$-536,727
Net plan assets at end of year (total assets less liabilities)	2013-07-15	$0
Net plan assets at beginning of year (total assets less liabilities)	2013-07-15	$536,727
Total contributions received or receivable from employer(s)	2013-07-15	$0
Value of certain deemed distributions of participant loans	2013-07-15	$0
Value of corrective distributions	2013-07-15	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-07-15	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-07-15	$0
2012 : TEXAS STATE BILLING SERVICES, INC. CASH BALANCE 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	$91,430
Expenses. Total of all expenses incurred	2012-12-31	$3,467
Benefits paid (including direct rollovers)	2012-12-31	$0
Total plan assets at end of year	2012-12-31	$536,727
Total plan assets at beginning of year	2012-12-31	$448,764
Value of fidelity bond covering the plan	2012-12-31	$25,000
Total contributions received or receivable from participants	2012-12-31	$0
Expenses. Other expenses not covered elsewhere	2012-12-31	$3,467
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$53,700
Noncash contributions received	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$87,963
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$536,727
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$448,764
Total contributions received or receivable from employer(s)	2012-12-31	$37,730
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	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : TEXAS STATE BILLING SERVICES, INC. CASH BALANCE PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
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	$233,696
Expenses. Total of all expenses incurred	2011-12-31	$1,889
Benefits paid (including direct rollovers)	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$448,764
Total plan assets at beginning of year	2011-12-31	$216,957
Value of fidelity bond covering the plan	2011-12-31	$25,000
Total contributions received or receivable from participants	2011-12-31	$0
Expenses. Other expenses not covered elsewhere	2011-12-31	$0
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$7,117
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$231,807
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$448,764
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$216,957
Total contributions received or receivable from employer(s)	2011-12-31	$226,579
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	$1,889
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : TEXAS STATE BILLING SERVICES, INC. CASH BALANCE PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
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	$216,957
Expenses. Total of all expenses incurred	2010-12-31	$0
Benefits paid (including direct rollovers)	2010-12-31	$0
Total plan assets at end of year	2010-12-31	$216,957
Total plan assets at beginning of year	2010-12-31	$0
Value of fidelity bond covering the plan	2010-12-31	$25,000
Total contributions received or receivable from participants	2010-12-31	$0
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	$-4,543
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$216,957
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$216,957
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$0
Total contributions received or receivable from employer(s)	2010-12-31	$221,500
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	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0

Form 5500 Responses for TEXAS STATE BILLING SERVICES, INC. CASH BALANCE PLAN

2013: TEXAS STATE BILLING SERVICES, INC. CASH BALANCE 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	Yes
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
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: TEXAS STATE BILLING SERVICES, INC. CASH BALANCE 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: TEXAS STATE BILLING SERVICES, INC. CASH BALANCE 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

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Company Name:	TEXAS STATE BILLING SERVICES, IN
Employer identification number (EIN):	742898177
NAIC Classification:	561900