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SUSAN KELLY BLUE, MD, PA PROFIT-SHARING TRUST 401k Plan overview

Plan NameSUSAN KELLY BLUE, MD, PA PROFIT-SHARING TRUST
Plan identification number 001

SUSAN KELLY BLUE, MD, PA PROFIT-SHARING TRUST Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • 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

NEUROLOGICAL SERVICES OF TEXAS, PA has sponsored the creation of one or more 401k plans.

Company Name:NEUROLOGICAL SERVICES OF TEXAS, PA
Employer identification number (EIN):751460299
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SUSAN KELLY BLUE, MD, PA PROFIT-SHARING TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012014-11-01SUSAN KELLY BLUE2015-10-24
0012013-11-01SUSAN KELLY BLUE2015-10-28
0012012-11-01SUSAN KELLY BLUE2014-05-24
0012011-11-01SUSAN KELLY BLUE, M.D.
0012009-11-01SUSAN KELLY BLUE, M.D.

Plan Statistics for SUSAN KELLY BLUE, MD, PA PROFIT-SHARING TRUST

401k plan membership statisitcs for SUSAN KELLY BLUE, MD, PA PROFIT-SHARING TRUST

Measure Date Value
2011: SUSAN KELLY BLUE, MD, PA PROFIT-SHARING TRUST 2011 401k membership
Total participants, beginning-of-year2011-11-0110
Total number of active participants reported on line 7a of the Form 55002011-11-015
Number of retired or separated participants receiving benefits2011-11-010
Number of other retired or separated participants entitled to future benefits2011-11-012
Total of all active and inactive participants2011-11-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-11-010
Total participants2011-11-017
Number of participants with account balances2011-11-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-11-010
2009: SUSAN KELLY BLUE, MD, PA PROFIT-SHARING TRUST 2009 401k membership
Total participants, beginning-of-year2009-11-0110
Total number of active participants reported on line 7a of the Form 55002009-11-015
Number of retired or separated participants receiving benefits2009-11-010
Number of other retired or separated participants entitled to future benefits2009-11-015
Total of all active and inactive participants2009-11-0110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-11-010
Total participants2009-11-0110
Number of participants with account balances2009-11-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-11-010

Financial Data on SUSAN KELLY BLUE, MD, PA PROFIT-SHARING TRUST

Measure Date Value
2012 : SUSAN KELLY BLUE, MD, PA PROFIT-SHARING TRUST 2012 401k financial data
Transfers to/from the plan2012-10-31$0
Total plan liabilities at end of year2012-10-31$0
Total plan liabilities at beginning of year2012-10-31$0
Total income from all sources2012-10-31$71,490
Expenses. Total of all expenses incurred2012-10-31$5,630
Benefits paid (including direct rollovers)2012-10-31$382
Total plan assets at end of year2012-10-31$869,369
Total plan assets at beginning of year2012-10-31$803,509
Value of fidelity bond covering the plan2012-10-31$200,000
Total contributions received or receivable from participants2012-10-31$0
Expenses. Other expenses not covered elsewhere2012-10-31$5,248
Contributions received from other sources (not participants or employers)2012-10-31$0
Other income received2012-10-31$65,860
Noncash contributions received2012-10-31$0
Net income (gross income less expenses)2012-10-31$65,860
Net plan assets at end of year (total assets less liabilities)2012-10-31$869,369
Net plan assets at beginning of year (total assets less liabilities)2012-10-31$803,509
Total contributions received or receivable from employer(s)2012-10-31$5,630
Value of certain deemed distributions of participant loans2012-10-31$0
Value of corrective distributions2012-10-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-10-31$0
2011 : SUSAN KELLY BLUE, MD, PA PROFIT-SHARING TRUST 2011 401k financial data
Transfers to/from the plan2011-10-31$0
Total plan liabilities at end of year2011-10-31$0
Total plan liabilities at beginning of year2011-10-31$0
Total income from all sources2011-10-31$45,551
Expenses. Total of all expenses incurred2011-10-31$5,248
Benefits paid (including direct rollovers)2011-10-31$0
Total plan assets at end of year2011-10-31$803,509
Total plan assets at beginning of year2011-10-31$763,206
Value of fidelity bond covering the plan2011-10-31$200,000
Total contributions received or receivable from participants2011-10-31$0
Expenses. Other expenses not covered elsewhere2011-10-31$5,248
Contributions received from other sources (not participants or employers)2011-10-31$0
Other income received2011-10-31$40,303
Noncash contributions received2011-10-31$0
Net income (gross income less expenses)2011-10-31$40,303
Net plan assets at end of year (total assets less liabilities)2011-10-31$803,509
Net plan assets at beginning of year (total assets less liabilities)2011-10-31$763,206
Total contributions received or receivable from employer(s)2011-10-31$5,248
Value of certain deemed distributions of participant loans2011-10-31$0
Value of corrective distributions2011-10-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2011-10-31$0

Form 5500 Responses for SUSAN KELLY BLUE, MD, PA PROFIT-SHARING TRUST

2011: SUSAN KELLY BLUE, MD, PA PROFIT-SHARING TRUST 2011 form 5500 responses
2011-11-01Type of plan entitySingle employer plan
2011-11-01Submission has been amendedNo
2011-11-01This submission is the final filingNo
2011-11-01This return/report is a short plan year return/report (less than 12 months)No
2011-11-01Plan is a collectively bargained planNo
2011-11-01Plan funding arrangement – InsuranceYes
2011-11-01Plan funding arrangement – TrustYes
2011-11-01Plan benefit arrangement – InsuranceYes
2011-11-01Plan benefit arrangement - TrustYes
2009: SUSAN KELLY BLUE, MD, PA PROFIT-SHARING TRUST 2009 form 5500 responses
2009-11-01Type of plan entitySingle employer plan
2009-11-01Submission has been amendedNo
2009-11-01This submission is the final filingNo
2009-11-01This return/report is a short plan year return/report (less than 12 months)No
2009-11-01Plan is a collectively bargained planNo
2009-11-01Plan funding arrangement – InsuranceYes
2009-11-01Plan funding arrangement – TrustYes
2009-11-01Plan benefit arrangement – InsuranceYes
2009-11-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number52105100
Policy instance 1
Insurance contract or identification number52105100
Number of Individuals Covered1
Insurance policy start date2010-12-10
Insurance policy end date2011-12-09
Total amount of commissions paid to insurance brokerUSD $157
Total amount of fees paid to insurance companyUSD $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 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?No
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
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number52105100
Policy instance 1
Insurance contract or identification number52105100
Number of Individuals Covered1
Insurance policy start date2009-12-10
Insurance policy end date2010-12-09
Total amount of commissions paid to insurance brokerUSD $157
Total amount of fees paid to insurance companyUSD $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 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?No
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

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