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OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 401k Plan overview

Plan NameOLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN
Plan identification number 002

OLD PUEBLO ANESTHESIA, P.C. SAVINGS 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.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • 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

OLD PUEBLO ANESTHESIA, P.C. has sponsored the creation of one or more 401k plans.

Company Name:OLD PUEBLO ANESTHESIA, P.C.
Employer identification number (EIN):860511951
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022024-01-01
0022023-01-01
0022022-01-01
0022021-01-01
0022020-01-01
0022019-01-01
0022018-01-01
0022017-01-01SARA LAMBRIGHT
0022016-01-01SARA LAMBRIGHT
0022015-01-01SARA LAMBRIGHT
0022014-01-01SARA LAMBRIGHT
0022013-01-01SARA LAMBRIGHT
0022012-01-01SARA LAMBRIGHT
0022011-01-01SARA LAMBRIGHT SARA LAMBRIGHT2012-05-21
0022010-01-01SARA LAMBRIGHT
0022009-01-01MICHAEL BRACHT
0022009-01-01SARA HOLDEN

Plan Statistics for OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN

401k plan membership statisitcs for OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN

Measure Date Value
2024: OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2024 401k membership
Total participants, beginning-of-year2024-01-0157
Total number of active participants reported on line 7a of the Form 55002024-01-010
Number of retired or separated participants receiving benefits2024-01-010
Number of other retired or separated participants entitled to future benefits2024-01-010
Total of all active and inactive participants2024-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2024-01-010
Total participants2024-01-010
Number of participants with account balances2024-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2024-01-010
2023: OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-0167
Total number of active participants reported on line 7a of the Form 55002023-01-010
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-0157
Total of all active and inactive participants2023-01-0157
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2023-01-010
Total participants2023-01-0157
Number of participants with account balances2023-01-0157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2023-01-010
2022: OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0168
Total number of active participants reported on line 7a of the Form 55002022-01-0151
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0116
Total of all active and inactive participants2022-01-0167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0167
Number of participants with account balances2022-01-0167
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0169
Total number of active participants reported on line 7a of the Form 55002021-01-0156
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0112
Total of all active and inactive participants2021-01-0168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0168
Number of participants with account balances2021-01-0167
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0169
Total number of active participants reported on line 7a of the Form 55002020-01-0161
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-018
Total of all active and inactive participants2020-01-0169
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0169
Number of participants with account balances2020-01-0168
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-013
2019: OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0167
Total number of active participants reported on line 7a of the Form 55002019-01-0160
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-019
Total of all active and inactive participants2019-01-0169
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0169
Number of participants with account balances2019-01-0169
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-014
2018: OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0165
Total number of active participants reported on line 7a of the Form 55002018-01-0159
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-018
Total of all active and inactive participants2018-01-0167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0167
Number of participants with account balances2018-01-0167
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0158
Total number of active participants reported on line 7a of the Form 55002017-01-0158
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-017
Total of all active and inactive participants2017-01-0165
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0165
Number of participants with account balances2017-01-0165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0158
Total number of active participants reported on line 7a of the Form 55002016-01-0154
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-014
Total of all active and inactive participants2016-01-0158
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0158
Number of participants with account balances2016-01-0158
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0153
Total number of active participants reported on line 7a of the Form 55002015-01-0154
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-014
Total of all active and inactive participants2015-01-0158
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0158
Number of participants with account balances2015-01-0157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0158
Total number of active participants reported on line 7a of the Form 55002014-01-0151
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-012
Total of all active and inactive participants2014-01-0153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0153
Number of participants with account balances2014-01-0153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-011
2013: OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0154
Total number of active participants reported on line 7a of the Form 55002013-01-0153
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-015
Total of all active and inactive participants2013-01-0158
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0158
Number of participants with account balances2013-01-0158
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0157
Total number of active participants reported on line 7a of the Form 55002012-01-0152
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-012
Total of all active and inactive participants2012-01-0154
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0154
Number of participants with account balances2012-01-0154
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-011
2011: OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0151
Total number of active participants reported on line 7a of the Form 55002011-01-0152
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-015
Total of all active and inactive participants2011-01-0157
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0157
Number of participants with account balances2011-01-0157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0171
Total number of active participants reported on line 7a of the Form 55002010-01-0150
Number of retired or separated participants receiving benefits2010-01-018
Number of other retired or separated participants entitled to future benefits2010-01-019
Total of all active and inactive participants2010-01-0167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-012
Total participants2010-01-0169
Number of participants with account balances2010-01-0169
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0172
Total number of active participants reported on line 7a of the Form 55002009-01-0155
Number of retired or separated participants receiving benefits2009-01-012
Number of other retired or separated participants entitled to future benefits2009-01-0112
Total of all active and inactive participants2009-01-0169
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-012
Total participants2009-01-0171
Number of participants with account balances2009-01-0171
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN

Measure Date Value
2024 : OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2024 401k financial data
Transfers to/from the plan2024-08-31$0
Total income from all sources2024-08-31$886,114
Expenses. Total of all expenses incurred2024-08-31$34,625,710
Benefits paid (including direct rollovers)2024-08-31$34,618,953
Total plan assets at end of year2024-08-31$0
Total plan assets at beginning of year2024-08-31$33,739,596
Value of fidelity bond covering the plan2024-08-31$500,000
Other income received2024-08-31$886,114
Net income (gross income less expenses)2024-08-31$-33,739,596
Net plan assets at end of year (total assets less liabilities)2024-08-31$0
Net plan assets at beginning of year (total assets less liabilities)2024-08-31$33,739,596
Assets. Value of assets in partnership/joint-venture interests2024-08-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2024-08-31$6,757
2023 : OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2023 401k financial data
Total income from all sources2023-12-31$8,106,673
Expenses. Total of all expenses incurred2023-12-31$10,421,427
Benefits paid (including direct rollovers)2023-12-31$10,347,556
Total plan assets at end of year2023-12-31$33,739,596
Total plan assets at beginning of year2023-12-31$36,054,350
Value of fidelity bond covering the plan2023-12-31$500,000
Total contributions received or receivable from participants2023-12-31$767,043
Other income received2023-12-31$5,413,370
Net income (gross income less expenses)2023-12-31$-2,314,754
Net plan assets at end of year (total assets less liabilities)2023-12-31$33,739,596
Net plan assets at beginning of year (total assets less liabilities)2023-12-31$36,054,350
Assets. Value of assets in partnership/joint-venture interests2023-12-31$18,034
Total contributions received or receivable from employer(s)2023-12-31$1,926,260
Expenses. Administrative service providers (salaries,fees and commissions)2023-12-31$73,871
2022 : OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2022 401k financial data
Total plan liabilities at beginning of year2022-12-31$0
Total income from all sources2022-12-31$-5,142,247
Expenses. Total of all expenses incurred2022-12-31$4,415,717
Benefits paid (including direct rollovers)2022-12-31$4,341,385
Total plan assets at end of year2022-12-31$36,054,350
Total plan assets at beginning of year2022-12-31$45,612,314
Value of fidelity bond covering the plan2022-12-31$500,000
Total contributions received or receivable from participants2022-12-31$722,789
Contributions received from other sources (not participants or employers)2022-12-31$57,858
Other income received2022-12-31$-8,146,587
Noncash contributions received2022-12-31$0
Net income (gross income less expenses)2022-12-31$-9,557,964
Net plan assets at end of year (total assets less liabilities)2022-12-31$36,054,350
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$45,612,314
Total contributions received or receivable from employer(s)2022-12-31$2,223,693
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$74,332
2021 : OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2021 401k financial data
Transfers to/from the plan2021-12-31$0
Total plan liabilities at end of year2021-12-31$0
Total plan liabilities at beginning of year2021-12-31$0
Total income from all sources2021-12-31$7,528,930
Expenses. Total of all expenses incurred2021-12-31$4,585,650
Benefits paid (including direct rollovers)2021-12-31$4,517,986
Total plan assets at end of year2021-12-31$45,612,314
Total plan assets at beginning of year2021-12-31$42,669,034
Value of fidelity bond covering the plan2021-12-31$500,000
Total contributions received or receivable from participants2021-12-31$720,754
Expenses. Other expenses not covered elsewhere2021-12-31$0
Contributions received from other sources (not participants or employers)2021-12-31$0
Other income received2021-12-31$4,576,120
Noncash contributions received2021-12-31$0
Net income (gross income less expenses)2021-12-31$2,943,280
Net plan assets at end of year (total assets less liabilities)2021-12-31$45,612,314
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$42,669,034
Assets. Value of assets in partnership/joint-venture interests2021-12-31$0
Total contributions received or receivable from employer(s)2021-12-31$2,232,056
Value of certain deemed distributions of participant loans2021-12-31$0
Value of corrective distributions2021-12-31$1,939
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$65,725
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
2020 : OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2020 401k financial data
Transfers to/from the plan2020-12-31$0
Total plan liabilities at end of year2020-12-31$0
Total plan liabilities at beginning of year2020-12-31$0
Total income from all sources2020-12-31$7,589,128
Expenses. Total of all expenses incurred2020-12-31$4,262,919
Benefits paid (including direct rollovers)2020-12-31$4,213,506
Total plan assets at end of year2020-12-31$42,669,034
Total plan assets at beginning of year2020-12-31$39,342,825
Value of fidelity bond covering the plan2020-12-31$500,000
Total contributions received or receivable from participants2020-12-31$701,978
Expenses. Other expenses not covered elsewhere2020-12-31$0
Contributions received from other sources (not participants or employers)2020-12-31$113,989
Other income received2020-12-31$4,602,925
Noncash contributions received2020-12-31$0
Net income (gross income less expenses)2020-12-31$3,326,209
Net plan assets at end of year (total assets less liabilities)2020-12-31$42,669,034
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$39,342,825
Assets. Value of assets in partnership/joint-venture interests2020-12-31$31
Total contributions received or receivable from employer(s)2020-12-31$2,170,236
Value of certain deemed distributions of participant loans2020-12-31$0
Value of corrective distributions2020-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$49,413
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
2019 : OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2019 401k financial data
Total plan liabilities at beginning of year2019-12-31$0
Total income from all sources2019-12-31$9,425,007
Expenses. Total of all expenses incurred2019-12-31$5,984,971
Benefits paid (including direct rollovers)2019-12-31$5,941,904
Total plan assets at end of year2019-12-31$39,342,825
Total plan assets at beginning of year2019-12-31$35,902,789
Value of fidelity bond covering the plan2019-12-31$500,000
Total contributions received or receivable from participants2019-12-31$713,437
Other income received2019-12-31$6,616,021
Net income (gross income less expenses)2019-12-31$3,440,036
Net plan assets at end of year (total assets less liabilities)2019-12-31$39,342,825
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$35,902,789
Total contributions received or receivable from employer(s)2019-12-31$2,095,549
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$43,067
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2018 401k financial data
Transfers to/from the plan2018-12-31$0
Total plan liabilities at end of year2018-12-31$0
Total plan liabilities at beginning of year2018-12-31$0
Total income from all sources2018-12-31$119,661
Expenses. Total of all expenses incurred2018-12-31$1,037,045
Benefits paid (including direct rollovers)2018-12-31$997,626
Total plan assets at end of year2018-12-31$35,902,789
Total plan assets at beginning of year2018-12-31$36,820,173
Value of fidelity bond covering the plan2018-12-31$500,000
Total contributions received or receivable from participants2018-12-31$729,951
Expenses. Other expenses not covered elsewhere2018-12-31$0
Contributions received from other sources (not participants or employers)2018-12-31$18,577
Other income received2018-12-31$-2,635,103
Noncash contributions received2018-12-31$0
Net income (gross income less expenses)2018-12-31$-917,384
Net plan assets at end of year (total assets less liabilities)2018-12-31$35,902,789
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$36,820,173
Total contributions received or receivable from employer(s)2018-12-31$2,006,236
Value of certain deemed distributions of participant loans2018-12-31$0
Value of corrective distributions2018-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$39,419
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2017 401k financial data
Transfers to/from the plan2017-12-31$0
Total plan liabilities at end of year2017-12-31$0
Total income from all sources2017-12-31$7,201,260
Expenses. Total of all expenses incurred2017-12-31$56,948
Benefits paid (including direct rollovers)2017-12-31$37,165
Total plan assets at end of year2017-12-31$36,820,173
Total plan assets at beginning of year2017-12-31$29,675,861
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$676,417
Other income received2017-12-31$4,656,662
Net income (gross income less expenses)2017-12-31$7,144,312
Net plan assets at end of year (total assets less liabilities)2017-12-31$36,820,173
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$29,675,861
Total contributions received or receivable from employer(s)2017-12-31$1,868,181
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$19,783
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2016 401k financial data
Total income from all sources2016-12-31$4,377,963
Expenses. Total of all expenses incurred2016-12-31$767,336
Benefits paid (including direct rollovers)2016-12-31$757,541
Total plan assets at end of year2016-12-31$29,675,861
Total plan assets at beginning of year2016-12-31$26,065,234
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$598,035
Other income received2016-12-31$1,992,374
Net income (gross income less expenses)2016-12-31$3,610,627
Net plan assets at end of year (total assets less liabilities)2016-12-31$29,675,861
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$26,065,234
Total contributions received or receivable from employer(s)2016-12-31$1,787,554
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$9,795
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2015 401k financial data
Transfers to/from the plan2015-12-31$4,500
Total income from all sources2015-12-31$1,655,629
Expenses. Total of all expenses incurred2015-12-31$620,371
Benefits paid (including direct rollovers)2015-12-31$619,197
Total plan assets at end of year2015-12-31$26,065,234
Total plan assets at beginning of year2015-12-31$25,025,476
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$597,960
Contributions received from other sources (not participants or employers)2015-12-31$6,833
Other income received2015-12-31$-601,360
Net income (gross income less expenses)2015-12-31$1,035,258
Net plan assets at end of year (total assets less liabilities)2015-12-31$26,065,234
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$25,025,476
Total contributions received or receivable from employer(s)2015-12-31$1,652,196
Value of certain deemed distributions of participant loans2015-12-31$0
Value of corrective distributions2015-12-31$385
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$789
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2014 401k financial data
Transfers to/from the plan2014-12-31$3,771
Total income from all sources2014-12-31$3,146,411
Expenses. Total of all expenses incurred2014-12-31$3,829,075
Benefits paid (including direct rollovers)2014-12-31$3,828,774
Total plan assets at end of year2014-12-31$25,025,476
Total plan assets at beginning of year2014-12-31$25,704,369
Value of fidelity bond covering the plan2014-12-31$500,000
Total contributions received or receivable from participants2014-12-31$586,290
Contributions received from other sources (not participants or employers)2014-12-31$0
Other income received2014-12-31$911,016
Net income (gross income less expenses)2014-12-31$-682,664
Net plan assets at end of year (total assets less liabilities)2014-12-31$25,025,476
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$25,704,369
Assets. Value of assets in partnership/joint-venture interests2014-12-31$11,945
Total contributions received or receivable from employer(s)2014-12-31$1,649,105
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$301
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2013 401k financial data
Total income from all sources2013-12-31$4,996,192
Expenses. Total of all expenses incurred2013-12-31$1,904,723
Benefits paid (including direct rollovers)2013-12-31$1,901,338
Total plan assets at end of year2013-12-31$25,704,369
Total plan assets at beginning of year2013-12-31$22,612,900
Value of fidelity bond covering the plan2013-12-31$500,000
Total contributions received or receivable from participants2013-12-31$583,212
Contributions received from other sources (not participants or employers)2013-12-31$6,466
Other income received2013-12-31$2,741,305
Net income (gross income less expenses)2013-12-31$3,091,469
Net plan assets at end of year (total assets less liabilities)2013-12-31$25,704,369
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$22,612,900
Assets. Value of assets in partnership/joint-venture interests2013-12-31$26,082
Total contributions received or receivable from employer(s)2013-12-31$1,665,209
Value of corrective distributions2013-12-31$1,519
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$1,866
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2012 401k financial data
Total income from all sources2012-12-31$4,175,133
Expenses. Total of all expenses incurred2012-12-31$3,641,076
Benefits paid (including direct rollovers)2012-12-31$3,641,076
Total plan assets at end of year2012-12-31$22,612,900
Total plan assets at beginning of year2012-12-31$22,078,843
Value of fidelity bond covering the plan2012-12-31$500,000
Total contributions received or receivable from participants2012-12-31$527,489
Other income received2012-12-31$2,012,759
Net income (gross income less expenses)2012-12-31$534,057
Net plan assets at end of year (total assets less liabilities)2012-12-31$22,612,900
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$22,078,843
Assets. Value of assets in partnership/joint-venture interests2012-12-31$7,064
Total contributions received or receivable from employer(s)2012-12-31$1,634,885
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2011 401k financial data
Transfers to/from the plan2011-12-31$0
Total plan liabilities at end of year2011-12-31$0
Total plan liabilities at beginning of year2011-12-31$0
Total income from all sources2011-12-31$1,607,490
Expenses. Total of all expenses incurred2011-12-31$2,553,553
Benefits paid (including direct rollovers)2011-12-31$2,512,723
Total plan assets at end of year2011-12-31$22,078,843
Total plan assets at beginning of year2011-12-31$23,024,906
Value of fidelity bond covering the plan2011-12-31$500,000
Total contributions received or receivable from participants2011-12-31$554,160
Contributions received from other sources (not participants or employers)2011-12-31$36,995
Other income received2011-12-31$-552,088
Noncash contributions received2011-12-31$0
Net income (gross income less expenses)2011-12-31$-946,063
Net plan assets at end of year (total assets less liabilities)2011-12-31$22,078,843
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$23,024,906
Assets. Value of assets in partnership/joint-venture interests2011-12-31$154,607
Total contributions received or receivable from employer(s)2011-12-31$1,568,423
Value of certain deemed distributions of participant loans2011-12-31$0
Value of corrective distributions2011-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$40,830
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2010 401k financial data
Transfers to/from the plan2010-12-31$0
Total plan liabilities at end of year2010-12-31$0
Total plan liabilities at beginning of year2010-12-31$0
Total income from all sources2010-12-31$4,504,233
Expenses. Total of all expenses incurred2010-12-31$896,443
Benefits paid (including direct rollovers)2010-12-31$847,997
Total plan assets at end of year2010-12-31$23,024,906
Total plan assets at beginning of year2010-12-31$19,417,116
Value of fidelity bond covering the plan2010-12-31$500,000
Total contributions received or receivable from participants2010-12-31$583,244
Expenses. Other expenses not covered elsewhere2010-12-31$0
Contributions received from other sources (not participants or employers)2010-12-31$0
Other income received2010-12-31$2,321,769
Noncash contributions received2010-12-31$0
Net income (gross income less expenses)2010-12-31$3,607,790
Net plan assets at end of year (total assets less liabilities)2010-12-31$23,024,906
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$19,417,116
Assets. Value of assets in partnership/joint-venture interests2010-12-31$420,087
Total contributions received or receivable from employer(s)2010-12-31$1,599,220
Value of certain deemed distributions of participant loans2010-12-31$0
Value of corrective distributions2010-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$48,446
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$25,015

Form 5500 Responses for OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN

2024: OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2024 form 5500 responses
2024-01-01Type of plan entitySingle employer plan
2024-01-01Submission has been amendedYes
2024-01-01This submission is the final filingYes
2024-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2024-01-01Plan funding arrangement – TrustYes
2024-01-01Plan benefit arrangement - TrustYes
2023: OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement - TrustYes
2022: OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
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 - TrustYes
2010: OLD PUEBLO ANESTHESIA, P.C. SAVINGS PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: OLD PUEBLO ANESTHESIA, P.C. SAVINGS 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 – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberE1181843
Policy instance 1
Insurance contract or identification numberE1181843
Number of Individuals Covered0
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $1,524
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberE1181843
Policy instance 1
Insurance contract or identification numberE1181843
Number of Individuals Covered2
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $1,524
Total amount of fees paid to insurance companyUSD $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 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
Commission paid to Insurance BrokerUSD $936
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberE1181843
Policy instance 1
Insurance contract or identification numberE1181843
Number of Individuals Covered2
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $1,449
Total amount of fees paid to insurance companyUSD $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 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
Commission paid to Insurance BrokerUSD $1,005
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberE1181843
Policy instance 1
Insurance contract or identification numberE1181843
Number of Individuals Covered2
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $1,304
Total amount of fees paid to insurance companyUSD $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 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
Commission paid to Insurance BrokerUSD $882
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberE1181843
Policy instance 1
Insurance contract or identification numberE1181843
Number of Individuals Covered2
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,262
Total amount of fees paid to insurance companyUSD $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 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
Commission paid to Insurance BrokerUSD $858
Insurance broker organization code?3
NEW ENGLAND FINANCIAL (National Association of Insurance Commissioners NAIC id number: 91626 )
Policy contract number4400852857
Policy instance 2
Insurance contract or identification number4400852857
Number of Individuals Covered0
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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 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
NEW ENGLAND FINANCIAL (National Association of Insurance Commissioners NAIC id number: 91626 )
Policy contract number4400852857
Policy instance 2
Insurance contract or identification number4400852857
Number of Individuals Covered1
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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 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
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberE1181843
Policy instance 1
Insurance contract or identification numberE1181843
Number of Individuals Covered2
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $1,182
Total amount of fees paid to insurance companyUSD $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 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
Commission paid to Insurance BrokerUSD $857
Insurance broker organization code?3
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number93830
Policy instance 2
Insurance contract or identification number93830
Number of Individuals Covered1
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $732
Total amount of fees paid to insurance companyUSD $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 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
Commission paid to Insurance BrokerUSD $732
Insurance broker organization code?3
Insurance broker nameG MICHAEL SMITH
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberE1181843
Policy instance 1
Insurance contract or identification numberE1181843
Number of Individuals Covered2
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,160
Total amount of fees paid to insurance companyUSD $202
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 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
Commission paid to Insurance BrokerUSD $835
Insurance broker organization code?3
Amount paid for insurance broker fees172
Additional information about fees paid to insurance brokerAUM, FIXED EXPENSE
Insurance broker nameCETERA ADVISORS LLC

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