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| Plan Name | AN ANESTHESIA AND PAIN MANAGEMENT DEFINED BENEFIT PENSION PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Benefit Pension |
| Plan Features/Benefits |
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| Company Name: | AN ANESTHESIA AND PAIN MANAGEMENT |
| Employer identification number (EIN): | 943404935 |
| 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 | 2012-01-01 | ARUN ANAND | 2013-10-14 | ||
| 001 | 2011-01-01 | ARUN ANAND | |||
| 001 | 2010-01-01 | ARUN ANAND | 2011-10-13 |
| Measure | Date | Value |
|---|---|---|
| 2011: AN ANESTHESIA AND PAIN MANAGEMENT DEFINED BENEFIT PENSION PLAN 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-01-01 | 6 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 4 |
| Number of other retired or separated participants entitled to future benefits | 2011-01-01 | 3 |
| Total of all active and inactive participants | 2011-01-01 | 7 |
| Total participants | 2011-01-01 | 7 |
| Measure | Date | Value |
|---|---|---|
| 2011 : AN ANESTHESIA AND PAIN MANAGEMENT DEFINED BENEFIT PENSION PLAN 2011 401k financial data | ||
| Total income from all sources | 2011-12-31 | $263,874 |
| Total plan assets at end of year | 2011-12-31 | $1,371,882 |
| Total plan assets at beginning of year | 2011-12-31 | $1,108,008 |
| Other income received | 2011-12-31 | $-46,162 |
| Net income (gross income less expenses) | 2011-12-31 | $263,874 |
| Net plan assets at end of year (total assets less liabilities) | 2011-12-31 | $1,371,882 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-12-31 | $1,108,008 |
| Total contributions received or receivable from employer(s) | 2011-12-31 | $310,036 |
| 2011: AN ANESTHESIA AND PAIN MANAGEMENT DEFINED BENEFIT PENSION PLAN 2011 form 5500 responses | ||
|---|---|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan funding arrangement – Trust | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement - Trust | Yes |
| PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 ) | |||||
| Policy contract number | |||||
| Policy instance | 1 | ||||
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