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FULLERTON CARDIOVASCULAR MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameFULLERTON CARDIOVASCULAR MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN
Plan identification number 007

FULLERTON CARDIOVASCULAR MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • 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.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • 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

FULLERTON CARDIOVASCULAR MEDICAL GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name:FULLERTON CARDIOVASCULAR MEDICAL GROUP, INC.
Employer identification number (EIN):952638859
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FULLERTON CARDIOVASCULAR MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0072015-01-01
0072014-01-01FRANK A. BONAVITA, M.D.2015-07-09
0072013-01-01FRANK A. BONAVITA, M.D.2014-07-29
0072012-01-01FRANK A. BONAVITA, M.D.2013-06-14
0072011-01-01FRANK A. BONAVITA, M.D.
0072010-12-01FRANK A. BONAVITA, M.D.
0072009-12-01FRANK A. BONAVITA, M.D.
0072008-12-01

Plan Statistics for FULLERTON CARDIOVASCULAR MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for FULLERTON CARDIOVASCULAR MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2011: FULLERTON CARDIOVASCULAR MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0124
Total number of active participants reported on line 7a of the Form 55002011-01-0125
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-0125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0125
Number of participants with account balances2011-01-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-013
2010: FULLERTON CARDIOVASCULAR MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year2010-12-0122
Total number of active participants reported on line 7a of the Form 55002010-12-0122
Number of retired or separated participants receiving benefits2010-12-010
Number of other retired or separated participants entitled to future benefits2010-12-011
Total of all active and inactive participants2010-12-0123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-12-010
Total participants2010-12-0123
Number of participants with account balances2010-12-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-12-010
2009: FULLERTON CARDIOVASCULAR MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-12-0127
Total number of active participants reported on line 7a of the Form 55002009-12-0121
Number of retired or separated participants receiving benefits2009-12-010
Number of other retired or separated participants entitled to future benefits2009-12-011
Total of all active and inactive participants2009-12-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-12-010
Total participants2009-12-0122
Number of participants with account balances2009-12-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-12-013

Financial Data on FULLERTON CARDIOVASCULAR MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2011 : FULLERTON CARDIOVASCULAR MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources2011-12-31$488,117
Expenses. Total of all expenses incurred2011-12-31$61,793
Benefits paid (including direct rollovers)2011-12-31$21,895
Total plan assets at end of year2011-12-31$5,361,849
Total plan assets at beginning of year2011-12-31$4,935,525
Value of fidelity bond covering the plan2011-12-31$500,000
Total contributions received or receivable from participants2011-12-31$158,066
Contributions received from other sources (not participants or employers)2011-12-31$84,878
Other income received2011-12-31$90,029
Net income (gross income less expenses)2011-12-31$426,324
Net plan assets at end of year (total assets less liabilities)2011-12-31$5,361,849
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$4,935,525
Assets. Value of participant loans2011-12-31$16,465
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022011-12-31$40,714
Total contributions received or receivable from employer(s)2011-12-31$155,144
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$39,898
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : FULLERTON CARDIOVASCULAR MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources2010-12-31$120,772
Expenses. Total of all expenses incurred2010-12-31$8
Total plan assets at end of year2010-12-31$4,935,525
Total plan assets at beginning of year2010-12-31$4,814,761
Value of fidelity bond covering the plan2010-12-31$500,000
Total contributions received or receivable from participants2010-12-31$2,817
Other income received2010-12-31$117,955
Net income (gross income less expenses)2010-12-31$120,764
Net plan assets at end of year (total assets less liabilities)2010-12-31$4,935,525
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$4,814,761
Assets. Value of participant loans2010-12-31$20,973
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022010-12-31$48,700
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$8
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-11-30$0

Form 5500 Responses for FULLERTON CARDIOVASCULAR MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN

2011: FULLERTON CARDIOVASCULAR MEDICAL GROUP, INC. 401(K) PROFIT SHARING 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: FULLERTON CARDIOVASCULAR MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2010 form 5500 responses
2010-12-01Type of plan entitySingle employer plan
2010-12-01Submission has been amendedNo
2010-12-01This submission is the final filingNo
2010-12-01This return/report is a short plan year return/report (less than 12 months)Yes
2010-12-01Plan is a collectively bargained planNo
2010-12-01Plan funding arrangement – InsuranceYes
2010-12-01Plan funding arrangement – TrustYes
2010-12-01Plan benefit arrangement - TrustYes
2009: FULLERTON CARDIOVASCULAR MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-12-01Type of plan entitySingle employer plan
2009-12-01Submission has been amendedNo
2009-12-01This submission is the final filingNo
2009-12-01This return/report is a short plan year return/report (less than 12 months)No
2009-12-01Plan is a collectively bargained planNo
2009-12-01Plan funding arrangement – InsuranceYes
2009-12-01Plan funding arrangement – TrustYes
2009-12-01Plan benefit arrangement - TrustYes
2008: FULLERTON CARDIOVASCULAR MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2008 form 5500 responses
2008-12-01Type of plan entitySingle employer plan
2008-12-01Submission has been amendedNo
2008-12-01This submission is the final filingNo
2008-12-01This return/report is a short plan year return/report (less than 12 months)No
2008-12-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number19453
Policy instance 1
Insurance contract or identification number19453
Number of Individuals Covered24
Insurance policy start date2011-12-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $29,636
Total amount of fees paid to insurance companyUSD $2,749
Are there contracts with allocated funds for individual policies?No
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?Yes
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
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number19453
Policy instance 1
Insurance contract or identification number19453
Number of Individuals Covered25
Insurance policy start date2010-12-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $2,404
Total amount of fees paid to insurance companyUSD $162
Are there contracts with allocated funds for individual policies?No
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?Yes
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 $2,404
Insurance broker organization code?3
Amount paid for insurance broker fees162
Additional information about fees paid to insurance brokerADMINISTRATIVE REIMBURSEMENT
Insurance broker nameKRAVITZ, INC.

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