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TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) PLAN 401k Plan overview

Plan NameTENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) PLAN
Plan identification number 001

TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) 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

TENTH STREET PEDIATRIC MEDICAL GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name:TENTH STREET PEDIATRIC MEDICAL GROUP, INC.
Employer identification number (EIN):954175299
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012018-01-01DR. LISA STERN2019-08-27
0012017-01-01
0012016-01-01
0012015-01-01
0012014-01-01DR. LISA STERN
0012013-01-01DR. LISA STERN
0012012-01-01DR. LISA STERN
0012011-01-01DR. WILLIAM GURFIELD
0012010-01-01DR. WILLIAM GURFIELD
0012009-01-01DR. WILLIAM GURFIELD

Plan Statistics for TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) PLAN

401k plan membership statisitcs for TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) PLAN

Measure Date Value
2018: TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0129
Total number of active participants reported on line 7a of the Form 55002018-01-0115
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0114
Total of all active and inactive participants2018-01-0129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0129
Number of participants with account balances2018-01-0124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0129
Total number of active participants reported on line 7a of the Form 55002017-01-0114
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0115
Total of all active and inactive participants2017-01-0129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0129
Number of participants with account balances2017-01-0126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-012
2016: TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0130
Total number of active participants reported on line 7a of the Form 55002016-01-0116
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0113
Total of all active and inactive participants2016-01-0129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0129
Number of participants with account balances2016-01-0127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0130
Total number of active participants reported on line 7a of the Form 55002015-01-0116
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0114
Total of all active and inactive participants2015-01-0130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0130
Number of participants with account balances2015-01-0128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0133
Total number of active participants reported on line 7a of the Form 55002014-01-0116
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0114
Total of all active and inactive participants2014-01-0130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0130
Number of participants with account balances2014-01-0130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0134
Total number of active participants reported on line 7a of the Form 55002013-01-0119
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0114
Total of all active and inactive participants2013-01-0133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0133
Number of participants with account balances2013-01-0133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0135
Total number of active participants reported on line 7a of the Form 55002012-01-0120
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0114
Total of all active and inactive participants2012-01-0134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0134
Number of participants with account balances2012-01-0134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0137
Total number of active participants reported on line 7a of the Form 55002011-01-0120
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0115
Total of all active and inactive participants2011-01-0135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0135
Number of participants with account balances2011-01-0135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0138
Total number of active participants reported on line 7a of the Form 55002010-01-0121
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-0116
Total of all active and inactive participants2010-01-0137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-0137
Number of participants with account balances2010-01-0136
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-011
2009: TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0141
Total number of active participants reported on line 7a of the Form 55002009-01-0121
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0117
Total of all active and inactive participants2009-01-0138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0138
Number of participants with account balances2009-01-0138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-011

Financial Data on TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) PLAN

Measure Date Value
2018 : TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) PLAN 2018 401k financial data
Total income from all sources2018-12-31$54,134
Expenses. Total of all expenses incurred2018-12-31$302,105
Benefits paid (including direct rollovers)2018-12-31$300,503
Total plan assets at end of year2018-12-31$7,785,921
Total plan assets at beginning of year2018-12-31$8,033,892
Value of fidelity bond covering the plan2018-12-31$2,860,000
Total contributions received or receivable from participants2018-12-31$36,145
Other income received2018-12-31$7,315
Net income (gross income less expenses)2018-12-31$-247,971
Net plan assets at end of year (total assets less liabilities)2018-12-31$7,785,921
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$8,033,892
Assets. Value of participant loans2018-12-31$9,674
Assets. Value of assets in partnership/joint-venture interests2018-12-31$2,519,082
Total contributions received or receivable from employer(s)2018-12-31$10,674
Value of certain deemed distributions of participant loans2018-12-31$-18,261
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$19,863
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) PLAN 2017 401k financial data
Total income from all sources2017-12-31$1,014,200
Expenses. Total of all expenses incurred2017-12-31$162,124
Benefits paid (including direct rollovers)2017-12-31$118,239
Total plan assets at end of year2017-12-31$8,033,892
Total plan assets at beginning of year2017-12-31$7,181,816
Value of fidelity bond covering the plan2017-12-31$2,860,000
Total contributions received or receivable from participants2017-12-31$44,431
Other income received2017-12-31$956,659
Net income (gross income less expenses)2017-12-31$852,076
Net plan assets at end of year (total assets less liabilities)2017-12-31$8,033,892
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$7,181,816
Assets. Value of participant loans2017-12-31$25,580
Assets. Value of assets in partnership/joint-venture interests2017-12-31$2,508,937
Total contributions received or receivable from employer(s)2017-12-31$13,110
Value of certain deemed distributions of participant loans2017-12-31$23,576
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$20,309
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) PLAN 2016 401k financial data
Total income from all sources2016-12-31$752,880
Expenses. Total of all expenses incurred2016-12-31$149,466
Benefits paid (including direct rollovers)2016-12-31$129,125
Total plan assets at end of year2016-12-31$7,181,816
Total plan assets at beginning of year2016-12-31$6,578,402
Value of fidelity bond covering the plan2016-12-31$2,239,000
Total contributions received or receivable from participants2016-12-31$52,009
Expenses. Other expenses not covered elsewhere2016-12-31$25
Other income received2016-12-31$680,306
Net income (gross income less expenses)2016-12-31$603,414
Net plan assets at end of year (total assets less liabilities)2016-12-31$7,181,816
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$6,578,402
Assets. Value of participant loans2016-12-31$60,908
Assets. Value of assets in partnership/joint-venture interests2016-12-31$2,364,021
Total contributions received or receivable from employer(s)2016-12-31$20,565
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$20,316
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) PLAN 2015 401k financial data
Total income from all sources2015-12-31$153,525
Expenses. Total of all expenses incurred2015-12-31$306,888
Benefits paid (including direct rollovers)2015-12-31$287,170
Total plan assets at end of year2015-12-31$6,578,402
Total plan assets at beginning of year2015-12-31$6,731,765
Value of fidelity bond covering the plan2015-12-31$2,390,000
Total contributions received or receivable from participants2015-12-31$58,701
Expenses. Other expenses not covered elsewhere2015-12-31$2
Other income received2015-12-31$59,862
Net income (gross income less expenses)2015-12-31$-153,363
Net plan assets at end of year (total assets less liabilities)2015-12-31$6,578,402
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$6,731,765
Assets. Value of participant loans2015-12-31$49,056
Assets. Value of assets in partnership/joint-venture interests2015-12-31$1,855,596
Total contributions received or receivable from employer(s)2015-12-31$34,962
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$19,716
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) PLAN 2014 401k financial data
Total income from all sources2014-12-31$589,122
Expenses. Total of all expenses incurred2014-12-31$119,542
Benefits paid (including direct rollovers)2014-12-31$104,376
Total plan assets at end of year2014-12-31$6,731,765
Total plan assets at beginning of year2014-12-31$6,262,185
Value of fidelity bond covering the plan2014-12-31$1,870,000
Total contributions received or receivable from participants2014-12-31$51,594
Expenses. Other expenses not covered elsewhere2014-12-31$10
Other income received2014-12-31$513,576
Net income (gross income less expenses)2014-12-31$469,580
Net plan assets at end of year (total assets less liabilities)2014-12-31$6,731,765
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$6,262,185
Assets. Value of participant loans2014-12-31$54,019
Assets. Value of assets in partnership/joint-venture interests2014-12-31$1,989,296
Total contributions received or receivable from employer(s)2014-12-31$23,952
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$15,156
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) PLAN 2013 401k financial data
Total income from all sources2013-12-31$825,614
Expenses. Total of all expenses incurred2013-12-31$105,101
Benefits paid (including direct rollovers)2013-12-31$85,074
Total plan assets at end of year2013-12-31$6,262,185
Total plan assets at beginning of year2013-12-31$5,541,672
Value of fidelity bond covering the plan2013-12-31$1,660,000
Total contributions received or receivable from participants2013-12-31$17,730
Expenses. Other expenses not covered elsewhere2013-12-31$316
Other income received2013-12-31$807,884
Net income (gross income less expenses)2013-12-31$720,513
Net plan assets at end of year (total assets less liabilities)2013-12-31$6,262,185
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$5,541,672
Assets. Value of participant loans2013-12-31$70,549
Assets. Value of assets in partnership/joint-venture interests2013-12-31$1,376,817
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$19,711
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) PLAN 2012 401k financial data
Total income from all sources2012-12-31$764,552
Expenses. Total of all expenses incurred2012-12-31$28,884
Benefits paid (including direct rollovers)2012-12-31$10,801
Total plan assets at end of year2012-12-31$5,541,672
Total plan assets at beginning of year2012-12-31$4,806,004
Value of fidelity bond covering the plan2012-12-31$700,000
Total contributions received or receivable from participants2012-12-31$96,750
Other income received2012-12-31$598,001
Net income (gross income less expenses)2012-12-31$735,668
Net plan assets at end of year (total assets less liabilities)2012-12-31$5,541,672
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$4,806,004
Assets. Value of participant loans2012-12-31$81,213
Assets. Value of assets in partnership/joint-venture interests2012-12-31$1,230,224
Total contributions received or receivable from employer(s)2012-12-31$69,801
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$18,083
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) PLAN 2011 401k financial data
Total income from all sources2011-12-31$1,049,764
Expenses. Total of all expenses incurred2011-12-31$975,735
Benefits paid (including direct rollovers)2011-12-31$956,916
Total plan assets at end of year2011-12-31$4,806,004
Total plan assets at beginning of year2011-12-31$4,731,975
Value of fidelity bond covering the plan2011-12-31$700,000
Total contributions received or receivable from participants2011-12-31$15,815
Expenses. Other expenses not covered elsewhere2011-12-31$12,073
Contributions received from other sources (not participants or employers)2011-12-31$933,638
Other income received2011-12-31$524
Net income (gross income less expenses)2011-12-31$74,029
Net plan assets at end of year (total assets less liabilities)2011-12-31$4,806,004
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$4,731,975
Assets. Value of participant loans2011-12-31$60,695
Assets. Value of assets in partnership/joint-venture interests2011-12-31$449,733
Total contributions received or receivable from employer(s)2011-12-31$99,787
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$6,746
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) PLAN 2010 401k financial data
Total income from all sources2010-12-31$715,692
Expenses. Total of all expenses incurred2010-12-31$188,117
Benefits paid (including direct rollovers)2010-12-31$170,203
Total plan assets at end of year2010-12-31$4,731,975
Total plan assets at beginning of year2010-12-31$4,204,400
Value of fidelity bond covering the plan2010-12-31$700,000
Total contributions received or receivable from participants2010-12-31$89,900
Other income received2010-12-31$458,952
Net income (gross income less expenses)2010-12-31$527,575
Net plan assets at end of year (total assets less liabilities)2010-12-31$4,731,975
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$4,204,400
Assets. Value of participant loans2010-12-31$49,585
Assets. Value of assets in partnership/joint-venture interests2010-12-31$607,237
Total contributions received or receivable from employer(s)2010-12-31$166,840
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$17,914
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) 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$0

Form 5500 Responses for TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) PLAN

2018: TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) 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: TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) 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: TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) 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: TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) 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: TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) 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: TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) 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: TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) 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: TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) 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: TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) 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 – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: TENTH STREET PEDIATRIC MEDICAL GROUP, INC. 401(K) 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 – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number998861-000
Policy instance 1
Insurance contract or identification number998861-000
Number of Individuals Covered24
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $3,949
Total amount of fees paid to insurance companyUSD $791
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?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 $3,949
Insurance broker organization code?3
Amount paid for insurance broker fees791
Additional information about fees paid to insurance brokerADMINISTRATIVE REIMBURSEMENT
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number998861-000
Policy instance 1
Insurance contract or identification number998861-000
Number of Individuals Covered23
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $3,594
Total amount of fees paid to insurance companyUSD $722
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?Yes
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 $3,594
Insurance broker organization code?3
Amount paid for insurance broker fees722
Additional information about fees paid to insurance brokerADMINISTRATIVE REIMBURSEMENT
Insurance broker nameKRAVITZ, INC.
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number998861-000
Policy instance 1
Insurance contract or identification number998861-000
Number of Individuals Covered25
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $3,189
Total amount of fees paid to insurance companyUSD $638
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?Yes
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 $3,189
Insurance broker organization code?3
Amount paid for insurance broker fees638
Additional information about fees paid to insurance brokerADMINISTRATIVE REIMBURSEMENT
Insurance broker nameKRAVITZ, INC.
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number998861-000
Policy instance 1
Insurance contract or identification number998861-000
Number of Individuals Covered27
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $3,318
Total amount of fees paid to insurance companyUSD $660
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?Yes
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 $3,318
Insurance broker organization code?3
Amount paid for insurance broker fees660
Additional information about fees paid to insurance brokerADMINISTRATIVE REIMBURSEMENT
Insurance broker nameKRAVITZ, INC.
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number998861-000
Policy instance 1
Insurance contract or identification number998861-000
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $2,968
Total amount of fees paid to insurance companyUSD $585
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?Yes
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 $1,769
Insurance broker organization code?3
Amount paid for insurance broker fees585
Additional information about fees paid to insurance brokerADMINISTRATIVE REIMBURSEMENT
Insurance broker nameKRAVITZ, INC.
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number998861-000
Policy instance 1
Insurance contract or identification number998861-000
Number of Individuals Covered31
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $2,668
Total amount of fees paid to insurance companyUSD $531
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?Yes
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 $2,668
Insurance broker organization code?3
Amount paid for insurance broker fees531
Additional information about fees paid to insurance brokerADMINISTRATIVE REIMBURSEMENT
Insurance broker nameKRAVITZ, INC.
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number998861-000
Policy instance 1
Insurance contract or identification number998861-000
Number of Individuals Covered35
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $2,496
Total amount of fees paid to insurance companyUSD $493
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?Yes
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
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number998861-000
Policy instance 1
Insurance contract or identification number998861-000
Number of Individuals Covered32
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $2,492
Total amount of fees paid to insurance companyUSD $508
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?Yes
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

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