401k Plan data: NORTH SHORE PULMONARY ASSOCIATES, INC. RETIREMENT PLAN plan

NORTH SHORE PULMONARY ASSOCIATES, INC. RETIREMENT PLAN 401k Plan overview

Plan Name	NORTH SHORE PULMONARY ASSOCIATES, INC. RETIREMENT PLAN
Plan identification number	001

NORTH SHORE PULMONARY ASSOCIATES, INC. RETIREMENT PLAN Benefits

401k Plan Type

Defined 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.
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

NORTH SHORE PULMONARY ASSOCIATES, INC. has sponsored the creation of one or more 401k plans.

Company Name: NORTH SHORE PULMONARY ASSOCIATES, INC.

Employer identification number (EIN): 042552550

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTH SHORE PULMONARY ASSOCIATES, INC. RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2013-07-01 PATRICIA STAHM FOR CBIZ ACTUARIAL 2013-11-25
001 2012-07-01 NEIL SHORE 2013-11-24
001 2011-07-01 NEIL SHORE
001 2010-07-01 NEIL SHORE
001 2009-07-01 NEIL SHORE

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2013-07-01	PATRICIA STAHM FOR CBIZ ACTUARIAL	2013-11-25
001	2012-07-01	NEIL SHORE	2013-11-24
001	2011-07-01	NEIL SHORE
001	2010-07-01	NEIL SHORE
001	2009-07-01	NEIL SHORE

Plan Statistics for NORTH SHORE PULMONARY ASSOCIATES, INC. RETIREMENT PLAN

401k plan membership statisitcs for NORTH SHORE PULMONARY ASSOCIATES, INC. RETIREMENT PLAN

Measure Date Value
2011: NORTH SHORE PULMONARY ASSOCIATES, INC. RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 19
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 7
Number of retired or separated participants receiving benefits 2011-07-01 0
Number of other retired or separated participants entitled to future benefits 2011-07-01 5
Total of all active and inactive participants 2011-07-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 0
Total participants 2011-07-01 12
Number of participants with account balances 2011-07-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-07-01 0
2010: NORTH SHORE PULMONARY ASSOCIATES, INC. RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-07-01 17
Total number of active participants reported on line 7a of the Form 5500 2010-07-01 16
Number of retired or separated participants receiving benefits 2010-07-01 0
Number of other retired or separated participants entitled to future benefits 2010-07-01 1
Total of all active and inactive participants 2010-07-01 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-07-01 0
Total participants 2010-07-01 17
Number of participants with account balances 2010-07-01 13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-07-01 0
2009: NORTH SHORE PULMONARY ASSOCIATES, INC. RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 17
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 12
Number of retired or separated participants receiving benefits 2009-07-01 0
Number of other retired or separated participants entitled to future benefits 2009-07-01 3
Total of all active and inactive participants 2009-07-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 0
Total participants 2009-07-01 15
Number of participants with account balances 2009-07-01 13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-07-01 1

Measure	Date	Value
2011: NORTH SHORE PULMONARY ASSOCIATES, INC. RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	19
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	7
Number of retired or separated participants receiving benefits	2011-07-01	0
Number of other retired or separated participants entitled to future benefits	2011-07-01	5
Total of all active and inactive participants	2011-07-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
Total participants	2011-07-01	12
Number of participants with account balances	2011-07-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-07-01	0
2010: NORTH SHORE PULMONARY ASSOCIATES, INC. RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-07-01	17
Total number of active participants reported on line 7a of the Form 5500	2010-07-01	16
Number of retired or separated participants receiving benefits	2010-07-01	0
Number of other retired or separated participants entitled to future benefits	2010-07-01	1
Total of all active and inactive participants	2010-07-01	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-07-01	0
Total participants	2010-07-01	17
Number of participants with account balances	2010-07-01	13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-07-01	0
2009: NORTH SHORE PULMONARY ASSOCIATES, INC. RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	17
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	12
Number of retired or separated participants receiving benefits	2009-07-01	0
Number of other retired or separated participants entitled to future benefits	2009-07-01	3
Total of all active and inactive participants	2009-07-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	0
Total participants	2009-07-01	15
Number of participants with account balances	2009-07-01	13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-07-01	1

Financial Data on NORTH SHORE PULMONARY ASSOCIATES, INC. RETIREMENT PLAN

Measure	Date	Value
2012 : NORTH SHORE PULMONARY ASSOCIATES, INC. RETIREMENT PLAN 2012 401k financial data
Transfers to/from the plan	2012-06-30	$0
Total plan liabilities at end of year	2012-06-30	$2,475
Total plan liabilities at beginning of year	2012-06-30	$2,558
Total income from all sources	2012-06-30	$-119,801
Expenses. Total of all expenses incurred	2012-06-30	$19,874
Benefits paid (including direct rollovers)	2012-06-30	$0
Total plan assets at end of year	2012-06-30	$8,940,498
Total plan assets at beginning of year	2012-06-30	$9,080,256
Value of fidelity bond covering the plan	2012-06-30	$500,000
Total contributions received or receivable from participants	2012-06-30	$4,352
Expenses. Other expenses not covered elsewhere	2012-06-30	$0
Contributions received from other sources (not participants or employers)	2012-06-30	$0
Other income received	2012-06-30	$-124,153
Noncash contributions received	2012-06-30	$0
Net income (gross income less expenses)	2012-06-30	$-139,675
Net plan assets at end of year (total assets less liabilities)	2012-06-30	$8,938,023
Net plan assets at beginning of year (total assets less liabilities)	2012-06-30	$9,077,698
Total contributions received or receivable from employer(s)	2012-06-30	$0
Value of certain deemed distributions of participant loans	2012-06-30	$0
Value of corrective distributions	2012-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-06-30	$19,874
2011 : NORTH SHORE PULMONARY ASSOCIATES, INC. RETIREMENT PLAN 2011 401k financial data
Transfers to/from the plan	2011-06-30	$0
Total plan liabilities at end of year	2011-06-30	$2,558
Total plan liabilities at beginning of year	2011-06-30	$2,558
Total income from all sources	2011-06-30	$1,630,748
Expenses. Total of all expenses incurred	2011-06-30	$186,926
Benefits paid (including direct rollovers)	2011-06-30	$165,861
Total plan assets at end of year	2011-06-30	$9,080,256
Total plan assets at beginning of year	2011-06-30	$7,636,434
Value of fidelity bond covering the plan	2011-06-30	$500,000
Total contributions received or receivable from participants	2011-06-30	$8,045
Expenses. Other expenses not covered elsewhere	2011-06-30	$21,065
Contributions received from other sources (not participants or employers)	2011-06-30	$0
Other income received	2011-06-30	$1,622,703
Noncash contributions received	2011-06-30	$0
Net income (gross income less expenses)	2011-06-30	$1,443,822
Net plan assets at end of year (total assets less liabilities)	2011-06-30	$9,077,698
Net plan assets at beginning of year (total assets less liabilities)	2011-06-30	$7,633,876
Total contributions received or receivable from employer(s)	2011-06-30	$0
Value of certain deemed distributions of participant loans	2011-06-30	$0
Value of corrective distributions	2011-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-06-30	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-06-30	$0
2010 : NORTH SHORE PULMONARY ASSOCIATES, INC. RETIREMENT PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-06-30	$0

Form 5500 Responses for NORTH SHORE PULMONARY ASSOCIATES, INC. RETIREMENT PLAN

2011: NORTH SHORE PULMONARY ASSOCIATES, INC. RETIREMENT PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Trust	Yes
2011-07-01	Plan benefit arrangement - Trust	Yes
2010: NORTH SHORE PULMONARY ASSOCIATES, INC. RETIREMENT PLAN 2010 form 5500 responses
2010-07-01	Type of plan entity	Single employer plan
2010-07-01	Submission has been amended	No
2010-07-01	This submission is the final filing	No
2010-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-07-01	Plan is a collectively bargained plan	No
2010-07-01	Plan funding arrangement – Trust	Yes
2010-07-01	Plan benefit arrangement - Trust	Yes
2009: NORTH SHORE PULMONARY ASSOCIATES, INC. RETIREMENT PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Trust	Yes
2009-07-01	Plan benefit arrangement - Trust	Yes

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Company Name:	NORTH SHORE PULMONARY ASSOCIATES, INC.
Employer identification number (EIN):	042552550
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)