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| Plan Name | ABC PEDIATRIC CLINIC SAFE HARBOR 401K |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | ABC PEDIATRIC CLINIC LLC |
| Employer identification number (EIN): | 061696129 |
| 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 | 2016-01-01 | LISA JOINES MD | 2017-07-18 | ||
| 001 | 2015-01-01 | LISA JOINES MD | 2016-08-30 | ||
| 001 | 2014-01-01 | LISA JOINES MD | 2015-07-29 | LISA JOINES MD | 2015-07-29 |
| 001 | 2013-01-01 | LISA JOINES MD | 2014-09-20 | ||
| 001 | 2012-01-01 | LISA JOINES MD | |||
| 001 | 2011-01-01 | LISA JOINES MD | 2012-08-02 | ||
| 001 | 2010-01-01 | LISA JOINES MD | 2011-10-11 | ||
| 001 | 2009-01-01 | LISA K. JOINES MD | LISA K. JOINES, MD | 2010-07-27 |
| Measure | Date | Value |
|---|---|---|
| 2012: ABC PEDIATRIC CLINIC SAFE HARBOR 401K 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-01-01 | 2 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 2 |
| Total of all active and inactive participants | 2012-01-01 | 2 |
| Total participants | 2012-01-01 | 2 |
| 2009: ABC PEDIATRIC CLINIC SAFE HARBOR 401K 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-01-01 | 2 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 2 |
| Number of retired or separated participants receiving benefits | 2009-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2009-01-01 | 0 |
| Total of all active and inactive participants | 2009-01-01 | 2 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2009-01-01 | 0 |
| Total participants | 2009-01-01 | 2 |
| Number of participants with account balances | 2009-01-01 | 2 |
| Measure | Date | Value |
|---|---|---|
| 2012 : ABC PEDIATRIC CLINIC SAFE HARBOR 401K 2012 401k financial data | ||
| Total income from all sources | 2012-12-31 | $36,887 |
| Expenses. Total of all expenses incurred | 2012-12-31 | $76 |
| Total plan assets at end of year | 2012-12-31 | $56,795 |
| Total plan assets at beginning of year | 2012-12-31 | $19,984 |
| Total contributions received or receivable from participants | 2012-12-31 | $17,818 |
| Expenses. Other expenses not covered elsewhere | 2012-12-31 | $16 |
| Other income received | 2012-12-31 | $4,373 |
| Net income (gross income less expenses) | 2012-12-31 | $36,811 |
| Net plan assets at end of year (total assets less liabilities) | 2012-12-31 | $56,795 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-12-31 | $19,984 |
| Total contributions received or receivable from employer(s) | 2012-12-31 | $14,696 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2012-12-31 | $60 |
| 2012: ABC PEDIATRIC CLINIC SAFE HARBOR 401K 2012 form 5500 responses | ||
|---|---|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Submission has been amended | No |
| 2012-01-01 | This submission is the final filing | No |
| 2012-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-01-01 | Plan is a collectively bargained plan | No |
| 2012-01-01 | Plan funding arrangement – Trust | Yes |
| 2012-01-01 | Plan benefit arrangement - Trust | Yes |
| 2009: ABC PEDIATRIC CLINIC SAFE HARBOR 401K 2009 form 5500 responses | ||
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Plan funding arrangement – Trust | Yes |
| 2009-01-01 | Plan benefit arrangement - Trust | Yes |
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