401k Plan data: CENTRAL FLORIDA PAIN & SPINE INSTITUTE, P.A. 401(K) PROFIT SHARING PLAN plan

CENTRAL FLORIDA PAIN & SPINE INSTITUTE, P.A. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	CENTRAL FLORIDA PAIN & SPINE INSTITUTE, P.A. 401(K) PROFIT SHARING PLAN
Plan identification number	001

CENTRAL FLORIDA PAIN & SPINE INSTITUTE, P.A. 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of 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.
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

CENTRAL FLORIDA PAIN & SPINE INSTITUTE, P.A. has sponsored the creation of one or more 401k plans.

Company Name: CENTRAL FLORIDA PAIN & SPINE INSTITUTE, P.A.

Employer identification number (EIN): 134236113

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

Additional information about CENTRAL FLORIDA PAIN & SPINE INSTITUTE, P.A.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 2003-02-05

Company Identification Number: P03000013546

Legal Registered Office Address: 200 VILLAGE SQUARE CROSSING

PALM BEACH GARDENS

33410

More information about CENTRAL FLORIDA PAIN & SPINE INSTITUTE, P.A.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CENTRAL FLORIDA PAIN & SPINE INSTITUTE, P.A. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2012-07-01 DINASH YANAMADULA
001 2011-07-01 DINASH YANAMADULA
001 2009-07-01 DINASH YANAMADULA
001 2009-01-01 DINASH YANAMADULA

Plan id#	Filing Submission Date	Name of Administrator
001	2012-07-01	DINASH YANAMADULA
001	2011-07-01	DINASH YANAMADULA
001	2009-07-01	DINASH YANAMADULA
001	2009-01-01	DINASH YANAMADULA

Plan Statistics for CENTRAL FLORIDA PAIN & SPINE INSTITUTE, P.A. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for CENTRAL FLORIDA PAIN & SPINE INSTITUTE, P.A. 401(K) PROFIT SHARING PLAN

Measure Date Value
2012: CENTRAL FLORIDA PAIN & SPINE INSTITUTE, P.A. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 2
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 0
Number of retired or separated participants receiving benefits 2012-07-01 0
Number of other retired or separated participants entitled to future benefits 2012-07-01 0
Total of all active and inactive participants 2012-07-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-07-01 0
Total participants 2012-07-01 0
Number of participants with account balances 2012-07-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-07-01 0
2011: CENTRAL FLORIDA PAIN & SPINE INSTITUTE, P.A. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 5
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 2
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 0
Total of all active and inactive participants 2011-07-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 0
Total participants 2011-07-01 2
Number of participants with account balances 2011-07-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-07-01 0
2009: CENTRAL FLORIDA PAIN & SPINE INSTITUTE, P.A. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 7
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 6
Total of all active and inactive participants 2009-07-01 6
Total participants 2009-07-01 6
Number of participants with account balances 2009-07-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-07-01 0
Total participants, beginning-of-year 2009-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 7
Total of all active and inactive participants 2009-01-01 7
Total participants 2009-01-01 7
Number of participants with account balances 2009-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2012: CENTRAL FLORIDA PAIN & SPINE INSTITUTE, P.A. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	2
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	0
Number of retired or separated participants receiving benefits	2012-07-01	0
Number of other retired or separated participants entitled to future benefits	2012-07-01	0
Total of all active and inactive participants	2012-07-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-01	0
Total participants	2012-07-01	0
Number of participants with account balances	2012-07-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-01	0
2011: CENTRAL FLORIDA PAIN & SPINE INSTITUTE, P.A. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	5
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	2
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	0
Total of all active and inactive participants	2011-07-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
Total participants	2011-07-01	2
Number of participants with account balances	2011-07-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-07-01	0
2009: CENTRAL FLORIDA PAIN & SPINE INSTITUTE, P.A. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	7
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	6
Total of all active and inactive participants	2009-07-01	6
Total participants	2009-07-01	6
Number of participants with account balances	2009-07-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-07-01	0
Total participants, beginning-of-year	2009-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	7
Total of all active and inactive participants	2009-01-01	7
Total participants	2009-01-01	7
Number of participants with account balances	2009-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on CENTRAL FLORIDA PAIN & SPINE INSTITUTE, P.A. 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2013 : CENTRAL FLORIDA PAIN & SPINE INSTITUTE, P.A. 401(K) PROFIT SHARING PLAN 2013 401k financial data
Transfers to/from the plan	2013-06-30	$0
Total plan liabilities at end of year	2013-06-30	$0
Total plan liabilities at beginning of year	2013-06-30	$0
Total income from all sources	2013-06-30	$1,435
Expenses. Total of all expenses incurred	2013-06-30	$86,747
Benefits paid (including direct rollovers)	2013-06-30	$84,978
Total plan assets at end of year	2013-06-30	$0
Total plan assets at beginning of year	2013-06-30	$85,312
Total contributions received or receivable from participants	2013-06-30	$0
Contributions received from other sources (not participants or employers)	2013-06-30	$0
Other income received	2013-06-30	$1,435
Noncash contributions received	2013-06-30	$0
Net income (gross income less expenses)	2013-06-30	$-85,312
Net plan assets at end of year (total assets less liabilities)	2013-06-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2013-06-30	$85,312
Total contributions received or receivable from employer(s)	2013-06-30	$0
Value of certain deemed distributions of participant loans	2013-06-30	$0
Value of corrective distributions	2013-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-06-30	$1,769
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-06-30	$0
2012 : CENTRAL FLORIDA PAIN & SPINE INSTITUTE, P.A. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at end of year	2012-06-30	$0
Total plan liabilities at beginning of year	2012-06-30	$0
Total income from all sources	2012-06-30	$-1,658
Expenses. Total of all expenses incurred	2012-06-30	$973
Benefits paid (including direct rollovers)	2012-06-30	$0
Total plan assets at end of year	2012-06-30	$85,312
Total plan assets at beginning of year	2012-06-30	$87,943
Other income received	2012-06-30	$-1,658
Net income (gross income less expenses)	2012-06-30	$-2,631
Net plan assets at end of year (total assets less liabilities)	2012-06-30	$85,312
Net plan assets at beginning of year (total assets less liabilities)	2012-06-30	$87,943
Expenses. Administrative service providers (salaries,fees and commissions)	2012-06-30	$973
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-06-30	$0
2011 : CENTRAL FLORIDA PAIN & SPINE INSTITUTE, P.A. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-06-30	$16,078
Expenses. Total of all expenses incurred	2011-06-30	$12,884
Benefits paid (including direct rollovers)	2011-06-30	$11,680
Total plan assets at end of year	2011-06-30	$87,943
Total plan assets at beginning of year	2011-06-30	$84,749
Other income received	2011-06-30	$16,078
Net income (gross income less expenses)	2011-06-30	$3,194
Net plan assets at end of year (total assets less liabilities)	2011-06-30	$87,943
Net plan assets at beginning of year (total assets less liabilities)	2011-06-30	$84,749
Expenses. Administrative service providers (salaries,fees and commissions)	2011-06-30	$1,204
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-06-30	$0

Form 5500 Responses for CENTRAL FLORIDA PAIN & SPINE INSTITUTE, P.A. 401(K) PROFIT SHARING PLAN

2012: CENTRAL FLORIDA PAIN & SPINE INSTITUTE, P.A. 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	Yes
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan funding arrangement – Trust	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement - Trust	Yes
2011: CENTRAL FLORIDA PAIN & SPINE INSTITUTE, P.A. 401(K) PROFIT SHARING 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 – Insurance	Yes
2011-07-01	Plan funding arrangement – Trust	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement - Trust	Yes
2009: CENTRAL FLORIDA PAIN & SPINE INSTITUTE, P.A. 401(K) PROFIT SHARING 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 – Insurance	Yes
2009-07-01	Plan funding arrangement – Trust	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement - Trust	Yes
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	CENTRAL FLORIDA PAIN & SPINE INSTITUTE, P.A.
Employer identification number (EIN):	134236113
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	2003-02-05
Company Identification Number:	P03000013546
Legal Registered Office Address:	200 VILLAGE SQUARE CROSSING PALM BEACH GARDENS 33410