| Plan Name | BUFFALO SPINE & SPORTS INSTITUTE |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | BUFFALO SPINE & SPORTS INSTITUTE |
| Employer identification number (EIN): | 161399872 |
| 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 | 2012-01-01 | FREDERICK MCADAM | 2013-10-14 | FREDERICK MCADAM | 2013-10-14 |
| 001 | 2011-01-01 | FREDERICK MCADAM | 2012-09-27 | FREDERICK MCADAM | 2012-09-27 |
| 001 | 2010-01-01 | MARGARET SHAFFER | 2011-08-25 | MARGARET SHAFFER | 2011-08-25 |
| 001 | 2006-01-01 | MARGARET SHAFFER |
| Measure | Date | Value |
|---|---|---|
| 2006 : BUFFALO SPINE & SPORTS INSTITUTE 2006 401k financial data | ||
| Total income from all sources | 2006-12-31 | $376,941 |
| Expenses. Total of all expenses incurred | 2006-12-31 | $109,587 |
| Benefits paid (including direct rollovers) | 2006-12-31 | $101,854 |
| Total plan assets at end of year | 2006-12-31 | $1,392,070 |
| Total plan assets at beginning of year | 2006-12-31 | $1,124,716 |
| Value of fidelity bond covering the plan | 2006-12-31 | $130,000 |
| Total contributions received or receivable from participants | 2006-12-31 | $117,023 |
| Expenses. Other expenses not covered elsewhere | 2006-12-31 | $7,733 |
| Other income received | 2006-12-31 | $175,978 |
| Net income (gross income less expenses) | 2006-12-31 | $267,354 |
| Net plan assets at end of year (total assets less liabilities) | 2006-12-31 | $1,392,070 |
| Net plan assets at beginning of year (total assets less liabilities) | 2006-12-31 | $1,124,716 |
| Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102 | 2006-12-31 | $612 |
| Total contributions received or receivable from employer(s) | 2006-12-31 | $83,940 |
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |
| Policy contract number | 437160 |
| Policy instance | 1 |