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| Plan Name | GOLDEN ISLES CENTER FOR OBESITY SURGERY, LLC 401(K) PROFIT SHARING PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | GOLDEN ISLES CENTER FOR OBESITY SURGERY, LLC |
| Employer identification number (EIN): | 201455507 |
| NAIC Classification: | 621498 |
| NAIC Description: | All Other Outpatient Care Centers |
Additional information about GOLDEN ISLES CENTER FOR OBESITY SURGERY, LLC
| Jurisdiction of Incorporation: | Georgia Department of States Corporations Division |
| Incorporation Date: | |
| Company Identification Number: | 138062 |
More information about GOLDEN ISLES CENTER FOR OBESITY SURGERY, LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2013-01-01 | HAROLD KENT, MD | 2013-10-08 | HAROLD KENT, MD | 2013-10-08 |
| 001 | 2012-01-01 | HAROLD KENT, M.D. | 2013-10-08 | HAROLD KENT, M.D. | 2013-10-08 |
| 001 | 2011-01-01 | HAROLD KENT, M.D. | 2012-10-02 | HAROLD KENT, M.D. | 2012-10-02 |
| 001 | 2010-01-01 | HAROLD KENT, M.D. | HAROLD KENT, M.D. | 2011-10-11 | |
| 001 | 2009-01-01 | HAROLD KENT | HAROLD KENT | 2010-10-15 |
| Measure | Date | Value |
|---|---|---|
| 2010 : GOLDEN ISLES CENTER FOR OBESITY SURGERY, LLC 401(K) PROFIT SHARING PLAN 2010 401k financial data | ||
| Total income from all sources | 2010-12-31 | $140,732 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $365,698 |
| Benefits paid (including direct rollovers) | 2010-12-31 | $356,661 |
| Total plan assets at end of year | 2010-12-31 | $682,581 |
| Total plan assets at beginning of year | 2010-12-31 | $907,547 |
| Total contributions received or receivable from participants | 2010-12-31 | $34,882 |
| Other income received | 2010-12-31 | $91,818 |
| Net income (gross income less expenses) | 2010-12-31 | $-224,966 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $682,581 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $907,547 |
| 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 | 2010-12-31 | $11,634 |
| Total contributions received or receivable from employer(s) | 2010-12-31 | $14,032 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2010-12-31 | $9,037 |
| 2010: GOLDEN ISLES CENTER FOR OBESITY SURGERY, LLC 401(K) PROFIT SHARING PLAN 2010 form 5500 responses | ||
|---|---|---|
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Submission has been amended | No |
| 2010-01-01 | This submission is the final filing | No |
| 2010-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2010-01-01 | Plan is a collectively bargained plan | No |
| 2010-01-01 | Plan funding arrangement – Insurance | Yes |
| 2010-01-01 | Plan funding arrangement – Trust | Yes |
| 2010-01-01 | Plan benefit arrangement - Trust | Yes |
| 2009: GOLDEN ISLES CENTER FOR OBESITY SURGERY, LLC 401(K) PROFIT SHARING PLAN 2009 form 5500 responses | ||
| 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) | No |
| 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 |
| JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 ) | |
| Policy contract number | 38658 |
| Policy instance | 1 |
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