STATEN ISLAND PHYSICIAN PRACTICE, P.C. EMPLOYEE HEALTH PLAN 401k Plan overview

STATEN ISLAND PHYSICIAN PRACTICE, P.C. EMPLOYEE HEALTH PLAN Benefits

401k Sponsoring company profile

Company Name:	STATEN ISLAND PHYSICIAN PRACTICE, P.C.
Employer identification number (EIN):	204659577
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Additional information about STATEN ISLAND PHYSICIAN PRACTICE, P.C.

Jurisdiction of Incorporation:	New York Department of State
Incorporation Date:	2006-04-06
Company Identification Number:	3345425
Legal Registered Office Address:	55 WATER STREET NEW YORK NEW YORK United States of America (USA) 10041

More information about STATEN ISLAND PHYSICIAN PRACTICE, P.C.

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2015-01-01
501	2014-01-01	JOSEPH ZEITLIN, M.D.
501	2013-01-01	ADAM BOOKSIN
501	2012-01-01	MEREDITH GAMBLE
501	2011-01-01	MEREDITH GAMBLE
501	2009-01-01	MEREDITH GAMBLE
501	2009-01-01	MEREDITH GAMBLE
501	2008-01-01	MEREDITH GAMBLE
501	2008-01-01	MEREDITH GAMBLE
501	2007-01-01	MEREDITH GAMBLE
501	2007-01-01	MEREDITH GAMBLE
501	2006-01-01	MEREDITH GAMBLE

Plan Statistics for STATEN ISLAND PHYSICIAN PRACTICE, P.C. EMPLOYEE HEALTH PLAN

Measure	Date	Value
2015: STATEN ISLAND PHYSICIAN PRACTICE, P.C. EMPLOYEE HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	152
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	0
2014: STATEN ISLAND PHYSICIAN PRACTICE, P.C. EMPLOYEE HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	278
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	152
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	152
2013: STATEN ISLAND PHYSICIAN PRACTICE, P.C. EMPLOYEE HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	272
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	278
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	278
2012: STATEN ISLAND PHYSICIAN PRACTICE, P.C. EMPLOYEE HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	265
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	292
Number of retired or separated participants receiving benefits	2012-01-01	1
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	293
2011: STATEN ISLAND PHYSICIAN PRACTICE, P.C. EMPLOYEE HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	278
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	251
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	251
2009: STATEN ISLAND PHYSICIAN PRACTICE, P.C. EMPLOYEE HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	313
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	273
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	273
2008: STATEN ISLAND PHYSICIAN PRACTICE, P.C. EMPLOYEE HEALTH PLAN 2008 401k membership
Total participants, beginning-of-year	2008-01-01	266
Total number of active participants reported on line 7a of the Form 5500	2008-01-01	257
Number of retired or separated participants receiving benefits	2008-01-01	0
Number of other retired or separated participants entitled to future benefits	2008-01-01	0
Total of all active and inactive participants	2008-01-01	257
2007: STATEN ISLAND PHYSICIAN PRACTICE, P.C. EMPLOYEE HEALTH PLAN 2007 401k membership
Total participants, beginning-of-year	2007-01-01	292
Total number of active participants reported on line 7a of the Form 5500	2007-01-01	273
Number of retired or separated participants receiving benefits	2007-01-01	0
Number of other retired or separated participants entitled to future benefits	2007-01-01	0
Total of all active and inactive participants	2007-01-01	273
2006: STATEN ISLAND PHYSICIAN PRACTICE, P.C. EMPLOYEE HEALTH PLAN 2006 401k membership
Total participants, beginning-of-year	2006-01-01	100
Total number of active participants reported on line 7a of the Form 5500	2006-01-01	282
Number of retired or separated participants receiving benefits	2006-01-01	0
Number of other retired or separated participants entitled to future benefits	2006-01-01	0
Total of all active and inactive participants	2006-01-01	282

Form 5500 Responses for STATEN ISLAND PHYSICIAN PRACTICE, P.C. EMPLOYEE HEALTH PLAN

Insurance Providers Used on plan

Potentially related plans

• STATEN ISLAND UNIVERSITY HOSPITAL GROUP LIFE INSURANCE PLAN [EIN = 112868878]
• STATEN ISLAND UNIVERSITY HOSPITAL BENEFITS PLAN [EIN = 112868878]
• STATEN ISLAND UROLOGICAL ASSOCIATES, P.C. 401(K) PLAN [EIN = 132862201]
• STATEN ISLAND AUDIOLOGICAL SERVICES, INC. SAVINGS PLAN [EIN = 134131317]
• STATEN ISLAND SURGICAL ASSOCIATES, P.C. PROFIT SHARING PLAN AND TRUST [EIN = 112237449]
• STATEN ISLAND OPHTHALMOLOGY, P.C. DEFINED BENEFIT PLAN [EIN = 112696201]
• STATEN ISLAND GASTROENTEROLOGY RETIREMENT PLAN [EIN = 134090542]
• STATEN ISLAND CARE CENTER, LLC 401 K PROFIT SHARING PLAN [EIN = 133632426]
• STATEN ISLAND UROLOGICAL ASSOC, INC, PC WELFARE BE PRIME WELFARE BENEFIT TRUST [EIN = 132862201]
• STATEN ISLAND CHIROPRACTIC GROUP PLLC CASH BALANCE PLAN [EIN = 134100089]
• STATEN ISLAND PICKLE WORKS, INC. MONEY PURCHASE PLAN [EIN = 135565411]
• STATEN ISLAND ORTHOPAEDIC ASSOCIATES, P.C. RETIREMENT INCOME PLAN [EIN = 132680575]
• STATEN ISLAND CARE CENTER RETIREMENT PLAN [EIN = 133632426]
• STATEN ISLAND YANKEES 401(K) PLAN [EIN = 452867822]
• STATEN ISLAND NEPHROLOGY, P.C. RETIREMENT SAVINGS PLAN [EIN = 132871829]
• STATEN ISLAND COMMUNITY CHARTER SCHOOL 401(K) RETIREMENT PLAN [EIN = 271876148]
• STATEN ISLAND REHABILITATION MEDICINE, PC 401(K) PROFIT SHARING PLAN [EIN = 133540450]
• STATEN ISLAND PICKLE WORKS, INC. PROFIT SHARING PLAN [EIN = 135565411]
• STATEN ISLAND PULMONARY ASSOCIATES 401(K) PROFIT SHARING PLAN [EIN = 112349313]
• STATEN ISLAND OPHTHALMOLOGY, P.C. PROFIT SHARING 401(K) PENSION PLAN [EIN = 112696201]
• STATEN ISLAND COMMUNITY TELEVISION TAX DEFERRED ANNUITY PLAN [EIN = 133187927]
• STATEN ISLAND HEART, P.C. 401(K) PROFIT SHARING PLAN [EIN = 113324412]
• STATEN ISLAND PEDIATRIC CARDIOLOGY, PLLC 401(K) RETIREMENT PLAN [EIN = 465519427]
• STATEN ISLAND PERFORMING PROVI 401 K PROFIT SHARING PLAN TRUST [EIN = 472544659]
• STATEN ISLAND YACHT SALES, INC. 401(K) PLAN [EIN = 132514283]
• STATEN ISLAND COMMUNITY 401 K PROFIT SHARING PLAN TRUST [EIN = 133187927]
• STATEN ISLAND ACADEMY DEFINED CONTRIBUTION RETIREMENT PLAN [EIN = 135600423]
• STATEN ISLAND ORTHOPAEDIC ASSOCIATES, P.C. PENSION PLAN [EIN = 132680575]
• STATEN ISLAND NEPHROLOGY, PC RETIREMENT PLAN [EIN = 132871829]
• STATEN ISLAND PULMONARY ASSOCIATES, P.C. PENSION PLAN [EIN = 112349313]
• STATEN ISLAND PULMONARY ASSOCIATES, P.C. PROFIT SHARING PLAN [EIN = 112349313]
• STATEN ISLAND PHYSICIAN PRACTICE, P.C. UNION EMPLOYEES PENSION PLAN [EIN = 460970995]
• STATEN ISLAND MARINE DEVELOPMENT 401K PLAN [EIN = 814839478]
• STATEN ISLAND AFFILIATED SERVICES 401(K) SAVINGS PLAN [EIN = 133138888]
• STATEN ISLAND UNIVERSITY HOSPITAL RETIREMENT SAVINGS PLAN [EIN = 112868878]
• STATEN ISLAND NEONATOLOGY, P.C. PROFIT SHARING PLAN [EIN = 133375474]
• STATEN ISLAND UNIVERSITY HOSPITAL GROUP LIFE INSURANCE PLAN [EIN = 113418133]
• STATEN ISLAND DIVORCE & MEDIATION CTR. PSP [EIN = 800395030]
• STATEN ISLAND NEPHROLOGY PC CASH BALANCE PLAN [EIN = 132871829]
• STATEN ISLAND VETERINARY GROUP 401(K) PROFIT SHARING PLAN & TRUST [EIN = 133987713]
• STATEN ISLAND MANAGEMENT SERVICES INC [EIN = 472747249]
• STATEN ISLAND MAKERSPACE INC [EIN = 462793482]
• STATEN ISLAND HEBREW PUBLIC CHARTER SCHOOL 403(B) PLAN [EIN = 833253853]
• STATEN ISLAND DENTAL BOUTIQUE 401K PLAN [EIN = 920603463]

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