401k Plan data: SOUTH HILLS UROLOGIC ASSOCIATES PENSION PLAN plan

SOUTH HILLS UROLOGIC ASSOCIATES PENSION PLAN 401k Plan overview

Plan Name	SOUTH HILLS UROLOGIC ASSOCIATES PENSION PLAN
Plan identification number	001

SOUTH HILLS UROLOGIC ASSOCIATES PENSION PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Money purchase (other than target benefit) ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.

401k Sponsoring company profile

SOUTH HILLS UROLOGIC ASSOCIATES has sponsored the creation of one or more 401k plans.

Company Name: SOUTH HILLS UROLOGIC ASSOCIATES

Employer identification number (EIN): 251364163

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SOUTH HILLS UROLOGIC ASSOCIATES PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2019-09-01
001 2018-09-01
001 2017-09-01
001 2016-09-01
001 2015-09-01
001 2014-09-01
001 2013-09-01 JOHN W. SCHULHOFF 2015-03-30
001 2012-09-01 JOHN W. SCHULHOFF
001 2011-09-01 JOHN W. SCHULHOFF
001 2009-09-01 JOHN W. SCHULHOFF

Plan Statistics for SOUTH HILLS UROLOGIC ASSOCIATES PENSION PLAN

401k plan membership statisitcs for SOUTH HILLS UROLOGIC ASSOCIATES PENSION PLAN

Measure Date Value
2012: SOUTH HILLS UROLOGIC ASSOCIATES PENSION PLAN 2012 401k membership
Total participants, beginning-of-year 2012-09-01 1
Total number of active participants reported on line 7a of the Form 5500 2012-09-01 0
Number of retired or separated participants receiving benefits 2012-09-01 0
Number of other retired or separated participants entitled to future benefits 2012-09-01 1
Total of all active and inactive participants 2012-09-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-09-01 0
Total participants 2012-09-01 1
Number of participants with account balances 2012-09-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-09-01 0
2011: SOUTH HILLS UROLOGIC ASSOCIATES PENSION PLAN 2011 401k membership
Total participants, beginning-of-year 2011-09-01 1
Total number of active participants reported on line 7a of the Form 5500 2011-09-01 0
Number of retired or separated participants receiving benefits 2011-09-01 0
Number of other retired or separated participants entitled to future benefits 2011-09-01 1
Total of all active and inactive participants 2011-09-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-09-01 0
Total participants 2011-09-01 1
Number of participants with account balances 2011-09-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-09-01 0
2009: SOUTH HILLS UROLOGIC ASSOCIATES PENSION PLAN 2009 401k membership
Total participants, beginning-of-year 2009-09-01 1
Total number of active participants reported on line 7a of the Form 5500 2009-09-01 0
Number of retired or separated participants receiving benefits 2009-09-01 0
Number of other retired or separated participants entitled to future benefits 2009-09-01 1
Total of all active and inactive participants 2009-09-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-09-01 0
Total participants 2009-09-01 1
Number of participants with account balances 2009-09-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-09-01 0

Measure	Date	Value
2012: SOUTH HILLS UROLOGIC ASSOCIATES PENSION PLAN 2012 401k membership
Total participants, beginning-of-year	2012-09-01	1
Total number of active participants reported on line 7a of the Form 5500	2012-09-01	0
Number of retired or separated participants receiving benefits	2012-09-01	0
Number of other retired or separated participants entitled to future benefits	2012-09-01	1
Total of all active and inactive participants	2012-09-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-09-01	0
Total participants	2012-09-01	1
Number of participants with account balances	2012-09-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-09-01	0
2011: SOUTH HILLS UROLOGIC ASSOCIATES PENSION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-09-01	1
Total number of active participants reported on line 7a of the Form 5500	2011-09-01	0
Number of retired or separated participants receiving benefits	2011-09-01	0
Number of other retired or separated participants entitled to future benefits	2011-09-01	1
Total of all active and inactive participants	2011-09-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-09-01	0
Total participants	2011-09-01	1
Number of participants with account balances	2011-09-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-09-01	0
2009: SOUTH HILLS UROLOGIC ASSOCIATES PENSION PLAN 2009 401k membership
Total participants, beginning-of-year	2009-09-01	1
Total number of active participants reported on line 7a of the Form 5500	2009-09-01	0
Number of retired or separated participants receiving benefits	2009-09-01	0
Number of other retired or separated participants entitled to future benefits	2009-09-01	1
Total of all active and inactive participants	2009-09-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-09-01	0
Total participants	2009-09-01	1
Number of participants with account balances	2009-09-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-09-01	0

Financial Data on SOUTH HILLS UROLOGIC ASSOCIATES PENSION PLAN

Measure	Date	Value
2013 : SOUTH HILLS UROLOGIC ASSOCIATES PENSION PLAN 2013 401k financial data
Total plan liabilities at end of year	2013-08-31	$0
Total plan liabilities at beginning of year	2013-08-31	$0
Total income from all sources	2013-08-31	$-12,842
Expenses. Total of all expenses incurred	2013-08-31	$25
Total plan assets at end of year	2013-08-31	$471,384
Total plan assets at beginning of year	2013-08-31	$484,251
Other income received	2013-08-31	$-12,842
Net income (gross income less expenses)	2013-08-31	$-12,867
Net plan assets at end of year (total assets less liabilities)	2013-08-31	$471,384
Net plan assets at beginning of year (total assets less liabilities)	2013-08-31	$484,251
Assets. Value of participant loans	2013-08-31	$81,477
Expenses. Administrative service providers (salaries,fees and commissions)	2013-08-31	$25
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-08-31	$0
Minimum employer required contribution for this plan year	2013-08-31	$0
2012 : SOUTH HILLS UROLOGIC ASSOCIATES PENSION PLAN 2012 401k financial data
Transfers to/from the plan	2012-08-31	$0
Total plan liabilities at end of year	2012-08-31	$0
Total plan liabilities at beginning of year	2012-08-31	$0
Total income from all sources	2012-08-31	$13,549
Expenses. Total of all expenses incurred	2012-08-31	$25
Total plan assets at end of year	2012-08-31	$484,251
Total plan assets at beginning of year	2012-08-31	$470,727
Other income received	2012-08-31	$13,549
Net income (gross income less expenses)	2012-08-31	$13,524
Net plan assets at end of year (total assets less liabilities)	2012-08-31	$484,251
Net plan assets at beginning of year (total assets less liabilities)	2012-08-31	$470,727
Assets. Value of participant loans	2012-08-31	$81,477
Expenses. Administrative service providers (salaries,fees and commissions)	2012-08-31	$25
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-08-31	$0
Funding deficiency by the employer to the plan for this plan year	2012-08-31	$0
Minimum employer required contribution for this plan year	2012-08-31	$0
Amount contributed by the employer to the plan for this plan year	2012-08-31	$0
2011 : SOUTH HILLS UROLOGIC ASSOCIATES PENSION PLAN 2011 401k financial data
Total plan liabilities at end of year	2011-08-31	$0
Total plan liabilities at beginning of year	2011-08-31	$0
Total income from all sources	2011-08-31	$15,206
Expenses. Total of all expenses incurred	2011-08-31	$25
Total plan assets at end of year	2011-08-31	$470,727
Total plan assets at beginning of year	2011-08-31	$455,546
Other income received	2011-08-31	$15,206
Net income (gross income less expenses)	2011-08-31	$15,181
Net plan assets at end of year (total assets less liabilities)	2011-08-31	$470,727
Net plan assets at beginning of year (total assets less liabilities)	2011-08-31	$455,546
Assets. Value of participant loans	2011-08-31	$81,477
Expenses. Administrative service providers (salaries,fees and commissions)	2011-08-31	$25
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-08-31	$0
Funding deficiency by the employer to the plan for this plan year	2011-08-31	$0
Minimum employer required contribution for this plan year	2011-08-31	$0
Amount contributed by the employer to the plan for this plan year	2011-08-31	$0
2010 : SOUTH HILLS UROLOGIC ASSOCIATES PENSION PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-08-31	$0
Funding deficiency by the employer to the plan for this plan year	2010-08-31	$0
Minimum employer required contribution for this plan year	2010-08-31	$0
Amount contributed by the employer to the plan for this plan year	2010-08-31	$0

Form 5500 Responses for SOUTH HILLS UROLOGIC ASSOCIATES PENSION PLAN

2012: SOUTH HILLS UROLOGIC ASSOCIATES PENSION PLAN 2012 form 5500 responses
2012-09-01	Type of plan entity	Single employer plan
2012-09-01	Submission has been amended	No
2012-09-01	This submission is the final filing	No
2012-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-09-01	Plan is a collectively bargained plan	No
2012-09-01	Plan funding arrangement – Insurance	Yes
2012-09-01	Plan funding arrangement – Trust	Yes
2012-09-01	Plan benefit arrangement - Trust	Yes
2011: SOUTH HILLS UROLOGIC ASSOCIATES PENSION PLAN 2011 form 5500 responses
2011-09-01	Type of plan entity	Single employer plan
2011-09-01	Submission has been amended	No
2011-09-01	This submission is the final filing	No
2011-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-09-01	Plan is a collectively bargained plan	No
2011-09-01	Plan funding arrangement – Insurance	Yes
2011-09-01	Plan funding arrangement – Trust	Yes
2011-09-01	Plan benefit arrangement - Trust	Yes
2009: SOUTH HILLS UROLOGIC ASSOCIATES PENSION PLAN 2009 form 5500 responses
2009-09-01	Type of plan entity	Single employer plan
2009-09-01	Submission has been amended	No
2009-09-01	This submission is the final filing	No
2009-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-09-01	Plan is a collectively bargained plan	No
2009-09-01	Plan funding arrangement – Insurance	Yes
2009-09-01	Plan funding arrangement – Trust	Yes
2009-09-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

PHOENIX LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 67814 )

Policy contract number

T14978

Policy instance

Insurance contract or identification number	T14978
Number of Individuals Covered	1
Insurance policy start date	2011-09-01
Insurance policy end date	2012-08-31
Are there contracts with allocated funds for individual policies?	Yes
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PHOENIX LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 67814 )

Policy contract number

T14978

Policy instance

Insurance contract or identification number	T14978
Number of Individuals Covered	1
Insurance policy start date	2010-09-01
Insurance policy end date	2011-08-31
Are there contracts with allocated funds for individual policies?	Yes
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	SOUTH HILLS UROLOGIC ASSOCIATES
Employer identification number (EIN):	251364163
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2019-09-01
001	2018-09-01
001	2017-09-01
001	2016-09-01
001	2015-09-01
001	2014-09-01
001	2013-09-01	JOHN W. SCHULHOFF	2015-03-30
001	2012-09-01	JOHN W. SCHULHOFF
001	2011-09-01	JOHN W. SCHULHOFF
001	2009-09-01	JOHN W. SCHULHOFF