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| Plan Name | SPINE & ORTHOPEDIC SPECIALISTS, P.L.L.C. 401(K) PROFIT SHARING PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | SPINE & ORTHOPEDIC SPECIALISTS, PLLC |
| Employer identification number (EIN): | 260441557 |
| 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 | SHIDEH SHAHIDEH DOERR | 2013-10-10 | ||
| 001 | 2011-01-01 | SHIDEH SHAHIDEH DOERR | 2012-07-03 |
| Measure | Date | Value |
|---|---|---|
| 2010 : SPINE & ORTHOPEDIC SPECIALISTS, P.L.L.C. 401(K) PROFIT SHARING PLAN 2010 401k financial data | ||
| Total income from all sources | 2010-12-31 | $156,909 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $802 |
| Total plan assets at end of year | 2010-12-31 | $227,963 |
| Total plan assets at beginning of year | 2010-12-31 | $71,856 |
| Total contributions received or receivable from participants | 2010-12-31 | $35,723 |
| Contributions received from other sources (not participants or employers) | 2010-12-31 | $65,251 |
| Other income received | 2010-12-31 | $16,835 |
| Net income (gross income less expenses) | 2010-12-31 | $156,107 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $227,963 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $71,856 |
| Total contributions received or receivable from employer(s) | 2010-12-31 | $39,100 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2010-12-31 | $802 |
| JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 ) | |
| Policy contract number | 91828 |
| Policy instance | 1 |
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