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| Plan Name | CRESCENT CITY SURGICAL CENTRE OPERATING CO., LLC EMPLOYEE BENEFIT PLAN & TRUST |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | CRESCENT CITY SURGICAL CENTRE |
| Employer identification number (EIN): | 270508997 |
| NAIC Classification: | 621493 |
| NAIC Description: | Freestanding Ambulatory Surgical and Emergency Centers |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2012-07-01 | GEOFFREY MORRIS |
| Measure | Date | Value |
|---|---|---|
| 2012: CRESCENT CITY SURGICAL CENTRE OPERATING CO., LLC EMPLOYEE BENEFIT PLAN & TRUST 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-07-01 | 41 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-07-01 | 45 |
| Total of all active and inactive participants | 2012-07-01 | 45 |
| Measure | Date | Value |
|---|---|---|
| 2013 : CRESCENT CITY SURGICAL CENTRE OPERATING CO., LLC EMPLOYEE BENEFIT PLAN & TRUST 2013 401k financial data | ||
| Total plan liabilities at end of year | 2013-06-30 | $54,395 |
| Total income from all sources | 2013-06-30 | $332,179 |
| Expenses. Total of all expenses incurred | 2013-06-30 | $386,574 |
| Benefits paid (including direct rollovers) | 2013-06-30 | $365,812 |
| Expenses. Other expenses not covered elsewhere | 2013-06-30 | $20,762 |
| Net income (gross income less expenses) | 2013-06-30 | $-54,395 |
| Net plan assets at end of year (total assets less liabilities) | 2013-06-30 | $-54,395 |
| Total contributions received or receivable from employer(s) | 2013-06-30 | $332,179 |
| 2012: CRESCENT CITY SURGICAL CENTRE OPERATING CO., LLC EMPLOYEE BENEFIT PLAN & TRUST 2012 form 5500 responses | ||
|---|---|---|
| 2012-07-01 | Type of plan entity | Single employer plan |
| 2012-07-01 | First time form 5500 has been submitted | Yes |
| 2012-07-01 | Plan funding arrangement – Insurance | Yes |
| 2012-07-01 | Plan funding arrangement – Trust | Yes |
| 2012-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-07-01 | Plan benefit arrangement - Trust | Yes |
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