401k Plan data: EAST SIDE ANESTHESIA GROUP, INC., 401(K) RETIREMENT PLAN plan

EAST SIDE ANESTHESIA GROUP, INC., 401(K) RETIREMENT PLAN 401k Plan overview

Plan Name	EAST SIDE ANESTHESIA GROUP, INC., 401(K) RETIREMENT PLAN
Plan identification number	001

EAST SIDE ANESTHESIA GROUP, INC., 401(K) RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

EAST SIDE ANESTHESIA GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name: EAST SIDE ANESTHESIA GROUP, INC.

Employer identification number (EIN): 320009797

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EAST SIDE ANESTHESIA GROUP, INC., 401(K) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 GARTH GRANT 2023-04-26 GARTH GRANT 2023-04-26
001 2021-01-01 G GARTH GRANT 2022-05-06 G GARTH GRANT 2022-05-06
001 2020-01-01 GARTH GRANT 2021-04-20 GARTH GRANT 2021-04-20
001 2019-01-01 GARTH GRANT 2020-04-16 GARTH GRANT 2020-04-16
001 2018-01-01 G GARTH GRANT 2019-05-24 G GARTH GRANT 2019-05-24
001 2017-01-01 G GARTH GRANT 2018-07-06 G GARTH GRANT 2018-07-06
001 2016-01-01 GARTH GRANT 2017-04-28 GARTH GRANT 2017-04-28
001 2015-01-01 GARTH GRANT 2017-10-25 GARTH GRANT 2017-10-25
001 2010-01-01 G. GARTH GRANT 2011-09-19
001 2008-01-01 G. GARTH GRANT

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	GARTH GRANT	2023-04-26	GARTH GRANT	2023-04-26
001	2021-01-01	G GARTH GRANT	2022-05-06	G GARTH GRANT	2022-05-06
001	2020-01-01	GARTH GRANT	2021-04-20	GARTH GRANT	2021-04-20
001	2019-01-01	GARTH GRANT	2020-04-16	GARTH GRANT	2020-04-16
001	2018-01-01	G GARTH GRANT	2019-05-24	G GARTH GRANT	2019-05-24
001	2017-01-01	G GARTH GRANT	2018-07-06	G GARTH GRANT	2018-07-06
001	2016-01-01	GARTH GRANT	2017-04-28	GARTH GRANT	2017-04-28
001	2015-01-01	GARTH GRANT	2017-10-25	GARTH GRANT	2017-10-25
001	2010-01-01	G. GARTH GRANT	2011-09-19
001	2008-01-01	G. GARTH GRANT

Plan Statistics for EAST SIDE ANESTHESIA GROUP, INC., 401(K) RETIREMENT PLAN

401k plan membership statisitcs for EAST SIDE ANESTHESIA GROUP, INC., 401(K) RETIREMENT PLAN

Measure Date Value
2008: EAST SIDE ANESTHESIA GROUP, INC., 401(K) RETIREMENT PLAN 2008 401k membership
Total participants, beginning-of-year 2008-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2008-01-01 11
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 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2008-01-01 0
Total participants 2008-01-01 11
Number of participants with account balances 2008-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2008-01-01 0

Measure	Date	Value
2008: EAST SIDE ANESTHESIA GROUP, INC., 401(K) RETIREMENT PLAN 2008 401k membership
Total participants, beginning-of-year	2008-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2008-01-01	11
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	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2008-01-01	0
Total participants	2008-01-01	11
Number of participants with account balances	2008-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2008-01-01	0

Financial Data on EAST SIDE ANESTHESIA GROUP, INC., 401(K) RETIREMENT PLAN

Measure	Date	Value
2008 : EAST SIDE ANESTHESIA GROUP, INC., 401(K) RETIREMENT PLAN 2008 401k financial data
Total income from all sources	2008-12-31	$13,370
Expenses. Total of all expenses incurred	2008-12-31	$0
Total plan assets at end of year	2008-12-31	$676,282
Total plan assets at beginning of year	2008-12-31	$662,912
Value of fidelity bond covering the plan	2008-12-31	$100,000
Total contributions received or receivable from participants	2008-12-31	$196,667
Other income received	2008-12-31	$-183,297
Net income (gross income less expenses)	2008-12-31	$13,370
Net plan assets at end of year (total assets less liabilities)	2008-12-31	$676,282
Net plan assets at beginning of year (total assets less liabilities)	2008-12-31	$662,912
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	2008-12-31	$187,581

Form 5500 Responses for EAST SIDE ANESTHESIA GROUP, INC., 401(K) RETIREMENT PLAN

2008: EAST SIDE ANESTHESIA GROUP, INC., 401(K) RETIREMENT PLAN 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Submission has been amended	Yes
2008-01-01	This submission is the final filing	No
2008-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-01-01	Plan is a collectively bargained plan	No
2008-01-01	Plan funding arrangement – Trust	Yes
2008-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	EAST SIDE ANESTHESIA GROUP, INC.
Employer identification number (EIN):	320009797
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)