401k Plan data: SUMMIT RADIOLOGY HMO PLAN plan

SUMMIT RADIOLOGY HMO PLAN 401k Plan overview

Plan Name	SUMMIT RADIOLOGY HMO PLAN
Plan identification number	502

SUMMIT RADIOLOGY HMO PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20. Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

SUMMIT RADIOLOGY, P.C. has sponsored the creation of one or more 401k plans.

Company Name: SUMMIT RADIOLOGY, P.C.

Employer identification number (EIN): 351140337

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SUMMIT RADIOLOGY HMO PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2012-01-01 JOHN OCKEN
502 2011-09-01 GWYN M. EASTOM
502 2010-09-01 GWYN M. EASTOM
502 2009-09-01 GWYN M. EASTOM
502 2009-09-01 GWYN M. EASTOM
502 2009-09-01 GWYN M. EASTOM

Plan id#	Filing Submission Date	Name of Administrator
502	2012-01-01	JOHN OCKEN
502	2011-09-01	GWYN M. EASTOM
502	2010-09-01	GWYN M. EASTOM
502	2009-09-01	GWYN M. EASTOM
502	2009-09-01	GWYN M. EASTOM
502	2009-09-01	GWYN M. EASTOM

Plan Statistics for SUMMIT RADIOLOGY HMO PLAN

401k plan membership statisitcs for SUMMIT RADIOLOGY HMO PLAN

Measure Date Value
2012: SUMMIT RADIOLOGY HMO PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 94
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 90
Number of retired or separated participants receiving benefits 2012-01-01 0
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 90
2011: SUMMIT RADIOLOGY HMO PLAN 2011 401k membership
Total participants, beginning-of-year 2011-09-01 94
Total number of active participants reported on line 7a of the Form 5500 2011-09-01 94
Total of all active and inactive participants 2011-09-01 94
Total participants 2011-09-01 94
2010: SUMMIT RADIOLOGY HMO PLAN 2010 401k membership
Total participants, beginning-of-year 2010-09-01 100
Total number of active participants reported on line 7a of the Form 5500 2010-09-01 94
Total of all active and inactive participants 2010-09-01 94
Total participants 2010-09-01 94
2009: SUMMIT RADIOLOGY HMO PLAN 2009 401k membership
Total participants, beginning-of-year 2009-09-01 98
Total number of active participants reported on line 7a of the Form 5500 2009-09-01 100
Total of all active and inactive participants 2009-09-01 100
Total participants 2009-09-01 100

Measure	Date	Value
2012: SUMMIT RADIOLOGY HMO PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	94
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	90
Number of retired or separated participants receiving benefits	2012-01-01	0
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	90
2011: SUMMIT RADIOLOGY HMO PLAN 2011 401k membership
Total participants, beginning-of-year	2011-09-01	94
Total number of active participants reported on line 7a of the Form 5500	2011-09-01	94
Total of all active and inactive participants	2011-09-01	94
Total participants	2011-09-01	94
2010: SUMMIT RADIOLOGY HMO PLAN 2010 401k membership
Total participants, beginning-of-year	2010-09-01	100
Total number of active participants reported on line 7a of the Form 5500	2010-09-01	94
Total of all active and inactive participants	2010-09-01	94
Total participants	2010-09-01	94
2009: SUMMIT RADIOLOGY HMO PLAN 2009 401k membership
Total participants, beginning-of-year	2009-09-01	98
Total number of active participants reported on line 7a of the Form 5500	2009-09-01	100
Total of all active and inactive participants	2009-09-01	100
Total participants	2009-09-01	100

Form 5500 Responses for SUMMIT RADIOLOGY HMO PLAN

2012: SUMMIT RADIOLOGY HMO PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: SUMMIT RADIOLOGY HMO PLAN 2011 form 5500 responses
2011-09-01	Type of plan entity	Single employer plan
2011-09-01	Submission has been amended	Yes
2011-09-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2011-09-01	Plan funding arrangement – Insurance	Yes
2011-09-01	Plan benefit arrangement – Insurance	Yes
2010: SUMMIT RADIOLOGY HMO PLAN 2010 form 5500 responses
2010-09-01	Type of plan entity	Single employer plan
2010-09-01	Submission has been amended	Yes
2010-09-01	Plan funding arrangement – Insurance	Yes
2010-09-01	Plan benefit arrangement – Insurance	Yes
2009: SUMMIT RADIOLOGY HMO PLAN 2009 form 5500 responses
2009-09-01	Type of plan entity	Single employer plan
2009-09-01	Plan funding arrangement – Insurance	Yes
2009-09-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	SUMMIT RADIOLOGY, P.C.
Employer identification number (EIN):	351140337
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)