401k Plan data: GREAT LAKES ANESTHESIA ASSOCIATES, P.C. EMPLOYEES 401(K) PROFIT SHARING PLAN plan

GREAT LAKES ANESTHESIA ASSOCIATES, P.C. EMPLOYEES 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	GREAT LAKES ANESTHESIA ASSOCIATES, P.C. EMPLOYEES 401(K) PROFIT SHARING PLAN
Plan identification number	002

GREAT LAKES ANESTHESIA ASSOCIATES, P.C. EMPLOYEES 401(K) PROFIT SHARING 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.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Participant-directed brokerage accounts provided as an investment option under the plan.

401k Sponsoring company profile

GREAT LAKES ANESTHESIA ASSOCIATES has sponsored the creation of one or more 401k plans.

Company Name: GREAT LAKES ANESTHESIA ASSOCIATES

Employer identification number (EIN): 383122332

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GREAT LAKES ANESTHESIA ASSOCIATES, P.C. EMPLOYEES 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2016-01-01 WAYNE PROKOTT 2017-10-12
002 2015-01-01 WAYNE PROKOTT 2016-10-17
002 2014-01-01 WAYNE PROKOTT 2015-10-15
002 2013-01-01 WAYNE PROKOTT 2015-11-16
002 2012-01-01 DR WAYNE PROKOTT DR. JAMES BANDY 2013-08-14
002 2011-01-01 DR WAYNE PROKOTT DR. JAMES BANDY 2012-07-25
002 2009-01-01 DR WAYNE PROKOTT

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2016-01-01	WAYNE PROKOTT	2017-10-12
002	2015-01-01	WAYNE PROKOTT	2016-10-17
002	2014-01-01	WAYNE PROKOTT	2015-10-15
002	2013-01-01	WAYNE PROKOTT	2015-11-16
002	2012-01-01	DR WAYNE PROKOTT		DR. JAMES BANDY	2013-08-14
002	2011-01-01	DR WAYNE PROKOTT		DR. JAMES BANDY	2012-07-25
002	2009-01-01	DR WAYNE PROKOTT

Plan Statistics for GREAT LAKES ANESTHESIA ASSOCIATES, P.C. EMPLOYEES 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for GREAT LAKES ANESTHESIA ASSOCIATES, P.C. EMPLOYEES 401(K) PROFIT SHARING PLAN

Measure Date Value
2012: GREAT LAKES ANESTHESIA ASSOCIATES, P.C. EMPLOYEES 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 45
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 34
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 11
Total of all active and inactive participants 2012-01-01 45
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 45
Number of participants with account balances 2012-01-01 45
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: GREAT LAKES ANESTHESIA ASSOCIATES, P.C. EMPLOYEES 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 44
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 35
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 10
Total of all active and inactive participants 2011-01-01 45
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 45
Number of participants with account balances 2011-01-01 45
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: GREAT LAKES ANESTHESIA ASSOCIATES, P.C. EMPLOYEES 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 52
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 31
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 11
Total of all active and inactive participants 2009-01-01 42
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 42
Number of participants with account balances 2009-01-01 42

Measure	Date	Value
2012: GREAT LAKES ANESTHESIA ASSOCIATES, P.C. EMPLOYEES 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	45
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	34
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	11
Total of all active and inactive participants	2012-01-01	45
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	45
Number of participants with account balances	2012-01-01	45
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: GREAT LAKES ANESTHESIA ASSOCIATES, P.C. EMPLOYEES 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	44
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	35
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	10
Total of all active and inactive participants	2011-01-01	45
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	45
Number of participants with account balances	2011-01-01	45
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: GREAT LAKES ANESTHESIA ASSOCIATES, P.C. EMPLOYEES 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	52
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	31
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	11
Total of all active and inactive participants	2009-01-01	42
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	42
Number of participants with account balances	2009-01-01	42

Financial Data on GREAT LAKES ANESTHESIA ASSOCIATES, P.C. EMPLOYEES 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2012 : GREAT LAKES ANESTHESIA ASSOCIATES, P.C. EMPLOYEES 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$3,151,302
Expenses. Total of all expenses incurred	2012-12-31	$235,106
Benefits paid (including direct rollovers)	2012-12-31	$224,113
Total plan assets at end of year	2012-12-31	$10,277,531
Total plan assets at beginning of year	2012-12-31	$7,361,335
Value of fidelity bond covering the plan	2012-12-31	$500,000
Total contributions received or receivable from participants	2012-12-31	$366,839
Expenses. Other expenses not covered elsewhere	2012-12-31	$10,993
Contributions received from other sources (not participants or employers)	2012-12-31	$1,397,697
Other income received	2012-12-31	$767,017
Net income (gross income less expenses)	2012-12-31	$2,916,196
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$10,277,531
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$7,361,335
Total contributions received or receivable from employer(s)	2012-12-31	$619,749
2011 : GREAT LAKES ANESTHESIA ASSOCIATES, P.C. EMPLOYEES 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$739,813
Expenses. Total of all expenses incurred	2011-12-31	$204,341
Benefits paid (including direct rollovers)	2011-12-31	$197,078
Total plan assets at end of year	2011-12-31	$7,361,335
Total plan assets at beginning of year	2011-12-31	$6,825,863
Value of fidelity bond covering the plan	2011-12-31	$500,000
Total contributions received or receivable from participants	2011-12-31	$295,396
Expenses. Other expenses not covered elsewhere	2011-12-31	$7,263
Other income received	2011-12-31	$-214,255
Net income (gross income less expenses)	2011-12-31	$535,472
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$7,361,335
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$6,825,863
Assets. Value of participant loans	2011-12-31	$11,569
Total contributions received or receivable from employer(s)	2011-12-31	$658,672
2010 : GREAT LAKES ANESTHESIA ASSOCIATES, P.C. EMPLOYEES 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$1,490,734
Expenses. Total of all expenses incurred	2010-12-31	$523,345
Benefits paid (including direct rollovers)	2010-12-31	$515,423
Total plan assets at end of year	2010-12-31	$6,825,863
Total plan assets at beginning of year	2010-12-31	$5,858,474
Value of fidelity bond covering the plan	2010-12-31	$500,000
Total contributions received or receivable from participants	2010-12-31	$339,497
Expenses. Other expenses not covered elsewhere	2010-12-31	$7,922
Contributions received from other sources (not participants or employers)	2010-12-31	$27,303
Other income received	2010-12-31	$470,269
Net income (gross income less expenses)	2010-12-31	$967,389
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$6,825,863
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$5,858,474
Assets. Value of participant loans	2010-12-31	$23,488
Total contributions received or receivable from employer(s)	2010-12-31	$653,665

Form 5500 Responses for GREAT LAKES ANESTHESIA ASSOCIATES, P.C. EMPLOYEES 401(K) PROFIT SHARING PLAN

2012: GREAT LAKES ANESTHESIA ASSOCIATES, P.C. EMPLOYEES 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: GREAT LAKES ANESTHESIA ASSOCIATES, P.C. EMPLOYEES 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: GREAT LAKES ANESTHESIA ASSOCIATES, P.C. EMPLOYEES 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	GREAT LAKES ANESTHESIA ASSOCIATES
Employer identification number (EIN):	383122332
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)