401k Plan data: ASSOCIATED ANESTHESIOLOGISTS, P.A. 401(K) PLAN AND TRUST plan

ASSOCIATED ANESTHESIOLOGISTS, P.A. 401(K) PLAN AND TRUST 401k Plan overview

Plan Name	ASSOCIATED ANESTHESIOLOGISTS, P.A. 401(K) PLAN AND TRUST
Plan identification number	001

ASSOCIATED ANESTHESIOLOGISTS, P.A. 401(K) PLAN AND TRUST 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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

TWIN CITIES ANESTHESIA ASSOCIATES, P.A. has sponsored the creation of one or more 401k plans.

Company Name: TWIN CITIES ANESTHESIA ASSOCIATES, P.A.

Employer identification number (EIN): 410995496

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ASSOCIATED ANESTHESIOLOGISTS, P.A. 401(K) PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2011-01-01 ELAINE GALICK
001 2010-01-01 ELAINE GALICK
001 2009-01-01 ELAINE GALICK

Plan id#	Filing Submission Date	Name of Administrator
001	2011-01-01	ELAINE GALICK
001	2010-01-01	ELAINE GALICK
001	2009-01-01	ELAINE GALICK

Plan Statistics for ASSOCIATED ANESTHESIOLOGISTS, P.A. 401(K) PLAN AND TRUST

401k plan membership statisitcs for ASSOCIATED ANESTHESIOLOGISTS, P.A. 401(K) PLAN AND TRUST

Measure Date Value
2011: ASSOCIATED ANESTHESIOLOGISTS, P.A. 401(K) PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 200
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 167
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 25
Total of all active and inactive participants 2011-01-01 192
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 192
Number of participants with account balances 2011-01-01 192
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: ASSOCIATED ANESTHESIOLOGISTS, P.A. 401(K) PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year 2010-01-01 192
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 176
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 24
Total of all active and inactive participants 2010-01-01 200
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 200
Number of participants with account balances 2010-01-01 200
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 1
2009: ASSOCIATED ANESTHESIOLOGISTS, P.A. 401(K) PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 188
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 173
Number of retired or separated participants receiving benefits 2009-01-01 19
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 192
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 192
Number of participants with account balances 2009-01-01 192
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 2

Measure	Date	Value
2011: ASSOCIATED ANESTHESIOLOGISTS, P.A. 401(K) PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	200
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	167
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	25
Total of all active and inactive participants	2011-01-01	192
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	192
Number of participants with account balances	2011-01-01	192
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: ASSOCIATED ANESTHESIOLOGISTS, P.A. 401(K) PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year	2010-01-01	192
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	176
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	24
Total of all active and inactive participants	2010-01-01	200
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	200
Number of participants with account balances	2010-01-01	200
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	1
2009: ASSOCIATED ANESTHESIOLOGISTS, P.A. 401(K) PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	188
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	173
Number of retired or separated participants receiving benefits	2009-01-01	19
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	192
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	192
Number of participants with account balances	2009-01-01	192
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	2

Financial Data on ASSOCIATED ANESTHESIOLOGISTS, P.A. 401(K) PLAN AND TRUST

Measure	Date	Value
2011 : ASSOCIATED ANESTHESIOLOGISTS, P.A. 401(K) PLAN AND TRUST 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$3,616,814
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$3,069,077
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$3,041,953
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$5,902,727
Value of total assets at end of year	2011-12-31	$64,866,639
Value of total assets at beginning of year	2011-12-31	$64,318,902
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$27,124
Total interest from all sources	2011-12-31	$10,066
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$503,071
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$503,071
Administrative expenses professional fees incurred	2011-12-31	$4,873
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$2,608,901
Participant contributions at end of year	2011-12-31	$183,112
Participant contributions at beginning of year	2011-12-31	$240,682
Assets. Other investments not covered elsewhere at end of year	2011-12-31	$28,740,611
Assets. Other investments not covered elsewhere at beginning of year	2011-12-31	$29,860,745
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$23,086
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$17,430
Other income not declared elsewhere	2011-12-31	$-1,715,308
Administrative expenses (other) incurred	2011-12-31	$970
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$547,737
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$64,866,639
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$64,318,902
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Assets. partnership/joint venture interests at end of year	2011-12-31	$92,210
Assets. partnership/joint venture interests at beginning of year	2011-12-31	$67,980
Investment advisory and management fees	2011-12-31	$21,281
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$30,849,039
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$29,739,853
Interest on participant loans	2011-12-31	$10,066
Value of interest in common/collective trusts at end of year	2011-12-31	$3,961,103
Value of interest in common/collective trusts at beginning of year	2011-12-31	$3,322,392
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-1,169,451
Net investment gain or loss from common/collective trusts	2011-12-31	$85,709
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$3,293,826
Employer contributions (assets) at end of year	2011-12-31	$1,017,478
Employer contributions (assets) at beginning of year	2011-12-31	$1,069,820
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$3,041,953
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	LURIE BESIKOF LAPIDUS & CO
Accountancy firm EIN	2011-12-31	410721734
2010 : ASSOCIATED ANESTHESIOLOGISTS, P.A. 401(K) PLAN AND TRUST 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$13,180,170
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$3,134,138
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$3,107,501
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$6,041,876
Value of total assets at end of year	2010-12-31	$64,318,902
Value of total assets at beginning of year	2010-12-31	$54,272,870
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$26,637
Total interest from all sources	2010-12-31	$11,187
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$1,085,951
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$1,085,951
Administrative expenses professional fees incurred	2010-12-31	$7,570
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$2,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$2,643,985
Participant contributions at end of year	2010-12-31	$240,682
Participant contributions at beginning of year	2010-12-31	$171,886
Participant contributions at beginning of year	2010-12-31	$39,229
Assets. Other investments not covered elsewhere at end of year	2010-12-31	$29,860,745
Assets. Other investments not covered elsewhere at beginning of year	2010-12-31	$26,040,242
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$121,564
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$17,430
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$17,757
Other income not declared elsewhere	2010-12-31	$2,981,201
Administrative expenses (other) incurred	2010-12-31	$1,052
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$10,046,032
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$64,318,902
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$54,272,870
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Assets. partnership/joint venture interests at end of year	2010-12-31	$67,980
Assets. partnership/joint venture interests at beginning of year	2010-12-31	$47,790
Investment advisory and management fees	2010-12-31	$18,015
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$29,739,853
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$23,967,560
Interest on participant loans	2010-12-31	$11,187
Value of interest in common/collective trusts at end of year	2010-12-31	$3,322,392
Value of interest in common/collective trusts at beginning of year	2010-12-31	$2,962,423
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$2,919,725
Net investment gain or loss from common/collective trusts	2010-12-31	$140,230
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$3,276,327
Employer contributions (assets) at end of year	2010-12-31	$1,069,820
Employer contributions (assets) at beginning of year	2010-12-31	$1,025,983
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$3,107,501
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2010-12-31	No
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	LURIE BESIKOF LAPIDUS & CO
Accountancy firm EIN	2010-12-31	410721734
2009 : ASSOCIATED ANESTHESIOLOGISTS, P.A. 401(K) PLAN AND TRUST 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for ASSOCIATED ANESTHESIOLOGISTS, P.A. 401(K) PLAN AND TRUST

2011: ASSOCIATED ANESTHESIOLOGISTS, P.A. 401(K) PLAN AND TRUST 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: ASSOCIATED ANESTHESIOLOGISTS, P.A. 401(K) PLAN AND TRUST 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: ASSOCIATED ANESTHESIOLOGISTS, P.A. 401(K) PLAN AND TRUST 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	TWIN CITIES ANESTHESIA ASSOCIATES, P.A.
Employer identification number (EIN):	410995496
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)