401k Plan data: CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K PLAN plan

CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K PLAN 401k Plan overview

Plan Name	CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K PLAN
Plan identification number	001

CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K 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.
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

CARROLL COUNTY ANESTHESIA, PC has sponsored the creation of one or more 401k plans.

Company Name: CARROLL COUNTY ANESTHESIA, PC

Employer identification number (EIN): 421640170

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01 WENDY CRAN-CARTY
001 2016-01-01 WENDY CRAN-CARTY
001 2015-01-01 WENDY CRAN-CARTY
001 2014-01-01 WENDY CRAN-CARTY
001 2013-01-01 WENDY CRAN-CARTY
001 2012-01-01 WENDY CRAN-CARTY
001 2011-01-01 WENDY CRAN-CARTY

Plan id#	Filing Submission Date	Name of Administrator
001	2017-01-01	WENDY CRAN-CARTY
001	2016-01-01	WENDY CRAN-CARTY
001	2015-01-01	WENDY CRAN-CARTY
001	2014-01-01	WENDY CRAN-CARTY
001	2013-01-01	WENDY CRAN-CARTY
001	2012-01-01	WENDY CRAN-CARTY
001	2011-01-01	WENDY CRAN-CARTY

Plan Statistics for CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K PLAN

401k plan membership statisitcs for CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K PLAN

Measure Date Value
2017: CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 0
Number of participants with account balances 2017-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 19
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 2
Number of retired or separated participants receiving benefits 2016-01-01 1
Number of other retired or separated participants entitled to future benefits 2016-01-01 6
Total of all active and inactive participants 2016-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 9
Number of participants with account balances 2016-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 20
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 14
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 5
Total of all active and inactive participants 2015-01-01 19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 19
Number of participants with account balances 2015-01-01 17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 12
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 2
Total of all active and inactive participants 2014-01-01 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 14
Number of participants with account balances 2014-01-01 13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 18
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 14
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 3
Total of all active and inactive participants 2013-01-01 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 17
Number of participants with account balances 2013-01-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 11
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 2
Total of all active and inactive participants 2012-01-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 13
Number of participants with account balances 2012-01-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 15
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 1
Total of all active and inactive participants 2011-01-01 16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 16
Number of participants with account balances 2011-01-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2017: CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	0
Number of participants with account balances	2017-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	19
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	2
Number of retired or separated participants receiving benefits	2016-01-01	1
Number of other retired or separated participants entitled to future benefits	2016-01-01	6
Total of all active and inactive participants	2016-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	9
Number of participants with account balances	2016-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	20
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	14
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	5
Total of all active and inactive participants	2015-01-01	19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	19
Number of participants with account balances	2015-01-01	17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	12
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	2
Total of all active and inactive participants	2014-01-01	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	14
Number of participants with account balances	2014-01-01	13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	18
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	14
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	3
Total of all active and inactive participants	2013-01-01	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	17
Number of participants with account balances	2013-01-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	11
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	2
Total of all active and inactive participants	2012-01-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	13
Number of participants with account balances	2012-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	15
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	1
Total of all active and inactive participants	2011-01-01	16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	16
Number of participants with account balances	2011-01-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K PLAN

Measure	Date	Value
2017 : CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$1,473
Expenses. Total of all expenses incurred	2017-12-31	$132,396
Benefits paid (including direct rollovers)	2017-12-31	$132,396
Total plan assets at end of year	2017-12-31	$0
Total plan assets at beginning of year	2017-12-31	$130,923
Other income received	2017-12-31	$1,473
Net income (gross income less expenses)	2017-12-31	$-130,923
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$130,923
2016 : CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$34,326
Expenses. Total of all expenses incurred	2016-12-31	$166,057
Benefits paid (including direct rollovers)	2016-12-31	$166,057
Total plan assets at end of year	2016-12-31	$130,923
Total plan assets at beginning of year	2016-12-31	$262,654
Total contributions received or receivable from participants	2016-12-31	$13,398
Other income received	2016-12-31	$16,149
Net income (gross income less expenses)	2016-12-31	$-131,731
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$130,923
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$262,654
Total contributions received or receivable from employer(s)	2016-12-31	$4,779
2015 : CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$53,447
Total plan assets at end of year	2015-12-31	$262,654
Total plan assets at beginning of year	2015-12-31	$209,207
Total contributions received or receivable from participants	2015-12-31	$36,302
Contributions received from other sources (not participants or employers)	2015-12-31	$3,713
Other income received	2015-12-31	$-4,492
Net income (gross income less expenses)	2015-12-31	$53,447
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$262,654
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$209,207
Total contributions received or receivable from employer(s)	2015-12-31	$17,924
2014 : CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$58,406
Expenses. Total of all expenses incurred	2014-12-31	$7,804
Benefits paid (including direct rollovers)	2014-12-31	$7,804
Total plan assets at end of year	2014-12-31	$209,207
Total plan assets at beginning of year	2014-12-31	$158,605
Total contributions received or receivable from participants	2014-12-31	$34,874
Other income received	2014-12-31	$7,470
Net income (gross income less expenses)	2014-12-31	$50,602
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$209,207
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$158,605
Total contributions received or receivable from employer(s)	2014-12-31	$16,062
2013 : CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$55,486
Expenses. Total of all expenses incurred	2013-12-31	$4,176
Benefits paid (including direct rollovers)	2013-12-31	$4,176
Total plan assets at end of year	2013-12-31	$158,605
Total plan assets at beginning of year	2013-12-31	$107,295
Total contributions received or receivable from participants	2013-12-31	$34,858
Other income received	2013-12-31	$552
Net income (gross income less expenses)	2013-12-31	$51,310
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$158,605
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$107,295
Total contributions received or receivable from employer(s)	2013-12-31	$20,076
2012 : CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$59,402
Expenses. Total of all expenses incurred	2012-12-31	$6,636
Benefits paid (including direct rollovers)	2012-12-31	$6,636
Total plan assets at end of year	2012-12-31	$107,295
Total plan assets at beginning of year	2012-12-31	$54,529
Total contributions received or receivable from participants	2012-12-31	$32,910
Other income received	2012-12-31	$12,371
Net income (gross income less expenses)	2012-12-31	$52,766
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$107,295
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$54,529
Total contributions received or receivable from employer(s)	2012-12-31	$14,121
2011 : CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$54,529
Total plan assets at end of year	2011-12-31	$54,529
Total plan assets at beginning of year	2011-12-31	$0
Total contributions received or receivable from participants	2011-12-31	$29,386
Other income received	2011-12-31	$-955
Net income (gross income less expenses)	2011-12-31	$54,529
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$54,529
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$0
Total contributions received or receivable from employer(s)	2011-12-31	$26,098

Form 5500 Responses for CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K PLAN

2017: CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	This submission is the final filing	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K 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: CARROLL COUNTY ANESTHESIA, PC SAFE HARBOR 401K PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	First time form 5500 has been submitted	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	CARROLL COUNTY ANESTHESIA, PC
Employer identification number (EIN):	421640170
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)