401k Plan data: PIEDMONT HEALTHCARE FOR WOMEN 401(K) RETIREMENT PLAN plan

PIEDMONT HEALTHCARE FOR WOMEN 401(K) RETIREMENT PLAN 401k Plan overview

Plan Name	PIEDMONT HEALTHCARE FOR WOMEN 401(K) RETIREMENT PLAN
Plan identification number	001

PIEDMONT HEALTHCARE FOR WOMEN 401(K) RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
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.

401k Sponsoring company profile

PIEDMONT HEALTHCARE FOR WOMEN, P.A. has sponsored the creation of one or more 401k plans.

Company Name: PIEDMONT HEALTHCARE FOR WOMEN, P.A.

Employer identification number (EIN): 460500590

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PIEDMONT HEALTHCARE FOR WOMEN 401(K) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 KATHY RICHARDSON
001 2013-01-01 AV STRINGER
001 2012-01-01 AV STRINGER
001 2011-01-01 AV STRINGER
001 2010-01-01 ARTHUR VERNON STRINGER, MD
001 2009-01-01 ARTHUR VERNON STRINGER, MD

Plan id#	Filing Submission Date	Name of Administrator
001	2014-01-01	KATHY RICHARDSON
001	2013-01-01	AV STRINGER
001	2012-01-01	AV STRINGER
001	2011-01-01	AV STRINGER
001	2010-01-01	ARTHUR VERNON STRINGER, MD
001	2009-01-01	ARTHUR VERNON STRINGER, MD

Plan Statistics for PIEDMONT HEALTHCARE FOR WOMEN 401(K) RETIREMENT PLAN

401k plan membership statisitcs for PIEDMONT HEALTHCARE FOR WOMEN 401(K) RETIREMENT PLAN

Measure Date Value
2014: PIEDMONT HEALTHCARE FOR WOMEN 401(K) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 184
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
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 0
Total of all active and inactive participants 2014-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 0
Number of participants with account balances 2014-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: PIEDMONT HEALTHCARE FOR WOMEN 401(K) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 195
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 184
Total of all active and inactive participants 2013-01-01 184
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 184
Number of participants with account balances 2013-01-01 175
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: PIEDMONT HEALTHCARE FOR WOMEN 401(K) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 194
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 133
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 62
Total of all active and inactive participants 2012-01-01 195
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 195
Number of participants with account balances 2012-01-01 186
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 12
2011: PIEDMONT HEALTHCARE FOR WOMEN 401(K) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 183
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 129
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 65
Total of all active and inactive participants 2011-01-01 194
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 194
Number of participants with account balances 2011-01-01 184
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 10
2010: PIEDMONT HEALTHCARE FOR WOMEN 401(K) RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 183
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 142
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 41
Total of all active and inactive participants 2010-01-01 183
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 183
Number of participants with account balances 2010-01-01 170
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 4
2009: PIEDMONT HEALTHCARE FOR WOMEN 401(K) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 174
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 133
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 41
Total of all active and inactive participants 2009-01-01 174
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 174
Number of participants with account balances 2009-01-01 163
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 5

Measure	Date	Value
2014: PIEDMONT HEALTHCARE FOR WOMEN 401(K) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	184
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
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	0
Total of all active and inactive participants	2014-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	0
Number of participants with account balances	2014-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: PIEDMONT HEALTHCARE FOR WOMEN 401(K) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	195
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
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	184
Total of all active and inactive participants	2013-01-01	184
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	184
Number of participants with account balances	2013-01-01	175
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: PIEDMONT HEALTHCARE FOR WOMEN 401(K) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	194
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	133
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	62
Total of all active and inactive participants	2012-01-01	195
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	195
Number of participants with account balances	2012-01-01	186
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	12
2011: PIEDMONT HEALTHCARE FOR WOMEN 401(K) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	183
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	129
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	65
Total of all active and inactive participants	2011-01-01	194
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	194
Number of participants with account balances	2011-01-01	184
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	10
2010: PIEDMONT HEALTHCARE FOR WOMEN 401(K) RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	183
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	142
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	41
Total of all active and inactive participants	2010-01-01	183
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	183
Number of participants with account balances	2010-01-01	170
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	4
2009: PIEDMONT HEALTHCARE FOR WOMEN 401(K) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	174
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	133
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	41
Total of all active and inactive participants	2009-01-01	174
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	174
Number of participants with account balances	2009-01-01	163
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	5

Financial Data on PIEDMONT HEALTHCARE FOR WOMEN 401(K) RETIREMENT PLAN

Measure	Date	Value
2014 : PIEDMONT HEALTHCARE FOR WOMEN 401(K) RETIREMENT PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2014-10-24	$-35,226
Total unrealized appreciation/depreciation of assets	2014-10-24	$-35,226
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-10-24	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-10-24	$0
Total income from all sources (including contributions)	2014-10-24	$457,486
Total loss/gain on sale of assets	2014-10-24	$0
Total of all expenses incurred	2014-10-24	$26,242,468
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-10-24	$26,180,479
Expenses. Certain deemed distributions of participant loans	2014-10-24	$37,491
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-10-24	$0
Value of total assets at end of year	2014-10-24	$0
Value of total assets at beginning of year	2014-10-24	$25,784,982
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-10-24	$24,498
Total interest from all sources	2014-10-24	$11,294
Total dividends received (eg from common stock, registered investment company shares)	2014-10-24	$11,808
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-10-24	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2014-10-24	$0
Total dividends received from registered investment company shares (eg mutual funds)	2014-10-24	$11,808
Was this plan covered by a fidelity bond	2014-10-24	Yes
Value of fidelity bond cover	2014-10-24	$500,000
If this is an individual account plan, was there a blackout period	2014-10-24	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-10-24	$0
Were there any nonexempt tranactions with any party-in-interest	2014-10-24	No
Participant contributions at end of year	2014-10-24	$0
Participant contributions at beginning of year	2014-10-24	$324,229
Participant contributions at end of year	2014-10-24	$0
Participant contributions at beginning of year	2014-10-24	$79,063
Other income not declared elsewhere	2014-10-24	$207
Total non interest bearing cash at end of year	2014-10-24	$0
Total non interest bearing cash at beginning of year	2014-10-24	$3,628
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-10-24	No
Value of net income/loss	2014-10-24	$-25,784,982
Value of net assets at end of year (total assets less liabilities)	2014-10-24	$0
Value of net assets at beginning of year (total assets less liabilities)	2014-10-24	$25,784,982
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-10-24	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-10-24	No
Were any leases to which the plan was party in default or uncollectible	2014-10-24	No
Investment advisory and management fees	2014-10-24	$16,522
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-10-24	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-10-24	$2,051,532
Value of interest in pooled separate accounts at end of year	2014-10-24	$0
Value of interest in pooled separate accounts at beginning of year	2014-10-24	$16,931,502
Interest on participant loans	2014-10-24	$4,677
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-10-24	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-10-24	$273,911
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-10-24	$273,911
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-10-24	$6,617
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-10-24	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-10-24	$6,167
Net investment gain/loss from pooled separate accounts	2014-10-24	$469,403
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-10-24	No
Was there a failure to transmit to the plan any participant contributions	2014-10-24	No
Has the plan failed to provide any benefit when due under the plan	2014-10-24	No
Employer contributions (assets) at end of year	2014-10-24	$0
Employer contributions (assets) at beginning of year	2014-10-24	$1,023,869
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-10-24	$26,180,479
Contract administrator fees	2014-10-24	$7,976
Assets. Corporate common stocks other than exployer securities at end of year	2014-10-24	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2014-10-24	$5,091,081
Did the plan have assets held for investment	2014-10-24	No
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	2014-10-24	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-10-24	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-10-24	Yes
Opinion of an independent qualified public accountant for this plan	2014-10-24	Disclaimer
Accountancy firm name	2014-10-24	LEEPER, KEAN & RUMLEY, LLP
Accountancy firm EIN	2014-10-24	561333355
2013 : PIEDMONT HEALTHCARE FOR WOMEN 401(K) RETIREMENT PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2013-12-31	$910,399
Total unrealized appreciation/depreciation of assets	2013-12-31	$910,399
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$4,913,817
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$6,450,405
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$6,361,618
Expenses. Certain deemed distributions of participant loans	2013-12-31	$5,296
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$1,670,022
Value of total assets at end of year	2013-12-31	$25,784,982
Value of total assets at beginning of year	2013-12-31	$27,321,570
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$83,491
Total interest from all sources	2013-12-31	$80,147
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$206,892
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2013-12-31	$0
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$639,141
Participant contributions at end of year	2013-12-31	$324,229
Participant contributions at beginning of year	2013-12-31	$271,133
Participant contributions at end of year	2013-12-31	$79,063
Participant contributions at beginning of year	2013-12-31	$93,782
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$7,012
Other income not declared elsewhere	2013-12-31	$430
Total non interest bearing cash at end of year	2013-12-31	$3,628
Total non interest bearing cash at beginning of year	2013-12-31	$13,947
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$-1,536,588
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$25,784,982
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$27,321,570
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$77,874
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$2,051,532
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$4,840,718
Value of interest in pooled separate accounts at end of year	2013-12-31	$16,931,502
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$14,662,011
Interest on participant loans	2013-12-31	$12,619
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$273,911
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$461,152
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$461,152
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$67,528
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$6,167
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$5,283
Net investment gain/loss from pooled separate accounts	2013-12-31	$2,045,927
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$1,023,869
Employer contributions (assets) at end of year	2013-12-31	$1,023,869
Employer contributions (assets) at beginning of year	2013-12-31	$1,014,350
Income. Dividends from common stock	2013-12-31	$206,892
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$6,361,618
Contract administrator fees	2013-12-31	$5,617
Assets. Corporate common stocks other than exployer securities at end of year	2013-12-31	$5,091,081
Assets. Corporate common stocks other than exployer securities at beginning of year	2013-12-31	$5,959,194
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	LEEPER, KEAN & RUMLEY, LLP
Accountancy firm EIN	2013-12-31	561333355
2012 : PIEDMONT HEALTHCARE FOR WOMEN 401(K) RETIREMENT PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2012-12-31	$792,929
Total unrealized appreciation/depreciation of assets	2012-12-31	$792,929
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$4,476,910
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$261,407
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$173,710
Expenses. Certain deemed distributions of participant loans	2012-12-31	$11,013
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$1,816,700
Value of total assets at end of year	2012-12-31	$27,321,570
Value of total assets at beginning of year	2012-12-31	$23,106,067
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$76,684
Total interest from all sources	2012-12-31	$69,766
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$194,871
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$684,437
Participant contributions at end of year	2012-12-31	$271,133
Participant contributions at beginning of year	2012-12-31	$189,371
Participant contributions at end of year	2012-12-31	$93,782
Participant contributions at beginning of year	2012-12-31	$56,705
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$117,913
Other income not declared elsewhere	2012-12-31	$-4
Administrative expenses (other) incurred	2012-12-31	$188
Total non interest bearing cash at end of year	2012-12-31	$13,947
Total non interest bearing cash at beginning of year	2012-12-31	$9,148
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$4,215,503
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$27,321,570
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$23,106,067
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$73,608
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$4,840,718
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$4,277,324
Value of interest in pooled separate accounts at end of year	2012-12-31	$14,662,011
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$12,217,810
Interest on participant loans	2012-12-31	$9,844
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$461,152
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$91,517
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$91,517
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$59,922
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$5,283
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$4,455
Net investment gain/loss from pooled separate accounts	2012-12-31	$1,602,648
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$1,014,350
Employer contributions (assets) at end of year	2012-12-31	$1,014,350
Employer contributions (assets) at beginning of year	2012-12-31	$1,011,278
Income. Dividends from common stock	2012-12-31	$194,871
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$173,710
Contract administrator fees	2012-12-31	$2,888
Assets. Corporate common stocks other than exployer securities at end of year	2012-12-31	$5,959,194
Assets. Corporate common stocks other than exployer securities at beginning of year	2012-12-31	$5,248,459
Did the plan have assets held for investment	2012-12-31	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	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	No
Opinion of an independent qualified public accountant for this plan	2012-12-31	Qualified
Accountancy firm name	2012-12-31	LEEPER, KEAN & RUMLEY, LLP
Accountancy firm EIN	2012-12-31	561333355
2011 : PIEDMONT HEALTHCARE FOR WOMEN 401(K) RETIREMENT PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2011-12-31	$-614,225
Total unrealized appreciation/depreciation of assets	2011-12-31	$-614,225
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	$1,277,922
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$1,703,104
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$1,596,092
Expenses. Certain deemed distributions of participant loans	2011-12-31	$12,264
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$1,702,270
Value of total assets at end of year	2011-12-31	$23,106,067
Value of total assets at beginning of year	2011-12-31	$23,531,249
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$94,748
Total interest from all sources	2011-12-31	$70,902
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$188,592
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
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	$699,502
Participant contributions at end of year	2011-12-31	$189,371
Participant contributions at beginning of year	2011-12-31	$195,530
Participant contributions at end of year	2011-12-31	$56,705
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$997
Other income not declared elsewhere	2011-12-31	$752
Total non interest bearing cash at end of year	2011-12-31	$9,148
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	$-425,182
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$23,106,067
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$23,531,249
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$4,277,324
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$11,153,177
Value of interest in pooled separate accounts at end of year	2011-12-31	$12,217,810
Interest on participant loans	2011-12-31	$7,432
Value of interest in common/collective trusts at end of year	2011-12-31	$0
Value of interest in common/collective trusts at beginning of year	2011-12-31	$2,358,537
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$91,517
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$223,978
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$223,978
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$63,470
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$4,455
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$353,027
Net investment gain/loss from pooled separate accounts	2011-12-31	$-423,396
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	$1,001,771
Employer contributions (assets) at end of year	2011-12-31	$1,011,278
Employer contributions (assets) at beginning of year	2011-12-31	$1,045,740
Income. Dividends from common stock	2011-12-31	$188,592
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$1,596,092
Asset. Corporate debt instrument preferred debt at end of year	2011-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2011-12-31	$750,639
Asset. Corporate debt instrument debt (other) at end of year	2011-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2011-12-31	$2,717,913
Contract administrator fees	2011-12-31	$94,748
Assets. Corporate common stocks other than exployer securities at end of year	2011-12-31	$5,248,459
Assets. Corporate common stocks other than exployer securities at beginning of year	2011-12-31	$5,085,735
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	LEEPER, KEAN & RUMLEY, LLP
Accountancy firm EIN	2011-12-31	561333355
2010 : PIEDMONT HEALTHCARE FOR WOMEN 401(K) RETIREMENT PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$796,606
Total unrealized appreciation/depreciation of assets	2010-12-31	$796,606
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	$3,739,544
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$538,899
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$395,553
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$1,657,341
Value of total assets at end of year	2010-12-31	$23,531,249
Value of total assets at beginning of year	2010-12-31	$20,330,604
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$143,346
Total interest from all sources	2010-12-31	$98,790
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$222,377
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
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	$575,151
Participant contributions at end of year	2010-12-31	$195,530
Participant contributions at beginning of year	2010-12-31	$130,523
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$35,275
Other income not declared elsewhere	2010-12-31	$12,885
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	$3,200,645
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$23,531,249
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$20,330,604
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$11,153,177
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$8,415,471
Income. Interest from loans (other than to participants)	2010-12-31	$7,881
Value of interest in common/collective trusts at end of year	2010-12-31	$2,358,537
Value of interest in common/collective trusts at beginning of year	2010-12-31	$2,112,062
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$223,978
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$326,883
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$326,883
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$90,909
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$732,119
Net investment gain or loss from common/collective trusts	2010-12-31	$219,426
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	Yes
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	$1,046,915
Employer contributions (assets) at end of year	2010-12-31	$1,045,740
Employer contributions (assets) at beginning of year	2010-12-31	$989,509
Income. Dividends from common stock	2010-12-31	$222,377
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$395,553
Asset. Corporate debt instrument preferred debt at end of year	2010-12-31	$750,639
Asset. Corporate debt instrument preferred debt at beginning of year	2010-12-31	$664,831
Asset. Corporate debt instrument debt (other) at end of year	2010-12-31	$2,717,913
Asset. Corporate debt instrument debt (other) at beginning of year	2010-12-31	$2,552,121
Contract administrator fees	2010-12-31	$143,346
Assets. Corporate common stocks other than exployer securities at end of year	2010-12-31	$5,085,735
Assets. Corporate common stocks other than exployer securities at beginning of year	2010-12-31	$5,139,204
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	LEEPER, KEAN & RUMLEY, LLP
Accountancy firm EIN	2010-12-31	561333355
2009 : PIEDMONT HEALTHCARE FOR WOMEN 401(K) RETIREMENT PLAN 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 PIEDMONT HEALTHCARE FOR WOMEN 401(K) RETIREMENT PLAN

2014: PIEDMONT HEALTHCARE FOR WOMEN 401(K) RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	Yes
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: PIEDMONT HEALTHCARE FOR WOMEN 401(K) RETIREMENT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: PIEDMONT HEALTHCARE FOR WOMEN 401(K) RETIREMENT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
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 funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: PIEDMONT HEALTHCARE FOR WOMEN 401(K) RETIREMENT PLAN 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 – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: PIEDMONT HEALTHCARE FOR WOMEN 401(K) RETIREMENT PLAN 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: PIEDMONT HEALTHCARE FOR WOMEN 401(K) RETIREMENT PLAN 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:	PIEDMONT HEALTHCARE FOR WOMEN, P.A.
Employer identification number (EIN):	460500590
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)