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| Plan Name | NICHOLAS J. BELITSOS, M.D., P.A. PROFIT SHARING PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | NICHOLAS J. BELITSOS, M.D., P.A. |
| Employer identification number (EIN): | 521487144 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2012-01-01 | NICHOLAS J. BELITSOS, M.D. | 2013-09-26 | ||
| 001 | 2011-01-01 | NICHOLAS J. BELITSOS, M.D. | 2012-10-05 | ||
| 001 | 2010-01-01 | NICHOLAS J. BELITSOS, M.D. | 2011-10-14 |
| Measure | Date | Value |
|---|---|---|
| 2008 : NICHOLAS J. BELITSOS, M.D., P.A. PROFIT SHARING PLAN 2008 401k financial data | ||
| Total plan liabilities at end of year | 2008-12-31 | $5,000 |
| Total income from all sources | 2008-12-31 | $-277,097 |
| Expenses. Total of all expenses incurred | 2008-12-31 | $27,049 |
| Benefits paid (including direct rollovers) | 2008-12-31 | $0 |
| Total plan assets at end of year | 2008-12-31 | $1,069,106 |
| Total plan assets at beginning of year | 2008-12-31 | $1,368,252 |
| Value of fidelity bond covering the plan | 2008-12-31 | $180,000 |
| Expenses. Other expenses not covered elsewhere | 2008-12-31 | $27,049 |
| Other income received | 2008-12-31 | $-294,735 |
| Net income (gross income less expenses) | 2008-12-31 | $-304,146 |
| Net plan assets at end of year (total assets less liabilities) | 2008-12-31 | $1,064,106 |
| Net plan assets at beginning of year (total assets less liabilities) | 2008-12-31 | $1,368,252 |
| Total contributions received or receivable from employer(s) | 2008-12-31 | $17,638 |
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