| Plan Name | BLUE RIDGE 401K PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | BLUE RIDGE ANESTHESIA ASSOC. LLC |
| Employer identification number (EIN): | 521955756 |
| 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 | 2015-01-01 | CARLO CUTLER | 2015-09-10 | ||
| 001 | 2014-01-01 | CARLO CUTLER | 2015-09-10 | ||
| 001 | 2013-01-01 | CARLO CUTLER | 2014-06-16 | ||
| 001 | 2012-01-01 | CARLO CUTLER | 2013-05-24 | ||
| 001 | 2011-01-01 | CARLO CUTLER | |||
| 001 | 2010-01-01 | CARLO CUTLER | 2011-07-07 |
| Measure | Date | Value |
|---|---|---|
| 2011 : BLUE RIDGE 401K PLAN 2011 401k financial data | ||
| Total income from all sources | 2011-12-31 | $233,661 |
| Expenses. Total of all expenses incurred | 2011-12-31 | $1,209,904 |
| Benefits paid (including direct rollovers) | 2011-12-31 | $1,192,886 |
| Total plan assets at end of year | 2011-12-31 | $4,983,688 |
| Total plan assets at beginning of year | 2011-12-31 | $5,959,931 |
| Value of fidelity bond covering the plan | 2011-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2011-12-31 | $187,469 |
| Expenses. Other expenses not covered elsewhere | 2011-12-31 | $17,018 |
| Other income received | 2011-12-31 | $-118,595 |
| Net income (gross income less expenses) | 2011-12-31 | $-976,243 |
| Net plan assets at end of year (total assets less liabilities) | 2011-12-31 | $4,983,688 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-12-31 | $5,959,931 |
| Assets. Value of participant loans | 2011-12-31 | $78,750 |
| Total contributions received or receivable from employer(s) | 2011-12-31 | $164,787 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2011-12-31 | $0 |
| 2011: BLUE RIDGE 401K 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 – Trust | Yes |
| 2011-01-01 | Plan benefit arrangement - Trust | Yes |