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| Plan Name | CARDIOLOGY ASSOCIATES OF SOUTHEASTERN OHIO, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | CARDIOLOGY ASSOCIATES OF SOUTHEASTERN OHIO, INC. |
| Employer identification number (EIN): | 550769765 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
Additional information about CARDIOLOGY ASSOCIATES OF SOUTHEASTERN OHIO, INC.
| Jurisdiction of Incorporation: | Ohio Secretary of State Business Services Division |
| Incorporation Date: | 1999-10-25 |
| Company Identification Number: | 1111626 |
| Legal Registered Office Address: |
751 FOREST AVENUE SUITE 300 ZANESVILLE United States of America (USA) 43701 |
More information about CARDIOLOGY ASSOCIATES OF SOUTHEASTERN OHIO, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2012-05-01 | JENNIFER LONGFELLOW | |||
| 501 | 2011-05-01 | JENNIFER LONGFELLOW |
| Measure | Date | Value |
|---|---|---|
| 2012: CARDIOLOGY ASSOCIATES OF SOUTHEASTERN OHIO, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-05-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-05-01 | 0 |
| Number of retired or separated participants receiving benefits | 2012-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2012-05-01 | 0 |
| Total of all active and inactive participants | 2012-05-01 | 0 |
| 2011: CARDIOLOGY ASSOCIATES OF SOUTHEASTERN OHIO, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-05-01 | 30 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-05-01 | 33 |
| Number of retired or separated participants receiving benefits | 2011-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-05-01 | 0 |
| Total of all active and inactive participants | 2011-05-01 | 33 |
| Measure | Date | Value |
|---|---|---|
| 2013 : CARDIOLOGY ASSOCIATES OF SOUTHEASTERN OHIO, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2013 401k financial data | ||
| Transfers to/from the plan | 2013-04-30 | $-91,183 |
| Total income from all sources | 2013-04-30 | $5,863 |
| Expenses. Total of all expenses incurred | 2013-04-30 | $13,275 |
| Benefits paid (including direct rollovers) | 2013-04-30 | $12,152 |
| Total plan assets at end of year | 2013-04-30 | $0 |
| Total plan assets at beginning of year | 2013-04-30 | $98,595 |
| Value of fidelity bond covering the plan | 2013-04-30 | $3,000,000 |
| Other income received | 2013-04-30 | $17 |
| Net income (gross income less expenses) | 2013-04-30 | $-7,412 |
| Net plan assets at end of year (total assets less liabilities) | 2013-04-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-04-30 | $98,595 |
| Total contributions received or receivable from employer(s) | 2013-04-30 | $5,846 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2013-04-30 | $1,123 |
| 2012 : CARDIOLOGY ASSOCIATES OF SOUTHEASTERN OHIO, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2012 401k financial data | ||
| Total income from all sources | 2012-04-30 | $186,996 |
| Expenses. Total of all expenses incurred | 2012-04-30 | $133,237 |
| Benefits paid (including direct rollovers) | 2012-04-30 | $116,101 |
| Total plan assets at end of year | 2012-04-30 | $98,595 |
| Total plan assets at beginning of year | 2012-04-30 | $44,836 |
| Value of fidelity bond covering the plan | 2012-04-30 | $3,000,000 |
| Total contributions received or receivable from participants | 2012-04-30 | $100,094 |
| Other income received | 2012-04-30 | $815 |
| Net income (gross income less expenses) | 2012-04-30 | $53,759 |
| Net plan assets at end of year (total assets less liabilities) | 2012-04-30 | $98,595 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-04-30 | $44,836 |
| Total contributions received or receivable from employer(s) | 2012-04-30 | $86,087 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2012-04-30 | $17,136 |
| 2011 : CARDIOLOGY ASSOCIATES OF SOUTHEASTERN OHIO, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2011 401k financial data | ||
| Total income from all sources | 2011-04-30 | $131,469 |
| Expenses. Total of all expenses incurred | 2011-04-30 | $86,633 |
| Benefits paid (including direct rollovers) | 2011-04-30 | $70,148 |
| Total plan assets at end of year | 2011-04-30 | $44,836 |
| Value of fidelity bond covering the plan | 2011-04-30 | $3,000,000 |
| Total contributions received or receivable from participants | 2011-04-30 | $84,204 |
| Other income received | 2011-04-30 | $422 |
| Net income (gross income less expenses) | 2011-04-30 | $44,836 |
| Net plan assets at end of year (total assets less liabilities) | 2011-04-30 | $44,836 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-04-30 | $0 |
| Total contributions received or receivable from employer(s) | 2011-04-30 | $46,843 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2011-04-30 | $16,485 |
| 2012: CARDIOLOGY ASSOCIATES OF SOUTHEASTERN OHIO, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2012 form 5500 responses | ||
|---|---|---|
| 2012-05-01 | Type of plan entity | Single employer plan |
| 2012-05-01 | This submission is the final filing | Yes |
| 2012-05-01 | Plan funding arrangement – Trust | Yes |
| 2012-05-01 | Plan benefit arrangement - Trust | Yes |
| 2011: CARDIOLOGY ASSOCIATES OF SOUTHEASTERN OHIO, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2011 form 5500 responses | ||
| 2011-05-01 | Type of plan entity | Single employer plan |
| 2011-05-01 | Plan funding arrangement – Trust | Yes |
| 2011-05-01 | Plan benefit arrangement - Trust | Yes |