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| Plan Name | DAVID J. D. WOSKA, M.D., P.A. 401 (K) PROFIT SHARING PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | DAVID J. D. WOSKA, M.D., P.A. |
| Employer identification number (EIN): | 593317742 |
| 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 | 2013-01-01 | DAVID JD WOSKA | 2014-10-15 | DAVID JD WOSKA | 2014-10-15 |
| 001 | 2012-01-01 | DAVID JD WOSKA | 2013-10-01 | ||
| 001 | 2011-01-01 | DAVID JD WOSKA | 2012-10-12 | ||
| 001 | 2010-01-01 | DAVID JD WOSKA | |||
| 001 | 2009-01-01 | DAVID JD WOSKA |
| Measure | Date | Value |
|---|---|---|
| 2010: DAVID J. D. WOSKA, M.D., P.A. 401 (K) PROFIT SHARING PLAN 2010 401k membership | ||
| Total participants, beginning-of-year | 2010-01-01 | 11 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 5 |
| Number of other retired or separated participants entitled to future benefits | 2010-01-01 | 6 |
| Total of all active and inactive participants | 2010-01-01 | 11 |
| Total participants | 2010-01-01 | 11 |
| Number of participants with account balances | 2010-01-01 | 11 |
| 2009: DAVID J. D. WOSKA, M.D., P.A. 401 (K) PROFIT SHARING PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-01-01 | 10 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 6 |
| Number of other retired or separated participants entitled to future benefits | 2009-01-01 | 5 |
| Total of all active and inactive participants | 2009-01-01 | 11 |
| Total participants | 2009-01-01 | 11 |
| Number of participants with account balances | 2009-01-01 | 11 |
| Measure | Date | Value |
|---|---|---|
| 2010 : DAVID J. D. WOSKA, M.D., P.A. 401 (K) PROFIT SHARING PLAN 2010 401k financial data | ||
| Total income from all sources | 2010-12-31 | $129,069 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $29,092 |
| Benefits paid (including direct rollovers) | 2010-12-31 | $29,092 |
| Total plan assets at end of year | 2010-12-31 | $472,503 |
| Total plan assets at beginning of year | 2010-12-31 | $372,526 |
| Total contributions received or receivable from participants | 2010-12-31 | $26,000 |
| Other income received | 2010-12-31 | $50,069 |
| Net income (gross income less expenses) | 2010-12-31 | $99,977 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $472,503 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $372,526 |
| Total contributions received or receivable from employer(s) | 2010-12-31 | $53,000 |
| 2010: DAVID J. D. WOSKA, M.D., P.A. 401 (K) PROFIT SHARING PLAN 2010 form 5500 responses | ||
|---|---|---|
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Plan funding arrangement – Insurance | Yes |
| 2010-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: DAVID J. D. WOSKA, M.D., P.A. 401 (K) PROFIT SHARING PLAN 2009 form 5500 responses | ||
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| COMMONWEALTH ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 84824 ) | |
| Policy contract number | EC90 |
| Policy instance | 1 |