401k Plan data: PROFESSIONAL ANESTHESIA PROVIDERS PSC RETIREMENT PLAN plan

PROFESSIONAL ANESTHESIA PROVIDERS PSC RETIREMENT PLAN 401k Plan overview

Plan Name	PROFESSIONAL ANESTHESIA PROVIDERS PSC RETIREMENT PLAN
Plan identification number	001

PROFESSIONAL ANESTHESIA PROVIDERS PSC RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Money purchase (other than target benefit)
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.
Plan not intended to be qualified - A plan not intended to be qualified under Code sections 401, 403, or 408.

401k Sponsoring company profile

PROFESSIONAL ANESTHESIA PROVIDERS PSC. has sponsored the creation of one or more 401k plans.

Company Name: PROFESSIONAL ANESTHESIA PROVIDERS PSC.

Employer identification number (EIN): 660648750

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PROFESSIONAL ANESTHESIA PROVIDERS PSC RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 JESUS BECERRA 2023-09-14
001 2021-01-01 JESUS BECERRA 2023-01-12
001 2020-01-01 JESUS BECERRA 2021-10-06
001 2019-01-01 JESUS BECERRA 2020-10-14
001 2018-01-01 JESUS BECERRA 2019-10-09
001 2017-01-01 JESUS BECERRA JESUS BECERRA 2018-07-31
001 2016-01-01 JESUS BECERRA JESUS BECERRA 2018-07-31
001 2011-01-01 JESUS BECERRA 2012-07-18 JESUS BECERRA 2012-07-18
001 2010-01-01 JESUS BECERRA 2011-04-14 JESUS BECERRA 2011-04-14

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	JESUS BECERRA	2023-09-14
001	2021-01-01	JESUS BECERRA	2023-01-12
001	2020-01-01	JESUS BECERRA	2021-10-06
001	2019-01-01	JESUS BECERRA	2020-10-14
001	2018-01-01	JESUS BECERRA	2019-10-09
001	2017-01-01	JESUS BECERRA		JESUS BECERRA	2018-07-31
001	2016-01-01	JESUS BECERRA		JESUS BECERRA	2018-07-31
001	2011-01-01	JESUS BECERRA	2012-07-18	JESUS BECERRA	2012-07-18
001	2010-01-01	JESUS BECERRA	2011-04-14	JESUS BECERRA	2011-04-14

Plan Statistics for PROFESSIONAL ANESTHESIA PROVIDERS PSC RETIREMENT PLAN

401k plan membership statisitcs for PROFESSIONAL ANESTHESIA PROVIDERS PSC RETIREMENT PLAN

Measure Date Value
2017: PROFESSIONAL ANESTHESIA PROVIDERS PSC RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 16
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 16
Number of participants with account balances 2017-01-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: PROFESSIONAL ANESTHESIA PROVIDERS PSC RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 16
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 16
Number of participants with account balances 2016-01-01 13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0

Measure	Date	Value
2017: PROFESSIONAL ANESTHESIA PROVIDERS PSC RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	16
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	16
Number of participants with account balances	2017-01-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: PROFESSIONAL ANESTHESIA PROVIDERS PSC RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	16
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	16
Number of participants with account balances	2016-01-01	13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0

Financial Data on PROFESSIONAL ANESTHESIA PROVIDERS PSC RETIREMENT PLAN

Measure	Date	Value
2017 : PROFESSIONAL ANESTHESIA PROVIDERS PSC RETIREMENT PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$205,195
Expenses. Total of all expenses incurred	2017-12-31	$26,297
Benefits paid (including direct rollovers)	2017-12-31	$14,822
Total plan assets at end of year	2017-12-31	$1,055,428
Total plan assets at beginning of year	2017-12-31	$876,530
Total contributions received or receivable from participants	2017-12-31	$52,617
Expenses. Other expenses not covered elsewhere	2017-12-31	$11,475
Other income received	2017-12-31	$127,623
Net income (gross income less expenses)	2017-12-31	$178,898
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$1,055,428
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$876,530
Total contributions received or receivable from employer(s)	2017-12-31	$24,955
2016 : PROFESSIONAL ANESTHESIA PROVIDERS PSC RETIREMENT PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$35,015
Expenses. Total of all expenses incurred	2016-12-31	$30,765
Benefits paid (including direct rollovers)	2016-12-31	$27,207
Total plan assets at end of year	2016-12-31	$876,530
Total plan assets at beginning of year	2016-12-31	$872,280
Total contributions received or receivable from participants	2016-12-31	$1,407
Expenses. Other expenses not covered elsewhere	2016-12-31	$3,558
Other income received	2016-12-31	$32,201
Net income (gross income less expenses)	2016-12-31	$4,250
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$876,530
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$872,280
Total contributions received or receivable from employer(s)	2016-12-31	$1,407

Form 5500 Responses for PROFESSIONAL ANESTHESIA PROVIDERS PSC RETIREMENT PLAN

2017: PROFESSIONAL ANESTHESIA PROVIDERS PSC RETIREMENT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: PROFESSIONAL ANESTHESIA PROVIDERS PSC RETIREMENT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

375671-P1

Policy instance

Insurance contract or identification number	375671-P1
Number of Individuals Covered	0
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

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Company Name:	PROFESSIONAL ANESTHESIA PROVIDERS PSC.
Employer identification number (EIN):	660648750
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)