401k Plan data: PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA plan

PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA 401k Plan overview

Plan Name	PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA
Plan identification number	001

PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.
Participant-directed brokerage accounts provided as an investment option under the plan.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

ANESTHESIA SCHEDULING SERVICES INC has sponsored the creation of one or more 401k plans.

Company Name: ANESTHESIA SCHEDULING SERVICES INC

Employer identification number (EIN): 731561408

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01
001 2016-01-01
001 2015-01-01 JORGE NORIEGA
001 2014-01-01 JORGE NORIEGA
001 2013-01-01
001 2012-01-01 JORGE NORIEGA JORGE NORIEGA 2013-10-11
001 2011-01-01 JORGE NORIEGA JORGE NORIEGA 2012-10-11
001 2009-01-01 MARIA ROBLES MEYERS
001 2009-01-01

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2017-01-01
001	2016-01-01
001	2015-01-01	JORGE NORIEGA
001	2014-01-01	JORGE NORIEGA
001	2013-01-01
001	2012-01-01	JORGE NORIEGA	JORGE NORIEGA	2013-10-11
001	2011-01-01	JORGE NORIEGA	JORGE NORIEGA	2012-10-11
001	2009-01-01	MARIA ROBLES MEYERS
001	2009-01-01

Plan Statistics for PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA

401k plan membership statisitcs for PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA

Measure Date Value
2017: PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA 2017 401k membership
Total participants, beginning-of-year 2017-01-01 1
Total of all active and inactive participants 2017-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 0
Number of participants with account balances 2017-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA 2016 401k membership
Total participants, beginning-of-year 2016-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 1
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 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 1
Number of participants with account balances 2016-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 1
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 1
Number of participants with account balances 2015-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 1
Number of participants with account balances 2014-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 1
Number of participants with account balances 2013-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 1
Number of participants with account balances 2012-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 1
Number of participants with account balances 2011-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 1
Number of participants with account balances 2009-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2017: PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA 2017 401k membership
Total participants, beginning-of-year	2017-01-01	1
Total of all active and inactive participants	2017-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	0
Number of participants with account balances	2017-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA 2016 401k membership
Total participants, beginning-of-year	2016-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	1
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	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	1
Number of participants with account balances	2016-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	1
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	1
Number of participants with account balances	2015-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	1
Number of participants with account balances	2014-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	1
Number of participants with account balances	2013-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	1
Number of participants with account balances	2012-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	1
Number of participants with account balances	2011-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	1
Number of participants with account balances	2009-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA

Measure	Date	Value
2017 : PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA 2017 401k financial data
Transfers to/from the plan	2017-12-31	$-2,355,849
Total income from all sources	2017-12-31	$0
Expenses. Total of all expenses incurred	2017-12-31	$0
Total plan assets at end of year	2017-12-31	$0
Total plan assets at beginning of year	2017-12-31	$2,355,849
Value of fidelity bond covering the plan	2017-12-31	$500,000
Net income (gross income less expenses)	2017-12-31	$0
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$2,355,849
2016 : PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA 2016 401k financial data
Total income from all sources	2016-12-31	$186,921
Expenses. Total of all expenses incurred	2016-12-31	$0
Total plan assets at end of year	2016-12-31	$2,355,849
Total plan assets at beginning of year	2016-12-31	$2,168,928
Value of fidelity bond covering the plan	2016-12-31	$500,000
Other income received	2016-12-31	$141,921
Net income (gross income less expenses)	2016-12-31	$186,921
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$2,355,849
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$2,168,928
Total contributions received or receivable from employer(s)	2016-12-31	$45,000
2015 : PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA 2015 401k financial data
Total income from all sources	2015-12-31	$36,137
Expenses. Total of all expenses incurred	2015-12-31	$0
Total plan assets at end of year	2015-12-31	$2,168,928
Total plan assets at beginning of year	2015-12-31	$2,132,791
Value of fidelity bond covering the plan	2015-12-31	$500,000
Other income received	2015-12-31	$-12,863
Net income (gross income less expenses)	2015-12-31	$36,137
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$2,168,928
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$2,132,791
Total contributions received or receivable from employer(s)	2015-12-31	$49,000
2014 : PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA 2014 401k financial data
Total income from all sources	2014-12-31	$111,809
Expenses. Total of all expenses incurred	2014-12-31	$0
Total plan assets at end of year	2014-12-31	$2,132,791
Total plan assets at beginning of year	2014-12-31	$2,020,982
Value of fidelity bond covering the plan	2014-12-31	$500,000
Other income received	2014-12-31	$60,809
Net income (gross income less expenses)	2014-12-31	$111,809
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$2,132,791
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$2,020,982
Total contributions received or receivable from employer(s)	2014-12-31	$51,000
2013 : PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA 2013 401k financial data
Total income from all sources	2013-12-31	$221,353
Expenses. Total of all expenses incurred	2013-12-31	$0
Benefits paid (including direct rollovers)	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$2,020,982
Total plan assets at beginning of year	2013-12-31	$1,799,629
Other income received	2013-12-31	$177,353
Net income (gross income less expenses)	2013-12-31	$221,353
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$2,020,982
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,799,629
Total contributions received or receivable from employer(s)	2013-12-31	$44,000
2012 : PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA 2012 401k financial data
Total income from all sources	2012-12-31	$163,753
Expenses. Total of all expenses incurred	2012-12-31	$0
Total plan assets at end of year	2012-12-31	$1,799,629
Total plan assets at beginning of year	2012-12-31	$1,635,876
Other income received	2012-12-31	$120,753
Net income (gross income less expenses)	2012-12-31	$163,753
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,799,629
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,635,876
Total contributions received or receivable from employer(s)	2012-12-31	$43,000
2011 : PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA 2011 401k financial data
Total income from all sources	2011-12-31	$53,848
Expenses. Total of all expenses incurred	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$1,635,876
Total plan assets at beginning of year	2011-12-31	$1,582,028
Other income received	2011-12-31	$8,848
Net income (gross income less expenses)	2011-12-31	$53,848
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,635,876
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,582,028
Total contributions received or receivable from employer(s)	2011-12-31	$45,000
2010 : PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA 2010 401k financial data
Total income from all sources	2010-12-31	$101,325
Expenses. Total of all expenses incurred	2010-12-31	$0
Total plan assets at end of year	2010-12-31	$1,582,028
Total plan assets at beginning of year	2010-12-31	$1,480,703
Other income received	2010-12-31	$59,325
Net income (gross income less expenses)	2010-12-31	$101,325
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,582,028
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,480,703
Total contributions received or receivable from employer(s)	2010-12-31	$42,000
2009 : PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA

2017: PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	Yes
2017-01-01	This submission is the final filing	Yes
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 – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA 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 – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA 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 – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SERVICES, INC FBO NORIEGA 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

HARTFORD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71153 )

Policy contract number

712166296

Policy instance

Insurance contract or identification number	712166296
Number of Individuals Covered	1
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $635
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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?	No
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

HARTFORD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71153 )

Policy contract number

712166296

Policy instance

Insurance contract or identification number	712166296
Number of Individuals Covered	1
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $815
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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?	No
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:	ANESTHESIA SCHEDULING SERVICES INC
Employer identification number (EIN):	731561408
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)