401k Plan data: PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SVCS, FBO CHEN plan

PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SVCS, FBO CHEN 401k Plan overview

Plan Name	PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SVCS, FBO CHEN
Plan identification number	001

PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SVCS, FBO CHEN 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): 731561641

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 SVCS, FBO CHEN

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 TING-KON CHEN
001 2014-01-01 TING-KON CHEN
001 2013-01-01
001 2012-01-01 TING-KON CHEN TING-KON CHEN 2013-10-14
001 2011-01-01 TING-KON CHEN TING-KON CHEN 2012-10-11
001 2009-01-01 TING-KON CHEN

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	TING-KON CHEN
001	2014-01-01	TING-KON CHEN
001	2013-01-01
001	2012-01-01	TING-KON CHEN	TING-KON CHEN	2013-10-14
001	2011-01-01	TING-KON CHEN	TING-KON CHEN	2012-10-11
001	2009-01-01	TING-KON CHEN

Financial Data on PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SVCS, FBO CHEN

Measure	Date	Value
2017 : PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SVCS, FBO CHEN 2017 401k financial data
Transfers to/from the plan	2017-12-31	$-454,953
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	$454,953
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	$454,953
2016 : PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SVCS, FBO CHEN 2016 401k financial data
Total income from all sources	2016-12-31	$21,814
Expenses. Total of all expenses incurred	2016-12-31	$0
Total plan assets at end of year	2016-12-31	$454,953
Total plan assets at beginning of year	2016-12-31	$433,139
Value of fidelity bond covering the plan	2016-12-31	$500,000
Other income received	2016-12-31	$21,814
Net income (gross income less expenses)	2016-12-31	$21,814
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$454,953
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$433,139
2015 : PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SVCS, FBO CHEN 2015 401k financial data
Total income from all sources	2015-12-31	$-11,528
Expenses. Total of all expenses incurred	2015-12-31	$0
Total plan assets at end of year	2015-12-31	$433,139
Total plan assets at beginning of year	2015-12-31	$444,667
Value of fidelity bond covering the plan	2015-12-31	$500,000
Other income received	2015-12-31	$-11,528
Net income (gross income less expenses)	2015-12-31	$-11,528
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$433,139
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$444,667
Total contributions received or receivable from employer(s)	2015-12-31	$0
2014 : PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SVCS, FBO CHEN 2014 401k financial data
Total income from all sources	2014-12-31	$57,473
Expenses. Total of all expenses incurred	2014-12-31	$0
Total plan assets at end of year	2014-12-31	$444,667
Total plan assets at beginning of year	2014-12-31	$387,194
Value of fidelity bond covering the plan	2014-12-31	$500,000
Contributions received from other sources (not participants or employers)	2014-12-31	$58,314
Other income received	2014-12-31	$-841
Net income (gross income less expenses)	2014-12-31	$57,473
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$444,667
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$387,194
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SVCS, FBO CHEN 2013 401k financial data
Total income from all sources	2013-12-31	$3
Expenses. Total of all expenses incurred	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$387,194
Total plan assets at beginning of year	2013-12-31	$387,191
Other income received	2013-12-31	$3
Net income (gross income less expenses)	2013-12-31	$3
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$387,194
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$387,191
Total contributions received or receivable from employer(s)	2013-12-31	$0
2012 : PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SVCS, FBO CHEN 2012 401k financial data
Total income from all sources	2012-12-31	$-5
Expenses. Total of all expenses incurred	2012-12-31	$0
Total plan assets at end of year	2012-12-31	$387,191
Total plan assets at beginning of year	2012-12-31	$387,196
Other income received	2012-12-31	$-5
Net income (gross income less expenses)	2012-12-31	$-5
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$387,191
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$387,196
2011 : PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SVCS, FBO CHEN 2011 401k financial data
Total income from all sources	2011-12-31	$5
Expenses. Total of all expenses incurred	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$387,196
Total plan assets at beginning of year	2011-12-31	$387,191
Other income received	2011-12-31	$5
Net income (gross income less expenses)	2011-12-31	$5
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$387,196
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$387,191
Total contributions received or receivable from employer(s)	2011-12-31	$0
2010 : PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SVCS, FBO CHEN 2010 401k financial data
Total income from all sources	2010-12-31	$1
Expenses. Total of all expenses incurred	2010-12-31	$0
Total plan assets at end of year	2010-12-31	$387,191
Total plan assets at beginning of year	2010-12-31	$387,190
Other income received	2010-12-31	$1
Net income (gross income less expenses)	2010-12-31	$1
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$387,191
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$387,190
Total contributions received or receivable from employer(s)	2010-12-31	$0
2009 : PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SVCS, FBO CHEN 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 SVCS, FBO CHEN

2017: PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SVCS, FBO CHEN 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	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 – 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: PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SVCS, FBO CHEN 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
2015: PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SVCS, FBO CHEN 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 SVCS, FBO CHEN 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 SVCS, FBO CHEN 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 SVCS, FBO CHEN 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 SVCS, FBO CHEN 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
2009: PROFIT SHARING PLAN OF ANESTHESIA SCHEDULING SVCS, FBO CHEN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
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

THE OHIO NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67172 )
Policy contract number	GP 4674
Policy instance	1

Potentially related plans

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Company Name:	ANESTHESIA SCHEDULING SERVICES, INC
Employer identification number (EIN):	731561641
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)