401k Plan data: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN plan

CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN
Plan identification number	002

CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 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.
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.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
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.

401k Sponsoring company profile

CENTRAL COAST EMERGENCY PHYSICIANS, INC. has sponsored the creation of one or more 401k plans.

Company Name: CENTRAL COAST EMERGENCY PHYSICIANS, INC.

Employer identification number (EIN): 770062466

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01 BRADLEY KNOX 2023-10-10
002 2021-01-01 BRADLEY KNOX, M.D. 2022-10-12
002 2020-01-01 THOMAS W. HALE, M.D. 2021-10-15
002 2019-01-01 THOMAS W. HALE, M.D. 2020-10-15
002 2018-01-01 THOMAS W. HALE, M.D. 2019-10-15
002 2017-01-01
002 2016-01-01
002 2015-01-01
002 2014-01-01
002 2013-01-01 THOMAS W. HALE, M.D.
002 2012-01-01 THOMAS W. HALE, M.D.
002 2011-01-01 THOMAS W. HALE, M.D.
002 2009-01-01 DOUGLAS S. HENDRY

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2022-01-01	BRADLEY KNOX	2023-10-10
002	2021-01-01	BRADLEY KNOX, M.D.	2022-10-12
002	2020-01-01	THOMAS W. HALE, M.D.	2021-10-15
002	2019-01-01	THOMAS W. HALE, M.D.	2020-10-15
002	2018-01-01	THOMAS W. HALE, M.D.	2019-10-15
002	2017-01-01
002	2016-01-01
002	2015-01-01
002	2014-01-01
002	2013-01-01	THOMAS W. HALE, M.D.
002	2012-01-01	THOMAS W. HALE, M.D.
002	2011-01-01	THOMAS W. HALE, M.D.
002	2009-01-01	DOUGLAS S. HENDRY

Plan Statistics for CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2022: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 27
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 22
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 6
Total of all active and inactive participants 2022-01-01 28
Total participants 2022-01-01 28
Number of participants with account balances 2022-01-01 28
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 25
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 24
Number of retired or separated participants receiving benefits 2021-01-01 1
Total of all active and inactive participants 2021-01-01 25
Total participants 2021-01-01 25
Number of participants with account balances 2021-01-01 25
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 25
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 25
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 2
Total of all active and inactive participants 2020-01-01 27
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 27
Number of participants with account balances 2020-01-01 25
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 26
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 25
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 25
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 25
Number of participants with account balances 2019-01-01 25
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 25
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 22
Number of other retired or separated participants entitled to future benefits 2018-01-01 2
Total of all active and inactive participants 2018-01-01 24
Total participants 2018-01-01 24
Number of participants with account balances 2018-01-01 24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 27
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 24
Number of other retired or separated participants entitled to future benefits 2017-01-01 1
Total of all active and inactive participants 2017-01-01 25
Total participants 2017-01-01 25
2016: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 24
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 25
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 2
Total of all active and inactive participants 2016-01-01 27
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 27
Number of participants with account balances 2016-01-01 27
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 24
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 24
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 24
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 24
Number of participants with account balances 2015-01-01 24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 26
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 23
Number of retired or separated participants receiving benefits 2014-01-01 1
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 24
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 24
Number of participants with account balances 2014-01-01 24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 28
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 24
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 2
Total of all active and inactive participants 2013-01-01 26
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 26
Number of participants with account balances 2013-01-01 26
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 28
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 25
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 3
Total of all active and inactive participants 2012-01-01 28
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 28
Number of participants with account balances 2012-01-01 28
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 28
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 23
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 3
Total of all active and inactive participants 2011-01-01 26
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 26
Number of participants with account balances 2011-01-01 26
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 25
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 22
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 3
Total of all active and inactive participants 2009-01-01 25
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 25
Number of participants with account balances 2009-01-01 25
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2022: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	27
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	22
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	6
Total of all active and inactive participants	2022-01-01	28
Total participants	2022-01-01	28
Number of participants with account balances	2022-01-01	28
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	25
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	24
Number of retired or separated participants receiving benefits	2021-01-01	1
Total of all active and inactive participants	2021-01-01	25
Total participants	2021-01-01	25
Number of participants with account balances	2021-01-01	25
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	25
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	25
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	2
Total of all active and inactive participants	2020-01-01	27
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	27
Number of participants with account balances	2020-01-01	25
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	26
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	25
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	25
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	25
Number of participants with account balances	2019-01-01	25
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	25
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	22
Number of other retired or separated participants entitled to future benefits	2018-01-01	2
Total of all active and inactive participants	2018-01-01	24
Total participants	2018-01-01	24
Number of participants with account balances	2018-01-01	24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	27
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	24
Number of other retired or separated participants entitled to future benefits	2017-01-01	1
Total of all active and inactive participants	2017-01-01	25
Total participants	2017-01-01	25
2016: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	24
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	25
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	2
Total of all active and inactive participants	2016-01-01	27
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	27
Number of participants with account balances	2016-01-01	27
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	24
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	24
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	24
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	24
Number of participants with account balances	2015-01-01	24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	26
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	23
Number of retired or separated participants receiving benefits	2014-01-01	1
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	24
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	24
Number of participants with account balances	2014-01-01	24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	28
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	24
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	2
Total of all active and inactive participants	2013-01-01	26
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	26
Number of participants with account balances	2013-01-01	26
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	28
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	25
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	3
Total of all active and inactive participants	2012-01-01	28
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	28
Number of participants with account balances	2012-01-01	28
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	28
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	23
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	3
Total of all active and inactive participants	2011-01-01	26
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	26
Number of participants with account balances	2011-01-01	26
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	25
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	22
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	3
Total of all active and inactive participants	2009-01-01	25
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	25
Number of participants with account balances	2009-01-01	25
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2022 : CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2022 401k financial data
Total income from all sources	2022-12-31	$-1,654,754
Expenses. Total of all expenses incurred	2022-12-31	$2,054,398
Benefits paid (including direct rollovers)	2022-12-31	$1,856,948
Total plan assets at end of year	2022-12-31	$27,920,600
Total plan assets at beginning of year	2022-12-31	$31,629,752
Value of fidelity bond covering the plan	2022-12-31	$2,000,000
Total contributions received or receivable from participants	2022-12-31	$409,892
Assets. Value of loans (other than to participants)	2022-12-31	$562,949
Other income received	2022-12-31	$-3,030,644
Net income (gross income less expenses)	2022-12-31	$-3,709,152
Net plan assets at end of year (total assets less liabilities)	2022-12-31	$27,920,600
Net plan assets at beginning of year (total assets less liabilities)	2022-12-31	$31,629,752
Assets. Value of participant loans	2022-12-31	$47,967
Assets. Value of real-estate (other than employer real property)	2022-12-31	$3,485,340
Total contributions received or receivable from employer(s)	2022-12-31	$965,998
Expenses. Administrative service providers (salaries,fees and commissions)	2022-12-31	$197,450
2021 : CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2021 401k financial data
Total income from all sources	2021-12-31	$9,072,887
Total plan assets at end of year	2021-12-31	$31,629,752
Total plan assets at beginning of year	2021-12-31	$22,556,865
Value of fidelity bond covering the plan	2021-12-31	$2,000,000
Total contributions received or receivable from participants	2021-12-31	$393,071
Assets. Value of loans (other than to participants)	2021-12-31	$664,182
Other income received	2021-12-31	$7,803,235
Net income (gross income less expenses)	2021-12-31	$9,072,887
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$31,629,752
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$22,556,865
Assets. Value of participant loans	2021-12-31	$59,351
Assets. Value of real-estate (other than employer real property)	2021-12-31	$3,225,500
Total contributions received or receivable from employer(s)	2021-12-31	$876,581
2020 : CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2020 401k financial data
Total plan liabilities at end of year	2020-12-31	$0
Total plan liabilities at beginning of year	2020-12-31	$335
Total income from all sources	2020-12-31	$1,014,494
Expenses. Total of all expenses incurred	2020-12-31	$2,576,016
Benefits paid (including direct rollovers)	2020-12-31	$2,490,661
Total plan assets at end of year	2020-12-31	$22,556,865
Total plan assets at beginning of year	2020-12-31	$24,118,722
Value of fidelity bond covering the plan	2020-12-31	$2,000,000
Total contributions received or receivable from participants	2020-12-31	$388,752
Expenses. Other expenses not covered elsewhere	2020-12-31	$85,355
Other income received	2020-12-31	$-138,787
Net income (gross income less expenses)	2020-12-31	$-1,561,522
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$22,556,865
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$24,118,387
Assets. Value of participant loans	2020-12-31	$865,000
Assets. Value of real-estate (other than employer real property)	2020-12-31	$2,246,313
Total contributions received or receivable from employer(s)	2020-12-31	$764,529
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
2019 : CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2019 401k financial data
Total plan liabilities at end of year	2019-12-31	$335
Total plan liabilities at beginning of year	2019-12-31	$335
Total income from all sources	2019-12-31	$3,701,528
Expenses. Total of all expenses incurred	2019-12-31	$919,532
Benefits paid (including direct rollovers)	2019-12-31	$831,225
Total plan assets at end of year	2019-12-31	$24,118,722
Total plan assets at beginning of year	2019-12-31	$21,336,726
Value of fidelity bond covering the plan	2019-12-31	$2,000,000
Total contributions received or receivable from participants	2019-12-31	$307,885
Assets. Value of loans (other than to participants)	2019-12-31	$895,000
Other income received	2019-12-31	$2,625,754
Net income (gross income less expenses)	2019-12-31	$2,781,996
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$24,118,387
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$21,336,391
Assets. Value of participant loans	2019-12-31	$71,284
Assets. Value of real-estate (other than employer real property)	2019-12-31	$2,079,919
Total contributions received or receivable from employer(s)	2019-12-31	$767,889
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$88,307
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
2018 : CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total plan liabilities at end of year	2018-12-31	$335
Total plan liabilities at beginning of year	2018-12-31	$223,251
Total income from all sources	2018-12-31	$321,486
Expenses. Total of all expenses incurred	2018-12-31	$93,406
Total plan assets at end of year	2018-12-31	$21,336,726
Total plan assets at beginning of year	2018-12-31	$21,331,562
Value of fidelity bond covering the plan	2018-12-31	$2,000,000
Total contributions received or receivable from participants	2018-12-31	$299,400
Assets. Value of loans (other than to participants)	2018-12-31	$895,000
Other income received	2018-12-31	$-793,589
Net income (gross income less expenses)	2018-12-31	$228,080
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$21,336,391
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$21,108,311
Assets. Value of participant loans	2018-12-31	$76,957
Assets. Value of real-estate (other than employer real property)	2018-12-31	$2,339,114
Total contributions received or receivable from employer(s)	2018-12-31	$815,675
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$93,406
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
2017 : CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total plan liabilities at end of year	2017-12-31	$223,251
Total plan liabilities at beginning of year	2017-12-31	$14,113
Total income from all sources	2017-12-31	$3,814,922
Expenses. Total of all expenses incurred	2017-12-31	$915,596
Benefits paid (including direct rollovers)	2017-12-31	$772,377
Total plan assets at end of year	2017-12-31	$21,331,562
Total plan assets at beginning of year	2017-12-31	$18,223,098
Value of fidelity bond covering the plan	2017-12-31	$2,000,000
Total contributions received or receivable from participants	2017-12-31	$274,439
Assets. Value of loans (other than to participants)	2017-12-31	$215,000
Expenses. Other expenses not covered elsewhere	2017-12-31	$105,951
Other income received	2017-12-31	$2,713,727
Net income (gross income less expenses)	2017-12-31	$2,899,326
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$21,108,311
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$18,208,985
Assets. Value of participant loans	2017-12-31	$85,144
Assets. Value of real-estate (other than employer real property)	2017-12-31	$3,695,844
Total contributions received or receivable from employer(s)	2017-12-31	$826,756
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$37,268
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
2016 : CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total plan liabilities at end of year	2016-12-31	$14,113
Total plan liabilities at beginning of year	2016-12-31	$222,158
Total income from all sources	2016-12-31	$2,712,804
Expenses. Total of all expenses incurred	2016-12-31	$119,910
Total plan assets at end of year	2016-12-31	$18,223,098
Total plan assets at beginning of year	2016-12-31	$15,838,249
Value of fidelity bond covering the plan	2016-12-31	$2,000,000
Total contributions received or receivable from participants	2016-12-31	$299,124
Expenses. Other expenses not covered elsewhere	2016-12-31	$92,241
Contributions received from other sources (not participants or employers)	2016-12-31	$390,900
Other income received	2016-12-31	$1,189,385
Net income (gross income less expenses)	2016-12-31	$2,592,894
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$18,208,985
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$15,616,091
Assets. Value of participant loans	2016-12-31	$110,910
Assets. Value of real-estate (other than employer real property)	2016-12-31	$2,299,289
Total contributions received or receivable from employer(s)	2016-12-31	$833,395
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$27,669
2015 : CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total plan liabilities at end of year	2015-12-31	$222,158
Total plan liabilities at beginning of year	2015-12-31	$241,425
Total income from all sources	2015-12-31	$990,205
Expenses. Total of all expenses incurred	2015-12-31	$111,909
Benefits paid (including direct rollovers)	2015-12-31	$6,514
Total plan assets at end of year	2015-12-31	$15,838,249
Total plan assets at beginning of year	2015-12-31	$14,979,220
Value of fidelity bond covering the plan	2015-12-31	$2,000,000
Total contributions received or receivable from participants	2015-12-31	$296,043
Expenses. Other expenses not covered elsewhere	2015-12-31	$78,960
Other income received	2015-12-31	$-83,902
Net income (gross income less expenses)	2015-12-31	$878,296
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$15,616,091
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$14,737,795
Assets. Value of participant loans	2015-12-31	$138,071
Assets. Value of real-estate (other than employer real property)	2015-12-31	$2,299,289
Total contributions received or receivable from employer(s)	2015-12-31	$778,064
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$26,435
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total plan liabilities at end of year	2014-12-31	$241,425
Total plan liabilities at beginning of year	2014-12-31	$242,764
Total income from all sources	2014-12-31	$1,843,911
Expenses. Total of all expenses incurred	2014-12-31	$1,711,240
Benefits paid (including direct rollovers)	2014-12-31	$1,647,157
Total plan assets at end of year	2014-12-31	$14,979,220
Total plan assets at beginning of year	2014-12-31	$14,847,888
Value of fidelity bond covering the plan	2014-12-31	$2,000,000
Total contributions received or receivable from participants	2014-12-31	$281,879
Assets. Value of loans (other than to participants)	2014-12-31	$370,000
Expenses. Other expenses not covered elsewhere	2014-12-31	$64,083
Contributions received from other sources (not participants or employers)	2014-12-31	$16,995
Other income received	2014-12-31	$804,153
Net income (gross income less expenses)	2014-12-31	$132,671
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$14,737,795
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$14,605,124
Assets. Value of participant loans	2014-12-31	$86,232
Assets. Value of assets in partnership/joint-venture interests	2014-12-31	$10,000
Assets. Value of real-estate (other than employer real property)	2014-12-31	$1,685,000
Total contributions received or receivable from employer(s)	2014-12-31	$740,884
Value of corrective distributions	2014-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
Total plan liabilities at end of year	2013-12-31	$242,764
Total plan liabilities at beginning of year	2013-12-31	$238,817
Total income from all sources	2013-12-31	$2,525,410
Expenses. Total of all expenses incurred	2013-12-31	$281,456
Benefits paid (including direct rollovers)	2013-12-31	$205,032
Total plan assets at end of year	2013-12-31	$14,847,888
Total plan assets at beginning of year	2013-12-31	$12,599,987
Value of fidelity bond covering the plan	2013-12-31	$2,000,000
Total contributions received or receivable from participants	2013-12-31	$253,541
Assets. Value of loans (other than to participants)	2013-12-31	$379,426
Expenses. Other expenses not covered elsewhere	2013-12-31	$76,424
Contributions received from other sources (not participants or employers)	2013-12-31	$120,015
Other income received	2013-12-31	$1,454,268
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$2,243,954
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$14,605,124
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$12,361,170
Assets. Value of participant loans	2013-12-31	$148,209
Assets. Value of assets in partnership/joint-venture interests	2013-12-31	$24,000
Assets. Value of real-estate (other than employer real property)	2013-12-31	$1,628,000
Total contributions received or receivable from employer(s)	2013-12-31	$697,586
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
Total plan liabilities at end of year	2012-12-31	$238,817
Total plan liabilities at beginning of year	2012-12-31	$242,057
Total income from all sources	2012-12-31	$1,903,424
Expenses. Total of all expenses incurred	2012-12-31	$1,926,872
Benefits paid (including direct rollovers)	2012-12-31	$1,865,922
Total plan assets at end of year	2012-12-31	$12,599,987
Total plan assets at beginning of year	2012-12-31	$12,626,675
Value of fidelity bond covering the plan	2012-12-31	$1,500,000
Total contributions received or receivable from participants	2012-12-31	$225,463
Assets. Value of loans (other than to participants)	2012-12-31	$383,498
Expenses. Other expenses not covered elsewhere	2012-12-31	$60,950
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$984,491
Noncash contributions received	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$-23,448
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$12,361,170
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$12,384,618
Assets. Value of participant loans	2012-12-31	$104,806
Assets. Value of assets in partnership/joint-venture interests	2012-12-31	$24,000
Assets. Value of real-estate (other than employer real property)	2012-12-31	$1,105,000
Total contributions received or receivable from employer(s)	2012-12-31	$693,470
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$666,074
2011 : CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total plan liabilities at end of year	2011-12-31	$242,057
Total plan liabilities at beginning of year	2011-12-31	$250,045
Total income from all sources	2011-12-31	$968,788
Expenses. Total of all expenses incurred	2011-12-31	$83,002
Benefits paid (including direct rollovers)	2011-12-31	$18,589
Total plan assets at end of year	2011-12-31	$12,626,675
Total plan assets at beginning of year	2011-12-31	$11,748,877
Value of fidelity bond covering the plan	2011-12-31	$1,500,000
Total contributions received or receivable from participants	2011-12-31	$205,414
Expenses. Other expenses not covered elsewhere	2011-12-31	$64,413
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$58,309
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$885,786
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$12,384,618
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$11,498,832
Assets. Value of participant loans	2011-12-31	$129,164
Assets. Value of assets in partnership/joint-venture interests	2011-12-31	$24,000
Assets. Value of real-estate (other than employer real property)	2011-12-31	$1,105,000
Total contributions received or receivable from employer(s)	2011-12-31	$705,065
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$14,849
2010 : CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total plan liabilities at end of year	2010-12-31	$250,045
Total plan liabilities at beginning of year	2010-12-31	$314,221
Total income from all sources	2010-12-31	$1,912,390
Expenses. Total of all expenses incurred	2010-12-31	$256,831
Benefits paid (including direct rollovers)	2010-12-31	$198,214
Total plan assets at end of year	2010-12-31	$11,748,877
Total plan assets at beginning of year	2010-12-31	$10,157,494
Value of fidelity bond covering the plan	2010-12-31	$1,100,000
Total contributions received or receivable from participants	2010-12-31	$238,784
Expenses. Other expenses not covered elsewhere	2010-12-31	$58,617
Contributions received from other sources (not participants or employers)	2010-12-31	$52,752
Other income received	2010-12-31	$879,980
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$1,655,559
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$11,498,832
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$9,843,273
Assets. Value of participant loans	2010-12-31	$81,760
Assets. Value of assets in partnership/joint-venture interests	2010-12-31	$24,000
Assets. Value of real-estate (other than employer real property)	2010-12-31	$1,105,000
Total contributions received or receivable from employer(s)	2010-12-31	$740,874
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$147,843
2009 : CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 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	$249,827

Form 5500 Responses for CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN

2022: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 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 – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 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 – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 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: CENTRAL COAST EMERGENCY PHYSICIANS, INC. 401(K) PROFIT SHARING PLAN 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 – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

90206864

Policy instance

Insurance contract or identification number	90206864
Number of Individuals Covered	0
Insurance policy start date	2012-10-09
Insurance policy end date	2013-01-09
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?	Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

90206864

Policy instance

Insurance contract or identification number	90206864
Number of Individuals Covered	1
Insurance policy start date	2012-01-01
Insurance policy end date	2012-10-08
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?	Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

90206864

Policy instance

Insurance contract or identification number	90206864
Number of Individuals Covered	1
Insurance policy start date	2011-08-25
Insurance policy end date	2012-08-25
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?	Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

90206864

Policy instance

Insurance contract or identification number	90206864
Number of Individuals Covered	1
Insurance policy start date	2009-08-25
Insurance policy end date	2010-08-25
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?	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?	Yes
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:	CENTRAL COAST EMERGENCY PHYSICIANS, INC.
Employer identification number (EIN):	770062466
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)