401k Plan data: SANTA FE PEDIATRIC ASSOC INS PC EMPLOYEE BENEFIT PLAN plan

SANTA FE PEDIATRIC ASSOC INS PC EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan Name	SANTA FE PEDIATRIC ASSOC INS PC EMPLOYEE BENEFIT PLAN
Plan identification number	001

SANTA FE PEDIATRIC ASSOC INS PC EMPLOYEE BENEFIT PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing 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.

401k Sponsoring company profile

SANTA FE PEDIATRIC ASSOCIATES, P.C. has sponsored the creation of one or more 401k plans.

Company Name: SANTA FE PEDIATRIC ASSOCIATES, P.C.

Employer identification number (EIN): 850282027

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SANTA FE PEDIATRIC ASSOC INS PC EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 LAURENCE SHANDLER LAURENCE SHANDLER 2015-08-03
001 2014-01-01 LAURENCE P. SHANDLER
001 2013-01-01 LAURENCE P. SHANDLER
001 2012-01-01 LAURENCE P. SHANDLER
001 2011-01-01 LAURENCE P SHANDLER
001 2009-01-01 LAURENCE SHANDLER

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2015-01-01	LAURENCE SHANDLER	LAURENCE SHANDLER	2015-08-03
001	2014-01-01	LAURENCE P. SHANDLER
001	2013-01-01	LAURENCE P. SHANDLER
001	2012-01-01	LAURENCE P. SHANDLER
001	2011-01-01	LAURENCE P SHANDLER
001	2009-01-01	LAURENCE SHANDLER

Plan Statistics for SANTA FE PEDIATRIC ASSOC INS PC EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for SANTA FE PEDIATRIC ASSOC INS PC EMPLOYEE BENEFIT PLAN

Measure Date Value
2015: SANTA FE PEDIATRIC ASSOC INS PC EMPLOYEE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Total of all active and inactive participants 2015-01-01 0
Total participants 2015-01-01 0
Number of participants with account balances 2015-01-01 0
2014: SANTA FE PEDIATRIC ASSOC INS PC EMPLOYEE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 4
Total of all active and inactive participants 2014-01-01 0
Total participants 2014-01-01 0
2013: SANTA FE PEDIATRIC ASSOC INS PC EMPLOYEE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 4
Total of all active and inactive participants 2013-01-01 4
Total participants 2013-01-01 4
Number of participants with account balances 2013-01-01 4
2012: SANTA FE PEDIATRIC ASSOC INS PC EMPLOYEE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 4
Total of all active and inactive participants 2012-01-01 4
Total participants 2012-01-01 4
Number of participants with account balances 2012-01-01 4
2011: SANTA FE PEDIATRIC ASSOC INS PC EMPLOYEE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 4
Total of all active and inactive participants 2011-01-01 4
Total participants 2011-01-01 4
Number of participants with account balances 2011-01-01 4
2009: SANTA FE PEDIATRIC ASSOC INS PC EMPLOYEE BENEFIT PLAN 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 3
Total of all active and inactive participants 2009-01-01 3
Total participants 2009-01-01 3
Number of participants with account balances 2009-01-01 1

Measure	Date	Value
2015: SANTA FE PEDIATRIC ASSOC INS PC EMPLOYEE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Total of all active and inactive participants	2015-01-01	0
Total participants	2015-01-01	0
Number of participants with account balances	2015-01-01	0
2014: SANTA FE PEDIATRIC ASSOC INS PC EMPLOYEE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	4
Total of all active and inactive participants	2014-01-01	0
Total participants	2014-01-01	0
2013: SANTA FE PEDIATRIC ASSOC INS PC EMPLOYEE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	4
Total of all active and inactive participants	2013-01-01	4
Total participants	2013-01-01	4
Number of participants with account balances	2013-01-01	4
2012: SANTA FE PEDIATRIC ASSOC INS PC EMPLOYEE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	4
Total of all active and inactive participants	2012-01-01	4
Total participants	2012-01-01	4
Number of participants with account balances	2012-01-01	4
2011: SANTA FE PEDIATRIC ASSOC INS PC EMPLOYEE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	4
Total of all active and inactive participants	2011-01-01	4
Total participants	2011-01-01	4
Number of participants with account balances	2011-01-01	4
2009: SANTA FE PEDIATRIC ASSOC INS PC EMPLOYEE BENEFIT PLAN 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	3
Total of all active and inactive participants	2009-01-01	3
Total participants	2009-01-01	3
Number of participants with account balances	2009-01-01	1

Financial Data on SANTA FE PEDIATRIC ASSOC INS PC EMPLOYEE BENEFIT PLAN

Measure	Date	Value
2015 : SANTA FE PEDIATRIC ASSOC INS PC EMPLOYEE BENEFIT PLAN 2015 401k financial data
Total income from all sources	2015-01-31	$9
Expenses. Total of all expenses incurred	2015-01-31	$3,689
Benefits paid (including direct rollovers)	2015-01-31	$3,639
Total plan assets at end of year	2015-01-31	$0
Total plan assets at beginning of year	2015-01-31	$3,680
Value of fidelity bond covering the plan	2015-01-31	$50,000
Expenses. Other expenses not covered elsewhere	2015-01-31	$50
Other income received	2015-01-31	$9
Net income (gross income less expenses)	2015-01-31	$-3,680
Net plan assets at end of year (total assets less liabilities)	2015-01-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2015-01-31	$3,680
2014 : SANTA FE PEDIATRIC ASSOC INS PC EMPLOYEE BENEFIT PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$62,533
Expenses. Total of all expenses incurred	2014-12-31	$634,929
Benefits paid (including direct rollovers)	2014-12-31	$634,929
Total plan assets at end of year	2014-12-31	$3,680
Total plan assets at beginning of year	2014-12-31	$576,076
Value of fidelity bond covering the plan	2014-12-31	$50,000
Other income received	2014-12-31	$62,533
Net income (gross income less expenses)	2014-12-31	$-572,396
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$3,680
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$576,076
2013 : SANTA FE PEDIATRIC ASSOC INS PC EMPLOYEE BENEFIT PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$93,400
Expenses. Total of all expenses incurred	2013-12-31	$18,325
Benefits paid (including direct rollovers)	2013-12-31	$18,325
Total plan assets at end of year	2013-12-31	$576,076
Total plan assets at beginning of year	2013-12-31	$501,001
Value of fidelity bond covering the plan	2013-12-31	$50,000
Other income received	2013-12-31	$87,868
Net income (gross income less expenses)	2013-12-31	$75,075
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$576,076
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$501,001
Total contributions received or receivable from employer(s)	2013-12-31	$5,532
2012 : SANTA FE PEDIATRIC ASSOC INS PC EMPLOYEE BENEFIT PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$63,594
Expenses. Total of all expenses incurred	2012-12-31	$16,175
Benefits paid (including direct rollovers)	2012-12-31	$16,175
Total plan assets at end of year	2012-12-31	$501,001
Total plan assets at beginning of year	2012-12-31	$453,582
Value of fidelity bond covering the plan	2012-12-31	$50,000
Other income received	2012-12-31	$53,549
Net income (gross income less expenses)	2012-12-31	$47,419
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$501,001
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$453,582
Total contributions received or receivable from employer(s)	2012-12-31	$10,045
2011 : SANTA FE PEDIATRIC ASSOC INS PC EMPLOYEE BENEFIT PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$15,939
Total plan assets at end of year	2011-12-31	$453,582
Total plan assets at beginning of year	2011-12-31	$437,643
Value of fidelity bond covering the plan	2011-12-31	$50,000
Other income received	2011-12-31	$5,867
Net income (gross income less expenses)	2011-12-31	$15,939
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$453,582
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$437,643
Total contributions received or receivable from employer(s)	2011-12-31	$10,072
2010 : SANTA FE PEDIATRIC ASSOC INS PC EMPLOYEE BENEFIT PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$64,357
Total plan assets at end of year	2010-12-31	$437,643
Total plan assets at beginning of year	2010-12-31	$373,286
Value of fidelity bond covering the plan	2010-12-31	$50,000
Other income received	2010-12-31	$54,311
Net income (gross income less expenses)	2010-12-31	$64,357
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$437,643
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$373,286
Total contributions received or receivable from employer(s)	2010-12-31	$10,046

Form 5500 Responses for SANTA FE PEDIATRIC ASSOC INS PC EMPLOYEE BENEFIT PLAN

2015: SANTA FE PEDIATRIC ASSOC INS PC EMPLOYEE BENEFIT PLAN 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	Yes
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
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: SANTA FE PEDIATRIC ASSOC INS PC EMPLOYEE BENEFIT 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: SANTA FE PEDIATRIC ASSOC INS PC EMPLOYEE BENEFIT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: SANTA FE PEDIATRIC ASSOC INS PC EMPLOYEE BENEFIT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: SANTA FE PEDIATRIC ASSOC INS PC EMPLOYEE BENEFIT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: SANTA FE PEDIATRIC ASSOC INS PC EMPLOYEE BENEFIT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	SANTA FE PEDIATRIC ASSOCIATES, P.C.
Employer identification number (EIN):	850282027
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)