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GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 401k Plan overview

Plan NameGOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN
Plan identification number 002

GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • 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.
  • Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of 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.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • 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.
  • Life insurance

401k Sponsoring company profile

GOLDEN STATE ORTHOPEDICS & SPINE has sponsored the creation of one or more 401k plans.

Company Name:GOLDEN STATE ORTHOPEDICS & SPINE
Employer identification number (EIN):943375456
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01STEPHEN HAMMARSTROM2023-10-16
0022021-01-01GEORGE TISCHENKO, M.D.2022-10-12
0022020-01-01GEORGE TISCHENKO, M.D.2021-10-01
0022019-01-01
0022018-01-01
0022017-01-01
0022016-01-01RAMIRO MIRANDA, M.D.
0022015-01-01
0022014-01-01RAMIRO MIRANDA, M.D.
0022013-01-01RAMIRO MIRANDA, M.D.
0022012-01-01RAMIRO MIRANDA, M.D.
0022011-01-01RAMIRO MIRANDA, M.D.
0022009-01-01RAMIRO MIRANDA, M.D.

Plan Statistics for GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN

401k plan membership statisitcs for GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN

Measure Date Value
2022: GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01569
Total number of active participants reported on line 7a of the Form 55002022-01-01333
Number of retired or separated participants receiving benefits2022-01-0114
Number of other retired or separated participants entitled to future benefits2022-01-01239
Total of all active and inactive participants2022-01-01586
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-011
Total participants2022-01-01587
Number of participants with account balances2022-01-01587
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0180
2021: GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01102
Total number of active participants reported on line 7a of the Form 55002021-01-01201
Number of retired or separated participants receiving benefits2021-01-018
Number of other retired or separated participants entitled to future benefits2021-01-01105
Total of all active and inactive participants2021-01-01314
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01314
Number of participants with account balances2021-01-01314
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0131
2020: GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0198
Total number of active participants reported on line 7a of the Form 55002020-01-0173
Number of retired or separated participants receiving benefits2020-01-013
Number of other retired or separated participants entitled to future benefits2020-01-0119
Total of all active and inactive participants2020-01-0195
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0195
Number of participants with account balances2020-01-0195
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0119
2019: GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0197
Total number of active participants reported on line 7a of the Form 55002019-01-0171
Number of retired or separated participants receiving benefits2019-01-011
Number of other retired or separated participants entitled to future benefits2019-01-0117
Total of all active and inactive participants2019-01-0189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0189
Number of participants with account balances2019-01-0189
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-012
2018: GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0189
Total number of active participants reported on line 7a of the Form 55002018-01-0175
Number of retired or separated participants receiving benefits2018-01-013
Number of other retired or separated participants entitled to future benefits2018-01-0118
Total of all active and inactive participants2018-01-0196
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0196
Number of participants with account balances2018-01-0196
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-018
2017: GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0186
Total number of active participants reported on line 7a of the Form 55002017-01-0173
Number of retired or separated participants receiving benefits2017-01-0115
Number of other retired or separated participants entitled to future benefits2017-01-011
Total of all active and inactive participants2017-01-0189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0189
Number of participants with account balances2017-01-0189
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-013
2016: GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0182
Total number of active participants reported on line 7a of the Form 55002016-01-0172
Number of retired or separated participants receiving benefits2016-01-011
Number of other retired or separated participants entitled to future benefits2016-01-0113
Total of all active and inactive participants2016-01-0186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0186
Number of participants with account balances2016-01-0186
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-012
2015: GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0170
Total number of active participants reported on line 7a of the Form 55002015-01-0159
Number of retired or separated participants receiving benefits2015-01-012
Number of other retired or separated participants entitled to future benefits2015-01-0110
Total of all active and inactive participants2015-01-0171
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0171
Number of participants with account balances2015-01-0171
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-011
2014: GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0167
Total number of active participants reported on line 7a of the Form 55002014-01-0159
Number of retired or separated participants receiving benefits2014-01-012
Number of other retired or separated participants entitled to future benefits2014-01-019
Total of all active and inactive participants2014-01-0170
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0170
Number of participants with account balances2014-01-0170
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-013
2013: GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0167
Total number of active participants reported on line 7a of the Form 55002013-01-0161
Number of retired or separated participants receiving benefits2013-01-012
Number of other retired or separated participants entitled to future benefits2013-01-014
Total of all active and inactive participants2013-01-0167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0167
Number of participants with account balances2013-01-0167
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01186
Total number of active participants reported on line 7a of the Form 55002012-01-0160
Number of retired or separated participants receiving benefits2012-01-011
Number of other retired or separated participants entitled to future benefits2012-01-015
Total of all active and inactive participants2012-01-0166
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0166
Number of participants with account balances2012-01-0166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-011
2011: GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01177
Total number of active participants reported on line 7a of the Form 55002011-01-01151
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0125
Total of all active and inactive participants2011-01-01176
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-011
Total participants2011-01-01177
Number of participants with account balances2011-01-01177
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-016
2009: GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01187
Total number of active participants reported on line 7a of the Form 55002009-01-01134
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0129
Total of all active and inactive participants2009-01-01163
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01163
Number of participants with account balances2009-01-01163
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-012

Financial Data on GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN

Measure Date Value
2022 : GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2022 401k financial data
Unrealized appreciation/depreciation of real estate assets2022-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-9,530,159
Total unrealized appreciation/depreciation of assets2022-12-31$-9,530,159
Total transfer of assets to this plan2022-12-31$18,102,869
Total transfer of assets from this plan2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$13,364
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$16,315
Expenses. Interest paid2022-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022022-12-31$0
Total income from all sources (including contributions)2022-12-31$-2,561,326
Total loss/gain on sale of assets2022-12-31$46,680
Total of all expenses incurred2022-12-31$2,675,593
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$2,338,039
Expenses. Certain deemed distributions of participant loans2022-12-31$0
Value of total corrective distributions2022-12-31$9,418
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$7,536,110
Value of total assets at end of year2022-12-31$78,648,209
Value of total assets at beginning of year2022-12-31$65,785,210
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$328,136
Total income from rents2022-12-31$0
Total interest from all sources2022-12-31$55,327
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$1,931,135
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$1,884,197
Assets. Real estate other than employer real property at end of year2022-12-31$0
Assets. Real estate other than employer real property at beginning of year2022-12-31$0
Administrative expenses professional fees incurred2022-12-31$10,400
Assets. Corporate prefeered stocks other than exployer securities at end of year2022-12-31$219,300
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2022-12-31$233,655
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$534,899
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$2,205,045
Participant contributions at end of year2022-12-31$282,897
Participant contributions at beginning of year2022-12-31$227,064
Participant contributions at end of year2022-12-31$100,730
Participant contributions at beginning of year2022-12-31$0
Assets. Other investments not covered elsewhere at end of year2022-12-31$18,215
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$1,903
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$2,640,814
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$0
Assets. Loans (other than to participants) at end of year2022-12-31$0
Assets. Loans (other than to participants) at beginning of year2022-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$13,364
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$16,315
Other income not declared elsewhere2022-12-31$917
Administrative expenses (other) incurred2022-12-31$7,369
Liabilities. Value of operating payables at end of year2022-12-31$0
Liabilities. Value of operating payables at beginning of year2022-12-31$0
Total non interest bearing cash at end of year2022-12-31$25,518
Total non interest bearing cash at beginning of year2022-12-31$223,740
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Income. Non cash contributions2022-12-31$0
Value of net income/loss2022-12-31$-5,236,919
Value of net assets at end of year (total assets less liabilities)2022-12-31$78,634,845
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$65,768,895
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Assets. partnership/joint venture interests at end of year2022-12-31$201,982
Assets. partnership/joint venture interests at beginning of year2022-12-31$534,899
Investment advisory and management fees2022-12-31$310,367
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$68,959,872
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$56,774,944
Value of interest in pooled separate accounts at end of year2022-12-31$0
Value of interest in pooled separate accounts at beginning of year2022-12-31$0
Interest on participant loans2022-12-31$13,321
Income. Interest from loans (other than to participants)2022-12-31$0
Interest earned on other investments2022-12-31$255
Income. Interest from US Government securities2022-12-31$0
Income. Interest from corporate debt instruments2022-12-31$36,832
Value of interest in master investment trust accounts at end of year2022-12-31$0
Value of interest in master investment trust accounts at beginning of year2022-12-31$0
Value of interest in common/collective trusts at end of year2022-12-31$0
Value of interest in common/collective trusts at beginning of year2022-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$1,519,358
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$1,043,947
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$1,043,947
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$4,919
Assets. Value of investments in 103.12 investment entities at end of year2022-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2022-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$0
Asset value of US Government securities at end of year2022-12-31$0
Asset value of US Government securities at beginning of year2022-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-2,601,336
Net investment gain/loss from pooled separate accounts2022-12-31$0
Net investment gain or loss from common/collective trusts2022-12-31$0
Net gain/loss from 103.12 investment entities2022-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Assets. Invements in employer securities at end of year2022-12-31$0
Assets. Invements in employer securities at beginning of year2022-12-31$0
Assets. Value of employer real property at end of year2022-12-31$0
Assets. Value of employer real property at beginning of year2022-12-31$0
Contributions received in cash from employer2022-12-31$2,690,251
Employer contributions (assets) at end of year2022-12-31$2,687,716
Employer contributions (assets) at beginning of year2022-12-31$1,563,352
Income. Dividends from preferred stock2022-12-31$0
Income. Dividends from common stock2022-12-31$46,938
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$2,338,039
Asset. Corporate debt instrument preferred debt at end of year2022-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2022-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$1,452,142
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$1,536,330
Contract administrator fees2022-12-31$0
Assets. Corporate common stocks other than exployer securities at end of year2022-12-31$3,180,479
Assets. Corporate common stocks other than exployer securities at beginning of year2022-12-31$3,645,376
Liabilities. Value of benefit claims payable at end of year2022-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2022-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-12-31$0
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Aggregate proceeds on sale of assets2022-12-31$46,680
Aggregate carrying amount (costs) on sale of assets2022-12-31$0
Liabilities. Value of acquisition indebtedness at end of year2022-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2022-12-31$0
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31FRANK, RIMERMAN + CO, LLP
Accountancy firm EIN2022-12-31941341042
2021 : GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2021 401k financial data
Transfers to/from the plan2021-12-31$10,409,315
Total plan liabilities at end of year2021-12-31$0
Total plan liabilities at beginning of year2021-12-31$0
Total income from all sources2021-12-31$10,435,889
Expenses. Total of all expenses incurred2021-12-31$1,488,821
Benefits paid (including direct rollovers)2021-12-31$1,207,653
Total plan assets at end of year2021-12-31$65,768,895
Total plan assets at beginning of year2021-12-31$46,412,512
Value of fidelity bond covering the plan2021-12-31$500,000
Total contributions received or receivable from participants2021-12-31$862,290
Expenses. Other expenses not covered elsewhere2021-12-31$80
Contributions received from other sources (not participants or employers)2021-12-31$0
Other income received2021-12-31$8,010,247
Noncash contributions received2021-12-31$0
Net income (gross income less expenses)2021-12-31$8,947,068
Net plan assets at end of year (total assets less liabilities)2021-12-31$65,768,895
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$46,412,512
Assets. Value of participant loans2021-12-31$227,064
Assets. Value of assets in partnership/joint-venture interests2021-12-31$534,899
Total contributions received or receivable from employer(s)2021-12-31$1,563,352
Value of certain deemed distributions of participant loans2021-12-31$0
Value of corrective distributions2021-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$281,088
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
2020 : GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2020 401k financial data
Transfers to/from the plan2020-12-31$0
Total plan liabilities at end of year2020-12-31$0
Total plan liabilities at beginning of year2020-12-31$0
Total income from all sources2020-12-31$6,450,943
Expenses. Total of all expenses incurred2020-12-31$2,009,677
Benefits paid (including direct rollovers)2020-12-31$1,760,457
Total plan assets at end of year2020-12-31$46,412,512
Total plan assets at beginning of year2020-12-31$41,971,246
Value of fidelity bond covering the plan2020-12-31$500,000
Total contributions received or receivable from participants2020-12-31$858,216
Expenses. Other expenses not covered elsewhere2020-12-31$70
Contributions received from other sources (not participants or employers)2020-12-31$20,186
Other income received2020-12-31$4,429,567
Noncash contributions received2020-12-31$0
Net income (gross income less expenses)2020-12-31$4,441,266
Net plan assets at end of year (total assets less liabilities)2020-12-31$46,412,512
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$41,971,246
Assets. Value of participant loans2020-12-31$194,658
Assets. Value of assets in partnership/joint-venture interests2020-12-31$913,499
Total contributions received or receivable from employer(s)2020-12-31$1,142,974
Value of certain deemed distributions of participant loans2020-12-31$0
Value of corrective distributions2020-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$249,150
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
2019 : GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2019 401k financial data
Transfers to/from the plan2019-12-31$0
Total plan liabilities at end of year2019-12-31$0
Total plan liabilities at beginning of year2019-12-31$0
Total income from all sources2019-12-31$8,451,726
Expenses. Total of all expenses incurred2019-12-31$1,113,491
Benefits paid (including direct rollovers)2019-12-31$855,411
Total plan assets at end of year2019-12-31$41,971,246
Total plan assets at beginning of year2019-12-31$34,633,011
Value of fidelity bond covering the plan2019-12-31$500,000
Total contributions received or receivable from participants2019-12-31$878,460
Expenses. Other expenses not covered elsewhere2019-12-31$25
Contributions received from other sources (not participants or employers)2019-12-31$0
Other income received2019-12-31$6,376,044
Noncash contributions received2019-12-31$0
Net income (gross income less expenses)2019-12-31$7,338,235
Net plan assets at end of year (total assets less liabilities)2019-12-31$41,971,246
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$34,633,011
Assets. Value of participant loans2019-12-31$147,019
Assets. Value of assets in partnership/joint-venture interests2019-12-31$947,661
Total contributions received or receivable from employer(s)2019-12-31$1,197,222
Value of certain deemed distributions of participant loans2019-12-31$0
Value of corrective distributions2019-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$258,055
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2018 401k financial data
Transfers to/from the plan2018-12-31$77,574
Total plan liabilities at end of year2018-12-31$0
Total plan liabilities at beginning of year2018-12-31$0
Total income from all sources2018-12-31$-397,214
Expenses. Total of all expenses incurred2018-12-31$619,757
Benefits paid (including direct rollovers)2018-12-31$394,536
Total plan assets at end of year2018-12-31$34,633,011
Total plan assets at beginning of year2018-12-31$35,572,408
Value of fidelity bond covering the plan2018-12-31$500,000
Total contributions received or receivable from participants2018-12-31$903,330
Expenses. Other expenses not covered elsewhere2018-12-31$0
Contributions received from other sources (not participants or employers)2018-12-31$102,241
Other income received2018-12-31$-2,596,158
Noncash contributions received2018-12-31$0
Net income (gross income less expenses)2018-12-31$-1,016,971
Net plan assets at end of year (total assets less liabilities)2018-12-31$34,633,011
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$35,572,408
Assets. Value of participant loans2018-12-31$223,654
Assets. Value of assets in partnership/joint-venture interests2018-12-31$950,209
Total contributions received or receivable from employer(s)2018-12-31$1,193,373
Value of certain deemed distributions of participant loans2018-12-31$0
Value of corrective distributions2018-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$225,221
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2017 401k financial data
Transfers to/from the plan2017-12-31$1,861,376
Total plan liabilities at end of year2017-12-31$0
Total plan liabilities at beginning of year2017-12-31$0
Total income from all sources2017-12-31$6,371,091
Expenses. Total of all expenses incurred2017-12-31$1,064,759
Benefits paid (including direct rollovers)2017-12-31$912,658
Total plan assets at end of year2017-12-31$35,572,408
Total plan assets at beginning of year2017-12-31$28,404,700
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$843,503
Expenses. Other expenses not covered elsewhere2017-12-31$85
Contributions received from other sources (not participants or employers)2017-12-31$325,525
Other income received2017-12-31$4,059,143
Noncash contributions received2017-12-31$0
Net income (gross income less expenses)2017-12-31$5,306,332
Net plan assets at end of year (total assets less liabilities)2017-12-31$35,572,408
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$28,404,700
Assets. Value of participant loans2017-12-31$238,061
Assets. Value of assets in partnership/joint-venture interests2017-12-31$860,359
Total contributions received or receivable from employer(s)2017-12-31$1,142,920
Value of certain deemed distributions of participant loans2017-12-31$0
Value of corrective distributions2017-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$152,016
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2016 401k financial data
Transfers to/from the plan2016-12-31$85,457
Total plan liabilities at end of year2016-12-31$0
Total plan liabilities at beginning of year2016-12-31$0
Total income from all sources2016-12-31$4,568,131
Expenses. Total of all expenses incurred2016-12-31$275,909
Benefits paid (including direct rollovers)2016-12-31$112,156
Total plan assets at end of year2016-12-31$28,404,700
Total plan assets at beginning of year2016-12-31$24,027,021
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$812,743
Expenses. Other expenses not covered elsewhere2016-12-31$0
Contributions received from other sources (not participants or employers)2016-12-31$145,934
Other income received2016-12-31$2,562,812
Noncash contributions received2016-12-31$0
Net income (gross income less expenses)2016-12-31$4,292,222
Net plan assets at end of year (total assets less liabilities)2016-12-31$28,404,700
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$24,027,021
Assets. Value of participant loans2016-12-31$283,319
Assets. Value of assets in partnership/joint-venture interests2016-12-31$1,006,694
Total contributions received or receivable from employer(s)2016-12-31$1,046,642
Value of certain deemed distributions of participant loans2016-12-31$0
Value of corrective distributions2016-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$163,753
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2015 401k financial data
Transfers to/from the plan2015-12-31$-9,023
Total plan liabilities at end of year2015-12-31$0
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$1,801,531
Expenses. Total of all expenses incurred2015-12-31$172,004
Benefits paid (including direct rollovers)2015-12-31$20,759
Total plan assets at end of year2015-12-31$24,027,021
Total plan assets at beginning of year2015-12-31$22,406,517
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$709,179
Expenses. Other expenses not covered elsewhere2015-12-31$375
Contributions received from other sources (not participants or employers)2015-12-31$502,436
Other income received2015-12-31$-318,202
Noncash contributions received2015-12-31$0
Net income (gross income less expenses)2015-12-31$1,629,527
Net plan assets at end of year (total assets less liabilities)2015-12-31$24,027,021
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$22,406,517
Assets. Value of participant loans2015-12-31$115,012
Assets. Value of assets in partnership/joint-venture interests2015-12-31$87,229
Total contributions received or receivable from employer(s)2015-12-31$908,118
Value of certain deemed distributions of participant loans2015-12-31$2,041
Value of corrective distributions2015-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$148,829
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2014 401k financial data
Transfers to/from the plan2014-12-31$276,240
Total plan liabilities at end of year2014-12-31$0
Total plan liabilities at beginning of year2014-12-31$0
Total income from all sources2014-12-31$2,521,660
Expenses. Total of all expenses incurred2014-12-31$4,223,334
Benefits paid (including direct rollovers)2014-12-31$4,075,657
Total plan assets at end of year2014-12-31$22,406,517
Total plan assets at beginning of year2014-12-31$23,831,951
Value of fidelity bond covering the plan2014-12-31$500,000
Total contributions received or receivable from participants2014-12-31$593,841
Expenses. Other expenses not covered elsewhere2014-12-31$375
Contributions received from other sources (not participants or employers)2014-12-31$0
Other income received2014-12-31$1,099,560
Noncash contributions received2014-12-31$0
Net income (gross income less expenses)2014-12-31$-1,701,674
Net plan assets at end of year (total assets less liabilities)2014-12-31$22,406,517
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$23,831,951
Assets. Value of participant loans2014-12-31$47,180
Assets. Value of assets in partnership/joint-venture interests2014-12-31$77,436
Total contributions received or receivable from employer(s)2014-12-31$828,259
Value of certain deemed distributions of participant loans2014-12-31$0
Value of corrective distributions2014-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$147,302
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2013 401k financial data
Transfers to/from the plan2013-12-31$0
Total plan liabilities at end of year2013-12-31$0
Total plan liabilities at beginning of year2013-12-31$0
Total income from all sources2013-12-31$5,523,693
Expenses. Total of all expenses incurred2013-12-31$1,847,446
Benefits paid (including direct rollovers)2013-12-31$1,675,199
Total plan assets at end of year2013-12-31$23,831,951
Total plan assets at beginning of year2013-12-31$20,155,704
Value of fidelity bond covering the plan2013-12-31$500,000
Total contributions received or receivable from participants2013-12-31$556,926
Expenses. Other expenses not covered elsewhere2013-12-31$410
Contributions received from other sources (not participants or employers)2013-12-31$294,108
Other income received2013-12-31$3,858,831
Noncash contributions received2013-12-31$0
Net income (gross income less expenses)2013-12-31$3,676,247
Net plan assets at end of year (total assets less liabilities)2013-12-31$23,831,951
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$20,155,704
Assets. Value of participant loans2013-12-31$62,477
Assets. Value of assets in partnership/joint-venture interests2013-12-31$216,415
Total contributions received or receivable from employer(s)2013-12-31$813,828
Value of certain deemed distributions of participant loans2013-12-31$0
Value of corrective distributions2013-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$171,837
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2012 401k financial data
Unrealized appreciation/depreciation of real estate assets2012-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$1,223,959
Total unrealized appreciation/depreciation of assets2012-12-31$1,223,959
Total transfer of assets to this plan2012-12-31$0
Total transfer of assets from this plan2012-12-31$3,167,150
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$28,634
Expenses. Interest paid2012-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022012-12-31$0
Total income from all sources (including contributions)2012-12-31$4,370,448
Total loss/gain on sale of assets2012-12-31$933,104
Total of all expenses incurred2012-12-31$2,683,373
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$2,524,666
Expenses. Certain deemed distributions of participant loans2012-12-31$0
Value of total corrective distributions2012-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,595,281
Value of total assets at end of year2012-12-31$20,155,704
Value of total assets at beginning of year2012-12-31$21,664,413
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$158,707
Total income from rents2012-12-31$0
Total interest from all sources2012-12-31$30,326
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$584,266
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$503,837
Assets. Real estate other than employer real property at end of year2012-12-31$0
Assets. Real estate other than employer real property at beginning of year2012-12-31$0
Administrative expenses professional fees incurred2012-12-31$23,282
Assets. Corporate prefeered stocks other than exployer securities at end of year2012-12-31$25,190
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2012-12-31$0
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$767,423
Participant contributions at end of year2012-12-31$78,374
Participant contributions at beginning of year2012-12-31$148,535
Participant contributions at end of year2012-12-31$13,839
Participant contributions at beginning of year2012-12-31$0
Assets. Other investments not covered elsewhere at end of year2012-12-31$1,387,165
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$1,301,809
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$19,302
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$34,374
Assets. Loans (other than to participants) at end of year2012-12-31$0
Assets. Loans (other than to participants) at beginning of year2012-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$28,634
Other income not declared elsewhere2012-12-31$3,512
Administrative expenses (other) incurred2012-12-31$1,430
Liabilities. Value of operating payables at end of year2012-12-31$0
Liabilities. Value of operating payables at beginning of year2012-12-31$0
Total non interest bearing cash at end of year2012-12-31$0
Total non interest bearing cash at beginning of year2012-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Income. Non cash contributions2012-12-31$0
Value of net income/loss2012-12-31$1,687,075
Value of net assets at end of year (total assets less liabilities)2012-12-31$20,155,704
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$21,635,779
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Assets. partnership/joint venture interests at end of year2012-12-31$181,969
Assets. partnership/joint venture interests at beginning of year2012-12-31$146,881
Investment advisory and management fees2012-12-31$133,995
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$13,227,028
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$13,954,939
Value of interest in pooled separate accounts at end of year2012-12-31$0
Value of interest in pooled separate accounts at beginning of year2012-12-31$0
Interest on participant loans2012-12-31$7,775
Income. Interest from loans (other than to participants)2012-12-31$0
Interest earned on other investments2012-12-31$0
Income. Interest from US Government securities2012-12-31$2,934
Income. Interest from corporate debt instruments2012-12-31$18,813
Value of interest in master investment trust accounts at end of year2012-12-31$0
Value of interest in master investment trust accounts at beginning of year2012-12-31$0
Value of interest in common/collective trusts at end of year2012-12-31$0
Value of interest in common/collective trusts at beginning of year2012-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$978,981
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$1,165,660
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$1,165,660
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$804
Assets. Value of investments in 103.12 investment entities at end of year2012-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2012-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$204,063
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$0
Asset value of US Government securities at end of year2012-12-31$105,435
Asset value of US Government securities at beginning of year2012-12-31$129,706
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$0
Net investment gain/loss from pooled separate accounts2012-12-31$0
Net investment gain or loss from common/collective trusts2012-12-31$0
Net gain/loss from 103.12 investment entities2012-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Assets. Invements in employer securities at end of year2012-12-31$0
Assets. Invements in employer securities at beginning of year2012-12-31$0
Assets. Value of employer real property at end of year2012-12-31$0
Assets. Value of employer real property at beginning of year2012-12-31$0
Contributions received in cash from employer2012-12-31$808,556
Employer contributions (assets) at end of year2012-12-31$808,556
Employer contributions (assets) at beginning of year2012-12-31$1,044,788
Income. Dividends from preferred stock2012-12-31$0
Income. Dividends from common stock2012-12-31$80,429
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$2,524,666
Asset. Corporate debt instrument preferred debt at end of year2012-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2012-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2012-12-31$620,672
Asset. Corporate debt instrument debt (other) at beginning of year2012-12-31$347,466
Contract administrator fees2012-12-31$0
Assets. Corporate common stocks other than exployer securities at end of year2012-12-31$2,728,495
Assets. Corporate common stocks other than exployer securities at beginning of year2012-12-31$3,186,192
Liabilities. Value of benefit claims payable at end of year2012-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2012-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-12-31$0
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$933,104
Aggregate carrying amount (costs) on sale of assets2012-12-31$0
Liabilities. Value of acquisition indebtedness at end of year2012-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2012-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31MILLER, KAPLAN, ARASE & COMPANY LLP
Accountancy firm EIN2012-12-31952036255
2011 : GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2011 401k financial data
Unrealized appreciation/depreciation of real estate assets2011-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$-2,624,762
Total unrealized appreciation/depreciation of assets2011-12-31$-2,624,762
Total transfer of assets to this plan2011-12-31$0
Total transfer of assets from this plan2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$28,634
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$10
Expenses. Interest paid2011-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022011-12-31$0
Total income from all sources (including contributions)2011-12-31$1,504,759
Total loss/gain on sale of assets2011-12-31$1,746,616
Total of all expenses incurred2011-12-31$600,979
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$388,906
Expenses. Certain deemed distributions of participant loans2011-12-31$0
Value of total corrective distributions2011-12-31$47,370
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,786,041
Value of total assets at end of year2011-12-31$21,664,413
Value of total assets at beginning of year2011-12-31$20,732,009
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$164,703
Total income from rents2011-12-31$0
Total interest from all sources2011-12-31$30,982
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$416,762
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$348,988
Assets. Real estate other than employer real property at end of year2011-12-31$0
Assets. Real estate other than employer real property at beginning of year2011-12-31$0
Administrative expenses professional fees incurred2011-12-31$9,884
Assets. Corporate prefeered stocks other than exployer securities at end of year2011-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2011-12-31$0
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$737,803
Participant contributions at end of year2011-12-31$136,652
Participant contributions at beginning of year2011-12-31$145,362
Participant contributions at end of year2011-12-31$0
Participant contributions at beginning of year2011-12-31$1,142
Assets. Other investments not covered elsewhere at end of year2011-12-31$1,301,809
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$1,420,071
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$34,374
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$199
Assets. Loans (other than to participants) at end of year2011-12-31$11,883
Assets. Loans (other than to participants) at beginning of year2011-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$28,634
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$10
Other income not declared elsewhere2011-12-31$149,120
Administrative expenses (other) incurred2011-12-31$675
Liabilities. Value of operating payables at end of year2011-12-31$0
Liabilities. Value of operating payables at beginning of year2011-12-31$0
Total non interest bearing cash at end of year2011-12-31$0
Total non interest bearing cash at beginning of year2011-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Income. Non cash contributions2011-12-31$0
Value of net income/loss2011-12-31$903,780
Value of net assets at end of year (total assets less liabilities)2011-12-31$21,635,779
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$20,731,999
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Assets. partnership/joint venture interests at end of year2011-12-31$146,881
Assets. partnership/joint venture interests at beginning of year2011-12-31$115,311
Investment advisory and management fees2011-12-31$150,944
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$14,030,529
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$13,194,658
Value of interest in pooled separate accounts at end of year2011-12-31$0
Value of interest in pooled separate accounts at beginning of year2011-12-31$0
Interest on participant loans2011-12-31$8,335
Income. Interest from loans (other than to participants)2011-12-31$0
Interest earned on other investments2011-12-31$3,629
Income. Interest from US Government securities2011-12-31$2,635
Income. Interest from corporate debt instruments2011-12-31$15,981
Value of interest in master investment trust accounts at end of year2011-12-31$0
Value of interest in master investment trust accounts at beginning of year2011-12-31$0
Value of interest in common/collective trusts at end of year2011-12-31$0
Value of interest in common/collective trusts at beginning of year2011-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$1,165,660
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$1,167,277
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$1,167,277
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$402
Assets. Value of investments in 103.12 investment entities at end of year2011-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2011-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$204,063
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$192,174
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$0
Asset value of US Government securities at end of year2011-12-31$54,116
Asset value of US Government securities at beginning of year2011-12-31$148,292
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$0
Net investment gain/loss from pooled separate accounts2011-12-31$0
Net investment gain or loss from common/collective trusts2011-12-31$0
Net gain/loss from 103.12 investment entities2011-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Assets. Invements in employer securities at end of year2011-12-31$0
Assets. Invements in employer securities at beginning of year2011-12-31$0
Assets. Value of employer real property at end of year2011-12-31$0
Assets. Value of employer real property at beginning of year2011-12-31$0
Contributions received in cash from employer2011-12-31$1,048,238
Employer contributions (assets) at end of year2011-12-31$1,044,788
Employer contributions (assets) at beginning of year2011-12-31$1,024,138
Income. Dividends from preferred stock2011-12-31$0
Income. Dividends from common stock2011-12-31$67,774
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$388,906
Asset. Corporate debt instrument preferred debt at end of year2011-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2011-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2011-12-31$1,442,835
Asset. Corporate debt instrument debt (other) at beginning of year2011-12-31$274,656
Contract administrator fees2011-12-31$3,200
Assets. Corporate common stocks other than exployer securities at end of year2011-12-31$2,090,823
Assets. Corporate common stocks other than exployer securities at beginning of year2011-12-31$3,048,729
Liabilities. Value of benefit claims payable at end of year2011-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2011-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-12-31$0
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$1,746,616
Aggregate carrying amount (costs) on sale of assets2011-12-31$0
Liabilities. Value of acquisition indebtedness at end of year2011-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2011-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31MILLER, KAPLAN, ARASE & COMPANY LLP
Accountancy firm EIN2011-12-31952036255
2010 : GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2010 401k financial data
Unrealized appreciation/depreciation of real estate assets2010-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$346,634
Total unrealized appreciation/depreciation of assets2010-12-31$346,634
Total transfer of assets to this plan2010-12-31$0
Total transfer of assets from this plan2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$10
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Expenses. Interest paid2010-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022010-12-31$0
Total income from all sources (including contributions)2010-12-31$4,169,754
Total loss/gain on sale of assets2010-12-31$86,353
Total of all expenses incurred2010-12-31$411,844
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$256,096
Expenses. Certain deemed distributions of participant loans2010-12-31$0
Value of total corrective distributions2010-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$2,008,168
Value of total assets at end of year2010-12-31$20,732,009
Value of total assets at beginning of year2010-12-31$16,974,089
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$155,748
Total income from rents2010-12-31$0
Total interest from all sources2010-12-31$24,127
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$295,564
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$250,529
Assets. Real estate other than employer real property at end of year2010-12-31$0
Assets. Real estate other than employer real property at beginning of year2010-12-31$0
Administrative expenses professional fees incurred2010-12-31$34,840
Assets. Corporate prefeered stocks other than exployer securities at end of year2010-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2010-12-31$0
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$728,850
Participant contributions at end of year2010-12-31$145,362
Participant contributions at beginning of year2010-12-31$144,539
Participant contributions at end of year2010-12-31$1,142
Participant contributions at beginning of year2010-12-31$0
Assets. Other investments not covered elsewhere at end of year2010-12-31$1,420,071
Assets. Other investments not covered elsewhere at beginning of year2010-12-31$1,238,281
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$251,980
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$199
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$2,074
Assets. Loans (other than to participants) at end of year2010-12-31$0
Assets. Loans (other than to participants) at beginning of year2010-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$10
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$0
Other income not declared elsewhere2010-12-31$248
Administrative expenses (other) incurred2010-12-31$380
Liabilities. Value of operating payables at end of year2010-12-31$0
Liabilities. Value of operating payables at beginning of year2010-12-31$0
Total non interest bearing cash at end of year2010-12-31$0
Total non interest bearing cash at beginning of year2010-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Income. Non cash contributions2010-12-31$0
Value of net income/loss2010-12-31$3,757,910
Value of net assets at end of year (total assets less liabilities)2010-12-31$20,731,999
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$16,974,089
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Assets. partnership/joint venture interests at end of year2010-12-31$115,311
Assets. partnership/joint venture interests at beginning of year2010-12-31$43,971
Investment advisory and management fees2010-12-31$120,528
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$13,194,658
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$9,970,036
Value of interest in pooled separate accounts at end of year2010-12-31$0
Value of interest in pooled separate accounts at beginning of year2010-12-31$0
Interest on participant loans2010-12-31$8,614
Income. Interest from loans (other than to participants)2010-12-31$0
Interest earned on other investments2010-12-31$5,607
Income. Interest from US Government securities2010-12-31$2,172
Income. Interest from corporate debt instruments2010-12-31$4,626
Value of interest in master investment trust accounts at end of year2010-12-31$0
Value of interest in master investment trust accounts at beginning of year2010-12-31$0
Value of interest in common/collective trusts at end of year2010-12-31$0
Value of interest in common/collective trusts at beginning of year2010-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$1,167,277
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$2,380,908
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$2,380,908
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$3,108
Assets. Value of investments in 103.12 investment entities at end of year2010-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2010-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$192,174
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$180,879
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$0
Asset value of US Government securities at end of year2010-12-31$148,292
Asset value of US Government securities at beginning of year2010-12-31$67,175
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$1,408,660
Net investment gain/loss from pooled separate accounts2010-12-31$0
Net investment gain or loss from common/collective trusts2010-12-31$0
Net gain/loss from 103.12 investment entities2010-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Assets. Invements in employer securities at end of year2010-12-31$0
Assets. Invements in employer securities at beginning of year2010-12-31$0
Assets. Value of employer real property at end of year2010-12-31$0
Assets. Value of employer real property at beginning of year2010-12-31$0
Contributions received in cash from employer2010-12-31$1,027,338
Employer contributions (assets) at end of year2010-12-31$1,024,138
Employer contributions (assets) at beginning of year2010-12-31$851,329
Income. Dividends from preferred stock2010-12-31$0
Income. Dividends from common stock2010-12-31$45,035
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$256,096
Asset. Corporate debt instrument preferred debt at end of year2010-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2010-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2010-12-31$274,656
Asset. Corporate debt instrument debt (other) at beginning of year2010-12-31$38,716
Contract administrator fees2010-12-31$0
Assets. Corporate common stocks other than exployer securities at end of year2010-12-31$3,048,729
Assets. Corporate common stocks other than exployer securities at beginning of year2010-12-31$2,056,181
Liabilities. Value of benefit claims payable at end of year2010-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2010-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2010-12-31$0
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$86,353
Aggregate carrying amount (costs) on sale of assets2010-12-31$0
Liabilities. Value of acquisition indebtedness at end of year2010-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2010-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31MILLER, KAPLAN, ARASE & COMPANY LLP
Accountancy firm EIN2010-12-31952036255
2009 : GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN

2022: GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedYes
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: GOLDEN STATE ORTHOPEDICS & SPINE PROFIT SHARING 401(K) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number07000814
Policy instance 1
Insurance contract or identification number07000814
Number of Individuals Covered0
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerLIFE INSURANCE
Insurance broker organization code?3
Insurance broker nameGENERAL AMERICAN LIFE INSURANCE CO.
OHIO NATIONAL LIFE ASSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 89206 )
Policy contract numberC6709569
Policy instance 2
Insurance contract or identification numberC6709569
Number of Individuals Covered0
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSION
Insurance broker organization code?3
Insurance broker nameFLEMING ASSOCIATES INC.
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number07000814
Policy instance 1
Insurance contract or identification number07000814
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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?No
OHIO NATIONAL LIFE ASSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 89206 )
Policy contract numberC6709569
Policy instance 2
Insurance contract or identification numberC6709569
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $96
Total amount of fees paid to insurance companyUSD $96
Are there contracts with allocated funds for individual policies?Yes
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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?No
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number07000814
Policy instance 1
Insurance contract or identification number07000814
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerLIFE INSURANCE
Insurance broker organization code?3
Insurance broker nameGENERAL AMERICAN LIFE INSURANCE CO.
OHIO NATIONAL LIFE ASSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 89206 )
Policy contract numberC6709569
Policy instance 2
Insurance contract or identification numberC6709569
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $96
Total amount of fees paid to insurance companyUSD $96
Are there contracts with allocated funds for individual policies?Yes
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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?No
Commission paid to Insurance BrokerUSD $96
Amount paid for insurance broker fees96
Additional information about fees paid to insurance brokerCOMMISSION
Insurance broker organization code?3
Insurance broker nameFLEMING ASSOCIATES INC.

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