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| Plan Name | CRISPIN G. BOLISAY, M.D. APMC RETIREMENT 401K PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | CRISPIN G. BOLISAY, M.D. APMC |
| Employer identification number (EIN): | 043695455 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2010-01-01 | CRISPIN BOLISAY | |||
| 001 | 2009-01-01 | CRISPIN BOLISAY |
| Measure | Date | Value |
|---|---|---|
| 2010 : CRISPIN G. BOLISAY, M.D. APMC RETIREMENT 401K PLAN 2010 401k financial data | ||
| Total income from all sources | 2010-12-31 | $57,847 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $1,653,032 |
| Benefits paid (including direct rollovers) | 2010-12-31 | $1,653,032 |
| Total plan assets at end of year | 2010-12-31 | $0 |
| Total plan assets at beginning of year | 2010-12-31 | $1,595,185 |
| Value of fidelity bond covering the plan | 2010-12-31 | $150,000 |
| Other income received | 2010-12-31 | $57,847 |
| Net income (gross income less expenses) | 2010-12-31 | $-1,595,185 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $1,595,185 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2010-12-31 | $0 |
| 2009 : CRISPIN G. BOLISAY, M.D. APMC RETIREMENT 401K PLAN 2009 401k financial data | ||
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2009-12-31 | $0 |
| 2010: CRISPIN G. BOLISAY, M.D. APMC RETIREMENT 401K PLAN 2010 form 5500 responses | ||
|---|---|---|
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Submission has been amended | No |
| 2010-01-01 | This submission is the final filing | Yes |
| 2010-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2010-01-01 | Plan is a collectively bargained plan | No |
| 2010-01-01 | Plan funding arrangement – Trust | Yes |
| 2010-01-01 | Plan benefit arrangement - Trust | Yes |
| 2009: CRISPIN G. BOLISAY, M.D. APMC RETIREMENT 401K PLAN 2009 form 5500 responses | ||
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Submission has been amended | No |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-01-01 | Plan is a collectively bargained plan | No |
| 2009-01-01 | Plan funding arrangement – Trust | Yes |
| 2009-01-01 | Plan benefit arrangement - Trust | Yes |
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