401k Plan data: NORTH SUFFOLK CARDIOLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN AND TRUST plan

NORTH SUFFOLK CARDIOLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN AND TRUST 401k Plan overview

Plan Name	NORTH SUFFOLK CARDIOLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN AND TRUST
Plan identification number	002

NORTH SUFFOLK CARDIOLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN AND TRUST Benefits

401k Plan Type

Defined 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.
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.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

NORTH SUFFOLK CARDIOLOGY ASSOCIATES, P.C. has sponsored the creation of one or more 401k plans.

Company Name: NORTH SUFFOLK CARDIOLOGY ASSOCIATES, P.C.

Employer identification number (EIN): 112592618

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

Additional information about NORTH SUFFOLK CARDIOLOGY ASSOCIATES, P.C.

Jurisdiction of Incorporation: New York Department of State

Incorporation Date: 1982-02-08

Company Identification Number: 750310

Legal Registered Office Address: 45 RESEARCH WAY, SUITE 208
SUFFOLK
EAST SETAUKET
United States of America (USA)
11733

More information about NORTH SUFFOLK CARDIOLOGY ASSOCIATES, P.C.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTH SUFFOLK CARDIOLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2012-01-01 THOMAS RIBAUDO 2013-09-10 THOMAS RIBAUDO 2013-09-10
002 2011-01-01 THOMAS RIBAUDO 2012-10-12 THOMAS RIBAUDO 2012-10-12
002 2010-01-01 THOMAS RIBAUDO THOMAS RIBAUDO 2011-10-28
002 2009-01-01 THOMAS RIBAUDO THOMAS RIBAUDO 2010-09-30

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2012-01-01	THOMAS RIBAUDO	2013-09-10	THOMAS RIBAUDO	2013-09-10
002	2011-01-01	THOMAS RIBAUDO	2012-10-12	THOMAS RIBAUDO	2012-10-12
002	2010-01-01	THOMAS RIBAUDO		THOMAS RIBAUDO	2011-10-28
002	2009-01-01	THOMAS RIBAUDO		THOMAS RIBAUDO	2010-09-30

Plan Statistics for NORTH SUFFOLK CARDIOLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN AND TRUST

401k plan membership statisitcs for NORTH SUFFOLK CARDIOLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN AND TRUST

Measure Date Value
2010: NORTH SUFFOLK CARDIOLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year 2010-01-01 97
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 75
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 23
Total of all active and inactive participants 2010-01-01 98
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 98
Number of participants with account balances 2010-01-01 98
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: NORTH SUFFOLK CARDIOLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 89
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 78
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 19
Total of all active and inactive participants 2009-01-01 97
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 97
Number of participants with account balances 2009-01-01 97
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 1

Measure	Date	Value
2010: NORTH SUFFOLK CARDIOLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year	2010-01-01	97
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	75
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	23
Total of all active and inactive participants	2010-01-01	98
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	98
Number of participants with account balances	2010-01-01	98
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: NORTH SUFFOLK CARDIOLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	89
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	78
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	19
Total of all active and inactive participants	2009-01-01	97
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	97
Number of participants with account balances	2009-01-01	97
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	1

Financial Data on NORTH SUFFOLK CARDIOLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN AND TRUST

Measure	Date	Value
2010 : NORTH SUFFOLK CARDIOLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN AND TRUST 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$1,777,263
Expenses. Total of all expenses incurred	2010-12-31	$551,801
Benefits paid (including direct rollovers)	2010-12-31	$493,609
Total plan assets at end of year	2010-12-31	$10,750,308
Total plan assets at beginning of year	2010-12-31	$9,524,846
Value of fidelity bond covering the plan	2010-12-31	$500,000
Total contributions received or receivable from participants	2010-12-31	$362,208
Expenses. Other expenses not covered elsewhere	2010-12-31	$0
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$1,241,523
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$1,225,462
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$10,750,308
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$9,524,846
Assets. Value of participant loans	2010-12-31	$77,890
Total contributions received or receivable from employer(s)	2010-12-31	$173,532
Value of certain deemed distributions of participant loans	2010-12-31	$1,306
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$56,886

Form 5500 Responses for NORTH SUFFOLK CARDIOLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN AND TRUST

2010: NORTH SUFFOLK CARDIOLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN AND TRUST 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	No
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 – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: NORTH SUFFOLK CARDIOLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN AND TRUST 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

180464

Policy instance

Insurance contract or identification number	180464
Number of Individuals Covered	98
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for group deferred annuity?	Yes
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SECURITY MUTUAL LIFE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 68772 )

Policy contract number

01002393

Policy instance

Insurance contract or identification number	01002393
Number of Individuals Covered	6
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $183
Total amount of fees paid to insurance company	USD $92
Are there contracts with allocated funds for individual policies?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	NORTH SUFFOLK CARDIOLOGY ASSOCIATES, P.C.
Employer identification number (EIN):	112592618
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Jurisdiction of Incorporation:	New York Department of State
Incorporation Date:	1982-02-08
Company Identification Number:	750310
Legal Registered Office Address:	45 RESEARCH WAY, SUITE 208 SUFFOLK EAST SETAUKET United States of America (USA) 11733