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SCARSDALE MEDICAL GROUP, LLP RETIREMENT PLAN 401k Plan overview

Plan NameSCARSDALE MEDICAL GROUP, LLP RETIREMENT PLAN
Plan identification number 002

SCARSDALE MEDICAL GROUP, LLP RETIREMENT 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.
  • Plan covering Self-Employed individuals.
  • 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

SCARSDALE MEDICAL GROUP, LLP has sponsored the creation of one or more 401k plans.

Company Name:SCARSDALE MEDICAL GROUP, LLP
Employer identification number (EIN):131712241
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Additional information about SCARSDALE MEDICAL GROUP, LLP

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1997-10-24
Company Identification Number: 2192735
Legal Registered Office Address: 500 MAMARONECK AVENUE

HARRISON
United States of America (USA)
10528

More information about SCARSDALE MEDICAL GROUP, LLP

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SCARSDALE MEDICAL GROUP, LLP RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022018-01-01
0022017-01-01PAUL PECHMAN
0022016-01-01MARK FIALK, MD
0022015-01-01MARK FIALK, MD
0022014-01-01MARK FIALK, MD MARK FIALK, MD2015-10-15
0022013-01-01MARK FIALK MARK FIALK2014-10-22
0022012-01-01MARK FIALK, MD
0022011-01-01MARK FIALK, MD
0022009-01-01MARK FIALK
0022009-01-01MARK FIALK
0022009-01-01MARK FIALK, MD
0022008-01-01MARK FIALK, MD
0022007-01-01MARK FIALK, MD

Plan Statistics for SCARSDALE MEDICAL GROUP, LLP RETIREMENT PLAN

401k plan membership statisitcs for SCARSDALE MEDICAL GROUP, LLP RETIREMENT PLAN

Measure Date Value
2018: SCARSDALE MEDICAL GROUP, LLP RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01176
Total number of active participants reported on line 7a of the Form 55002018-01-010
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0127
Total of all active and inactive participants2018-01-0127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0127
Number of participants with account balances2018-01-0127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: SCARSDALE MEDICAL GROUP, LLP RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01208
Total number of active participants reported on line 7a of the Form 55002017-01-0131
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-01145
Total of all active and inactive participants2017-01-01176
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01176
Number of participants with account balances2017-01-01171
2016: SCARSDALE MEDICAL GROUP, LLP RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01199
Total number of active participants reported on line 7a of the Form 55002016-01-01138
Number of retired or separated participants receiving benefits2016-01-0170
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01208
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01208
Number of participants with account balances2016-01-01205
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0124
2015: SCARSDALE MEDICAL GROUP, LLP RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01177
Total number of active participants reported on line 7a of the Form 55002015-01-01143
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0156
Total of all active and inactive participants2015-01-01199
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01199
Number of participants with account balances2015-01-01198
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-0114
2014: SCARSDALE MEDICAL GROUP, LLP RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01165
Total number of active participants reported on line 7a of the Form 55002014-01-01133
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0144
Total of all active and inactive participants2014-01-01177
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01177
Number of participants with account balances2014-01-01176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0113
2013: SCARSDALE MEDICAL GROUP, LLP RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01148
Total number of active participants reported on line 7a of the Form 55002013-01-01117
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0127
Total of all active and inactive participants2013-01-01144
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01144
Number of participants with account balances2013-01-01143
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-017
2012: SCARSDALE MEDICAL GROUP, LLP RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01128
Total number of active participants reported on line 7a of the Form 55002012-01-01106
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0126
Total of all active and inactive participants2012-01-01132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01132
Number of participants with account balances2012-01-01131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-018
2011: SCARSDALE MEDICAL GROUP, LLP RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01157
Total number of active participants reported on line 7a of the Form 55002011-01-0198
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0119
Total of all active and inactive participants2011-01-01117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01117
Number of participants with account balances2011-01-01117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-016
2009: SCARSDALE MEDICAL GROUP, LLP RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01148
Total number of active participants reported on line 7a of the Form 55002009-01-01119
Number of retired or separated participants receiving benefits2009-01-0122
Total of all active and inactive participants2009-01-01141
Total participants2009-01-01141
Number of participants with account balances2009-01-01140
Number of other retired or separated participants entitled to future benefits2009-01-0121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-015
2008: SCARSDALE MEDICAL GROUP, LLP RETIREMENT PLAN 2008 401k membership
Total participants, beginning-of-year2008-01-01129
Total number of active participants reported on line 7a of the Form 55002008-01-01105
Number of retired or separated participants receiving benefits2008-01-010
Number of other retired or separated participants entitled to future benefits2008-01-0122
Total of all active and inactive participants2008-01-01127
Total participants2008-01-01127
Number of participants with account balances2008-01-01127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2008-01-016
2007: SCARSDALE MEDICAL GROUP, LLP RETIREMENT PLAN 2007 401k membership
Total participants, beginning-of-year2007-01-01117
Total number of active participants reported on line 7a of the Form 55002007-01-0183
Number of retired or separated participants receiving benefits2007-01-010
Number of other retired or separated participants entitled to future benefits2007-01-0120
Total of all active and inactive participants2007-01-01103
Total participants2007-01-01103
Number of participants with account balances2007-01-013

Financial Data on SCARSDALE MEDICAL GROUP, LLP RETIREMENT PLAN

Measure Date Value
2018 : SCARSDALE MEDICAL GROUP, LLP RETIREMENT PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$3,045
Total income from all sources (including contributions)2018-12-31$-49,713
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$14,749,526
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$14,681,002
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$4,556
Value of total assets at end of year2018-12-31$1,163,037
Value of total assets at beginning of year2018-12-31$15,965,321
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$68,524
Total interest from all sources2018-12-31$72,996
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$11,840
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Participant contributions at end of year2018-12-31$1,236
Participant contributions at beginning of year2018-12-31$226,591
Participant contributions at end of year2018-12-31$0
Participant contributions at beginning of year2018-12-31$51,538
Assets. Other investments not covered elsewhere at end of year2018-12-31$169,131
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$7,667,148
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$4,556
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$3,045
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-14,799,239
Value of net assets at end of year (total assets less liabilities)2018-12-31$1,163,037
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$15,962,276
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$49,640
Value of interest in pooled separate accounts at end of year2018-12-31$986,904
Value of interest in pooled separate accounts at beginning of year2018-12-31$7,459,157
Interest on participant loans2018-12-31$7,550
Interest earned on other investments2018-12-31$65,446
Value of interest in common/collective trusts at end of year2018-12-31$0
Value of interest in common/collective trusts at beginning of year2018-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$5,674
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$5,625
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$5,625
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$92
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$8,720
Net investment gain/loss from pooled separate accounts2018-12-31$-127,265
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Employer contributions (assets) at end of year2018-12-31$0
Employer contributions (assets) at beginning of year2018-12-31$546,542
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$14,681,002
Contract administrator fees2018-12-31$7,044
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31CITRIN COOPERMAN & COMPANY
Accountancy firm EIN2018-12-31222428965
2017 : SCARSDALE MEDICAL GROUP, LLP RETIREMENT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$3,045
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$3,069,680
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$3,116,517
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$2,901,415
Expenses. Certain deemed distributions of participant loans2017-12-31$132,169
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,219,444
Value of total assets at end of year2017-12-31$15,965,321
Value of total assets at beginning of year2017-12-31$16,009,113
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$82,933
Total interest from all sources2017-12-31$770,878
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$1,079,358
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$1,079,358
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$619,991
Participant contributions at end of year2017-12-31$226,591
Participant contributions at beginning of year2017-12-31$420,769
Participant contributions at end of year2017-12-31$51,538
Participant contributions at beginning of year2017-12-31$125,454
Assets. Other investments not covered elsewhere at end of year2017-12-31$7,667,148
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$6,915,218
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$55,741
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$3,045
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-46,837
Value of net assets at end of year (total assets less liabilities)2017-12-31$15,962,276
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$16,009,113
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$56,761
Value of interest in pooled separate accounts at end of year2017-12-31$7,459,157
Value of interest in pooled separate accounts at beginning of year2017-12-31$7,477,501
Interest on participant loans2017-12-31$16,231
Interest earned on other investments2017-12-31$754,647
Value of interest in common/collective trusts at end of year2017-12-31$0
Value of interest in common/collective trusts at beginning of year2017-12-31$182,173
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$5,625
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$7,454
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$7,454
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$8,720
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$24,431
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$543,712
Employer contributions (assets) at end of year2017-12-31$546,542
Employer contributions (assets) at beginning of year2017-12-31$856,113
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$2,901,415
Contract administrator fees2017-12-31$26,172
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31CITRIN COOPERMAN & COMPANY
Accountancy firm EIN2017-12-31222428965
2016 : SCARSDALE MEDICAL GROUP, LLP RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$24,188
Total income from all sources (including contributions)2016-12-31$2,497,933
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$2,248,209
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$2,163,852
Value of total corrective distributions2016-12-31$23,416
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,722,970
Value of total assets at end of year2016-12-31$16,009,113
Value of total assets at beginning of year2016-12-31$15,783,577
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$60,941
Total interest from all sources2016-12-31$13,198
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Assets. Corporate prefeered stocks other than exployer securities at end of year2016-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2016-12-31$0
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$897,693
Participant contributions at end of year2016-12-31$420,769
Participant contributions at beginning of year2016-12-31$219,129
Participant contributions at end of year2016-12-31$125,454
Participant contributions at beginning of year2016-12-31$116,460
Assets. Other investments not covered elsewhere at end of year2016-12-31$6,915,218
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$7,773,781
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$24,188
Other income not declared elsewhere2016-12-31$218,691
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$249,724
Value of net assets at end of year (total assets less liabilities)2016-12-31$16,009,113
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$15,759,389
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Assets. partnership/joint venture interests at end of year2016-12-31$0
Assets. partnership/joint venture interests at beginning of year2016-12-31$0
Investment advisory and management fees2016-12-31$42,101
Value of interest in pooled separate accounts at end of year2016-12-31$7,477,501
Value of interest in pooled separate accounts at beginning of year2016-12-31$6,830,744
Interest on participant loans2016-12-31$13,198
Value of interest in common/collective trusts at end of year2016-12-31$182,173
Value of interest in common/collective trusts at beginning of year2016-12-31$187,748
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$7,454
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$4,068
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$4,068
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$24,431
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$5,655
Net investment gain/loss from pooled separate accounts2016-12-31$541,256
Net investment gain or loss from common/collective trusts2016-12-31$1,818
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31Yes
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$825,277
Employer contributions (assets) at end of year2016-12-31$856,113
Employer contributions (assets) at beginning of year2016-12-31$645,992
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$2,163,852
Contract administrator fees2016-12-31$18,840
Assets. Corporate common stocks other than exployer securities at end of year2016-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2016-12-31$0
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31CITRIN COOPERMAN & COMPANY
Accountancy firm EIN2016-12-31222428965
2015 : SCARSDALE MEDICAL GROUP, LLP RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total transfer of assets to this plan2015-12-31$0
Total transfer of assets from this plan2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$24,188
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$1,999,020
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$11,798,147
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$11,705,128
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,865,030
Value of total assets at end of year2015-12-31$15,783,577
Value of total assets at beginning of year2015-12-31$25,558,516
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$93,019
Total interest from all sources2015-12-31$10,209
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$900,916
Participant contributions at end of year2015-12-31$219,129
Participant contributions at beginning of year2015-12-31$284,598
Participant contributions at end of year2015-12-31$116,460
Participant contributions at beginning of year2015-12-31$99,388
Assets. Other investments not covered elsewhere at end of year2015-12-31$7,773,781
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$18,720,966
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$14,308
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$24,188
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$0
Other income not declared elsewhere2015-12-31$236,574
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Income. Non cash contributions2015-12-31$0
Value of net income/loss2015-12-31$-9,799,127
Value of net assets at end of year (total assets less liabilities)2015-12-31$15,759,389
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$25,558,516
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Assets. partnership/joint venture interests at end of year2015-12-31$0
Assets. partnership/joint venture interests at beginning of year2015-12-31$0
Investment advisory and management fees2015-12-31$80,455
Value of interest in pooled separate accounts at end of year2015-12-31$6,830,744
Value of interest in pooled separate accounts at beginning of year2015-12-31$5,808,631
Interest on participant loans2015-12-31$10,209
Value of interest in common/collective trusts at end of year2015-12-31$187,748
Value of interest in common/collective trusts at beginning of year2015-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$4,068
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$2,398
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$2,398
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$5,655
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$5,033
Net investment gain/loss from pooled separate accounts2015-12-31$-114,054
Net investment gain or loss from common/collective trusts2015-12-31$1,261
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31Yes
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$949,806
Employer contributions (assets) at end of year2015-12-31$645,992
Employer contributions (assets) at beginning of year2015-12-31$637,502
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$11,705,128
Contract administrator fees2015-12-31$12,564
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31CITRIN COOPERMAN & COMPANY
Accountancy firm EIN2015-12-31222428965
2014 : SCARSDALE MEDICAL GROUP, LLP RETIREMENT PLAN 2014 401k financial data
Total transfer of assets to this plan2014-12-31$0
Total transfer of assets from this plan2014-12-31$0
Expenses. Interest paid2014-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022014-12-31$0
Total income from all sources (including contributions)2014-12-31$3,017,403
Total of all expenses incurred2014-12-31$3,106,077
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$2,944,811
Expenses. Certain deemed distributions of participant loans2014-12-31$0
Value of total corrective distributions2014-12-31$1,296
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,698,698
Value of total assets at end of year2014-12-31$25,558,516
Value of total assets at beginning of year2014-12-31$25,647,190
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$159,970
Total interest from all sources2014-12-31$11,668
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$516,296
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$2,152
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$847,412
Participant contributions at end of year2014-12-31$284,598
Participant contributions at beginning of year2014-12-31$185,506
Participant contributions at end of year2014-12-31$99,388
Participant contributions at beginning of year2014-12-31$109,605
Assets. Other investments not covered elsewhere at end of year2014-12-31$18,720,966
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$20,062,614
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$759
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$0
Other income not declared elsewhere2014-12-31$524,373
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Income. Non cash contributions2014-12-31$0
Value of net income/loss2014-12-31$-88,674
Value of net assets at end of year (total assets less liabilities)2014-12-31$25,558,516
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$25,647,190
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Assets. partnership/joint venture interests at end of year2014-12-31$0
Assets. partnership/joint venture interests at beginning of year2014-12-31$54,584
Investment advisory and management fees2014-12-31$150,717
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$5,808,631
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$4,696,943
Interest on participant loans2014-12-31$11,654
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$2,398
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$1,761
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$1,761
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$14
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$5,033
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$6,182
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$0
Net investment gain/loss from pooled separate accounts2014-12-31$266,368
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31Yes
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$850,527
Employer contributions (assets) at end of year2014-12-31$637,502
Employer contributions (assets) at beginning of year2014-12-31$529,995
Income. Dividends from common stock2014-12-31$516,296
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$2,944,811
Contract administrator fees2014-12-31$7,101
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Qualified
Accountancy firm name2014-12-31POPPER & COMPANY LLP
Accountancy firm EIN2014-12-31131809139
2013 : SCARSDALE MEDICAL GROUP, LLP RETIREMENT PLAN 2013 401k financial data
Unrealized appreciation/depreciation of real estate assets2013-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$0
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total transfer of assets to this plan2013-12-31$0
Total transfer of assets from this plan2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Expenses. Interest paid2013-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022013-12-31$0
Total income from all sources (including contributions)2013-12-31$4,024,892
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$507,739
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$350,611
Expenses. Certain deemed distributions of participant loans2013-12-31$5,943
Value of total corrective distributions2013-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,541,771
Value of total assets at end of year2013-12-31$25,647,190
Value of total assets at beginning of year2013-12-31$22,130,037
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$151,185
Total income from rents2013-12-31$0
Total interest from all sources2013-12-31$6,214
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$448,585
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$0
Administrative expenses professional fees incurred2013-12-31$17,953
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$769,651
Participant contributions at end of year2013-12-31$185,506
Participant contributions at beginning of year2013-12-31$152,712
Participant contributions at end of year2013-12-31$109,605
Participant contributions at beginning of year2013-12-31$97,263
Assets. Other investments not covered elsewhere at end of year2013-12-31$20,062,614
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$18,242,595
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$29,761
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$0
Other income not declared elsewhere2013-12-31$1,501,703
Total non interest bearing cash at end of year2013-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$3,517,153
Value of net assets at end of year (total assets less liabilities)2013-12-31$25,647,190
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$22,130,037
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Assets. partnership/joint venture interests at end of year2013-12-31$54,584
Assets. partnership/joint venture interests at beginning of year2013-12-31$35,200
Investment advisory and management fees2013-12-31$124,506
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$4,703,125
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$2,827,390
Value of interest in pooled separate accounts at end of year2013-12-31$4,696,943
Interest on participant loans2013-12-31$5,995
Income. Interest from loans (other than to participants)2013-12-31$0
Interest earned on other investments2013-12-31$0
Income. Interest from US Government securities2013-12-31$0
Income. Interest from corporate debt instruments2013-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$1,761
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$49,494
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$49,494
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$219
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$321,152
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$54,944
Net investment gain/loss from pooled separate accounts2013-12-31$471,675
Net investment gain or loss from common/collective trusts2013-12-31$0
Net gain/loss from 103.12 investment entities2013-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31Yes
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$742,359
Employer contributions (assets) at end of year2013-12-31$529,995
Employer contributions (assets) at beginning of year2013-12-31$404,231
Income. Dividends from preferred stock2013-12-31$0
Income. Dividends from common stock2013-12-31$448,585
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$350,611
Contract administrator fees2013-12-31$8,726
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31Yes
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$0
Aggregate carrying amount (costs) on sale of assets2013-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Qualified
Accountancy firm name2013-12-31POPPER & COMPANY LLP
Accountancy firm EIN2013-12-31131809139
2012 : SCARSDALE MEDICAL GROUP, LLP RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total transfer of assets to this plan2012-12-31$0
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$2,109
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$2,860,714
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$541,819
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$412,936
Expenses. Certain deemed distributions of participant loans2012-12-31$15,108
Value of total corrective distributions2012-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,305,162
Value of total assets at end of year2012-12-31$22,130,037
Value of total assets at beginning of year2012-12-31$19,813,251
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$113,775
Total interest from all sources2012-12-31$6,282
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
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 period2012-12-31Yes
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$659,667
Participant contributions at end of year2012-12-31$152,712
Participant contributions at beginning of year2012-12-31$125,661
Participant contributions at end of year2012-12-31$97,263
Participant contributions at beginning of year2012-12-31$122,804
Assets. Other investments not covered elsewhere at end of year2012-12-31$18,242,595
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$16,526,560
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$0
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$1,869
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$2,109
Other income not declared elsewhere2012-12-31$1,257,332
Administrative expenses (other) incurred2012-12-31$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$2,318,895
Value of net assets at end of year (total assets less liabilities)2012-12-31$22,130,037
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$19,811,142
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$35,200
Assets. partnership/joint venture interests at beginning of year2012-12-31$157,950
Investment advisory and management fees2012-12-31$111,315
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$2,827,390
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$2,119,687
Interest on participant loans2012-12-31$6,154
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$49,494
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$128
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$321,152
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$342,329
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$291,938
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
Contributions received in cash from employer2012-12-31$645,495
Employer contributions (assets) at end of year2012-12-31$404,231
Employer contributions (assets) at beginning of year2012-12-31$416,391
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$412,936
Contract administrator fees2012-12-31$2,460
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31Yes
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 appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
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 plan2012-12-31Qualified
Accountancy firm name2012-12-31POPPER & COMPANY LLP
Accountancy firm EIN2012-12-31131809139
2011 : SCARSDALE MEDICAL GROUP, LLP RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$2,109
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$612
Total income from all sources (including contributions)2011-12-31$1,228,411
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$468,806
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$382,342
Expenses. Certain deemed distributions of participant loans2011-12-31$2,450
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,634,534
Value of total assets at end of year2011-12-31$19,813,251
Value of total assets at beginning of year2011-12-31$19,052,149
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$84,014
Total interest from all sources2011-12-31$4,002
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
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$608,075
Participant contributions at end of year2011-12-31$125,661
Participant contributions at beginning of year2011-12-31$96,499
Participant contributions at end of year2011-12-31$122,804
Participant contributions at beginning of year2011-12-31$181,358
Assets. Other investments not covered elsewhere at end of year2011-12-31$16,526,560
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$15,951,809
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$410,894
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$1,869
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$2,109
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$612
Other income not declared elsewhere2011-12-31$-323,360
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$759,605
Value of net assets at end of year (total assets less liabilities)2011-12-31$19,811,142
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$19,051,537
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$157,950
Assets. partnership/joint venture interests at beginning of year2011-12-31$159,934
Investment advisory and management fees2011-12-31$79,411
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$2,119,687
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$2,164,594
Interest on participant loans2011-12-31$4,002
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$342,329
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$260,612
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-86,765
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 contributions2011-12-31Yes
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$615,565
Employer contributions (assets) at end of year2011-12-31$416,391
Employer contributions (assets) at beginning of year2011-12-31$237,343
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$382,342
Contract administrator fees2011-12-31$4,603
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 appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
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 plan2011-12-31Qualified
Accountancy firm name2011-12-31POPPER & COMPANY LLP
Accountancy firm EIN2011-12-31131809139
2010 : SCARSDALE MEDICAL GROUP, LLP RETIREMENT PLAN 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$612
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$7,287
Total income from all sources (including contributions)2010-12-31$4,652,713
Total of all expenses incurred2010-12-31$697,010
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$697,010
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$3,215,065
Value of total assets at end of year2010-12-31$19,052,149
Value of total assets at beginning of year2010-12-31$15,103,121
Total interest from all sources2010-12-31$6,464
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
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
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$587,049
Participant contributions at end of year2010-12-31$96,499
Participant contributions at beginning of year2010-12-31$50,339
Participant contributions at end of year2010-12-31$181,358
Participant contributions at beginning of year2010-12-31$312,407
Assets. Other investments not covered elsewhere at end of year2010-12-31$15,951,809
Assets. Other investments not covered elsewhere at beginning of year2010-12-31$12,371,528
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$1,997,923
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$822
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$612
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$7,287
Other income not declared elsewhere2010-12-31$1,229,511
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
Value of net income/loss2010-12-31$3,955,703
Value of net assets at end of year (total assets less liabilities)2010-12-31$19,051,537
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$15,095,834
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$159,934
Assets. partnership/joint venture interests at beginning of year2010-12-31$154,398
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$2,164,594
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$1,627,517
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$6,464
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
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$260,612
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$319,579
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$201,673
Net investment gain/loss from pooled separate accounts2010-12-31$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 contributions2010-12-31Yes
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$630,093
Employer contributions (assets) at end of year2010-12-31$237,343
Employer contributions (assets) at beginning of year2010-12-31$266,531
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$697,010
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 appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
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 plan2010-12-31Qualified
Accountancy firm name2010-12-31POPPER & COMPANY
Accountancy firm EIN2010-12-31131809139

Form 5500 Responses for SCARSDALE MEDICAL GROUP, LLP RETIREMENT PLAN

2018: SCARSDALE MEDICAL GROUP, LLP RETIREMENT 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 – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: SCARSDALE MEDICAL GROUP, LLP RETIREMENT 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 – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: SCARSDALE MEDICAL GROUP, LLP RETIREMENT 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 – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: SCARSDALE MEDICAL GROUP, LLP RETIREMENT 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 – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: SCARSDALE MEDICAL GROUP, LLP RETIREMENT 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 – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: SCARSDALE MEDICAL GROUP, LLP RETIREMENT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedYes
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 – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: SCARSDALE MEDICAL GROUP, LLP RETIREMENT 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 - TrustYes
2011: SCARSDALE MEDICAL GROUP, LLP RETIREMENT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
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 - TrustYes
2009: SCARSDALE MEDICAL GROUP, LLP RETIREMENT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes
2008: SCARSDALE MEDICAL GROUP, LLP RETIREMENT PLAN 2008 form 5500 responses
2008-01-01Type of plan entitySingle employer plan
2008-01-01Submission has been amendedYes
2008-01-01Plan funding arrangement – InsuranceYes
2008-01-01Plan funding arrangement – TrustYes
2008-01-01Plan benefit arrangement - TrustYes
2007: SCARSDALE MEDICAL GROUP, LLP RETIREMENT PLAN 2007 form 5500 responses
2007-01-01Type of plan entitySingle employer plan
2007-01-01Submission has been amendedYes
2007-01-01Plan funding arrangement – TrustYes
2007-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )
Policy contract number800420
Policy instance 1
Insurance contract or identification number800420
Number of Individuals Covered26
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $18,322
Total amount of fees paid to insurance companyUSD $9,870
Are there contracts with allocated funds for individual policies?0
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 BenefitNo
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 $18,322
Amount paid for insurance broker fees2727
Additional information about fees paid to insurance brokerBROKER COMMISSION OTHER ALLOWANCES
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )
Policy contract number800420
Policy instance 1
Insurance contract or identification number800420
Number of Individuals Covered91
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $25,200
Total amount of fees paid to insurance companyUSD $3,358
Are there contracts with allocated funds for individual policies?0
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 BenefitNo
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 $25,200
Amount paid for insurance broker fees3358
Additional information about fees paid to insurance brokerBROKER COMMISSION OTHER ALLOWANCES
Insurance broker organization code?3
Insurance broker nameMERRILL LYNCH LIFE AGENCY
JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )
Policy contract number800420
Policy instance 1
Insurance contract or identification number800420
Number of Individuals Covered189
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $19,694
Total amount of fees paid to insurance companyUSD $2,549
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 BenefitNo
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 $19,694
Amount paid for insurance broker fees2549
Additional information about fees paid to insurance brokerBROKER COMMISSION OTHER ALLOWANCES
Insurance broker organization code?3
Insurance broker nameMERRILL LYNCH LIFE AGENCY
JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )
Policy contract number800420
Policy instance 1
Insurance contract or identification number800420
Number of Individuals Covered191
Insurance policy start date2014-01-08
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $14,563
Total amount of fees paid to insurance companyUSD $13,406
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $14,563
Amount paid for insurance broker fees2035
Additional information about fees paid to insurance brokerBROKER COMMISSION OTHER ALLOWANCES
Insurance broker organization code?3
Insurance broker nameNPPG, INC.
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number451-80562
Policy instance 1
Insurance contract or identification number451-80562
Number of Individuals Covered0
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $33
Total amount of fees paid to insurance companyUSD $8
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $33
Amount paid for insurance broker fees8
Insurance broker organization code?3
Insurance broker nameMERRILL LYNCH PIERCE FENNER
JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )
Policy contract number800420
Policy instance 2
Insurance contract or identification number800420
Number of Individuals Covered149
Insurance policy start date2013-01-08
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $32,093
Total amount of fees paid to insurance companyUSD $5,104
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32,093
Amount paid for insurance broker fees1240
Additional information about fees paid to insurance brokerOTHER ALLOWANCES
Insurance broker organization code?3
Insurance broker nameKRASS SNOW & SCHMUTTER PC
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-D1-NV56
Policy instance 1
Insurance contract or identification numberGAP-D1-NV56
Number of Individuals Covered106
Insurance policy start date2012-01-01
Insurance policy end date2012-12-06
Total amount of commissions paid to insurance brokerUSD $2,074
Total amount of fees paid to insurance companyUSD $519
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?Yes
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 BenefitNo
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 $1,710
Amount paid for insurance broker fees519
Additional information about fees paid to insurance brokerADMINISTRATION
Insurance broker organization code?3
Insurance broker nameMERRILL LYNCH PIERCE FENNER
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-D1-NV56
Policy instance 1
Insurance contract or identification numberGAP-D1-NV56
Number of Individuals Covered120
Insurance policy start date2011-01-01
Insurance policy end date2011-12-06
Total amount of commissions paid to insurance brokerUSD $1,920
Total amount of fees paid to insurance companyUSD $480
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?Yes
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 BenefitNo
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
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-D1-NV56
Policy instance 2
Insurance contract or identification numberGAP-D1-NV56
Number of Individuals Covered120
Insurance policy start date2011-12-07
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $220
Total amount of fees paid to insurance companyUSD $55
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?Yes
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 BenefitNo
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
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAPD1NV56
Policy instance 1
Insurance contract or identification numberGAPD1NV56
Number of Individuals Covered131
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $1,916
Total amount of fees paid to insurance companyUSD $479
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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