401k Plan data: NORTH SALEM PSYCHIATRIC SERVICES, P.C. PROFIT SHARING PLAN plan

NORTH SALEM PSYCHIATRIC SERVICES, P.C. PROFIT SHARING PLAN 401k Plan overview

Plan Name	NORTH SALEM PSYCHIATRIC SERVICES, P.C. PROFIT SHARING PLAN
Plan identification number	002

NORTH SALEM PSYCHIATRIC SERVICES, P.C. PROFIT SHARING PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing 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 SALEM PSYCHIATRIC SERVICES, P.C. has sponsored the creation of one or more 401k plans.

Company Name: NORTH SALEM PSYCHIATRIC SERVICES, P.C.

Employer identification number (EIN): 133839239

NAIC Classification: 621112
NAIC Description: Offices of Physicians, Mental Health Specialists

Additional information about NORTH SALEM PSYCHIATRIC SERVICES, P.C.

Jurisdiction of Incorporation: New York Department of State

Incorporation Date: 1995-03-28

Company Identification Number: 1907839

Legal Registered Office Address: 388 HARDSCRABBLE RD
Westchester
NORTH SALEM
United States of America (USA)
10560

More information about NORTH SALEM PSYCHIATRIC SERVICES, P.C.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTH SALEM PSYCHIATRIC SERVICES, P.C. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2012-01-01 EDWARD GORDON
002 2011-01-01 EDWARD GORDON
002 2010-01-01 EDWARD GORDON
002 2009-01-01 EDWARD GORDON
002 2009-01-01 EDWARD GORDON

Plan id#	Filing Submission Date	Name of Administrator
002	2012-01-01	EDWARD GORDON
002	2011-01-01	EDWARD GORDON
002	2010-01-01	EDWARD GORDON
002	2009-01-01	EDWARD GORDON
002	2009-01-01	EDWARD GORDON

Plan Statistics for NORTH SALEM PSYCHIATRIC SERVICES, P.C. PROFIT SHARING PLAN

401k plan membership statisitcs for NORTH SALEM PSYCHIATRIC SERVICES, P.C. PROFIT SHARING PLAN

Measure Date Value
2012: NORTH SALEM PSYCHIATRIC SERVICES, P.C. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 0
Number of participants with account balances 2012-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: NORTH SALEM PSYCHIATRIC SERVICES, P.C. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 4
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 4
Number of participants with account balances 2011-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: NORTH SALEM PSYCHIATRIC SERVICES, P.C. PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 3
Number of retired or separated participants receiving benefits 2010-01-01 1
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 4
Number of participants with account balances 2010-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: NORTH SALEM PSYCHIATRIC SERVICES, P.C. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 3
Number of retired or separated participants receiving benefits 2009-01-01 1
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 4
Number of participants with account balances 2009-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2012: NORTH SALEM PSYCHIATRIC SERVICES, P.C. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	0
Number of participants with account balances	2012-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: NORTH SALEM PSYCHIATRIC SERVICES, P.C. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	4
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	4
Number of participants with account balances	2011-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: NORTH SALEM PSYCHIATRIC SERVICES, P.C. PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	3
Number of retired or separated participants receiving benefits	2010-01-01	1
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	4
Number of participants with account balances	2010-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: NORTH SALEM PSYCHIATRIC SERVICES, P.C. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	3
Number of retired or separated participants receiving benefits	2009-01-01	1
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	4
Number of participants with account balances	2009-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on NORTH SALEM PSYCHIATRIC SERVICES, P.C. PROFIT SHARING PLAN

Measure	Date	Value
2012 : NORTH SALEM PSYCHIATRIC SERVICES, P.C. PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$-82,036
Expenses. Total of all expenses incurred	2012-12-31	$671,533
Benefits paid (including direct rollovers)	2012-12-31	$671,533
Total plan assets at end of year	2012-12-31	$0
Total plan assets at beginning of year	2012-12-31	$753,569
Value of fidelity bond covering the plan	2012-12-31	$200,000
Other income received	2012-12-31	$-82,036
Net income (gross income less expenses)	2012-12-31	$-753,569
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$753,569
2011 : NORTH SALEM PSYCHIATRIC SERVICES, P.C. PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$-280,372
Expenses. Total of all expenses incurred	2011-12-31	$44,093
Benefits paid (including direct rollovers)	2011-12-31	$44,093
Total plan assets at end of year	2011-12-31	$753,569
Total plan assets at beginning of year	2011-12-31	$1,078,034
Value of fidelity bond covering the plan	2011-12-31	$200,000
Other income received	2011-12-31	$-349,967
Net income (gross income less expenses)	2011-12-31	$-324,465
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$753,569
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,078,034
Total contributions received or receivable from employer(s)	2011-12-31	$69,595
2010 : NORTH SALEM PSYCHIATRIC SERVICES, P.C. PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$68,703
Expenses. Total of all expenses incurred	2010-12-31	$42,485
Benefits paid (including direct rollovers)	2010-12-31	$42,485
Total plan assets at end of year	2010-12-31	$1,078,034
Total plan assets at beginning of year	2010-12-31	$1,051,816
Value of fidelity bond covering the plan	2010-12-31	$200,000
Other income received	2010-12-31	$3,081
Net income (gross income less expenses)	2010-12-31	$26,218
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,078,034
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,051,816
Total contributions received or receivable from employer(s)	2010-12-31	$65,622
2009 : NORTH SALEM PSYCHIATRIC SERVICES, P.C. PROFIT SHARING PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for NORTH SALEM PSYCHIATRIC SERVICES, P.C. PROFIT SHARING PLAN

2012: NORTH SALEM PSYCHIATRIC SERVICES, P.C. PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	This submission is the final filing	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: NORTH SALEM PSYCHIATRIC SERVICES, P.C. PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: NORTH SALEM PSYCHIATRIC SERVICES, P.C. PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: NORTH SALEM PSYCHIATRIC SERVICES, P.C. PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	NORTH SALEM PSYCHIATRIC SERVICES, P.C.
Employer identification number (EIN):	133839239
NAIC Classification:	621112
NAIC Description:	Offices of Physicians, Mental Health Specialists

Jurisdiction of Incorporation:	New York Department of State
Incorporation Date:	1995-03-28
Company Identification Number:	1907839
Legal Registered Office Address:	388 HARDSCRABBLE RD Westchester NORTH SALEM United States of America (USA) 10560