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WESTERN ANESTHESIA ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameWESTERN ANESTHESIA ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN
Plan identification number 001

WESTERN ANESTHESIA ASSOCIATES, LLC 401(K) PROFIT SHARING 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.
  • 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.
  • 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

WESTERN ANESTHESIA ASSOCIATES, LLC has sponsored the creation of one or more 401k plans.

Company Name:WESTERN ANESTHESIA ASSOCIATES, LLC
Employer identification number (EIN):201428952
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WESTERN ANESTHESIA ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01WAYNE LARSEN2023-10-13
0012021-01-01WAYNE LARSEN2022-10-13
0012020-01-01WAYNE LARSEN2021-10-15
0012019-01-01WAYNE LARSEN2020-10-14
0012018-01-01WAYNE LARSEN2019-10-15
0012017-01-01WAYNE LARSEN2018-10-14
0012016-01-01WAYNE LARSEN2017-09-20
0012015-01-01WAYNE LARSEN2016-10-16
0012014-01-01WAYNE LARSEN2015-10-07
0012013-01-01WAYNE LARSEN2014-10-15
0012012-01-01WAYNE LARSEN2013-10-15
0012011-01-01WAYNE LARSEN2012-10-13
0012009-01-01WAYNE LARSEN

Plan Statistics for WESTERN ANESTHESIA ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for WESTERN ANESTHESIA ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN

Measure Date Value
2009: WESTERN ANESTHESIA ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-017
Total number of active participants reported on line 7a of the Form 55002009-01-016
Number of retired or separated participants receiving benefits2009-01-011
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-017
Number of participants with account balances2009-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on WESTERN ANESTHESIA ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN

Measure Date Value
2010 : WESTERN ANESTHESIA ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total plan liabilities at end of year2010-12-31$18,578
Total plan liabilities at beginning of year2010-12-31$18,578
Total income from all sources2010-12-31$143,795
Expenses. Total of all expenses incurred2010-12-31$52,812
Benefits paid (including direct rollovers)2010-12-31$45,542
Total plan assets at end of year2010-12-31$1,096,219
Total plan assets at beginning of year2010-12-31$1,005,236
Value of fidelity bond covering the plan2010-12-31$75,000
Other income received2010-12-31$-27,293
Net income (gross income less expenses)2010-12-31$90,983
Net plan assets at end of year (total assets less liabilities)2010-12-31$1,077,641
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$986,658
Assets. Value of participant loans2010-12-31$20,229
Assets. Value of assets in partnership/joint-venture interests2010-12-31$0
Total contributions received or receivable from employer(s)2010-12-31$171,088
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$7,270
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : WESTERN ANESTHESIA ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0
2008 : WESTERN ANESTHESIA ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2008 401k financial data
Total plan liabilities at end of year2008-12-31$5,524
Total income from all sources2008-12-31$-191,047
Expenses. Total of all expenses incurred2008-12-31$13,944
Total plan assets at end of year2008-12-31$1,022,897
Total plan assets at beginning of year2008-12-31$1,222,364
Value of fidelity bond covering the plan2008-12-31$75,000
Total contributions received or receivable from participants2008-12-31$21,200
Expenses. Other expenses not covered elsewhere2008-12-31$13,944
Other income received2008-12-31$-335,959
Net income (gross income less expenses)2008-12-31$-204,991
Net plan assets at end of year (total assets less liabilities)2008-12-31$1,017,373
Net plan assets at beginning of year (total assets less liabilities)2008-12-31$1,222,364
Assets. Value of assets in partnership/joint-venture interests2008-12-31$119,516
Total contributions received or receivable from employer(s)2008-12-31$123,712

Form 5500 Responses for WESTERN ANESTHESIA ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN

2009: WESTERN ANESTHESIA ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JACKSON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65056 )
Policy contract number1003409666
Policy instance 1
Insurance contract or identification number1003409666
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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
JACKSON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65056 )
Policy contract number1003409666
Policy instance 1
Insurance contract or identification number1003409666
Number of Individuals Covered1
Insurance policy start date2008-01-01
Insurance policy end date2008-12-31
Total amount of commissions paid to insurance brokerUSD $3,000
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare 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
Commission paid to Insurance BrokerUSD $3,000
Insurance broker organization code?7
Insurance broker nameJAMES ROMERA

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