401k Plan data: NORTHEASTERN EYE INSTITUTE HEALTH PLAN plan

NORTHEASTERN EYE INSTITUTE HEALTH PLAN 401k Plan overview

Plan Name	NORTHEASTERN EYE INSTITUTE HEALTH PLAN
Plan identification number	501

NORTHEASTERN EYE INSTITUTE HEALTH PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

NORTHEASTERN EYE INSTITUTE has sponsored the creation of one or more 401k plans.

Company Name: NORTHEASTERN EYE INSTITUTE

Employer identification number (EIN): 232287632

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTHEASTERN EYE INSTITUTE HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2020-06-01
501 2019-06-01
501 2018-06-01
501 2017-06-01 JAMES MCANDREW
501 2016-06-01 JAMES MCANDREW
501 2015-06-01 JAMES MCANDREW
501 2014-06-01 JAMES MCANDREW
501 2013-06-01 JAMES MCANDREW
501 2012-06-01 JAMES MCANDREW
501 2011-06-01 JAMES MCANDREW
501 2009-06-01 JAMES MCANDREW

Plan Statistics for NORTHEASTERN EYE INSTITUTE HEALTH PLAN

401k plan membership statisitcs for NORTHEASTERN EYE INSTITUTE HEALTH PLAN

Measure Date Value
2020: NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year 2020-06-01 234
Total number of active participants reported on line 7a of the Form 5500 2020-06-01 234
Number of retired or separated participants receiving benefits 2020-06-01 4
Total of all active and inactive participants 2020-06-01 238
Total participants 2020-06-01 238
2019: NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year 2019-06-01 232
Total number of active participants reported on line 7a of the Form 5500 2019-06-01 232
Number of retired or separated participants receiving benefits 2019-06-01 3
Total of all active and inactive participants 2019-06-01 235
Total participants 2019-06-01 235
2018: NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year 2018-06-01 234
Total number of active participants reported on line 7a of the Form 5500 2018-06-01 234
Number of retired or separated participants receiving benefits 2018-06-01 3
Number of other retired or separated participants entitled to future benefits 2018-06-01 0
Total of all active and inactive participants 2018-06-01 237
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-06-01 0
Total participants 2018-06-01 237
Number of participants with account balances 2018-06-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-06-01 0
2017: NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year 2017-06-01 222
Total number of active participants reported on line 7a of the Form 5500 2017-06-01 222
Number of retired or separated participants receiving benefits 2017-06-01 4
Number of other retired or separated participants entitled to future benefits 2017-06-01 0
Total of all active and inactive participants 2017-06-01 226
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-06-01 0
Total participants 2017-06-01 226
Number of participants with account balances 2017-06-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-06-01 0
2016: NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year 2016-06-01 265
Total number of active participants reported on line 7a of the Form 5500 2016-06-01 265
Number of retired or separated participants receiving benefits 2016-06-01 0
Number of other retired or separated participants entitled to future benefits 2016-06-01 0
Total of all active and inactive participants 2016-06-01 265
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-06-01 0
Total participants 2016-06-01 265
Number of participants with account balances 2016-06-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-06-01 0
2015: NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year 2015-06-01 300
Total number of active participants reported on line 7a of the Form 5500 2015-06-01 296
Number of retired or separated participants receiving benefits 2015-06-01 4
Number of other retired or separated participants entitled to future benefits 2015-06-01 0
Total of all active and inactive participants 2015-06-01 300
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-06-01 0
Total participants 2015-06-01 300
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-06-01 0
2014: NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year 2014-06-01 326
Total number of active participants reported on line 7a of the Form 5500 2014-06-01 321
Number of retired or separated participants receiving benefits 2014-06-01 5
Number of other retired or separated participants entitled to future benefits 2014-06-01 0
Total of all active and inactive participants 2014-06-01 326
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-06-01 0
Total participants 2014-06-01 326
Number of participants with account balances 2014-06-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-06-01 0
2013: NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year 2013-06-01 346
Total number of active participants reported on line 7a of the Form 5500 2013-06-01 341
Number of retired or separated participants receiving benefits 2013-06-01 5
Number of other retired or separated participants entitled to future benefits 2013-06-01 0
Total of all active and inactive participants 2013-06-01 346
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-06-01 0
Total participants 2013-06-01 346
Number of participants with account balances 2013-06-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-06-01 0
2012: NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year 2012-06-01 402
Total number of active participants reported on line 7a of the Form 5500 2012-06-01 396
Number of retired or separated participants receiving benefits 2012-06-01 6
Number of other retired or separated participants entitled to future benefits 2012-06-01 0
Total of all active and inactive participants 2012-06-01 402
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-06-01 0
Total participants 2012-06-01 402
Number of participants with account balances 2012-06-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-06-01 0
Number of employers contributing to the scheme 2012-06-01 0
2011: NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year 2011-06-01 359
Total number of active participants reported on line 7a of the Form 5500 2011-06-01 351
Number of retired or separated participants receiving benefits 2011-06-01 8
Number of other retired or separated participants entitled to future benefits 2011-06-01 0
Total of all active and inactive participants 2011-06-01 359
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-06-01 0
Total participants 2011-06-01 359
Number of participants with account balances 2011-06-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-06-01 0
2009: NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year 2009-06-01 251
Total number of active participants reported on line 7a of the Form 5500 2009-06-01 251
Number of retired or separated participants receiving benefits 2009-06-01 6
Number of other retired or separated participants entitled to future benefits 2009-06-01 0
Total of all active and inactive participants 2009-06-01 257
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-06-01 0
Total participants 2009-06-01 257
Number of participants with account balances 2009-06-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-06-01 0

Measure	Date	Value
2020: NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year	2020-06-01	234
Total number of active participants reported on line 7a of the Form 5500	2020-06-01	234
Number of retired or separated participants receiving benefits	2020-06-01	4
Total of all active and inactive participants	2020-06-01	238
Total participants	2020-06-01	238
2019: NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year	2019-06-01	232
Total number of active participants reported on line 7a of the Form 5500	2019-06-01	232
Number of retired or separated participants receiving benefits	2019-06-01	3
Total of all active and inactive participants	2019-06-01	235
Total participants	2019-06-01	235
2018: NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year	2018-06-01	234
Total number of active participants reported on line 7a of the Form 5500	2018-06-01	234
Number of retired or separated participants receiving benefits	2018-06-01	3
Number of other retired or separated participants entitled to future benefits	2018-06-01	0
Total of all active and inactive participants	2018-06-01	237
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-06-01	0
Total participants	2018-06-01	237
Number of participants with account balances	2018-06-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-06-01	0
2017: NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year	2017-06-01	222
Total number of active participants reported on line 7a of the Form 5500	2017-06-01	222
Number of retired or separated participants receiving benefits	2017-06-01	4
Number of other retired or separated participants entitled to future benefits	2017-06-01	0
Total of all active and inactive participants	2017-06-01	226
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-06-01	0
Total participants	2017-06-01	226
Number of participants with account balances	2017-06-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-06-01	0
2016: NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year	2016-06-01	265
Total number of active participants reported on line 7a of the Form 5500	2016-06-01	265
Number of retired or separated participants receiving benefits	2016-06-01	0
Number of other retired or separated participants entitled to future benefits	2016-06-01	0
Total of all active and inactive participants	2016-06-01	265
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-06-01	0
Total participants	2016-06-01	265
Number of participants with account balances	2016-06-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-06-01	0
2015: NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year	2015-06-01	300
Total number of active participants reported on line 7a of the Form 5500	2015-06-01	296
Number of retired or separated participants receiving benefits	2015-06-01	4
Number of other retired or separated participants entitled to future benefits	2015-06-01	0
Total of all active and inactive participants	2015-06-01	300
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-06-01	0
Total participants	2015-06-01	300
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-06-01	0
2014: NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year	2014-06-01	326
Total number of active participants reported on line 7a of the Form 5500	2014-06-01	321
Number of retired or separated participants receiving benefits	2014-06-01	5
Number of other retired or separated participants entitled to future benefits	2014-06-01	0
Total of all active and inactive participants	2014-06-01	326
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-06-01	0
Total participants	2014-06-01	326
Number of participants with account balances	2014-06-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-06-01	0
2013: NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year	2013-06-01	346
Total number of active participants reported on line 7a of the Form 5500	2013-06-01	341
Number of retired or separated participants receiving benefits	2013-06-01	5
Number of other retired or separated participants entitled to future benefits	2013-06-01	0
Total of all active and inactive participants	2013-06-01	346
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-06-01	0
Total participants	2013-06-01	346
Number of participants with account balances	2013-06-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-06-01	0
2012: NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year	2012-06-01	402
Total number of active participants reported on line 7a of the Form 5500	2012-06-01	396
Number of retired or separated participants receiving benefits	2012-06-01	6
Number of other retired or separated participants entitled to future benefits	2012-06-01	0
Total of all active and inactive participants	2012-06-01	402
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-06-01	0
Total participants	2012-06-01	402
Number of participants with account balances	2012-06-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-06-01	0
Number of employers contributing to the scheme	2012-06-01	0
2011: NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year	2011-06-01	359
Total number of active participants reported on line 7a of the Form 5500	2011-06-01	351
Number of retired or separated participants receiving benefits	2011-06-01	8
Number of other retired or separated participants entitled to future benefits	2011-06-01	0
Total of all active and inactive participants	2011-06-01	359
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-06-01	0
Total participants	2011-06-01	359
Number of participants with account balances	2011-06-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-06-01	0
2009: NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year	2009-06-01	251
Total number of active participants reported on line 7a of the Form 5500	2009-06-01	251
Number of retired or separated participants receiving benefits	2009-06-01	6
Number of other retired or separated participants entitled to future benefits	2009-06-01	0
Total of all active and inactive participants	2009-06-01	257
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-06-01	0
Total participants	2009-06-01	257
Number of participants with account balances	2009-06-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-06-01	0

Financial Data on NORTHEASTERN EYE INSTITUTE HEALTH PLAN

Measure	Date	Value
2021 : NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2021 401k financial data
Unrealized appreciation/depreciation of real estate assets	2021-05-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2021-05-31	$0
Total unrealized appreciation/depreciation of assets	2021-05-31	$0
Total transfer of assets to this plan	2021-05-31	$0
Total transfer of assets from this plan	2021-05-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-05-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-05-31	$1,457,658
Total income from all sources (including contributions)	2021-05-31	$1,457,658
Total loss/gain on sale of assets	2021-05-31	$0
Total of all expenses incurred	2021-05-31	$1,457,658
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-05-31	$1,457,658
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-05-31	$1,457,658
Value of total assets at end of year	2021-05-31	$0
Value of total assets at beginning of year	2021-05-31	$1,457,658
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-05-31	$0
Total interest from all sources	2021-05-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2021-05-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-05-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-05-31	$0
Assets. Real estate other than employer real property at end of year	2021-05-31	$0
Assets. Real estate other than employer real property at beginning of year	2021-05-31	$0
Administrative expenses professional fees incurred	2021-05-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2021-05-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2021-05-31	$0
Was this plan covered by a fidelity bond	2021-05-31	No
If this is an individual account plan, was there a blackout period	2021-05-31	No
Were there any nonexempt tranactions with any party-in-interest	2021-05-31	No
Contributions received from participants	2021-05-31	$699,676
Participant contributions at end of year	2021-05-31	$0
Participant contributions at beginning of year	2021-05-31	$0
Participant contributions at end of year	2021-05-31	$0
Participant contributions at beginning of year	2021-05-31	$699,676
Assets. Other investments not covered elsewhere at end of year	2021-05-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2021-05-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2021-05-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2021-05-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2021-05-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2021-05-31	$0
Assets. Loans (other than to participants) at end of year	2021-05-31	$0
Assets. Loans (other than to participants) at beginning of year	2021-05-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-05-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-05-31	$0
Other income not declared elsewhere	2021-05-31	$0
Administrative expenses (other) incurred	2021-05-31	$0
Liabilities. Value of operating payables at end of year	2021-05-31	$0
Liabilities. Value of operating payables at beginning of year	2021-05-31	$0
Total non interest bearing cash at end of year	2021-05-31	$0
Total non interest bearing cash at beginning of year	2021-05-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-05-31	No
Income. Non cash contributions	2021-05-31	$0
Value of net income/loss	2021-05-31	$0
Value of net assets at end of year (total assets less liabilities)	2021-05-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2021-05-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-05-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-05-31	No
Were any leases to which the plan was party in default or uncollectible	2021-05-31	No
Assets. partnership/joint venture interests at end of year	2021-05-31	$0
Assets. partnership/joint venture interests at beginning of year	2021-05-31	$0
Investment advisory and management fees	2021-05-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-05-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-05-31	$0
Value of interest in pooled separate accounts at end of year	2021-05-31	$0
Value of interest in pooled separate accounts at beginning of year	2021-05-31	$0
Interest on participant loans	2021-05-31	$0
Income. Interest from loans (other than to participants)	2021-05-31	$0
Interest earned on other investments	2021-05-31	$0
Income. Interest from US Government securities	2021-05-31	$0
Income. Interest from corporate debt instruments	2021-05-31	$0
Value of interest in master investment trust accounts at end of year	2021-05-31	$0
Value of interest in master investment trust accounts at beginning of year	2021-05-31	$0
Value of interest in common/collective trusts at end of year	2021-05-31	$0
Value of interest in common/collective trusts at beginning of year	2021-05-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-05-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-05-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-05-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-05-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2021-05-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2021-05-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-05-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-05-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2021-05-31	$1,457,658
Asset value of US Government securities at end of year	2021-05-31	$0
Asset value of US Government securities at beginning of year	2021-05-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-05-31	$0
Net investment gain/loss from pooled separate accounts	2021-05-31	$0
Net investment gain or loss from common/collective trusts	2021-05-31	$0
Net gain/loss from 103.12 investment entities	2021-05-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-05-31	No
Was there a failure to transmit to the plan any participant contributions	2021-05-31	No
Has the plan failed to provide any benefit when due under the plan	2021-05-31	No
Assets. Invements in employer securities at end of year	2021-05-31	$0
Assets. Invements in employer securities at beginning of year	2021-05-31	$0
Assets. Value of employer real property at end of year	2021-05-31	$0
Assets. Value of employer real property at beginning of year	2021-05-31	$0
Contributions received in cash from employer	2021-05-31	$757,982
Employer contributions (assets) at end of year	2021-05-31	$0
Employer contributions (assets) at beginning of year	2021-05-31	$757,982
Income. Dividends from preferred stock	2021-05-31	$0
Income. Dividends from common stock	2021-05-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-05-31	$0
Asset. Corporate debt instrument preferred debt at end of year	2021-05-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2021-05-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2021-05-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2021-05-31	$0
Contract administrator fees	2021-05-31	$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2021-05-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2021-05-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2021-05-31	$0
Liabilities. Value of benefit claims payable at end of year	2021-05-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2021-05-31	$1,457,658
Assets. Value of buildings and other operty used in plan operation at end of year	2021-05-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2021-05-31	$0
Did the plan have assets held for investment	2021-05-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-05-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-05-31	No
Aggregate proceeds on sale of assets	2021-05-31	$0
Aggregate carrying amount (costs) on sale of assets	2021-05-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2021-05-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2021-05-31	$0
Opinion of an independent qualified public accountant for this plan	2021-05-31	Unqualified
2020 : NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2020 401k financial data
Unrealized appreciation/depreciation of real estate assets	2020-05-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2020-05-31	$0
Total unrealized appreciation/depreciation of assets	2020-05-31	$0
Total transfer of assets to this plan	2020-05-31	$0
Total transfer of assets from this plan	2020-05-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-05-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-05-31	$1,458,472
Expenses. Interest paid	2020-05-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2020-05-31	$0
Total income from all sources (including contributions)	2020-05-31	$1,458,472
Total loss/gain on sale of assets	2020-05-31	$0
Total of all expenses incurred	2020-05-31	$1,458,472
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-05-31	$1,458,472
Expenses. Certain deemed distributions of participant loans	2020-05-31	$0
Value of total corrective distributions	2020-05-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-05-31	$1,458,472
Value of total assets at end of year	2020-05-31	$0
Value of total assets at beginning of year	2020-05-31	$1,458,472
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-05-31	$0
Total income from rents	2020-05-31	$0
Total interest from all sources	2020-05-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2020-05-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-05-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-05-31	$0
Assets. Real estate other than employer real property at end of year	2020-05-31	$0
Assets. Real estate other than employer real property at beginning of year	2020-05-31	$0
Administrative expenses professional fees incurred	2020-05-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2020-05-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2020-05-31	$0
Was this plan covered by a fidelity bond	2020-05-31	No
If this is an individual account plan, was there a blackout period	2020-05-31	No
Were there any nonexempt tranactions with any party-in-interest	2020-05-31	No
Contributions received from participants	2020-05-31	$700,067
Participant contributions at end of year	2020-05-31	$0
Participant contributions at beginning of year	2020-05-31	$0
Participant contributions at end of year	2020-05-31	$0
Participant contributions at beginning of year	2020-05-31	$700,067
Assets. Other investments not covered elsewhere at end of year	2020-05-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2020-05-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2020-05-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2020-05-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-05-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-05-31	$0
Assets. Loans (other than to participants) at end of year	2020-05-31	$0
Assets. Loans (other than to participants) at beginning of year	2020-05-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-05-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-05-31	$0
Other income not declared elsewhere	2020-05-31	$0
Administrative expenses (other) incurred	2020-05-31	$0
Liabilities. Value of operating payables at end of year	2020-05-31	$0
Liabilities. Value of operating payables at beginning of year	2020-05-31	$0
Total non interest bearing cash at end of year	2020-05-31	$0
Total non interest bearing cash at beginning of year	2020-05-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-05-31	No
Income. Non cash contributions	2020-05-31	$0
Value of net income/loss	2020-05-31	$0
Value of net assets at end of year (total assets less liabilities)	2020-05-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2020-05-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-05-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-05-31	No
Were any leases to which the plan was party in default or uncollectible	2020-05-31	No
Assets. partnership/joint venture interests at end of year	2020-05-31	$0
Assets. partnership/joint venture interests at beginning of year	2020-05-31	$0
Investment advisory and management fees	2020-05-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-05-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-05-31	$0
Value of interest in pooled separate accounts at end of year	2020-05-31	$0
Value of interest in pooled separate accounts at beginning of year	2020-05-31	$0
Interest on participant loans	2020-05-31	$0
Income. Interest from loans (other than to participants)	2020-05-31	$0
Interest earned on other investments	2020-05-31	$0
Income. Interest from US Government securities	2020-05-31	$0
Income. Interest from corporate debt instruments	2020-05-31	$0
Value of interest in master investment trust accounts at end of year	2020-05-31	$0
Value of interest in master investment trust accounts at beginning of year	2020-05-31	$0
Value of interest in common/collective trusts at end of year	2020-05-31	$0
Value of interest in common/collective trusts at beginning of year	2020-05-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-05-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-05-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-05-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-05-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2020-05-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2020-05-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-05-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-05-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2020-05-31	$1,458,472
Asset value of US Government securities at end of year	2020-05-31	$0
Asset value of US Government securities at beginning of year	2020-05-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-05-31	$0
Net investment gain/loss from pooled separate accounts	2020-05-31	$0
Net investment gain or loss from common/collective trusts	2020-05-31	$0
Net gain/loss from 103.12 investment entities	2020-05-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-05-31	No
Was there a failure to transmit to the plan any participant contributions	2020-05-31	No
Has the plan failed to provide any benefit when due under the plan	2020-05-31	No
Assets. Invements in employer securities at end of year	2020-05-31	$0
Assets. Invements in employer securities at beginning of year	2020-05-31	$0
Assets. Value of employer real property at end of year	2020-05-31	$0
Assets. Value of employer real property at beginning of year	2020-05-31	$0
Contributions received in cash from employer	2020-05-31	$758,405
Employer contributions (assets) at end of year	2020-05-31	$0
Employer contributions (assets) at beginning of year	2020-05-31	$758,405
Income. Dividends from preferred stock	2020-05-31	$0
Income. Dividends from common stock	2020-05-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-05-31	$0
Asset. Corporate debt instrument preferred debt at end of year	2020-05-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2020-05-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2020-05-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2020-05-31	$0
Contract administrator fees	2020-05-31	$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2020-05-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2020-05-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2020-05-31	$0
Liabilities. Value of benefit claims payable at end of year	2020-05-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2020-05-31	$1,458,472
Assets. Value of buildings and other operty used in plan operation at end of year	2020-05-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2020-05-31	$0
Did the plan have assets held for investment	2020-05-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-05-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-05-31	No
Aggregate proceeds on sale of assets	2020-05-31	$0
Aggregate carrying amount (costs) on sale of assets	2020-05-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2020-05-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2020-05-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2020-05-31	No
Opinion of an independent qualified public accountant for this plan	2020-05-31	Unqualified
2018 : NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2018 401k financial data
Unrealized appreciation/depreciation of real estate assets	2018-05-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2018-05-31	$0
Total unrealized appreciation/depreciation of assets	2018-05-31	$0
Total transfer of assets to this plan	2018-05-31	$0
Total transfer of assets from this plan	2018-05-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-05-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-05-31	$1,343,380
Total income from all sources (including contributions)	2018-05-31	$1,343,380
Total loss/gain on sale of assets	2018-05-31	$0
Total of all expenses incurred	2018-05-31	$1,343,380
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-05-31	$1,343,380
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-05-31	$1,343,380
Value of total assets at end of year	2018-05-31	$0
Value of total assets at beginning of year	2018-05-31	$1,343,380
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-05-31	$0
Total income from rents	2018-05-31	$0
Total interest from all sources	2018-05-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2018-05-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-05-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-05-31	$0
Assets. Real estate other than employer real property at end of year	2018-05-31	$0
Assets. Real estate other than employer real property at beginning of year	2018-05-31	$0
Administrative expenses professional fees incurred	2018-05-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2018-05-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2018-05-31	$0
Was this plan covered by a fidelity bond	2018-05-31	No
If this is an individual account plan, was there a blackout period	2018-05-31	No
Were there any nonexempt tranactions with any party-in-interest	2018-05-31	No
Contributions received from participants	2018-05-31	$644,822
Participant contributions at end of year	2018-05-31	$0
Participant contributions at beginning of year	2018-05-31	$0
Participant contributions at end of year	2018-05-31	$0
Participant contributions at beginning of year	2018-05-31	$644,822
Assets. Other investments not covered elsewhere at end of year	2018-05-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2018-05-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2018-05-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2018-05-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-05-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-05-31	$0
Assets. Loans (other than to participants) at end of year	2018-05-31	$0
Assets. Loans (other than to participants) at beginning of year	2018-05-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2018-05-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-05-31	$0
Other income not declared elsewhere	2018-05-31	$0
Administrative expenses (other) incurred	2018-05-31	$0
Liabilities. Value of operating payables at end of year	2018-05-31	$0
Liabilities. Value of operating payables at beginning of year	2018-05-31	$0
Total non interest bearing cash at end of year	2018-05-31	$0
Total non interest bearing cash at beginning of year	2018-05-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-05-31	No
Income. Non cash contributions	2018-05-31	$0
Value of net income/loss	2018-05-31	$0
Value of net assets at end of year (total assets less liabilities)	2018-05-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2018-05-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-05-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-05-31	No
Were any leases to which the plan was party in default or uncollectible	2018-05-31	No
Assets. partnership/joint venture interests at end of year	2018-05-31	$0
Assets. partnership/joint venture interests at beginning of year	2018-05-31	$0
Investment advisory and management fees	2018-05-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-05-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-05-31	$0
Value of interest in pooled separate accounts at end of year	2018-05-31	$0
Value of interest in pooled separate accounts at beginning of year	2018-05-31	$0
Interest on participant loans	2018-05-31	$0
Income. Interest from loans (other than to participants)	2018-05-31	$0
Interest earned on other investments	2018-05-31	$0
Income. Interest from US Government securities	2018-05-31	$0
Income. Interest from corporate debt instruments	2018-05-31	$0
Value of interest in master investment trust accounts at end of year	2018-05-31	$0
Value of interest in master investment trust accounts at beginning of year	2018-05-31	$0
Value of interest in common/collective trusts at end of year	2018-05-31	$0
Value of interest in common/collective trusts at beginning of year	2018-05-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-05-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-05-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-05-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-05-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2018-05-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2018-05-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-05-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-05-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2018-05-31	$1,343,380
Asset value of US Government securities at end of year	2018-05-31	$0
Asset value of US Government securities at beginning of year	2018-05-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-05-31	$0
Net investment gain/loss from pooled separate accounts	2018-05-31	$0
Net investment gain or loss from common/collective trusts	2018-05-31	$0
Net gain/loss from 103.12 investment entities	2018-05-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-05-31	No
Was there a failure to transmit to the plan any participant contributions	2018-05-31	No
Has the plan failed to provide any benefit when due under the plan	2018-05-31	No
Assets. Invements in employer securities at end of year	2018-05-31	$0
Assets. Invements in employer securities at beginning of year	2018-05-31	$0
Assets. Value of employer real property at end of year	2018-05-31	$0
Assets. Value of employer real property at beginning of year	2018-05-31	$0
Contributions received in cash from employer	2018-05-31	$698,558
Employer contributions (assets) at end of year	2018-05-31	$0
Employer contributions (assets) at beginning of year	2018-05-31	$698,558
Income. Dividends from preferred stock	2018-05-31	$0
Income. Dividends from common stock	2018-05-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-05-31	$0
Asset. Corporate debt instrument preferred debt at end of year	2018-05-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2018-05-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2018-05-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2018-05-31	$0
Contract administrator fees	2018-05-31	$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2018-05-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2018-05-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2018-05-31	$0
Liabilities. Value of benefit claims payable at end of year	2018-05-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2018-05-31	$1,343,380
Assets. Value of buildings and other operty used in plan operation at end of year	2018-05-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2018-05-31	$0
Did the plan have assets held for investment	2018-05-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-05-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-05-31	No
Aggregate proceeds on sale of assets	2018-05-31	$0
Aggregate carrying amount (costs) on sale of assets	2018-05-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2018-05-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2018-05-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-05-31	No
Opinion of an independent qualified public accountant for this plan	2018-05-31	Unqualified
2017 : NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2017 401k financial data
Unrealized appreciation/depreciation of real estate assets	2017-05-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2017-05-31	$0
Total unrealized appreciation/depreciation of assets	2017-05-31	$0
Total transfer of assets to this plan	2017-05-31	$0
Total transfer of assets from this plan	2017-05-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-05-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-05-31	$1,163,076
Expenses. Interest paid	2017-05-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2017-05-31	$0
Total income from all sources (including contributions)	2017-05-31	$1,163,076
Total loss/gain on sale of assets	2017-05-31	$0
Total of all expenses incurred	2017-05-31	$1,163,076
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-05-31	$1,163,076
Expenses. Certain deemed distributions of participant loans	2017-05-31	$0
Value of total corrective distributions	2017-05-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-05-31	$1,163,076
Value of total assets at end of year	2017-05-31	$0
Value of total assets at beginning of year	2017-05-31	$1,163,076
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-05-31	$0
Total income from rents	2017-05-31	$0
Total interest from all sources	2017-05-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2017-05-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-05-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-05-31	$0
Assets. Real estate other than employer real property at end of year	2017-05-31	$0
Assets. Real estate other than employer real property at beginning of year	2017-05-31	$0
Administrative expenses professional fees incurred	2017-05-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2017-05-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2017-05-31	$0
Was this plan covered by a fidelity bond	2017-05-31	No
If this is an individual account plan, was there a blackout period	2017-05-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-05-31	No
Contributions received from participants	2017-05-31	$569,907
Participant contributions at end of year	2017-05-31	$0
Participant contributions at beginning of year	2017-05-31	$0
Participant contributions at end of year	2017-05-31	$0
Participant contributions at beginning of year	2017-05-31	$569,907
Assets. Other investments not covered elsewhere at end of year	2017-05-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2017-05-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2017-05-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2017-05-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-05-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-05-31	$0
Assets. Loans (other than to participants) at end of year	2017-05-31	$0
Assets. Loans (other than to participants) at beginning of year	2017-05-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-05-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-05-31	$0
Other income not declared elsewhere	2017-05-31	$0
Administrative expenses (other) incurred	2017-05-31	$0
Liabilities. Value of operating payables at end of year	2017-05-31	$0
Liabilities. Value of operating payables at beginning of year	2017-05-31	$0
Total non interest bearing cash at end of year	2017-05-31	$0
Total non interest bearing cash at beginning of year	2017-05-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-05-31	No
Income. Non cash contributions	2017-05-31	$0
Value of net income/loss	2017-05-31	$0
Value of net assets at end of year (total assets less liabilities)	2017-05-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2017-05-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-05-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-05-31	No
Were any leases to which the plan was party in default or uncollectible	2017-05-31	No
Assets. partnership/joint venture interests at end of year	2017-05-31	$0
Assets. partnership/joint venture interests at beginning of year	2017-05-31	$0
Investment advisory and management fees	2017-05-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-05-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-05-31	$0
Value of interest in pooled separate accounts at end of year	2017-05-31	$0
Value of interest in pooled separate accounts at beginning of year	2017-05-31	$0
Interest on participant loans	2017-05-31	$0
Income. Interest from loans (other than to participants)	2017-05-31	$0
Interest earned on other investments	2017-05-31	$0
Income. Interest from US Government securities	2017-05-31	$0
Income. Interest from corporate debt instruments	2017-05-31	$0
Value of interest in master investment trust accounts at end of year	2017-05-31	$0
Value of interest in master investment trust accounts at beginning of year	2017-05-31	$0
Value of interest in common/collective trusts at end of year	2017-05-31	$0
Value of interest in common/collective trusts at beginning of year	2017-05-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-05-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-05-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-05-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-05-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2017-05-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2017-05-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-05-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-05-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2017-05-31	$1,163,076
Asset value of US Government securities at end of year	2017-05-31	$0
Asset value of US Government securities at beginning of year	2017-05-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-05-31	$0
Net investment gain/loss from pooled separate accounts	2017-05-31	$0
Net investment gain or loss from common/collective trusts	2017-05-31	$0
Net gain/loss from 103.12 investment entities	2017-05-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-05-31	No
Was there a failure to transmit to the plan any participant contributions	2017-05-31	No
Has the plan failed to provide any benefit when due under the plan	2017-05-31	No
Assets. Invements in employer securities at end of year	2017-05-31	$0
Assets. Invements in employer securities at beginning of year	2017-05-31	$0
Assets. Value of employer real property at end of year	2017-05-31	$0
Assets. Value of employer real property at beginning of year	2017-05-31	$0
Contributions received in cash from employer	2017-05-31	$593,169
Employer contributions (assets) at end of year	2017-05-31	$0
Employer contributions (assets) at beginning of year	2017-05-31	$593,169
Income. Dividends from preferred stock	2017-05-31	$0
Income. Dividends from common stock	2017-05-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-05-31	$0
Asset. Corporate debt instrument preferred debt at end of year	2017-05-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2017-05-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2017-05-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2017-05-31	$0
Contract administrator fees	2017-05-31	$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2017-05-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2017-05-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2017-05-31	$0
Liabilities. Value of benefit claims payable at end of year	2017-05-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2017-05-31	$1,163,076
Assets. Value of buildings and other operty used in plan operation at end of year	2017-05-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2017-05-31	$0
Did the plan have assets held for investment	2017-05-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-05-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-05-31	No
Aggregate proceeds on sale of assets	2017-05-31	$0
Aggregate carrying amount (costs) on sale of assets	2017-05-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2017-05-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2017-05-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-05-31	No
Opinion of an independent qualified public accountant for this plan	2017-05-31	Unqualified
2016 : NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2016 401k financial data
Unrealized appreciation/depreciation of real estate assets	2016-05-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2016-05-31	$0
Total unrealized appreciation/depreciation of assets	2016-05-31	$0
Total transfer of assets to this plan	2016-05-31	$0
Total transfer of assets from this plan	2016-05-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-05-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-05-31	$1,248,108
Expenses. Interest paid	2016-05-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2016-05-31	$0
Total income from all sources (including contributions)	2016-05-31	$1,248,108
Total loss/gain on sale of assets	2016-05-31	$0
Total of all expenses incurred	2016-05-31	$1,248,108
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-05-31	$1,248,108
Expenses. Certain deemed distributions of participant loans	2016-05-31	$0
Value of total corrective distributions	2016-05-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-05-31	$1,248,108
Value of total assets at end of year	2016-05-31	$0
Value of total assets at beginning of year	2016-05-31	$1,248,108
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-05-31	$0
Total income from rents	2016-05-31	$0
Total interest from all sources	2016-05-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2016-05-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-05-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-05-31	$0
Assets. Real estate other than employer real property at end of year	2016-05-31	$0
Assets. Real estate other than employer real property at beginning of year	2016-05-31	$0
Administrative expenses professional fees incurred	2016-05-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2016-05-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2016-05-31	$0
Was this plan covered by a fidelity bond	2016-05-31	No
If this is an individual account plan, was there a blackout period	2016-05-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-05-31	No
Contributions received from participants	2016-05-31	$605,332
Participant contributions at end of year	2016-05-31	$0
Participant contributions at beginning of year	2016-05-31	$0
Participant contributions at end of year	2016-05-31	$0
Participant contributions at beginning of year	2016-05-31	$605,332
Assets. Other investments not covered elsewhere at end of year	2016-05-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2016-05-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2016-05-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2016-05-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-05-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-05-31	$0
Assets. Loans (other than to participants) at end of year	2016-05-31	$0
Assets. Loans (other than to participants) at beginning of year	2016-05-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-05-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-05-31	$0
Other income not declared elsewhere	2016-05-31	$0
Administrative expenses (other) incurred	2016-05-31	$0
Liabilities. Value of operating payables at end of year	2016-05-31	$0
Liabilities. Value of operating payables at beginning of year	2016-05-31	$0
Total non interest bearing cash at end of year	2016-05-31	$0
Total non interest bearing cash at beginning of year	2016-05-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-05-31	No
Income. Non cash contributions	2016-05-31	$0
Value of net income/loss	2016-05-31	$0
Value of net assets at end of year (total assets less liabilities)	2016-05-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2016-05-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-05-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-05-31	No
Were any leases to which the plan was party in default or uncollectible	2016-05-31	No
Assets. partnership/joint venture interests at end of year	2016-05-31	$0
Assets. partnership/joint venture interests at beginning of year	2016-05-31	$0
Investment advisory and management fees	2016-05-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-05-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-05-31	$0
Value of interest in pooled separate accounts at end of year	2016-05-31	$0
Value of interest in pooled separate accounts at beginning of year	2016-05-31	$0
Interest on participant loans	2016-05-31	$0
Income. Interest from loans (other than to participants)	2016-05-31	$0
Interest earned on other investments	2016-05-31	$0
Income. Interest from US Government securities	2016-05-31	$0
Income. Interest from corporate debt instruments	2016-05-31	$0
Value of interest in master investment trust accounts at end of year	2016-05-31	$0
Value of interest in master investment trust accounts at beginning of year	2016-05-31	$0
Value of interest in common/collective trusts at end of year	2016-05-31	$0
Value of interest in common/collective trusts at beginning of year	2016-05-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-05-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-05-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-05-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-05-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2016-05-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2016-05-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-05-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-05-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2016-05-31	$1,248,108
Asset value of US Government securities at end of year	2016-05-31	$0
Asset value of US Government securities at beginning of year	2016-05-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-05-31	$0
Net investment gain/loss from pooled separate accounts	2016-05-31	$0
Net investment gain or loss from common/collective trusts	2016-05-31	$0
Net gain/loss from 103.12 investment entities	2016-05-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-05-31	No
Was there a failure to transmit to the plan any participant contributions	2016-05-31	No
Has the plan failed to provide any benefit when due under the plan	2016-05-31	No
Assets. Invements in employer securities at end of year	2016-05-31	$0
Assets. Invements in employer securities at beginning of year	2016-05-31	$0
Assets. Value of employer real property at end of year	2016-05-31	$0
Assets. Value of employer real property at beginning of year	2016-05-31	$0
Contributions received in cash from employer	2016-05-31	$642,776
Employer contributions (assets) at end of year	2016-05-31	$0
Employer contributions (assets) at beginning of year	2016-05-31	$642,776
Income. Dividends from preferred stock	2016-05-31	$0
Income. Dividends from common stock	2016-05-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-05-31	$0
Asset. Corporate debt instrument preferred debt at end of year	2016-05-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2016-05-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2016-05-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2016-05-31	$0
Contract administrator fees	2016-05-31	$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2016-05-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2016-05-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2016-05-31	$0
Liabilities. Value of benefit claims payable at end of year	2016-05-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2016-05-31	$1,248,108
Assets. Value of buildings and other operty used in plan operation at end of year	2016-05-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2016-05-31	$0
Did the plan have assets held for investment	2016-05-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-05-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-05-31	No
Aggregate proceeds on sale of assets	2016-05-31	$0
Aggregate carrying amount (costs) on sale of assets	2016-05-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2016-05-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2016-05-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-05-31	No
Opinion of an independent qualified public accountant for this plan	2016-05-31	Unqualified
2015 : NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2015 401k financial data
Unrealized appreciation/depreciation of real estate assets	2015-05-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2015-05-31	$0
Total unrealized appreciation/depreciation of assets	2015-05-31	$0
Total transfer of assets to this plan	2015-05-31	$0
Total transfer of assets from this plan	2015-05-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-05-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-05-31	$1,243,728
Expenses. Interest paid	2015-05-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2015-05-31	$0
Total income from all sources (including contributions)	2015-05-31	$1,243,728
Total loss/gain on sale of assets	2015-05-31	$0
Total of all expenses incurred	2015-05-31	$1,243,728
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-05-31	$1,243,728
Expenses. Certain deemed distributions of participant loans	2015-05-31	$0
Value of total corrective distributions	2015-05-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-05-31	$1,243,728
Value of total assets at end of year	2015-05-31	$0
Value of total assets at beginning of year	2015-05-31	$1,243,728
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-05-31	$0
Total income from rents	2015-05-31	$0
Total interest from all sources	2015-05-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2015-05-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-05-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-05-31	$0
Assets. Real estate other than employer real property at end of year	2015-05-31	$0
Assets. Real estate other than employer real property at beginning of year	2015-05-31	$0
Administrative expenses professional fees incurred	2015-05-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2015-05-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2015-05-31	$0
Was this plan covered by a fidelity bond	2015-05-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-05-31	No
Contributions received from participants	2015-05-31	$609,427
Participant contributions at end of year	2015-05-31	$0
Participant contributions at beginning of year	2015-05-31	$0
Participant contributions at end of year	2015-05-31	$0
Participant contributions at beginning of year	2015-05-31	$609,427
Assets. Other investments not covered elsewhere at end of year	2015-05-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2015-05-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-05-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2015-05-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-05-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-05-31	$0
Assets. Loans (other than to participants) at end of year	2015-05-31	$0
Assets. Loans (other than to participants) at beginning of year	2015-05-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-05-31	$0
Other income not declared elsewhere	2015-05-31	$0
Administrative expenses (other) incurred	2015-05-31	$0
Liabilities. Value of operating payables at beginning of year	2015-05-31	$0
Total non interest bearing cash at end of year	2015-05-31	$0
Total non interest bearing cash at beginning of year	2015-05-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-05-31	No
Income. Non cash contributions	2015-05-31	$0
Value of net income/loss	2015-05-31	$0
Value of net assets at end of year (total assets less liabilities)	2015-05-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2015-05-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-05-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-05-31	No
Were any leases to which the plan was party in default or uncollectible	2015-05-31	No
Assets. partnership/joint venture interests at end of year	2015-05-31	$0
Assets. partnership/joint venture interests at beginning of year	2015-05-31	$0
Investment advisory and management fees	2015-05-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-05-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-05-31	$0
Value of interest in pooled separate accounts at end of year	2015-05-31	$0
Value of interest in pooled separate accounts at beginning of year	2015-05-31	$0
Interest on participant loans	2015-05-31	$0
Income. Interest from loans (other than to participants)	2015-05-31	$0
Interest earned on other investments	2015-05-31	$0
Income. Interest from US Government securities	2015-05-31	$0
Income. Interest from corporate debt instruments	2015-05-31	$0
Value of interest in master investment trust accounts at end of year	2015-05-31	$0
Value of interest in master investment trust accounts at beginning of year	2015-05-31	$0
Value of interest in common/collective trusts at end of year	2015-05-31	$0
Value of interest in common/collective trusts at beginning of year	2015-05-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-05-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-05-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-05-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-05-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2015-05-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2015-05-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-05-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-05-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2015-05-31	$1,243,728
Asset value of US Government securities at end of year	2015-05-31	$0
Asset value of US Government securities at beginning of year	2015-05-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-05-31	$0
Net investment gain/loss from pooled separate accounts	2015-05-31	$0
Net investment gain or loss from common/collective trusts	2015-05-31	$0
Net gain/loss from 103.12 investment entities	2015-05-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-05-31	No
Was there a failure to transmit to the plan any participant contributions	2015-05-31	No
Assets. Invements in employer securities at end of year	2015-05-31	$0
Assets. Invements in employer securities at beginning of year	2015-05-31	$0
Assets. Value of employer real property at end of year	2015-05-31	$0
Assets. Value of employer real property at beginning of year	2015-05-31	$0
Contributions received in cash from employer	2015-05-31	$634,301
Employer contributions (assets) at end of year	2015-05-31	$0
Employer contributions (assets) at beginning of year	2015-05-31	$634,301
Income. Dividends from preferred stock	2015-05-31	$0
Income. Dividends from common stock	2015-05-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-05-31	$0
Asset. Corporate debt instrument preferred debt at end of year	2015-05-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2015-05-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2015-05-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2015-05-31	$0
Contract administrator fees	2015-05-31	$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2015-05-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2015-05-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2015-05-31	$0
Liabilities. Value of benefit claims payable at end of year	2015-05-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2015-05-31	$1,243,728
Assets. Value of buildings and other operty used in plan operation at end of year	2015-05-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2015-05-31	$0
Did the plan have assets held for investment	2015-05-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-05-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-05-31	No
Aggregate proceeds on sale of assets	2015-05-31	$0
Aggregate carrying amount (costs) on sale of assets	2015-05-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2015-05-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-05-31	No
Opinion of an independent qualified public accountant for this plan	2015-05-31	Unqualified
2014 : NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2014 401k financial data
Unrealized appreciation/depreciation of real estate assets	2014-05-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2014-05-31	$0
Total unrealized appreciation/depreciation of assets	2014-05-31	$0
Total transfer of assets to this plan	2014-05-31	$0
Total transfer of assets from this plan	2014-05-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-05-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-05-31	$2,180,760
Expenses. Interest paid	2014-05-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2014-05-31	$0
Total income from all sources (including contributions)	2014-05-31	$2,180,760
Total loss/gain on sale of assets	2014-05-31	$0
Total of all expenses incurred	2014-05-31	$2,180,760
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-05-31	$2,180,760
Expenses. Certain deemed distributions of participant loans	2014-05-31	$0
Value of total corrective distributions	2014-05-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-05-31	$2,180,760
Value of total assets at end of year	2014-05-31	$0
Value of total assets at beginning of year	2014-05-31	$2,180,760
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-05-31	$0
Total interest from all sources	2014-05-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2014-05-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-05-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-05-31	$0
Assets. Real estate other than employer real property at end of year	2014-05-31	$0
Assets. Real estate other than employer real property at beginning of year	2014-05-31	$0
Administrative expenses professional fees incurred	2014-05-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2014-05-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2014-05-31	$0
Was this plan covered by a fidelity bond	2014-05-31	No
If this is an individual account plan, was there a blackout period	2014-05-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-05-31	No
Contributions received from participants	2014-05-31	$1,046,765
Participant contributions at end of year	2014-05-31	$0
Participant contributions at beginning of year	2014-05-31	$0
Participant contributions at end of year	2014-05-31	$0
Participant contributions at beginning of year	2014-05-31	$1,046,765
Assets. Other investments not covered elsewhere at end of year	2014-05-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2014-05-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2014-05-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2014-05-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-05-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-05-31	$0
Assets. Loans (other than to participants) at end of year	2014-05-31	$0
Assets. Loans (other than to participants) at beginning of year	2014-05-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-05-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-05-31	$0
Other income not declared elsewhere	2014-05-31	$0
Administrative expenses (other) incurred	2014-05-31	$0
Liabilities. Value of operating payables at end of year	2014-05-31	$0
Liabilities. Value of operating payables at beginning of year	2014-05-31	$0
Total non interest bearing cash at end of year	2014-05-31	$0
Total non interest bearing cash at beginning of year	2014-05-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-05-31	No
Income. Non cash contributions	2014-05-31	$0
Value of net income/loss	2014-05-31	$0
Value of net assets at end of year (total assets less liabilities)	2014-05-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2014-05-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-05-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-05-31	No
Were any leases to which the plan was party in default or uncollectible	2014-05-31	No
Assets. partnership/joint venture interests at end of year	2014-05-31	$0
Assets. partnership/joint venture interests at beginning of year	2014-05-31	$0
Investment advisory and management fees	2014-05-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-05-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-05-31	$0
Value of interest in pooled separate accounts at end of year	2014-05-31	$0
Value of interest in pooled separate accounts at beginning of year	2014-05-31	$0
Interest on participant loans	2014-05-31	$0
Income. Interest from loans (other than to participants)	2014-05-31	$0
Interest earned on other investments	2014-05-31	$0
Income. Interest from US Government securities	2014-05-31	$0
Income. Interest from corporate debt instruments	2014-05-31	$0
Value of interest in master investment trust accounts at end of year	2014-05-31	$0
Value of interest in master investment trust accounts at beginning of year	2014-05-31	$0
Value of interest in common/collective trusts at end of year	2014-05-31	$0
Value of interest in common/collective trusts at beginning of year	2014-05-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-05-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-05-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-05-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-05-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2014-05-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2014-05-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-05-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-05-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2014-05-31	$2,180,760
Asset value of US Government securities at end of year	2014-05-31	$0
Asset value of US Government securities at beginning of year	2014-05-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-05-31	$0
Net investment gain/loss from pooled separate accounts	2014-05-31	$0
Net investment gain or loss from common/collective trusts	2014-05-31	$0
Net gain/loss from 103.12 investment entities	2014-05-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-05-31	No
Was there a failure to transmit to the plan any participant contributions	2014-05-31	No
Has the plan failed to provide any benefit when due under the plan	2014-05-31	No
Assets. Invements in employer securities at end of year	2014-05-31	$0
Assets. Invements in employer securities at beginning of year	2014-05-31	$0
Assets. Value of employer real property at end of year	2014-05-31	$0
Assets. Value of employer real property at beginning of year	2014-05-31	$0
Contributions received in cash from employer	2014-05-31	$1,133,995
Employer contributions (assets) at end of year	2014-05-31	$0
Employer contributions (assets) at beginning of year	2014-05-31	$1,133,995
Income. Dividends from preferred stock	2014-05-31	$0
Income. Dividends from common stock	2014-05-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-05-31	$0
Asset. Corporate debt instrument preferred debt at end of year	2014-05-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2014-05-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2014-05-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2014-05-31	$0
Contract administrator fees	2014-05-31	$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2014-05-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2014-05-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2014-05-31	$0
Liabilities. Value of benefit claims payable at end of year	2014-05-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2014-05-31	$2,180,760
Assets. Value of buildings and other operty used in plan operation at end of year	2014-05-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2014-05-31	$0
Did the plan have assets held for investment	2014-05-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-05-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-05-31	No
Aggregate proceeds on sale of assets	2014-05-31	$0
Aggregate carrying amount (costs) on sale of assets	2014-05-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2014-05-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2014-05-31	$0
2012 : NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2012 401k financial data
Unrealized appreciation/depreciation of real estate assets	2012-05-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2012-05-31	$0
Total unrealized appreciation/depreciation of assets	2012-05-31	$0
Total transfer of assets to this plan	2012-05-31	$0
Total transfer of assets from this plan	2012-05-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-05-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-05-31	$2,292,149
Expenses. Interest paid	2012-05-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2012-05-31	$0
Total income from all sources (including contributions)	2012-05-31	$0
Total loss/gain on sale of assets	2012-05-31	$0
Total of all expenses incurred	2012-05-31	$2,292,149
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-05-31	$2,292,149
Expenses. Certain deemed distributions of participant loans	2012-05-31	$0
Value of total corrective distributions	2012-05-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-05-31	$0
Value of total assets at end of year	2012-05-31	$0
Value of total assets at beginning of year	2012-05-31	$4,584,298
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-05-31	$0
Total income from rents	2012-05-31	$0
Total interest from all sources	2012-05-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2012-05-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-05-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-05-31	$0
Assets. Real estate other than employer real property at end of year	2012-05-31	$0
Assets. Real estate other than employer real property at beginning of year	2012-05-31	$0
Administrative expenses professional fees incurred	2012-05-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2012-05-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2012-05-31	$0
Was this plan covered by a fidelity bond	2012-05-31	No
If this is an individual account plan, was there a blackout period	2012-05-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-05-31	No
Contributions received from participants	2012-05-31	$0
Participant contributions at end of year	2012-05-31	$0
Participant contributions at beginning of year	2012-05-31	$0
Participant contributions at end of year	2012-05-31	$0
Participant contributions at beginning of year	2012-05-31	$916,859
Assets. Other investments not covered elsewhere at end of year	2012-05-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2012-05-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2012-05-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-05-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-05-31	$0
Assets. Loans (other than to participants) at end of year	2012-05-31	$0
Assets. Loans (other than to participants) at beginning of year	2012-05-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-05-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-05-31	$0
Administrative expenses (other) incurred	2012-05-31	$0
Liabilities. Value of operating payables at end of year	2012-05-31	$0
Liabilities. Value of operating payables at beginning of year	2012-05-31	$0
Total non interest bearing cash at end of year	2012-05-31	$0
Total non interest bearing cash at beginning of year	2012-05-31	$2,292,149
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-05-31	No
Income. Non cash contributions	2012-05-31	$0
Value of net income/loss	2012-05-31	$-2,292,149
Value of net assets at end of year (total assets less liabilities)	2012-05-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2012-05-31	$2,292,149
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-05-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-05-31	No
Were any leases to which the plan was party in default or uncollectible	2012-05-31	No
Assets. partnership/joint venture interests at end of year	2012-05-31	$0
Assets. partnership/joint venture interests at beginning of year	2012-05-31	$0
Investment advisory and management fees	2012-05-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-05-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-05-31	$0
Value of interest in pooled separate accounts at end of year	2012-05-31	$0
Value of interest in pooled separate accounts at beginning of year	2012-05-31	$0
Interest on participant loans	2012-05-31	$0
Income. Interest from loans (other than to participants)	2012-05-31	$0
Interest earned on other investments	2012-05-31	$0
Income. Interest from US Government securities	2012-05-31	$0
Income. Interest from corporate debt instruments	2012-05-31	$0
Value of interest in master investment trust accounts at end of year	2012-05-31	$0
Value of interest in master investment trust accounts at beginning of year	2012-05-31	$0
Value of interest in common/collective trusts at end of year	2012-05-31	$0
Value of interest in common/collective trusts at beginning of year	2012-05-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-05-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-05-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-05-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-05-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2012-05-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2012-05-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-05-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-05-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2012-05-31	$2,292,149
Asset value of US Government securities at end of year	2012-05-31	$0
Asset value of US Government securities at beginning of year	2012-05-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-05-31	No
Was there a failure to transmit to the plan any participant contributions	2012-05-31	No
Has the plan failed to provide any benefit when due under the plan	2012-05-31	No
Assets. Invements in employer securities at end of year	2012-05-31	$0
Assets. Invements in employer securities at beginning of year	2012-05-31	$0
Assets. Value of employer real property at end of year	2012-05-31	$0
Assets. Value of employer real property at beginning of year	2012-05-31	$0
Contributions received in cash from employer	2012-05-31	$0
Employer contributions (assets) at end of year	2012-05-31	$0
Employer contributions (assets) at beginning of year	2012-05-31	$1,375,290
Income. Dividends from preferred stock	2012-05-31	$0
Income. Dividends from common stock	2012-05-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-05-31	$0
Asset. Corporate debt instrument preferred debt at end of year	2012-05-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2012-05-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2012-05-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2012-05-31	$0
Contract administrator fees	2012-05-31	$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-05-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2012-05-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2012-05-31	$0
Liabilities. Value of benefit claims payable at end of year	2012-05-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2012-05-31	$2,292,149
Assets. Value of buildings and other operty used in plan operation at end of year	2012-05-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2012-05-31	$0
Did the plan have assets held for investment	2012-05-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-05-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-05-31	No
Aggregate proceeds on sale of assets	2012-05-31	$0
Aggregate carrying amount (costs) on sale of assets	2012-05-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2012-05-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2012-05-31	$0

Form 5500 Responses for NORTHEASTERN EYE INSTITUTE HEALTH PLAN

2020: NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2020 form 5500 responses
2020-06-01	Type of plan entity	Single employer plan
2020-06-01	Submission has been amended	No
2020-06-01	This submission is the final filing	No
2020-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-06-01	Plan is a collectively bargained plan	No
2020-06-01	Plan funding arrangement – Insurance	Yes
2020-06-01	Plan benefit arrangement – Insurance	Yes
2019: NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2019 form 5500 responses
2019-06-01	Type of plan entity	Single employer plan
2019-06-01	Submission has been amended	No
2019-06-01	This submission is the final filing	No
2019-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-06-01	Plan is a collectively bargained plan	No
2019-06-01	Plan funding arrangement – Insurance	Yes
2019-06-01	Plan benefit arrangement – Insurance	Yes
2018: NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2018 form 5500 responses
2018-06-01	Type of plan entity	Single employer plan
2018-06-01	First time form 5500 has been submitted	Yes
2018-06-01	Submission has been amended	No
2018-06-01	This submission is the final filing	No
2018-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-06-01	Plan is a collectively bargained plan	No
2018-06-01	Plan funding arrangement – Insurance	Yes
2018-06-01	Plan benefit arrangement – Insurance	Yes
2017: NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2017 form 5500 responses
2017-06-01	Type of plan entity	Single employer plan
2017-06-01	First time form 5500 has been submitted	Yes
2017-06-01	Submission has been amended	No
2017-06-01	This submission is the final filing	No
2017-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-06-01	Plan is a collectively bargained plan	No
2017-06-01	Plan funding arrangement – Insurance	Yes
2017-06-01	Plan benefit arrangement – Insurance	Yes
2016: NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2016 form 5500 responses
2016-06-01	Type of plan entity	Single employer plan
2016-06-01	First time form 5500 has been submitted	Yes
2016-06-01	Submission has been amended	No
2016-06-01	This submission is the final filing	No
2016-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-06-01	Plan is a collectively bargained plan	No
2016-06-01	Plan funding arrangement – Insurance	Yes
2016-06-01	Plan benefit arrangement – Insurance	Yes
2015: NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2015 form 5500 responses
2015-06-01	Type of plan entity	Single employer plan
2015-06-01	Submission has been amended	No
2015-06-01	This submission is the final filing	No
2015-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-06-01	Plan is a collectively bargained plan	No
2015-06-01	Plan funding arrangement – Insurance	Yes
2015-06-01	Plan benefit arrangement – Insurance	Yes
2014: NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2014 form 5500 responses
2014-06-01	Type of plan entity	Single employer plan
2014-06-01	First time form 5500 has been submitted	Yes
2014-06-01	Submission has been amended	No
2014-06-01	This submission is the final filing	No
2014-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-06-01	Plan is a collectively bargained plan	No
2014-06-01	Plan funding arrangement – Insurance	Yes
2014-06-01	Plan benefit arrangement – Insurance	Yes
2013: NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2013 form 5500 responses
2013-06-01	Type of plan entity	Single employer plan
2013-06-01	First time form 5500 has been submitted	Yes
2013-06-01	Submission has been amended	No
2013-06-01	This submission is the final filing	No
2013-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-06-01	Plan is a collectively bargained plan	No
2013-06-01	Plan funding arrangement – Insurance	Yes
2013-06-01	Plan benefit arrangement – Insurance	Yes
2012: NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2012 form 5500 responses
2012-06-01	Type of plan entity	Single employer plan
2012-06-01	First time form 5500 has been submitted	Yes
2012-06-01	Submission has been amended	No
2012-06-01	This submission is the final filing	No
2012-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-06-01	Plan is a collectively bargained plan	No
2012-06-01	Plan funding arrangement – Insurance	Yes
2012-06-01	Plan benefit arrangement – Insurance	Yes
2011: NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2011 form 5500 responses
2011-06-01	Type of plan entity	Single employer plan
2011-06-01	First time form 5500 has been submitted	Yes
2011-06-01	Submission has been amended	No
2011-06-01	This submission is the final filing	No
2011-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-06-01	Plan is a collectively bargained plan	No
2011-06-01	Plan funding arrangement – Insurance	Yes
2011-06-01	Plan benefit arrangement – Insurance	Yes
2009: NORTHEASTERN EYE INSTITUTE HEALTH PLAN 2009 form 5500 responses
2009-06-01	Type of plan entity	Single employer plan
2009-06-01	First time form 5500 has been submitted	Yes
2009-06-01	Submission has been amended	No
2009-06-01	This submission is the final filing	No
2009-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-06-01	Plan is a collectively bargained plan	No
2009-06-01	Plan funding arrangement – Insurance	Yes
2009-06-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )

Policy contract number

09715915

Policy instance

Insurance contract or identification number	09715915
Number of Individuals Covered	238
Insurance policy start date	2020-06-01
Insurance policy end date	2021-05-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for 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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $0
Amount paid for insurance broker fees	0
Insurance broker organization code?	0

HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )

Policy contract number

09715915

Policy instance

Insurance contract or identification number	09715915
Number of Individuals Covered	232
Insurance policy start date	2019-06-30
Insurance policy end date	2020-05-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for 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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $0
Amount paid for insurance broker fees	0
Insurance broker organization code?	0

HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )

Policy contract number

116598

Policy instance

Insurance contract or identification number	116598
Number of Individuals Covered	234
Insurance policy start date	2018-06-01
Insurance policy end date	2019-05-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for 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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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?	Yes
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	0

HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )

Policy contract number

09715915

Policy instance

Insurance contract or identification number	09715915
Number of Individuals Covered	226
Insurance policy start date	2017-06-01
Insurance policy end date	2018-05-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for 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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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?	Yes
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	0
Insurance broker organization code?	0
Insurance broker name	NONE

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Company Name:	NORTHEASTERN EYE INSTITUTE
Employer identification number (EIN):	232287632
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)