401k Plan data: KEYSTONE ANESTHESIA CONSULTANTS LTD PROFIT SHARING PLAN plan

KEYSTONE ANESTHESIA CONSULTANTS LTD PROFIT SHARING PLAN 401k Plan overview

Plan Name	KEYSTONE ANESTHESIA CONSULTANTS LTD PROFIT SHARING PLAN
Plan identification number	002

KEYSTONE ANESTHESIA CONSULTANTS LTD PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Participant-directed brokerage accounts provided as an investment option under the plan.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

KEYSTONE ANESTHESIA CONSULTANTS LT has sponsored the creation of one or more 401k plans.

Company Name: KEYSTONE ANESTHESIA CONSULTANTS LT

Employer identification number (EIN): 251458150

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KEYSTONE ANESTHESIA CONSULTANTS LTD PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01
002 2021-01-01
002 2020-01-01
002 2019-01-01
002 2018-01-01
002 2017-01-01
002 2016-01-01
002 2015-01-01
002 2014-01-01 JOSEPH BRULA 2015-10-12
002 2013-01-01 JOSEPH BRULA 2014-10-15
002 2012-01-01 JOSEPH BRULA
002 2011-01-01 JOSEPH BRULA
002 2010-01-01 JOSEPH BRULA
002 2009-01-01 JOSEPH BRULA

Plan Statistics for KEYSTONE ANESTHESIA CONSULTANTS LTD PROFIT SHARING PLAN

401k plan membership statisitcs for KEYSTONE ANESTHESIA CONSULTANTS LTD PROFIT SHARING PLAN

Measure Date Value
2012: KEYSTONE ANESTHESIA CONSULTANTS LTD PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 18
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 18
Number of participants with account balances 2012-01-01 18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: KEYSTONE ANESTHESIA CONSULTANTS LTD PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 17
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 17
Number of participants with account balances 2011-01-01 17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: KEYSTONE ANESTHESIA CONSULTANTS LTD PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 17
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 17
Number of participants with account balances 2010-01-01 17
2009: KEYSTONE ANESTHESIA CONSULTANTS LTD PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 17
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 17
Number of participants with account balances 2009-01-01 17

Measure	Date	Value
2012: KEYSTONE ANESTHESIA CONSULTANTS LTD PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	18
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	18
Number of participants with account balances	2012-01-01	18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: KEYSTONE ANESTHESIA CONSULTANTS LTD PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	17
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	17
Number of participants with account balances	2011-01-01	17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: KEYSTONE ANESTHESIA CONSULTANTS LTD PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	17
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	17
Number of participants with account balances	2010-01-01	17
2009: KEYSTONE ANESTHESIA CONSULTANTS LTD PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	17
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	17
Number of participants with account balances	2009-01-01	17

Financial Data on KEYSTONE ANESTHESIA CONSULTANTS LTD PROFIT SHARING PLAN

Measure	Date	Value
2012 : KEYSTONE ANESTHESIA CONSULTANTS LTD PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$1,534,574
Expenses. Total of all expenses incurred	2012-12-31	$888,065
Benefits paid (including direct rollovers)	2012-12-31	$888,065
Total plan assets at end of year	2012-12-31	$7,484,790
Total plan assets at beginning of year	2012-12-31	$6,838,281
Value of fidelity bond covering the plan	2012-12-31	$800,000
Other income received	2012-12-31	$801,280
Net income (gross income less expenses)	2012-12-31	$646,509
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$7,484,790
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$6,838,281
Total contributions received or receivable from employer(s)	2012-12-31	$733,294
2011 : KEYSTONE ANESTHESIA CONSULTANTS LTD PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$560,693
Expenses. Total of all expenses incurred	2011-12-31	$24,840
Benefits paid (including direct rollovers)	2011-12-31	$24,840
Total plan assets at end of year	2011-12-31	$6,838,281
Total plan assets at beginning of year	2011-12-31	$6,302,428
Value of fidelity bond covering the plan	2011-12-31	$700,000
Other income received	2011-12-31	$-123,265
Net income (gross income less expenses)	2011-12-31	$535,853
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$6,838,281
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$6,302,428
Total contributions received or receivable from employer(s)	2011-12-31	$683,958
2010 : KEYSTONE ANESTHESIA CONSULTANTS LTD PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$1,488,195
Expenses. Total of all expenses incurred	2010-12-31	$23,741
Benefits paid (including direct rollovers)	2010-12-31	$23,741
Total plan assets at end of year	2010-12-31	$6,302,428
Total plan assets at beginning of year	2010-12-31	$4,837,974
Value of fidelity bond covering the plan	2010-12-31	$700,000
Other income received	2010-12-31	$835,748
Net income (gross income less expenses)	2010-12-31	$1,464,454
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$6,302,428
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$4,837,974
Total contributions received or receivable from employer(s)	2010-12-31	$652,447

Form 5500 Responses for KEYSTONE ANESTHESIA CONSULTANTS LTD PROFIT SHARING PLAN

2012: KEYSTONE ANESTHESIA CONSULTANTS LTD PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: KEYSTONE ANESTHESIA CONSULTANTS LTD PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: KEYSTONE ANESTHESIA CONSULTANTS LTD PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: KEYSTONE ANESTHESIA CONSULTANTS LTD PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )

Policy contract number

41814

Policy instance

Insurance contract or identification number	41814
Number of Individuals Covered	1
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Are there contracts with allocated funds for individual policies?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Additional information about fees paid to insurance broker	3
Insurance broker name	THOMAS C VIROSTEK

NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )

Policy contract number

41814

Policy instance

Insurance contract or identification number	41814
Number of Individuals Covered	1
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Are there contracts with allocated funds for individual policies?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )

Policy contract number

41814

Policy instance

Insurance contract or identification number	41814
Number of Individuals Covered	1
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Are there contracts with allocated funds for individual policies?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	THOMAS C VIROSTEK

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Company Name:	KEYSTONE ANESTHESIA CONSULTANTS LT
Employer identification number (EIN):	251458150
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2022-01-01
002	2021-01-01
002	2020-01-01
002	2019-01-01
002	2018-01-01
002	2017-01-01
002	2016-01-01
002	2015-01-01
002	2014-01-01	JOSEPH BRULA	2015-10-12
002	2013-01-01	JOSEPH BRULA	2014-10-15
002	2012-01-01	JOSEPH BRULA
002	2011-01-01	JOSEPH BRULA
002	2010-01-01	JOSEPH BRULA
002	2009-01-01	JOSEPH BRULA