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ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 401k Plan overview

Plan NameARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN
Plan identification number 002

ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

PEDIATRIC & ADOLESCENT CENTER S.C. has sponsored the creation of one or more 401k plans.

Company Name:PEDIATRIC & ADOLESCENT CENTER S.C.
Employer identification number (EIN):362676160
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022021-01-01
0022020-01-01
0022019-01-01
0022018-01-01
0022017-01-01CHARLES SLAVIK, M.D.
0022016-01-01CHARLES SLAVIK, M.D.
0022015-01-01CHARLES SLAVIK, M.D.
0022014-01-01CHARLES SLAVIK, M.D.
0022013-01-01CHARLES SLAVIK, M.D.
0022012-01-01CHARLES SLAVIK, M.D.
0022011-01-01CHARLES SLAVIK, M.D.
0022009-01-01CHARLES SLAVIK, M.D.

Plan Statistics for ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN

401k plan membership statisitcs for ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN

Measure Date Value
2021: ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-013
Total number of active participants reported on line 7a of the Form 55002021-01-013
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-013
Number of participants with account balances2021-01-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-013
Total number of active participants reported on line 7a of the Form 55002020-01-013
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-013
Number of participants with account balances2020-01-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-013
Total number of active participants reported on line 7a of the Form 55002019-01-013
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-013
Number of participants with account balances2019-01-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-013
Total number of active participants reported on line 7a of the Form 55002018-01-013
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-013
Number of participants with account balances2018-01-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-013
Total number of active participants reported on line 7a of the Form 55002017-01-013
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-013
Number of participants with account balances2017-01-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-014
Total number of active participants reported on line 7a of the Form 55002016-01-013
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-013
Number of participants with account balances2016-01-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-014
Total number of active participants reported on line 7a of the Form 55002015-01-013
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-011
Total of all active and inactive participants2015-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-014
Number of participants with account balances2015-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-014
Total number of active participants reported on line 7a of the Form 55002014-01-013
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-011
Total of all active and inactive participants2014-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-014
Number of participants with account balances2014-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-014
Total number of active participants reported on line 7a of the Form 55002013-01-014
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-014
Number of participants with account balances2013-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-014
Total number of active participants reported on line 7a of the Form 55002012-01-014
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-014
Number of participants with account balances2012-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-014
Total number of active participants reported on line 7a of the Form 55002011-01-014
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-014
Number of participants with account balances2011-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-014
Total number of active participants reported on line 7a of the Form 55002009-01-014
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-014
Number of participants with account balances2009-01-014

Financial Data on ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN

Measure Date Value
2021 : ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 2021 401k financial data
Total income from all sources2021-12-31$10,851
Expenses. Total of all expenses incurred2021-12-31$22,597
Benefits paid (including direct rollovers)2021-12-31$22,590
Total plan assets at end of year2021-12-31$658,809
Total plan assets at beginning of year2021-12-31$670,555
Value of fidelity bond covering the plan2021-12-31$70,000
Expenses. Other expenses not covered elsewhere2021-12-31$7
Other income received2021-12-31$10,851
Net income (gross income less expenses)2021-12-31$-11,746
Net plan assets at end of year (total assets less liabilities)2021-12-31$658,809
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$670,555
2020 : ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources2020-12-31$-7,061
Expenses. Total of all expenses incurred2020-12-31$20,000
Benefits paid (including direct rollovers)2020-12-31$20,000
Total plan assets at end of year2020-12-31$670,555
Total plan assets at beginning of year2020-12-31$697,616
Value of fidelity bond covering the plan2020-12-31$70,000
Total contributions received or receivable from participants2020-12-31$12,312
Other income received2020-12-31$-19,373
Net income (gross income less expenses)2020-12-31$-27,061
Net plan assets at end of year (total assets less liabilities)2020-12-31$670,555
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$697,616
2019 : ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources2019-12-31$37,969
Expenses. Total of all expenses incurred2019-12-31$21,665
Benefits paid (including direct rollovers)2019-12-31$21,623
Total plan assets at end of year2019-12-31$697,616
Total plan assets at beginning of year2019-12-31$681,312
Value of fidelity bond covering the plan2019-12-31$70,000
Other income received2019-12-31$37,969
Net income (gross income less expenses)2019-12-31$16,304
Net plan assets at end of year (total assets less liabilities)2019-12-31$697,616
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$681,312
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$42
2018 : ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources2018-12-31$4,203
Expenses. Total of all expenses incurred2018-12-31$20,526
Benefits paid (including direct rollovers)2018-12-31$20,500
Total plan assets at end of year2018-12-31$681,312
Total plan assets at beginning of year2018-12-31$697,635
Value of fidelity bond covering the plan2018-12-31$50,000
Total contributions received or receivable from participants2018-12-31$15,000
Other income received2018-12-31$-21,197
Net income (gross income less expenses)2018-12-31$-16,323
Net plan assets at end of year (total assets less liabilities)2018-12-31$681,312
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$697,635
Total contributions received or receivable from employer(s)2018-12-31$10,400
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$26
2017 : ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources2017-12-31$42,195
Expenses. Total of all expenses incurred2017-12-31$20,509
Benefits paid (including direct rollovers)2017-12-31$20,509
Total plan assets at end of year2017-12-31$697,635
Total plan assets at beginning of year2017-12-31$675,949
Value of fidelity bond covering the plan2017-12-31$70,000
Other income received2017-12-31$30,195
Net income (gross income less expenses)2017-12-31$21,686
Net plan assets at end of year (total assets less liabilities)2017-12-31$697,635
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$675,949
Total contributions received or receivable from employer(s)2017-12-31$12,000
2016 : ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources2016-12-31$41,963
Expenses. Total of all expenses incurred2016-12-31$23,358
Benefits paid (including direct rollovers)2016-12-31$23,358
Total plan assets at end of year2016-12-31$675,949
Total plan assets at beginning of year2016-12-31$657,344
Value of fidelity bond covering the plan2016-12-31$80,000
Other income received2016-12-31$31,549
Net income (gross income less expenses)2016-12-31$18,605
Net plan assets at end of year (total assets less liabilities)2016-12-31$675,949
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$657,344
Assets. Value of participant loans2016-12-31$18,116
Total contributions received or receivable from employer(s)2016-12-31$10,414
2015 : ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources2015-12-31$-31,967
Expenses. Total of all expenses incurred2015-12-31$31,800
Benefits paid (including direct rollovers)2015-12-31$21,000
Total plan assets at end of year2015-12-31$657,344
Total plan assets at beginning of year2015-12-31$721,111
Value of fidelity bond covering the plan2015-12-31$80,000
Expenses. Other expenses not covered elsewhere2015-12-31$10,800
Other income received2015-12-31$-37,463
Net income (gross income less expenses)2015-12-31$-63,767
Net plan assets at end of year (total assets less liabilities)2015-12-31$657,344
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$721,111
Total contributions received or receivable from employer(s)2015-12-31$5,496
2014 : ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources2014-12-31$62,448
Expenses. Total of all expenses incurred2014-12-31$21,600
Benefits paid (including direct rollovers)2014-12-31$18,000
Total plan assets at end of year2014-12-31$721,111
Total plan assets at beginning of year2014-12-31$680,263
Value of fidelity bond covering the plan2014-12-31$72,000
Expenses. Other expenses not covered elsewhere2014-12-31$3,600
Other income received2014-12-31$40,049
Net income (gross income less expenses)2014-12-31$40,848
Net plan assets at end of year (total assets less liabilities)2014-12-31$721,111
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$680,263
Total contributions received or receivable from employer(s)2014-12-31$22,399
2013 : ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources2013-12-31$25,543
Expenses. Total of all expenses incurred2013-12-31$22,115
Benefits paid (including direct rollovers)2013-12-31$18,500
Total plan assets at end of year2013-12-31$680,263
Total plan assets at beginning of year2013-12-31$676,835
Value of fidelity bond covering the plan2013-12-31$72,000
Expenses. Other expenses not covered elsewhere2013-12-31$3,615
Other income received2013-12-31$13,538
Net income (gross income less expenses)2013-12-31$3,428
Net plan assets at end of year (total assets less liabilities)2013-12-31$680,263
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$676,835
Total contributions received or receivable from employer(s)2013-12-31$12,005
2012 : ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources2012-12-31$47,795
Expenses. Total of all expenses incurred2012-12-31$29,300
Benefits paid (including direct rollovers)2012-12-31$18,947
Total plan assets at end of year2012-12-31$676,835
Total plan assets at beginning of year2012-12-31$658,340
Value of fidelity bond covering the plan2012-12-31$72,000
Total contributions received or receivable from participants2012-12-31$15,000
Expenses. Other expenses not covered elsewhere2012-12-31$10,353
Other income received2012-12-31$18,952
Net income (gross income less expenses)2012-12-31$18,495
Net plan assets at end of year (total assets less liabilities)2012-12-31$676,835
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$658,340
Total contributions received or receivable from employer(s)2012-12-31$13,843
2011 : ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources2011-12-31$35,695
Expenses. Total of all expenses incurred2011-12-31$26,006
Benefits paid (including direct rollovers)2011-12-31$19,375
Total plan assets at end of year2011-12-31$658,340
Total plan assets at beginning of year2011-12-31$648,651
Value of fidelity bond covering the plan2011-12-31$72,000
Total contributions received or receivable from participants2011-12-31$16,500
Expenses. Other expenses not covered elsewhere2011-12-31$6,631
Other income received2011-12-31$3,348
Net income (gross income less expenses)2011-12-31$9,689
Net plan assets at end of year (total assets less liabilities)2011-12-31$658,340
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$648,651
Total contributions received or receivable from employer(s)2011-12-31$15,847
2010 : ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources2010-12-31$79,951
Expenses. Total of all expenses incurred2010-12-31$19,853
Benefits paid (including direct rollovers)2010-12-31$17,408
Total plan assets at end of year2010-12-31$648,651
Total plan assets at beginning of year2010-12-31$588,553
Value of fidelity bond covering the plan2010-12-31$72,000
Total contributions received or receivable from participants2010-12-31$38,500
Expenses. Other expenses not covered elsewhere2010-12-31$2,445
Other income received2010-12-31$9,153
Net income (gross income less expenses)2010-12-31$60,098
Net plan assets at end of year (total assets less liabilities)2010-12-31$648,651
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$588,553
Total contributions received or receivable from employer(s)2010-12-31$32,298

Form 5500 Responses for ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN

2021: ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: ARLINGTON HEIGHTS PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

CONNECTICUT GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberCG5025323
Policy instance 1
Insurance contract or identification numberCG5025323
Number of Individuals Covered1
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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 nameDAVID D. GARLAND
CONNECTICUT GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberCG5025323
Policy instance 1
Insurance contract or identification numberCG5025323
Number of Individuals Covered1
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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 nameDAVID D. GARLAND
CONNECTICUT GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberCG5025323
Policy instance 1
Insurance contract or identification numberCG5025323
Number of Individuals Covered1
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
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 nameDAVID D. GARLAND
CONNECTICUT GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberCG5025323
Policy instance 1
Insurance contract or identification numberCG5025323
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $49
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
Commission paid to Insurance BrokerUSD $49
Insurance broker organization code?3
Insurance broker nameDAVID D. GARLAND
CONNECTICUT GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberCG5025323
Policy instance 1
Insurance contract or identification numberCG5025323
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $49
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
CONNECTICUT GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberCG5025323
Policy instance 1
Insurance contract or identification numberCG5025323
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $49
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
Commission paid to Insurance BrokerUSD $49
Insurance broker organization code?3
Insurance broker nameDAVID D. GARLAND

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