401k Plan data: MICHIGAN NEUROSURGICAL SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN plan

MICHIGAN NEUROSURGICAL SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	MICHIGAN NEUROSURGICAL SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN
Plan identification number	001

MICHIGAN NEUROSURGICAL SPECIALISTS, P.C. 401(K) 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
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

MICHIGAN NEUROSURGICAL SPECIALISTS, P.C. has sponsored the creation of one or more 401k plans.

Company Name: MICHIGAN NEUROSURGICAL SPECIALISTS, P.C.

Employer identification number (EIN): 383085126

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MICHIGAN NEUROSURGICAL SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 STEVE RAPP 2023-10-11 STEVE RAPP 2023-10-11
001 2021-01-01 ALAN LADUKE 2022-09-30 ALAN LADUKE 2022-09-30
001 2020-01-01 STEVEN RAPP 2021-10-04 STEVEN RAPP 2021-10-04
001 2019-01-01 STEVEN RAPP 2020-10-01 STEVEN RAPP 2020-10-01
001 2018-01-01 STEVEN RAPP 2019-10-08 STEVEN RAPP 2019-10-08
001 2017-01-01 STEVEN RAPP 2018-10-10 STEVEN RAPP 2018-10-10
001 2016-01-01 STEVEN RAPP 2017-10-05 STEVEN RAPP 2017-10-05
001 2015-01-01 STEVEN RAPP 2016-10-12 STEVEN RAPP 2016-10-12
001 2014-01-01 STEVE RAPP STEVE RAPP 2015-10-13
001 2013-01-01 STEVEN RAPP STEVEN RAPP 2014-10-09
001 2012-01-01 STEVEN RAPP STEVEN RAPP 2013-10-14
001 2011-01-01 STEVEN RAPP STEVEN RAPP 2012-10-08
001 2009-01-01 STEVEN RAPP STEVEN RAPP 2010-10-07

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	STEVE RAPP	2023-10-11	STEVE RAPP	2023-10-11
001	2021-01-01	ALAN LADUKE	2022-09-30	ALAN LADUKE	2022-09-30
001	2020-01-01	STEVEN RAPP	2021-10-04	STEVEN RAPP	2021-10-04
001	2019-01-01	STEVEN RAPP	2020-10-01	STEVEN RAPP	2020-10-01
001	2018-01-01	STEVEN RAPP	2019-10-08	STEVEN RAPP	2019-10-08
001	2017-01-01	STEVEN RAPP	2018-10-10	STEVEN RAPP	2018-10-10
001	2016-01-01	STEVEN RAPP	2017-10-05	STEVEN RAPP	2017-10-05
001	2015-01-01	STEVEN RAPP	2016-10-12	STEVEN RAPP	2016-10-12
001	2014-01-01	STEVE RAPP		STEVE RAPP	2015-10-13
001	2013-01-01	STEVEN RAPP		STEVEN RAPP	2014-10-09
001	2012-01-01	STEVEN RAPP		STEVEN RAPP	2013-10-14
001	2011-01-01	STEVEN RAPP		STEVEN RAPP	2012-10-08
001	2009-01-01	STEVEN RAPP		STEVEN RAPP	2010-10-07

Plan Statistics for MICHIGAN NEUROSURGICAL SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for MICHIGAN NEUROSURGICAL SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN

Measure Date Value
2014: MICHIGAN NEUROSURGICAL SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 12
Number of other retired or separated participants entitled to future benefits 2014-01-01 4
Total of all active and inactive participants 2014-01-01 16
Total participants 2014-01-01 16
Number of participants with account balances 2014-01-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 1
2013: MICHIGAN NEUROSURGICAL SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 11
Number of other retired or separated participants entitled to future benefits 2013-01-01 4
Total of all active and inactive participants 2013-01-01 15
Total participants 2013-01-01 15
Number of participants with account balances 2013-01-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 3
2012: MICHIGAN NEUROSURGICAL SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 19
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 14
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 3
Total of all active and inactive participants 2012-01-01 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 17
Number of participants with account balances 2012-01-01 14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: MICHIGAN NEUROSURGICAL SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 18
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 14
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 5
Total of all active and inactive participants 2011-01-01 19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 19
Number of participants with account balances 2011-01-01 16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 1
2009: MICHIGAN NEUROSURGICAL SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 13
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 4
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 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 2

Measure	Date	Value
2014: MICHIGAN NEUROSURGICAL SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	12
Number of other retired or separated participants entitled to future benefits	2014-01-01	4
Total of all active and inactive participants	2014-01-01	16
Total participants	2014-01-01	16
Number of participants with account balances	2014-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	1
2013: MICHIGAN NEUROSURGICAL SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	11
Number of other retired or separated participants entitled to future benefits	2013-01-01	4
Total of all active and inactive participants	2013-01-01	15
Total participants	2013-01-01	15
Number of participants with account balances	2013-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	3
2012: MICHIGAN NEUROSURGICAL SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	19
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	14
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	3
Total of all active and inactive participants	2012-01-01	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	17
Number of participants with account balances	2012-01-01	14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: MICHIGAN NEUROSURGICAL SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	18
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	14
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	5
Total of all active and inactive participants	2011-01-01	19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	19
Number of participants with account balances	2011-01-01	16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	1
2009: MICHIGAN NEUROSURGICAL SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	13
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	4
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	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	2

Financial Data on MICHIGAN NEUROSURGICAL SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2014 : MICHIGAN NEUROSURGICAL SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
Total income from all sources	2014-12-31	$253,508
Expenses. Total of all expenses incurred	2014-12-31	$12,475
Benefits paid (including direct rollovers)	2014-12-31	$2,688
Total plan assets at end of year	2014-12-31	$1,209,853
Total plan assets at beginning of year	2014-12-31	$968,820
Value of fidelity bond covering the plan	2014-12-31	$350,000
Total contributions received or receivable from participants	2014-12-31	$48,600
Expenses. Other expenses not covered elsewhere	2014-12-31	$5,195
Other income received	2014-12-31	$187,662
Net income (gross income less expenses)	2014-12-31	$241,033
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,209,853
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$968,820
Assets. Value of assets in partnership/joint-venture interests	2014-12-31	$0
Total contributions received or receivable from employer(s)	2014-12-31	$17,246
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$4,592
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : MICHIGAN NEUROSURGICAL SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
Total income from all sources	2013-12-31	$213,523
Expenses. Total of all expenses incurred	2013-12-31	$32,654
Benefits paid (including direct rollovers)	2013-12-31	$26,466
Total plan assets at end of year	2013-12-31	$968,820
Total plan assets at beginning of year	2013-12-31	$787,951
Value of fidelity bond covering the plan	2013-12-31	$350,000
Total contributions received or receivable from participants	2013-12-31	$51,900
Other income received	2013-12-31	$148,287
Net income (gross income less expenses)	2013-12-31	$180,869
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$968,820
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$787,951
Assets. Value of assets in partnership/joint-venture interests	2013-12-31	$58,713
Total contributions received or receivable from employer(s)	2013-12-31	$13,336
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$6,188
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : MICHIGAN NEUROSURGICAL SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
Total income from all sources	2012-12-31	$167,399
Expenses. Total of all expenses incurred	2012-12-31	$1,060,768
Benefits paid (including direct rollovers)	2012-12-31	$1,050,342
Total plan assets at end of year	2012-12-31	$787,951
Total plan assets at beginning of year	2012-12-31	$1,681,320
Value of fidelity bond covering the plan	2012-12-31	$350,000
Total contributions received or receivable from participants	2012-12-31	$61,539
Expenses. Other expenses not covered elsewhere	2012-12-31	$1,138
Other income received	2012-12-31	$77,703
Net income (gross income less expenses)	2012-12-31	$-893,369
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$787,951
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,681,320
Assets. Value of assets in partnership/joint-venture interests	2012-12-31	$61,444
Total contributions received or receivable from employer(s)	2012-12-31	$28,157
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$9,288
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : MICHIGAN NEUROSURGICAL SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$49,840
Expenses. Total of all expenses incurred	2011-12-31	$7,135
Total plan assets at end of year	2011-12-31	$1,681,320
Total plan assets at beginning of year	2011-12-31	$1,638,615
Value of fidelity bond covering the plan	2011-12-31	$350,000
Total contributions received or receivable from participants	2011-12-31	$54,850
Other income received	2011-12-31	$-37,611
Net income (gross income less expenses)	2011-12-31	$42,705
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,681,320
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,638,615
Assets. Value of assets in partnership/joint-venture interests	2011-12-31	$65,956
Total contributions received or receivable from employer(s)	2011-12-31	$32,601
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$7,135
2010 : MICHIGAN NEUROSURGICAL SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$21
Total income from all sources	2010-12-31	$270,159
Expenses. Total of all expenses incurred	2010-12-31	$17,447
Benefits paid (including direct rollovers)	2010-12-31	$3,139
Total plan assets at end of year	2010-12-31	$1,638,615
Total plan assets at beginning of year	2010-12-31	$1,385,924
Value of fidelity bond covering the plan	2010-12-31	$350,000
Total contributions received or receivable from participants	2010-12-31	$55,400
Expenses. Other expenses not covered elsewhere	2010-12-31	$0
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$186,156
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$252,712
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,638,615
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,385,903
Assets. Value of participant loans	2010-12-31	$325
Assets. Value of assets in partnership/joint-venture interests	2010-12-31	$76,184
Total contributions received or receivable from employer(s)	2010-12-31	$28,603
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$14,308
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0

Form 5500 Responses for MICHIGAN NEUROSURGICAL SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN

2014: MICHIGAN NEUROSURGICAL SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: MICHIGAN NEUROSURGICAL SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: MICHIGAN NEUROSURGICAL SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: MICHIGAN NEUROSURGICAL SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: MICHIGAN NEUROSURGICAL SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

996494

Policy instance

Insurance contract or identification number	996494
Number of Individuals Covered	10
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $1,817
Total amount of fees paid to insurance company	USD $181
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,817
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	NOT PART OF PLAN COSTS OR CONTRACT CHARGES
Insurance broker name	GREAT LAKES PENSION ASSOCIATES, INC

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

996494

Policy instance

Insurance contract or identification number	996494
Number of Individuals Covered	10
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $1,632
Total amount of fees paid to insurance company	USD $159
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,632
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	NOT PART OF PLAN COSTS OR CONTRACT CHARGES
Insurance broker name	GREAT LAKES PENSION ASSOCIATES, INC

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

996494

Policy instance

Insurance contract or identification number	996494
Number of Individuals Covered	11
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $1,587
Total amount of fees paid to insurance company	USD $157
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,587
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	NOT PART OF PLAN COSTS OR CONTRACT CHARGES
Insurance broker name	GREAT LAKES PENSION ASSOCIATES, INC

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

996494

Policy instance

Insurance contract or identification number	996494
Number of Individuals Covered	14
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $1,436
Total amount of fees paid to insurance company	USD $136
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

996494

Policy instance

Insurance contract or identification number	996494
Number of Individuals Covered	13
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $1,111
Total amount of fees paid to insurance company	USD $97
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

MICHIGAN NEUROSURGICAL INSTITUTE, PC 401(K) PLAN [EIN = 200302685]

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Company Name:	MICHIGAN NEUROSURGICAL SPECIALISTS, P.C.
Employer identification number (EIN):	383085126
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)