401k Plan data: NORTHLAND OB-GYN ASSOCIATES, P.A. 401(K) PLAN plan

NORTHLAND OB-GYN ASSOCIATES, P.A. 401(K) PLAN 401k Plan overview

Plan Name	NORTHLAND OB-GYN ASSOCIATES, P.A. 401(K) PLAN
Plan identification number	002

NORTHLAND OB-GYN ASSOCIATES, P.A. 401(K) 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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
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

NORTHLAND OB-GYN ASSOCIATES, P.A. has sponsored the creation of one or more 401k plans.

Company Name: NORTHLAND OB-GYN ASSOCIATES, P.A.

Employer identification number (EIN): 410975834

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTHLAND OB-GYN ASSOCIATES, P.A. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2013-01-01 JUDITH JOHNSON
002 2012-01-01 JUDITH JOHNSON JUDITH JOHNSON 2014-05-20
002 2011-01-01 JUDITH JOHNSON
002 2010-01-01 JAYME HEIM
002 2009-01-01 JAYME HEIM

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2013-01-01	JUDITH JOHNSON
002	2012-01-01	JUDITH JOHNSON	JUDITH JOHNSON	2014-05-20
002	2011-01-01	JUDITH JOHNSON
002	2010-01-01	JAYME HEIM
002	2009-01-01	JAYME HEIM

Plan Statistics for NORTHLAND OB-GYN ASSOCIATES, P.A. 401(K) PLAN

401k plan membership statisitcs for NORTHLAND OB-GYN ASSOCIATES, P.A. 401(K) PLAN

Measure Date Value
2013: NORTHLAND OB-GYN ASSOCIATES, P.A. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 36
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 0
Number of participants with account balances 2013-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: NORTHLAND OB-GYN ASSOCIATES, P.A. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 50
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
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 36
Total of all active and inactive participants 2012-01-01 36
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 36
Number of participants with account balances 2012-01-01 36
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: NORTHLAND OB-GYN ASSOCIATES, P.A. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 46
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 42
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 8
Total of all active and inactive participants 2011-01-01 50
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 50
Number of participants with account balances 2011-01-01 49
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 2
2010: NORTHLAND OB-GYN ASSOCIATES, P.A. 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 44
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 43
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 3
Total of all active and inactive participants 2010-01-01 46
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 46
Number of participants with account balances 2010-01-01 45
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: NORTHLAND OB-GYN ASSOCIATES, P.A. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 38
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 40
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 44
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 44
Number of participants with account balances 2009-01-01 44
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2013: NORTHLAND OB-GYN ASSOCIATES, P.A. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	36
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	0
Number of participants with account balances	2013-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: NORTHLAND OB-GYN ASSOCIATES, P.A. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	50
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
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	36
Total of all active and inactive participants	2012-01-01	36
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	36
Number of participants with account balances	2012-01-01	36
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: NORTHLAND OB-GYN ASSOCIATES, P.A. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	46
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	42
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	8
Total of all active and inactive participants	2011-01-01	50
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	50
Number of participants with account balances	2011-01-01	49
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	2
2010: NORTHLAND OB-GYN ASSOCIATES, P.A. 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	44
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	43
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	3
Total of all active and inactive participants	2010-01-01	46
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	46
Number of participants with account balances	2010-01-01	45
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: NORTHLAND OB-GYN ASSOCIATES, P.A. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	38
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	40
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	44
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	44
Number of participants with account balances	2009-01-01	44
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on NORTHLAND OB-GYN ASSOCIATES, P.A. 401(K) PLAN

Measure	Date	Value
2013 : NORTHLAND OB-GYN ASSOCIATES, P.A. 401(K) PLAN 2013 401k financial data
Total income from all sources	2013-09-04	$864,687
Expenses. Total of all expenses incurred	2013-09-04	$7,584,810
Benefits paid (including direct rollovers)	2013-09-04	$7,581,274
Total plan assets at end of year	2013-09-04	$0
Total plan assets at beginning of year	2013-09-04	$6,720,123
Value of fidelity bond covering the plan	2013-09-04	$500,000
Total contributions received or receivable from participants	2013-09-04	$410
Other income received	2013-09-04	$595,608
Net income (gross income less expenses)	2013-09-04	$-6,720,123
Net plan assets at end of year (total assets less liabilities)	2013-09-04	$0
Net plan assets at beginning of year (total assets less liabilities)	2013-09-04	$6,720,123
Assets. Value of participant loans	2013-09-04	$0
Total contributions received or receivable from employer(s)	2013-09-04	$268,669
Value of certain deemed distributions of participant loans	2013-09-04	$2,452
Expenses. Administrative service providers (salaries,fees and commissions)	2013-09-04	$1,084
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-09-04	$0
2012 : NORTHLAND OB-GYN ASSOCIATES, P.A. 401(K) PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$1,097,779
Expenses. Total of all expenses incurred	2012-12-31	$268,632
Benefits paid (including direct rollovers)	2012-12-31	$252,832
Total plan assets at end of year	2012-12-31	$6,720,123
Total plan assets at beginning of year	2012-12-31	$5,890,976
Value of fidelity bond covering the plan	2012-12-31	$500,000
Total contributions received or receivable from participants	2012-12-31	$143,657
Other income received	2012-12-31	$849,014
Net income (gross income less expenses)	2012-12-31	$829,147
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$6,720,123
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$5,890,976
Assets. Value of participant loans	2012-12-31	$2,400
Total contributions received or receivable from employer(s)	2012-12-31	$105,108
Value of certain deemed distributions of participant loans	2012-12-31	$15,425
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$375
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : NORTHLAND OB-GYN ASSOCIATES, P.A. 401(K) PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$315,085
Expenses. Total of all expenses incurred	2011-12-31	$739,657
Benefits paid (including direct rollovers)	2011-12-31	$739,344
Total plan assets at end of year	2011-12-31	$5,890,976
Total plan assets at beginning of year	2011-12-31	$6,315,548
Value of fidelity bond covering the plan	2011-12-31	$500,000
Total contributions received or receivable from participants	2011-12-31	$256,873
Contributions received from other sources (not participants or employers)	2011-12-31	$2,062
Other income received	2011-12-31	$-139,071
Net income (gross income less expenses)	2011-12-31	$-424,572
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$5,890,976
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$6,315,548
Assets. Value of participant loans	2011-12-31	$28,878
Total contributions received or receivable from employer(s)	2011-12-31	$195,221
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$313
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : NORTHLAND OB-GYN ASSOCIATES, P.A. 401(K) PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$1,173,847
Expenses. Total of all expenses incurred	2010-12-31	$546,578
Benefits paid (including direct rollovers)	2010-12-31	$546,439
Total plan assets at end of year	2010-12-31	$6,315,548
Total plan assets at beginning of year	2010-12-31	$5,688,279
Value of fidelity bond covering the plan	2010-12-31	$500,000
Total contributions received or receivable from participants	2010-12-31	$225,483
Other income received	2010-12-31	$765,593
Net income (gross income less expenses)	2010-12-31	$627,269
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$6,315,548
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$5,688,279
Assets. Value of participant loans	2010-12-31	$15,917
Total contributions received or receivable from employer(s)	2010-12-31	$182,771
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$139
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : NORTHLAND OB-GYN ASSOCIATES, P.A. 401(K) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for NORTHLAND OB-GYN ASSOCIATES, P.A. 401(K) PLAN

2013: NORTHLAND OB-GYN ASSOCIATES, P.A. 401(K) 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	Yes
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: NORTHLAND OB-GYN ASSOCIATES, P.A. 401(K) 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 – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: NORTHLAND OB-GYN ASSOCIATES, P.A. 401(K) 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 – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: NORTHLAND OB-GYN ASSOCIATES, P.A. 401(K) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: NORTHLAND OB-GYN ASSOCIATES, P.A. 401(K) 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 funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	NORTHLAND OB-GYN ASSOCIATES, P.A.
Employer identification number (EIN):	410975834
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)