401k Plan data: SOUTHEASTERN RETINA ASSOCIATES PC EMPLOYEE BENEFITS PLAN 502 plan

SOUTHEASTERN RETINA ASSOCIATES PC EMPLOYEE BENEFITS PLAN 502 401k Plan overview

Plan Name	SOUTHEASTERN RETINA ASSOCIATES PC EMPLOYEE BENEFITS PLAN 502
Plan identification number	502

SOUTHEASTERN RETINA ASSOCIATES PC EMPLOYEE BENEFITS PLAN 502 Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Temporary disability (accident and sickness) Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

SOUTHEASTERN RETINA ASSOCIATES, PC has sponsored the creation of one or more 401k plans.

Company Name: SOUTHEASTERN RETINA ASSOCIATES, PC

Employer identification number (EIN): 621094813

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SOUTHEASTERN RETINA ASSOCIATES PC EMPLOYEE BENEFITS PLAN 502

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2013-01-01 KRISTEN PERRY
502 2012-05-01 SID GREENWELL
502 2011-05-01 VICKIE PRICE

Plan id#	Filing Submission Date	Name of Administrator
502	2013-01-01	KRISTEN PERRY
502	2012-05-01	SID GREENWELL
502	2011-05-01	VICKIE PRICE

Plan Statistics for SOUTHEASTERN RETINA ASSOCIATES PC EMPLOYEE BENEFITS PLAN 502

401k plan membership statisitcs for SOUTHEASTERN RETINA ASSOCIATES PC EMPLOYEE BENEFITS PLAN 502

Measure Date Value
2013: SOUTHEASTERN RETINA ASSOCIATES PC EMPLOYEE BENEFITS PLAN 502 2013 401k membership
Total participants, beginning-of-year 2013-01-01 153
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
2012: SOUTHEASTERN RETINA ASSOCIATES PC EMPLOYEE BENEFITS PLAN 502 2012 401k membership
Total participants, beginning-of-year 2012-05-01 137
Total number of active participants reported on line 7a of the Form 5500 2012-05-01 221
Total of all active and inactive participants 2012-05-01 221
Total participants 2012-05-01 221
2011: SOUTHEASTERN RETINA ASSOCIATES PC EMPLOYEE BENEFITS PLAN 502 2011 401k membership
Total participants, beginning-of-year 2011-05-01 132
Total number of active participants reported on line 7a of the Form 5500 2011-05-01 137
Total of all active and inactive participants 2011-05-01 137
Total participants 2011-05-01 137

Measure	Date	Value
2013: SOUTHEASTERN RETINA ASSOCIATES PC EMPLOYEE BENEFITS PLAN 502 2013 401k membership
Total participants, beginning-of-year	2013-01-01	153
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
2012: SOUTHEASTERN RETINA ASSOCIATES PC EMPLOYEE BENEFITS PLAN 502 2012 401k membership
Total participants, beginning-of-year	2012-05-01	137
Total number of active participants reported on line 7a of the Form 5500	2012-05-01	221
Total of all active and inactive participants	2012-05-01	221
Total participants	2012-05-01	221
2011: SOUTHEASTERN RETINA ASSOCIATES PC EMPLOYEE BENEFITS PLAN 502 2011 401k membership
Total participants, beginning-of-year	2011-05-01	132
Total number of active participants reported on line 7a of the Form 5500	2011-05-01	137
Total of all active and inactive participants	2011-05-01	137
Total participants	2011-05-01	137

Form 5500 Responses for SOUTHEASTERN RETINA ASSOCIATES PC EMPLOYEE BENEFITS PLAN 502

2013: SOUTHEASTERN RETINA ASSOCIATES PC EMPLOYEE BENEFITS PLAN 502 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)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: SOUTHEASTERN RETINA ASSOCIATES PC EMPLOYEE BENEFITS PLAN 502 2012 form 5500 responses
2012-05-01	Type of plan entity	Single employer plan
2012-05-01	Submission has been amended	No
2012-05-01	This submission is the final filing	No
2012-05-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-05-01	Plan is a collectively bargained plan	No
2012-05-01	Plan funding arrangement – Insurance	Yes
2012-05-01	Plan benefit arrangement – Insurance	Yes
2011: SOUTHEASTERN RETINA ASSOCIATES PC EMPLOYEE BENEFITS PLAN 502 2011 form 5500 responses
2011-05-01	Type of plan entity	Single employer plan
2011-05-01	Submission has been amended	No
2011-05-01	This submission is the final filing	No
2011-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-05-01	Plan is a collectively bargained plan	No
2011-05-01	Plan funding arrangement – Insurance	Yes
2011-05-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	SOUTHEASTERN RETINA ASSOCIATES, PC
Employer identification number (EIN):	621094813
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)