401k Plan data: PAULA VASSAR, INC 401K PROFIT SHARING PLAN plan

PAULA VASSAR, INC 401K PROFIT SHARING PLAN 401k Plan overview

Plan Name	PAULA VASSAR, INC 401K PROFIT SHARING PLAN
Plan identification number	001

PAULA VASSAR, INC 401K PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.
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

PAULA VASSAR, INC. has sponsored the creation of one or more 401k plans.

Company Name: PAULA VASSAR, INC.

Employer identification number (EIN): 621839639

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PAULA VASSAR, INC 401K 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
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 PAULA VASSAR 2018-04-19
001 2016-01-01 PAULA VASSAR 2017-05-17
001 2015-01-01 PAULA VASSAR 2016-07-25
001 2014-01-01 PAULA VASSAR 2015-06-03
001 2013-01-01 PAULA VASSAR
001 2012-01-01 PAULA VASSAR
001 2011-01-01 PAULA VASSAR
001 2010-01-01 PAULA VASSAR
001 2009-01-01 PAULA VASSAR

Plan Statistics for PAULA VASSAR, INC 401K PROFIT SHARING PLAN

401k plan membership statisitcs for PAULA VASSAR, INC 401K PROFIT SHARING PLAN

Measure Date Value
2022: PAULA VASSAR, INC 401K PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 10
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 2
Total of all active and inactive participants 2022-01-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 12
Number of participants with account balances 2022-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: PAULA VASSAR, INC 401K PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 11
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 2
Total of all active and inactive participants 2021-01-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 13
Number of participants with account balances 2021-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: PAULA VASSAR, INC 401K PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 9
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 2
Total of all active and inactive participants 2020-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 11
Number of participants with account balances 2020-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: PAULA VASSAR, INC 401K PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 10
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 1
Total of all active and inactive participants 2019-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 11
Number of participants with account balances 2019-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: PAULA VASSAR, INC 401K PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 9
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 2
Total of all active and inactive participants 2018-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 11
Number of participants with account balances 2018-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2013: PAULA VASSAR, INC 401K PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 3
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 2
Total of all active and inactive participants 2013-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 5
Number of participants with account balances 2013-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: PAULA VASSAR, INC 401K PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 3
Number of other retired or separated participants entitled to future benefits 2012-01-01 1
Total of all active and inactive participants 2012-01-01 4
Total participants 2012-01-01 4
Number of participants with account balances 2012-01-01 4
2011: PAULA VASSAR, INC 401K PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 4
Total of all active and inactive participants 2011-01-01 4
Total participants 2011-01-01 4
Number of participants with account balances 2011-01-01 4
2010: PAULA VASSAR, INC 401K PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 4
Total of all active and inactive participants 2010-01-01 4
Total participants 2010-01-01 4
Number of participants with account balances 2010-01-01 4
2009: PAULA VASSAR, INC 401K PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 4
Total of all active and inactive participants 2009-01-01 4
Total participants 2009-01-01 4
Number of participants with account balances 2009-01-01 4

Measure	Date	Value
2022: PAULA VASSAR, INC 401K PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	10
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	2
Total of all active and inactive participants	2022-01-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	12
Number of participants with account balances	2022-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: PAULA VASSAR, INC 401K PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	11
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	2
Total of all active and inactive participants	2021-01-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	13
Number of participants with account balances	2021-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: PAULA VASSAR, INC 401K PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	9
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	2
Total of all active and inactive participants	2020-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	11
Number of participants with account balances	2020-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: PAULA VASSAR, INC 401K PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	10
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	1
Total of all active and inactive participants	2019-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	11
Number of participants with account balances	2019-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: PAULA VASSAR, INC 401K PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	9
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	2
Total of all active and inactive participants	2018-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	11
Number of participants with account balances	2018-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2013: PAULA VASSAR, INC 401K PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	3
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	2
Total of all active and inactive participants	2013-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	5
Number of participants with account balances	2013-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: PAULA VASSAR, INC 401K PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	3
Number of other retired or separated participants entitled to future benefits	2012-01-01	1
Total of all active and inactive participants	2012-01-01	4
Total participants	2012-01-01	4
Number of participants with account balances	2012-01-01	4
2011: PAULA VASSAR, INC 401K PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	4
Total of all active and inactive participants	2011-01-01	4
Total participants	2011-01-01	4
Number of participants with account balances	2011-01-01	4
2010: PAULA VASSAR, INC 401K PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	4
Total of all active and inactive participants	2010-01-01	4
Total participants	2010-01-01	4
Number of participants with account balances	2010-01-01	4
2009: PAULA VASSAR, INC 401K PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	4
Total of all active and inactive participants	2009-01-01	4
Total participants	2009-01-01	4
Number of participants with account balances	2009-01-01	4

Financial Data on PAULA VASSAR, INC 401K PROFIT SHARING PLAN

Measure	Date	Value
2022 : PAULA VASSAR, INC 401K PROFIT SHARING PLAN 2022 401k financial data
Total income from all sources	2022-12-31	$-136,098
Expenses. Total of all expenses incurred	2022-12-31	$44,400
Benefits paid (including direct rollovers)	2022-12-31	$44,400
Total plan assets at end of year	2022-12-31	$900,791
Total plan assets at beginning of year	2022-12-31	$1,081,289
Value of fidelity bond covering the plan	2022-12-31	$100,000
Total contributions received or receivable from participants	2022-12-31	$47,552
Other income received	2022-12-31	$-199,685
Net income (gross income less expenses)	2022-12-31	$-180,498
Net plan assets at end of year (total assets less liabilities)	2022-12-31	$900,791
Net plan assets at beginning of year (total assets less liabilities)	2022-12-31	$1,081,289
Total contributions received or receivable from employer(s)	2022-12-31	$16,035
2021 : PAULA VASSAR, INC 401K PROFIT SHARING PLAN 2021 401k financial data
Total income from all sources	2021-12-31	$198,142
Expenses. Total of all expenses incurred	2021-12-31	$1,200
Benefits paid (including direct rollovers)	2021-12-31	$1,200
Total plan assets at end of year	2021-12-31	$1,081,289
Total plan assets at beginning of year	2021-12-31	$884,347
Value of fidelity bond covering the plan	2021-12-31	$100,000
Total contributions received or receivable from participants	2021-12-31	$45,896
Other income received	2021-12-31	$136,023
Net income (gross income less expenses)	2021-12-31	$196,942
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$1,081,289
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$884,347
Total contributions received or receivable from employer(s)	2021-12-31	$16,223
2020 : PAULA VASSAR, INC 401K PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources	2020-12-31	$163,122
Expenses. Total of all expenses incurred	2020-12-31	$1,200
Benefits paid (including direct rollovers)	2020-12-31	$1,200
Total plan assets at end of year	2020-12-31	$884,347
Total plan assets at beginning of year	2020-12-31	$722,425
Value of fidelity bond covering the plan	2020-12-31	$100,000
Total contributions received or receivable from participants	2020-12-31	$47,591
Other income received	2020-12-31	$98,274
Net income (gross income less expenses)	2020-12-31	$161,922
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$884,347
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$722,425
Total contributions received or receivable from employer(s)	2020-12-31	$17,257
2019 : PAULA VASSAR, INC 401K PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources	2019-12-31	$163,168
Expenses. Total of all expenses incurred	2019-12-31	$2,427
Benefits paid (including direct rollovers)	2019-12-31	$2,427
Total plan assets at end of year	2019-12-31	$722,425
Total plan assets at beginning of year	2019-12-31	$561,684
Value of fidelity bond covering the plan	2019-12-31	$100,000
Total contributions received or receivable from participants	2019-12-31	$46,196
Other income received	2019-12-31	$99,809
Net income (gross income less expenses)	2019-12-31	$160,741
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$722,425
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$561,684
Total contributions received or receivable from employer(s)	2019-12-31	$17,163
2018 : PAULA VASSAR, INC 401K PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$-8,812
Expenses. Total of all expenses incurred	2018-12-31	$1,763
Benefits paid (including direct rollovers)	2018-12-31	$1,763
Total plan assets at end of year	2018-12-31	$561,684
Total plan assets at beginning of year	2018-12-31	$572,259
Value of fidelity bond covering the plan	2018-12-31	$100,000
Total contributions received or receivable from participants	2018-12-31	$53,366
Other income received	2018-12-31	$-81,733
Net income (gross income less expenses)	2018-12-31	$-10,575
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$561,684
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$572,259
Total contributions received or receivable from employer(s)	2018-12-31	$19,555
2013 : PAULA VASSAR, INC 401K PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$111,908
Expenses. Total of all expenses incurred	2013-12-31	$1,775
Total plan assets at end of year	2013-12-31	$433,029
Total plan assets at beginning of year	2013-12-31	$322,896
Value of fidelity bond covering the plan	2013-12-31	$50,000
Total contributions received or receivable from participants	2013-12-31	$32,678
Expenses. Other expenses not covered elsewhere	2013-12-31	$1,775
Contributions received from other sources (not participants or employers)	2013-12-31	$72,110
Net income (gross income less expenses)	2013-12-31	$110,133
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$433,029
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$322,896
Total contributions received or receivable from employer(s)	2013-12-31	$7,120
2012 : PAULA VASSAR, INC 401K PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$69,410
Expenses. Total of all expenses incurred	2012-12-31	$1,314
Total plan assets at end of year	2012-12-31	$322,896
Total plan assets at beginning of year	2012-12-31	$254,800
Value of fidelity bond covering the plan	2012-12-31	$50,000
Total contributions received or receivable from participants	2012-12-31	$28,578
Expenses. Other expenses not covered elsewhere	2012-12-31	$1,314
Other income received	2012-12-31	$34,449
Net income (gross income less expenses)	2012-12-31	$68,096
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$322,896
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$254,800
Total contributions received or receivable from employer(s)	2012-12-31	$6,383
2011 : PAULA VASSAR, INC 401K PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$27,018
Expenses. Total of all expenses incurred	2011-12-31	$1,083
Total plan assets at end of year	2011-12-31	$254,800
Total plan assets at beginning of year	2011-12-31	$228,865
Value of fidelity bond covering the plan	2011-12-31	$50,000
Total contributions received or receivable from participants	2011-12-31	$26,357
Expenses. Other expenses not covered elsewhere	2011-12-31	$1,083
Other income received	2011-12-31	$-6,464
Net income (gross income less expenses)	2011-12-31	$25,935
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$254,800
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$228,865
Total contributions received or receivable from employer(s)	2011-12-31	$7,125
2010 : PAULA VASSAR, INC 401K PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$60,413
Expenses. Total of all expenses incurred	2010-12-31	$995
Total plan assets at end of year	2010-12-31	$228,865
Total plan assets at beginning of year	2010-12-31	$169,447
Value of fidelity bond covering the plan	2010-12-31	$50,000
Total contributions received or receivable from participants	2010-12-31	$26,940
Expenses. Other expenses not covered elsewhere	2010-12-31	$995
Other income received	2010-12-31	$25,316
Net income (gross income less expenses)	2010-12-31	$59,418
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$228,865
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$169,447
Total contributions received or receivable from employer(s)	2010-12-31	$8,157

Form 5500 Responses for PAULA VASSAR, INC 401K PROFIT SHARING PLAN

2022: PAULA VASSAR, INC 401K PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: PAULA VASSAR, INC 401K PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: PAULA VASSAR, INC 401K PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: PAULA VASSAR, INC 401K PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: PAULA VASSAR, INC 401K PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2013: PAULA VASSAR, INC 401K 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: PAULA VASSAR, INC 401K 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 – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: PAULA VASSAR, INC 401K 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 – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: PAULA VASSAR, INC 401K 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 – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: PAULA VASSAR, INC 401K 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 – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

55005930

Policy instance

Insurance contract or identification number	55005930
Number of Individuals Covered	4
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $1,061
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	Yes
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,061
Insurance broker organization code?	3
Insurance broker name	RANDALL THETFORD AMERIPRISE FINANCI

JOHN HANCOCK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 90425 )

Policy contract number

MULTIPLE

Policy instance

Insurance contract or identification number	MULTIPLE
Number of Individuals Covered	2
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $3,507
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 Broker	USD $3,507
Insurance broker organization code?	3
Insurance broker name	STEVEN G SACORA/LPL

JOHN HANCOCK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 90425 )

Policy contract number

MULTIPLE

Policy instance

Insurance contract or identification number	MULTIPLE
Number of Individuals Covered	4
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $2,086
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

JOHN HANCOCK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 90425 )

Policy contract number

MULTI

Policy instance

Insurance contract or identification number	MULTI
Number of Individuals Covered	4
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $1,128
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 Broker	USD $1,128
Insurance broker organization code?	3
Insurance broker name	STEVEN G SACORA/LPL

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Company Name:	PAULA VASSAR, INC.
Employer identification number (EIN):	621839639
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)