401k Plan data: HAYNES NEUROSURGICAL GROUP, P.A. CASH BALANCE PLAN plan

HAYNES NEUROSURGICAL GROUP, P.A. CASH BALANCE PLAN 401k Plan overview

Plan Name	HAYNES NEUROSURGICAL GROUP, P.A. CASH BALANCE PLAN
Plan identification number	001

HAYNES NEUROSURGICAL GROUP, P.A. CASH BALANCE PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Cash balance or similar plan - Plan has a "cash balance" formula. For this purpose, a "cash balance" formula is a benefit formula in a defined benefit plan by whatever name (for example, personal account plan, pension equity plan, life cycle plan, cash account plan, etc.) that rather than, or in addition to, expressing the accrued benefit as a life annuity commencing at normal retirement age, defines benefits for each employee in terms more common to a defined contribution plan such as a single sum distribution amount (for example, 10 percent of final average pay times years of service, or the amount of the employee's hypothetical account balance).
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

HAYNES NEUROSURGICAL ASSOCIATES,PA has sponsored the creation of one or more 401k plans.

Company Name: HAYNES NEUROSURGICAL ASSOCIATES,PA

Employer identification number (EIN): 630640018

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HAYNES NEUROSURGICAL GROUP, P.A. CASH BALANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2013-01-01 RESIT C. CEZAYIRLI
001 2012-01-01 RESIT C. CEZAYIRLI
001 2011-01-01 RESIT C. CEZAYIRLI 2014-07-11
001 2010-01-01 RESIT CEZAYIRLI RESIT CEZAYIRLI 2014-07-14
001 2009-01-01 RESIT C. CEZAYIRLI

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2013-01-01	RESIT C. CEZAYIRLI
001	2012-01-01	RESIT C. CEZAYIRLI
001	2011-01-01	RESIT C. CEZAYIRLI	2014-07-11
001	2010-01-01	RESIT CEZAYIRLI		RESIT CEZAYIRLI	2014-07-14
001	2009-01-01	RESIT C. CEZAYIRLI

Plan Statistics for HAYNES NEUROSURGICAL GROUP, P.A. CASH BALANCE PLAN

401k plan membership statisitcs for HAYNES NEUROSURGICAL GROUP, P.A. CASH BALANCE PLAN

Measure Date Value
2013: HAYNES NEUROSURGICAL GROUP, P.A. CASH BALANCE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 5
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
2012: HAYNES NEUROSURGICAL GROUP, P.A. CASH BALANCE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 5
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 0
Total of all active and inactive participants 2012-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 5
2010: HAYNES NEUROSURGICAL GROUP, P.A. CASH BALANCE PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 5
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 0
Total of all active and inactive participants 2010-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: HAYNES NEUROSURGICAL GROUP, P.A. CASH BALANCE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 5
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 0
Total of all active and inactive participants 2009-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 5
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: HAYNES NEUROSURGICAL GROUP, P.A. CASH BALANCE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	5
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
2012: HAYNES NEUROSURGICAL GROUP, P.A. CASH BALANCE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	5
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	0
Total of all active and inactive participants	2012-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	5
2010: HAYNES NEUROSURGICAL GROUP, P.A. CASH BALANCE PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	5
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	0
Total of all active and inactive participants	2010-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: HAYNES NEUROSURGICAL GROUP, P.A. CASH BALANCE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	5
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	0
Total of all active and inactive participants	2009-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on HAYNES NEUROSURGICAL GROUP, P.A. CASH BALANCE PLAN

Measure	Date	Value
2013 : HAYNES NEUROSURGICAL GROUP, P.A. CASH BALANCE PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$-96,108
Expenses. Total of all expenses incurred	2013-12-31	$165,776
Benefits paid (including direct rollovers)	2013-12-31	$165,776
Total plan assets at end of year	2013-12-31	$0
Total plan assets at beginning of year	2013-12-31	$261,884
Other income received	2013-12-31	$-96,108
Net income (gross income less expenses)	2013-12-31	$-261,884
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$261,884
2012 : HAYNES NEUROSURGICAL GROUP, P.A. CASH BALANCE PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$57,441
Expenses. Total of all expenses incurred	2012-12-31	$914
Total plan assets at end of year	2012-12-31	$261,884
Total plan assets at beginning of year	2012-12-31	$205,357
Value of fidelity bond covering the plan	2012-12-31	$27,000
Other income received	2012-12-31	$18,473
Net income (gross income less expenses)	2012-12-31	$56,527
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$261,884
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$205,357
Total contributions received or receivable from employer(s)	2012-12-31	$38,968
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$914
2010 : HAYNES NEUROSURGICAL GROUP, P.A. CASH BALANCE PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$80,676
Expenses. Total of all expenses incurred	2010-12-31	$0
Total plan assets at end of year	2010-12-31	$209,188
Total plan assets at beginning of year	2010-12-31	$128,512
Value of fidelity bond covering the plan	2010-12-31	$21,000
Other income received	2010-12-31	$58,812
Net income (gross income less expenses)	2010-12-31	$80,676
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$209,188
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$128,512
Total contributions received or receivable from employer(s)	2010-12-31	$21,864
2009 : HAYNES NEUROSURGICAL GROUP, P.A. CASH BALANCE PLAN 2009 401k financial data
Total income from all sources	2009-12-31	$-151,654
Total plan assets at end of year	2009-12-31	$128,512
Total plan assets at beginning of year	2009-12-31	$280,166
Value of fidelity bond covering the plan	2009-12-31	$13,000
Other income received	2009-12-31	$-151,654
Net income (gross income less expenses)	2009-12-31	$-151,654
Net plan assets at end of year (total assets less liabilities)	2009-12-31	$128,512
Net plan assets at beginning of year (total assets less liabilities)	2009-12-31	$280,166

Form 5500 Responses for HAYNES NEUROSURGICAL GROUP, P.A. CASH BALANCE PLAN

2013: HAYNES NEUROSURGICAL GROUP, P.A. CASH BALANCE PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	Yes
2013-01-01	This submission is the final filing	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: HAYNES NEUROSURGICAL GROUP, P.A. CASH BALANCE PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2010: HAYNES NEUROSURGICAL GROUP, P.A. CASH BALANCE PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
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 is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: HAYNES NEUROSURGICAL GROUP, P.A. CASH BALANCE PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	HAYNES NEUROSURGICAL ASSOCIATES,PA
Employer identification number (EIN):	630640018
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)