401k Plan data: ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN plan

ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN
Plan identification number	003

ANESTHESIA ASSOCIATES, PA 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.
Plan covering Self-Employed individuals.
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

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

Company Name: ANESTHESIA ASSOCIATES, PA

Employer identification number (EIN): 630782031

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2022-01-01 JOSEPH SCOTT RAYBURN 2023-08-29
003 2021-01-01 JOSEPH SCOTT RAYBURN 2022-09-13
003 2020-01-01 JOSEPH SCOTT RAYBURN 2021-09-07
003 2020-01-01 JOSEPH SCOTT RAYBURN 2021-12-14
003 2019-01-01 CHRISTINA OWEN 2020-07-21
003 2018-01-01 VERONICA FRANKS 2019-05-03
003 2017-01-01 VERONICA FRANKS
003 2016-01-01 VERONICA FRANKS
003 2015-01-01 VERONICA FRANKS
003 2014-01-01 VERONICA FRANKS
003 2014-01-01 VERONICA FRANKS
003 2013-10-01 RON MCARTHUR
003 2012-10-01 RON MCARTHUR
003 2012-10-01
003 2011-10-01 PHILIP L. SISSONS
003 2009-10-01 PHILIP L. SISSONS

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
003	2022-01-01	JOSEPH SCOTT RAYBURN	2023-08-29
003	2021-01-01	JOSEPH SCOTT RAYBURN	2022-09-13
003	2020-01-01	JOSEPH SCOTT RAYBURN	2021-09-07
003	2020-01-01	JOSEPH SCOTT RAYBURN	2021-12-14
003	2019-01-01	CHRISTINA OWEN	2020-07-21
003	2018-01-01	VERONICA FRANKS	2019-05-03
003	2017-01-01	VERONICA FRANKS
003	2016-01-01	VERONICA FRANKS
003	2015-01-01	VERONICA FRANKS
003	2014-01-01	VERONICA FRANKS
003	2014-01-01	VERONICA FRANKS
003	2013-10-01	RON MCARTHUR
003	2012-10-01	RON MCARTHUR
003	2012-10-01
003	2011-10-01	PHILIP L. SISSONS
003	2009-10-01	PHILIP L. SISSONS

Plan Statistics for ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN

Measure Date Value
2017: ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 38
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 32
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 7
Total of all active and inactive participants 2017-01-01 39
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 39
Number of participants with account balances 2017-01-01 39
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 39
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 33
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 5
Total of all active and inactive participants 2016-01-01 38
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 38
Number of participants with account balances 2016-01-01 38
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 47
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 33
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 6
Total of all active and inactive participants 2015-01-01 39
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 39
Number of participants with account balances 2015-01-01 39
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 45
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 45
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 2
Total of all active and inactive participants 2014-01-01 47
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 47
Number of participants with account balances 2014-01-01 47
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 45
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 42
Number of retired or separated participants receiving benefits 2013-10-01 0
Number of other retired or separated participants entitled to future benefits 2013-10-01 3
Total of all active and inactive participants 2013-10-01 45
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-10-01 0
Total participants 2013-10-01 45
Number of participants with account balances 2013-10-01 45
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-10-01 0
2012: ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-10-01 44
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 42
Number of retired or separated participants receiving benefits 2012-10-01 0
Number of other retired or separated participants entitled to future benefits 2012-10-01 3
Total of all active and inactive participants 2012-10-01 45
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-10-01 0
Total participants 2012-10-01 45
Number of participants with account balances 2012-10-01 45
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-10-01 1
2011: ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-10-01 42
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 43
Number of retired or separated participants receiving benefits 2011-10-01 0
Number of other retired or separated participants entitled to future benefits 2011-10-01 0
Total of all active and inactive participants 2011-10-01 43
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-10-01 0
Total participants 2011-10-01 43
Number of participants with account balances 2011-10-01 43
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-10-01 0
2009: ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-10-01 16
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 34
Number of retired or separated participants receiving benefits 2009-10-01 0
Number of other retired or separated participants entitled to future benefits 2009-10-01 0
Total of all active and inactive participants 2009-10-01 34
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-10-01 0
Total participants 2009-10-01 34
Number of participants with account balances 2009-10-01 34

Measure	Date	Value
2017: ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	38
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	32
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	7
Total of all active and inactive participants	2017-01-01	39
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	39
Number of participants with account balances	2017-01-01	39
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	39
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	33
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	5
Total of all active and inactive participants	2016-01-01	38
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	38
Number of participants with account balances	2016-01-01	38
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	47
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	33
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	6
Total of all active and inactive participants	2015-01-01	39
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	39
Number of participants with account balances	2015-01-01	39
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	45
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	45
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	2
Total of all active and inactive participants	2014-01-01	47
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	47
Number of participants with account balances	2014-01-01	47
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	45
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	42
Number of retired or separated participants receiving benefits	2013-10-01	0
Number of other retired or separated participants entitled to future benefits	2013-10-01	3
Total of all active and inactive participants	2013-10-01	45
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-10-01	0
Total participants	2013-10-01	45
Number of participants with account balances	2013-10-01	45
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-10-01	0
2012: ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-10-01	44
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	42
Number of retired or separated participants receiving benefits	2012-10-01	0
Number of other retired or separated participants entitled to future benefits	2012-10-01	3
Total of all active and inactive participants	2012-10-01	45
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-10-01	0
Total participants	2012-10-01	45
Number of participants with account balances	2012-10-01	45
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-10-01	1
2011: ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	42
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	43
Number of retired or separated participants receiving benefits	2011-10-01	0
Number of other retired or separated participants entitled to future benefits	2011-10-01	0
Total of all active and inactive participants	2011-10-01	43
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-10-01	0
Total participants	2011-10-01	43
Number of participants with account balances	2011-10-01	43
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-10-01	0
2009: ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-10-01	16
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	34
Number of retired or separated participants receiving benefits	2009-10-01	0
Number of other retired or separated participants entitled to future benefits	2009-10-01	0
Total of all active and inactive participants	2009-10-01	34
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-10-01	0
Total participants	2009-10-01	34
Number of participants with account balances	2009-10-01	34

Financial Data on ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2017 : ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$3,621,775
Expenses. Total of all expenses incurred	2017-12-31	$141,217
Benefits paid (including direct rollovers)	2017-12-31	$141,217
Total plan assets at end of year	2017-12-31	$21,115,561
Total plan assets at beginning of year	2017-12-31	$17,635,003
Value of fidelity bond covering the plan	2017-12-31	$500,000
Total contributions received or receivable from participants	2017-12-31	$320,828
Contributions received from other sources (not participants or employers)	2017-12-31	$242,511
Other income received	2017-12-31	$2,315,168
Net income (gross income less expenses)	2017-12-31	$3,480,558
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$21,115,561
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$17,635,003
Assets. Value of assets in partnership/joint-venture interests	2017-12-31	$0
Total contributions received or receivable from employer(s)	2017-12-31	$743,268
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
2016 : ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$2,120,988
Expenses. Total of all expenses incurred	2016-12-31	$952,109
Benefits paid (including direct rollovers)	2016-12-31	$952,109
Total plan assets at end of year	2016-12-31	$17,635,003
Total plan assets at beginning of year	2016-12-31	$16,466,124
Value of fidelity bond covering the plan	2016-12-31	$500,000
Total contributions received or receivable from participants	2016-12-31	$315,214
Contributions received from other sources (not participants or employers)	2016-12-31	$6,930
Other income received	2016-12-31	$1,077,146
Net income (gross income less expenses)	2016-12-31	$1,168,879
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$17,635,003
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$16,466,124
Assets. Value of assets in partnership/joint-venture interests	2016-12-31	$39,096
Total contributions received or receivable from employer(s)	2016-12-31	$721,698
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
2015 : ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$886,683
Expenses. Total of all expenses incurred	2015-12-31	$1,970,723
Benefits paid (including direct rollovers)	2015-12-31	$1,970,723
Total plan assets at end of year	2015-12-31	$16,466,124
Total plan assets at beginning of year	2015-12-31	$17,550,164
Value of fidelity bond covering the plan	2015-12-31	$500,000
Total contributions received or receivable from participants	2015-12-31	$375,349
Contributions received from other sources (not participants or employers)	2015-12-31	$17,505
Other income received	2015-12-31	$-310,229
Net income (gross income less expenses)	2015-12-31	$-1,084,040
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$16,466,124
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$17,550,164
Assets. Value of assets in partnership/joint-venture interests	2015-12-31	$38,111
Total contributions received or receivable from employer(s)	2015-12-31	$804,058
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$2,117,125
Expenses. Total of all expenses incurred	2014-12-31	$1,496,442
Benefits paid (including direct rollovers)	2014-12-31	$1,496,442
Total plan assets at end of year	2014-12-31	$17,557,310
Total plan assets at beginning of year	2014-12-31	$16,936,627
Value of fidelity bond covering the plan	2014-12-31	$500,000
Total contributions received or receivable from participants	2014-12-31	$511,149
Contributions received from other sources (not participants or employers)	2014-12-31	$37
Other income received	2014-12-31	$680,437
Net income (gross income less expenses)	2014-12-31	$620,683
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$17,557,310
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$16,936,627
Assets. Value of assets in partnership/joint-venture interests	2014-12-31	$41,939
Total contributions received or receivable from employer(s)	2014-12-31	$925,502
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$1,192,862
Expenses. Total of all expenses incurred	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$17,003,482
Total plan assets at beginning of year	2013-12-31	$15,810,620
Value of fidelity bond covering the plan	2013-12-31	$500,000
Total contributions received or receivable from participants	2013-12-31	$99,110
Other income received	2013-12-31	$861,218
Net income (gross income less expenses)	2013-12-31	$1,192,862
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$17,003,482
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$15,810,620
Assets. Value of assets in partnership/joint-venture interests	2013-12-31	$27,451
Total contributions received or receivable from employer(s)	2013-12-31	$232,534
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Total income from all sources	2013-09-30	$2,222,474
Expenses. Total of all expenses incurred	2013-09-30	$8,689
Benefits paid (including direct rollovers)	2013-09-30	$8,689
Total plan assets at end of year	2013-09-30	$15,758,657
Total plan assets at beginning of year	2013-09-30	$13,544,872
Value of fidelity bond covering the plan	2013-09-30	$500,000
Total contributions received or receivable from participants	2013-09-30	$380,999
Other income received	2013-09-30	$867,814
Net income (gross income less expenses)	2013-09-30	$2,213,785
Net plan assets at end of year (total assets less liabilities)	2013-09-30	$15,758,657
Net plan assets at beginning of year (total assets less liabilities)	2013-09-30	$13,544,872
Assets. Value of assets in partnership/joint-venture interests	2013-09-30	$30,489
Total contributions received or receivable from employer(s)	2013-09-30	$973,661
2012 : ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-09-30	$2,963,536
Expenses. Total of all expenses incurred	2012-09-30	$75,588
Benefits paid (including direct rollovers)	2012-09-30	$75,588
Total plan assets at end of year	2012-09-30	$13,544,872
Total plan assets at beginning of year	2012-09-30	$10,656,924
Value of fidelity bond covering the plan	2012-09-30	$500,000
Total contributions received or receivable from participants	2012-09-30	$462,008
Other income received	2012-09-30	$1,620,949
Net income (gross income less expenses)	2012-09-30	$2,887,948
Net plan assets at end of year (total assets less liabilities)	2012-09-30	$13,544,872
Net plan assets at beginning of year (total assets less liabilities)	2012-09-30	$10,656,924
Assets. Value of assets in partnership/joint-venture interests	2012-09-30	$41,456
Total contributions received or receivable from employer(s)	2012-09-30	$880,579
2011 : ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-09-30	$1,100,492
Expenses. Total of all expenses incurred	2011-09-30	$177
Benefits paid (including direct rollovers)	2011-09-30	$177
Total plan assets at end of year	2011-09-30	$10,656,924
Total plan assets at beginning of year	2011-09-30	$9,556,609
Value of fidelity bond covering the plan	2011-09-30	$500,000
Total contributions received or receivable from participants	2011-09-30	$425,332
Other income received	2011-09-30	$-150,601
Net income (gross income less expenses)	2011-09-30	$1,100,315
Net plan assets at end of year (total assets less liabilities)	2011-09-30	$10,656,924
Net plan assets at beginning of year (total assets less liabilities)	2011-09-30	$9,556,609
Assets. Value of assets in partnership/joint-venture interests	2011-09-30	$72,316
Total contributions received or receivable from employer(s)	2011-09-30	$825,761

Form 5500 Responses for ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN

2017: ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: ANESTHESIA ASSOCIATES, PA 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	Yes
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: ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Submission has been amended	Yes
2013-10-01	This submission is the final filing	No
2013-10-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2013-10-01	Plan is a collectively bargained plan	No
2013-10-01	Plan funding arrangement – Trust	Yes
2013-10-01	Plan benefit arrangement - Trust	Yes
2012: ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	Submission has been amended	Yes
2012-10-01	This submission is the final filing	No
2012-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-10-01	Plan is a collectively bargained plan	No
2012-10-01	Plan funding arrangement – Trust	Yes
2012-10-01	Plan benefit arrangement - Trust	Yes
2011: ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Plan funding arrangement – Trust	Yes
2011-10-01	Plan benefit arrangement - Trust	Yes
2009: ANESTHESIA ASSOCIATES, PA 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	Plan funding arrangement – Trust	Yes
2009-10-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

336872-001

Policy instance

Insurance contract or identification number	336872-001
Number of Individuals Covered	39
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $8,112
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
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?	Yes
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 $8,112
Insurance broker organization code?	3
Insurance broker name	MATTHEW BENSON

Potentially related plans

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Company Name:	ANESTHESIA ASSOCIATES, PA
Employer identification number (EIN):	630782031
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)