401k Plan data: VICTORIA RADIOLOGY ASSOCIATES PROFIT SHARING AND 401(K) PLAN plan

VICTORIA RADIOLOGY ASSOCIATES PROFIT SHARING AND 401(K) PLAN 401k Plan overview

Plan Name	VICTORIA RADIOLOGY ASSOCIATES PROFIT SHARING AND 401(K) PLAN
Plan identification number	002

VICTORIA RADIOLOGY ASSOCIATES PROFIT SHARING AND 401(K) 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.
Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of 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.
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

VICTORIA RADIOLOGY ASSOCIATES has sponsored the creation of one or more 401k plans.

Company Name: VICTORIA RADIOLOGY ASSOCIATES

Employer identification number (EIN): 741669667

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

Additional information about VICTORIA RADIOLOGY ASSOCIATES

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 1983-07-27

Company Identification Number: 0080921103

Legal Registered Office Address: PO BOX 3610

VICTORIA
United States of America (USA)
77903

More information about VICTORIA RADIOLOGY ASSOCIATES

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VICTORIA RADIOLOGY ASSOCIATES PROFIT SHARING AND 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2015-01-01 SHELLEY MILBERGER 2016-05-26
002 2014-01-01 DIANE MOEHRIG 2015-07-09
002 2013-01-01 DIANE MOEHRIG 2014-07-08
002 2012-01-01 STEPHEN W. TIBBITTS, M.D. 2013-07-12
002 2011-01-01 D BRUCE THARP MD 2012-07-09
002 2010-01-01 D BRUCE THARP MD
002 2009-01-01 D BRUCE THARP MD

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2015-01-01	SHELLEY MILBERGER	2016-05-26
002	2014-01-01	DIANE MOEHRIG	2015-07-09
002	2013-01-01	DIANE MOEHRIG	2014-07-08
002	2012-01-01	STEPHEN W. TIBBITTS, M.D.	2013-07-12
002	2011-01-01	D BRUCE THARP MD	2012-07-09
002	2010-01-01	D BRUCE THARP MD
002	2009-01-01	D BRUCE THARP MD

Plan Statistics for VICTORIA RADIOLOGY ASSOCIATES PROFIT SHARING AND 401(K) PLAN

401k plan membership statisitcs for VICTORIA RADIOLOGY ASSOCIATES PROFIT SHARING AND 401(K) PLAN

Measure Date Value
2010: VICTORIA RADIOLOGY ASSOCIATES PROFIT SHARING AND 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 14
Number of retired or separated participants receiving benefits 2010-01-01 1
Number of other retired or separated participants entitled to future benefits 2010-01-01 1
Total of all active and inactive participants 2010-01-01 16
Total participants 2010-01-01 16
Number of participants with account balances 2010-01-01 16
2009: VICTORIA RADIOLOGY ASSOCIATES PROFIT SHARING AND 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 13
Number of retired or separated participants receiving benefits 2009-01-01 2
Number of other retired or separated participants entitled to future benefits 2009-01-01 1
Total of all active and inactive participants 2009-01-01 16
Total participants 2009-01-01 16
Number of participants with account balances 2009-01-01 16

Measure	Date	Value
2010: VICTORIA RADIOLOGY ASSOCIATES PROFIT SHARING AND 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	14
Number of retired or separated participants receiving benefits	2010-01-01	1
Number of other retired or separated participants entitled to future benefits	2010-01-01	1
Total of all active and inactive participants	2010-01-01	16
Total participants	2010-01-01	16
Number of participants with account balances	2010-01-01	16
2009: VICTORIA RADIOLOGY ASSOCIATES PROFIT SHARING AND 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	13
Number of retired or separated participants receiving benefits	2009-01-01	2
Number of other retired or separated participants entitled to future benefits	2009-01-01	1
Total of all active and inactive participants	2009-01-01	16
Total participants	2009-01-01	16
Number of participants with account balances	2009-01-01	16

Financial Data on VICTORIA RADIOLOGY ASSOCIATES PROFIT SHARING AND 401(K) PLAN

Measure	Date	Value
2010 : VICTORIA RADIOLOGY ASSOCIATES PROFIT SHARING AND 401(K) PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$779,571
Expenses. Total of all expenses incurred	2010-12-31	$1,129,157
Benefits paid (including direct rollovers)	2010-12-31	$1,106,302
Total plan assets at end of year	2010-12-31	$6,408,495
Total plan assets at beginning of year	2010-12-31	$6,758,081
Value of fidelity bond covering the plan	2010-12-31	$500,000
Total contributions received or receivable from participants	2010-12-31	$138,548
Expenses. Other expenses not covered elsewhere	2010-12-31	$22,855
Other income received	2010-12-31	$433,943
Net income (gross income less expenses)	2010-12-31	$-349,586
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$6,408,495
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$6,758,081
Assets. Value of participant loans	2010-12-31	$77,498
Total contributions received or receivable from employer(s)	2010-12-31	$207,080

Form 5500 Responses for VICTORIA RADIOLOGY ASSOCIATES PROFIT SHARING AND 401(K) PLAN

2010: VICTORIA RADIOLOGY ASSOCIATES PROFIT SHARING AND 401(K) 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: VICTORIA RADIOLOGY ASSOCIATES PROFIT SHARING AND 401(K) 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

NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )

Policy contract number

12406307

Policy instance

Insurance contract or identification number	12406307
Number of Individuals Covered	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes
Insurance broker organization code?	3
Insurance broker name	JAMES PHELAN

NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )

Policy contract number

8991785

Policy instance

Insurance contract or identification number	8991785
Number of Individuals Covered	1
Insurance policy start date	2009-06-01
Insurance policy end date	2010-05-31
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?	Yes
Insurance broker organization code?	3
Insurance broker name	JAMES PHELAN

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

8021562

Policy instance

Insurance contract or identification number	8021562
Number of Individuals Covered	1
Insurance policy start date	2009-08-18
Insurance policy end date	2010-08-17
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?	Yes
Insurance broker organization code?	3
Insurance broker name	RUSSELL E. DONOHUE

METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )

Policy contract number

7455331

Policy instance

Insurance contract or identification number	7455331
Number of Individuals Covered	1
Insurance policy start date	2009-02-26
Insurance policy end date	2010-02-25
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	RUSSELL E. DONOHUE

AURORA NATIONAL LIFE ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61182 )

Policy contract number

C11189135L

Policy instance

Insurance contract or identification number	C11189135L
Number of Individuals Covered	1
Insurance policy start date	2009-07-02
Insurance policy end date	2010-07-01
Total amount of commissions paid to insurance broker	USD $121
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 $121
Insurance broker organization code?	3
Insurance broker name	D. BROWN & V. BROWN ASSOCIATES, INC

AURORA NATIONAL LIFE ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61182 )

Policy contract number

C11302035L

Policy instance

Insurance contract or identification number	C11302035L
Number of Individuals Covered	1
Insurance policy start date	2009-12-28
Insurance policy end date	2010-12-27
Total amount of commissions paid to insurance broker	USD $12
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 $12
Insurance broker organization code?	3
Insurance broker name	TANDEM BENEFIT INSURANCE SERVICES

AURORA NATIONAL LIFE ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61182 )

Policy contract number

C11347812L

Policy instance

Insurance contract or identification number	C11347812L
Number of Individuals Covered	1
Insurance policy start date	2009-05-09
Insurance policy end date	2010-05-08
Total amount of commissions paid to insurance broker	USD $12
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 $12
Insurance broker organization code?	3
Insurance broker name	TANDEM BENEFIT INSURANCE SERVICES

AURORA NATIONAL LIFE ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61182 )

Policy contract number

C11461920L

Policy instance

Insurance contract or identification number	C11461920L
Number of Individuals Covered	1
Insurance policy start date	2009-08-07
Insurance policy end date	2010-08-06
Total amount of commissions paid to insurance broker	USD $28
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 $28
Insurance broker organization code?	3
Insurance broker name	TANDEM BENEFIT INSURANCE SERVICES

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

8021561

Policy instance

Insurance contract or identification number	8021561
Number of Individuals Covered	1
Insurance policy start date	2009-08-18
Insurance policy end date	2010-08-17
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?	Yes
Insurance broker organization code?	3
Insurance broker name	RUSSELL E. DONOHUE

AURORA NATIONAL LIFE ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61182 )

Policy contract number

C11364658L

Policy instance

Insurance contract or identification number	C11364658L
Number of Individuals Covered	1
Insurance policy start date	2009-10-17
Insurance policy end date	2010-10-16
Total amount of commissions paid to insurance broker	USD $13
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 $13
Insurance broker organization code?	3
Insurance broker name	TANDEM BENEFIT INSURANCE SERVICES

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Company Name:	VICTORIA RADIOLOGY ASSOCIATES
Employer identification number (EIN):	741669667
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	1983-07-27
Company Identification Number:	0080921103
Legal Registered Office Address:	PO BOX 3610 VICTORIA United States of America (USA) 77903