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CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan NameCAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN
Plan identification number 501

CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

CAPITOL ANESTHESIOLOGY ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name:CAPITOL ANESTHESIOLOGY ASSOCIATION
Employer identification number (EIN):741720474
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-01-01ED MYSLIK, CHIEF FINANCIAL OFFICER2020-10-05
5012018-01-01ED MYSLIK, CHIEF FINANCIAL OFFICER2019-10-15
5012017-01-01
5012016-01-01
5012015-01-01
5012014-09-01EDWARD MYSLIK
5012014-01-01
5012013-09-01EDWARD MYSLIK
5012013-01-01
5012012-09-01EDWARD MYSLIK
5012012-01-01ED MYSLIK, CHIEF FINANCIAL OFFICER
5012011-01-01ED MYSLIK
5012009-09-01EDWARD MYSLIK
5012009-01-01ED MYSLIK, CONTROLLER CAA
5012009-01-01ED MYSLIK, CONTROLLER CAA

Plan Statistics for CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN

Measure Date Value
2019: CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-010
Number of retired or separated participants receiving benefits2019-01-010
Total of all active and inactive participants2019-01-010
2018: CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01297
Total number of active participants reported on line 7a of the Form 55002018-01-010
Total of all active and inactive participants2018-01-010
2017: CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01279
Total number of active participants reported on line 7a of the Form 55002017-01-01297
Total of all active and inactive participants2017-01-01297
2016: CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01274
Number of retired or separated participants receiving benefits2016-01-01279
Total of all active and inactive participants2016-01-01279
2015: CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01264
Total number of active participants reported on line 7a of the Form 55002015-01-01274
Total of all active and inactive participants2015-01-01274
2014: CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-09-01195
Total number of active participants reported on line 7a of the Form 55002014-09-01197
Total of all active and inactive participants2014-09-01197
Total participants2014-09-01197
Total participants, beginning-of-year2014-01-01265
Total number of active participants reported on line 7a of the Form 55002014-01-01264
Total of all active and inactive participants2014-01-01264
2013: CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-09-01201
Total number of active participants reported on line 7a of the Form 55002013-09-01195
Total of all active and inactive participants2013-09-01195
Total participants2013-09-01195
Total participants, beginning-of-year2013-01-01263
Total number of active participants reported on line 7a of the Form 55002013-01-01265
Total of all active and inactive participants2013-01-01265
2012: CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-09-01188
Total number of active participants reported on line 7a of the Form 55002012-09-01202
Total of all active and inactive participants2012-09-01202
Total participants2012-09-01202
Total participants, beginning-of-year2012-01-01247
Total number of active participants reported on line 7a of the Form 55002012-01-01263
Total of all active and inactive participants2012-01-01263
2011: CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01236
Total number of active participants reported on line 7a of the Form 55002011-01-01247
Total of all active and inactive participants2011-01-01247
2009: CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-09-01177
Total number of active participants reported on line 7a of the Form 55002009-09-01180
Number of retired or separated participants receiving benefits2009-09-010
Number of other retired or separated participants entitled to future benefits2009-09-010
Total of all active and inactive participants2009-09-01180
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-09-010
Total participants, beginning-of-year2009-01-01217
Total number of active participants reported on line 7a of the Form 55002009-01-01221
Total of all active and inactive participants2009-01-01221

Financial Data on CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN

Measure Date Value
2019 : CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN 2019 401k financial data
Total income from all sources2019-01-31$3,650
Expenses. Total of all expenses incurred2019-01-31$7,499
Benefits paid (including direct rollovers)2019-01-31$7,499
Total plan assets at end of year2019-01-31$244
Total plan assets at beginning of year2019-01-31$4,093
Value of fidelity bond covering the plan2019-01-31$500,000
Net income (gross income less expenses)2019-01-31$-3,849
Net plan assets at end of year (total assets less liabilities)2019-01-31$244
Net plan assets at beginning of year (total assets less liabilities)2019-01-31$4,093
Total contributions received or receivable from employer(s)2019-01-31$3,650
2018 : CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-12-31$854,330
Total of all expenses incurred2018-12-31$1,110,435
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,044,154
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$854,244
Value of total assets at end of year2018-12-31$4,093
Value of total assets at beginning of year2018-12-31$260,198
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$66,281
Total interest from all sources2018-12-31$86
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$15,676
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$163,642
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$24,681
Total non interest bearing cash at end of year2018-12-31$4,093
Total non interest bearing cash at beginning of year2018-12-31$260,198
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-256,105
Value of net assets at end of year (total assets less liabilities)2018-12-31$4,093
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$260,198
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Interest earned on other investments2018-12-31$86
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$115,176
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$665,921
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$928,978
Contract administrator fees2018-12-31$50,605
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Did the plan have assets held for investment2018-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31ATCHLEY & ASSOCIATES, LLP
Accountancy firm EIN2018-12-31742920819
2017 : CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-12-31$6,005,878
Total of all expenses incurred2017-12-31$5,861,970
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$5,665,994
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$6,005,878
Value of total assets at end of year2017-12-31$260,198
Value of total assets at beginning of year2017-12-31$116,290
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$195,976
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$13,457
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$1,654,635
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$509,618
Total non interest bearing cash at end of year2017-12-31$260,198
Total non interest bearing cash at beginning of year2017-12-31$116,290
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$143,908
Value of net assets at end of year (total assets less liabilities)2017-12-31$260,198
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$116,290
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$1,244,084
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$3,841,625
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$4,421,910
Contract administrator fees2017-12-31$182,519
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Did the plan have assets held for investment2017-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31ATCHLEY & ASSOCIATES, LLP
Accountancy firm EIN2017-12-31742920819
2016 : CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-12-31$5,468,242
Total of all expenses incurred2016-12-31$5,504,666
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$5,279,414
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$5,468,242
Value of total assets at end of year2016-12-31$116,290
Value of total assets at beginning of year2016-12-31$152,714
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$225,252
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$14,322
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$1,550,587
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$352,300
Total non interest bearing cash at end of year2016-12-31$116,290
Total non interest bearing cash at beginning of year2016-12-31$152,714
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-36,424
Value of net assets at end of year (total assets less liabilities)2016-12-31$116,290
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$152,714
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$1,169,974
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$3,565,355
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$4,109,440
Contract administrator fees2016-12-31$210,930
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Did the plan have assets held for investment2016-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31ATCHLEY & ASSOCIATES, LLP
Accountancy firm EIN2016-12-31742920819
2015 : CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$542,819
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$409,322
Total income from all sources (including contributions)2015-12-31$4,564,334
Total of all expenses incurred2015-12-31$4,564,334
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$4,394,106
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$4,564,334
Value of total assets at end of year2015-12-31$542,819
Value of total assets at beginning of year2015-12-31$409,322
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$170,228
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$14,479
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$1,437,342
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$43,392
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$542,819
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$409,322
Total non interest bearing cash at end of year2015-12-31$152,714
Total non interest bearing cash at beginning of year2015-12-31$30,364
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$0
Value of net assets at end of year (total assets less liabilities)2015-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$1,171,546
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$3,083,600
Employer contributions (assets) at end of year2015-12-31$390,105
Employer contributions (assets) at beginning of year2015-12-31$378,958
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$3,222,560
Contract administrator fees2015-12-31$155,749
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Did the plan have assets held for investment2015-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31ATCHLEY & ASSOCIATES, LLP
Accountancy firm EIN2015-12-31742920819
2014 : CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$409,322
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$439,661
Total income from all sources (including contributions)2014-12-31$4,697,284
Total of all expenses incurred2014-12-31$4,697,284
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$4,489,787
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$4,697,284
Value of total assets at end of year2014-12-31$409,322
Value of total assets at beginning of year2014-12-31$439,661
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$207,497
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$16,141
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$1,443,849
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$55,280
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$409,322
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$439,661
Administrative expenses (other) incurred2014-12-31$30,859
Total non interest bearing cash at end of year2014-12-31$30,364
Total non interest bearing cash at beginning of year2014-12-31$83,551
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$0
Value of net assets at end of year (total assets less liabilities)2014-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$1,316,606
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$3,198,155
Employer contributions (assets) at end of year2014-12-31$378,958
Employer contributions (assets) at beginning of year2014-12-31$356,110
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$3,173,181
Contract administrator fees2014-12-31$160,497
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Did the plan have assets held for investment2014-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31ATCHLEY & ASSOCIATES, LLP
Accountancy firm EIN2014-12-31742920819
2013 : CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$439,661
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$112,026
Total income from all sources (including contributions)2013-12-31$4,402,853
Total of all expenses incurred2013-12-31$4,494,048
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$4,319,852
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$4,402,853
Value of total assets at end of year2013-12-31$439,661
Value of total assets at beginning of year2013-12-31$203,221
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$174,196
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$15,993
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$1,394,143
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$73,051
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$439,661
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$112,026
Total non interest bearing cash at end of year2013-12-31$83,551
Total non interest bearing cash at beginning of year2013-12-31$203,221
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-91,195
Value of net assets at end of year (total assets less liabilities)2013-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$91,195
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$1,365,707
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$2,935,659
Employer contributions (assets) at end of year2013-12-31$356,110
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$2,954,145
Contract administrator fees2013-12-31$158,203
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Did the plan have assets held for investment2013-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31ATCHLEY & ASSOCIATES, LLP
Accountancy firm EIN2013-12-31742920819
2012 : CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$112,026
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$116,102
Total income from all sources (including contributions)2012-12-31$4,262,060
Total of all expenses incurred2012-12-31$4,334,732
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$4,169,147
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$4,262,060
Value of total assets at end of year2012-12-31$203,221
Value of total assets at beginning of year2012-12-31$279,969
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$165,585
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$11,952
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$1,403,232
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$485,881
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$112,026
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$116,102
Total non interest bearing cash at end of year2012-12-31$203,221
Total non interest bearing cash at beginning of year2012-12-31$279,969
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-72,672
Value of net assets at end of year (total assets less liabilities)2012-12-31$91,195
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$163,867
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$1,279,568
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$2,372,947
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$2,889,579
Contract administrator fees2012-12-31$153,633
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Did the plan have assets held for investment2012-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31ATCHLEY & ASSOCIATES, LLP
Accountancy firm EIN2012-12-31742920819
2011 : CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$116,102
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$80,333
Total income from all sources (including contributions)2011-12-31$3,601,281
Total of all expenses incurred2011-12-31$3,699,486
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$3,540,765
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$3,390,651
Value of total assets at end of year2011-12-31$279,969
Value of total assets at beginning of year2011-12-31$342,405
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$158,721
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$12,460
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$1,371,344
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$116,102
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$80,333
Other income not declared elsewhere2011-12-31$210,630
Total non interest bearing cash at end of year2011-12-31$279,969
Total non interest bearing cash at beginning of year2011-12-31$342,405
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-98,205
Value of net assets at end of year (total assets less liabilities)2011-12-31$163,867
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$262,072
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$1,167,695
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$2,019,307
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$2,373,070
Contract administrator fees2011-12-31$146,261
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Did the plan have assets held for investment2011-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31ATCHLEY & ASSOCIATES, LLP
Accountancy firm EIN2011-12-31742920819
2010 : CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$80,333
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$113,245
Total income from all sources (including contributions)2010-12-31$3,708,758
Total of all expenses incurred2010-12-31$3,735,727
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$3,588,282
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$3,166,316
Value of total assets at end of year2010-12-31$342,405
Value of total assets at beginning of year2010-12-31$402,286
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$147,445
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$1,274,822
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$80,333
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$113,245
Other income not declared elsewhere2010-12-31$542,442
Total non interest bearing cash at end of year2010-12-31$342,405
Total non interest bearing cash at beginning of year2010-12-31$402,286
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-26,969
Value of net assets at end of year (total assets less liabilities)2010-12-31$262,072
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$289,041
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$1,041,620
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$1,891,494
Income. Dividends from preferred stock2010-12-31$0
Income. Dividends from common stock2010-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$2,546,662
Contract administrator fees2010-12-31$147,445
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31ATCHLEY & ASSOCIATES, LLP
Accountancy firm EIN2010-12-31742920819

Form 5500 Responses for CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN

2019: CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01This submission is the final filingYes
2019-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN 2014 form 5500 responses
2014-09-01Type of plan entitySingle employer plan
2014-09-01Plan funding arrangement – General assets of the sponsorYes
2014-09-01Plan benefit arrangement – General assets of the sponsorYes
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN 2013 form 5500 responses
2013-09-01Type of plan entitySingle employer plan
2013-09-01Plan funding arrangement – General assets of the sponsorYes
2013-09-01Plan benefit arrangement – General assets of the sponsorYes
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN 2012 form 5500 responses
2012-09-01Type of plan entitySingle employer plan
2012-09-01Plan funding arrangement – General assets of the sponsorYes
2012-09-01Plan benefit arrangement – General assets of the sponsorYes
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: CAPITOL ANESTHESIOLOGY ASSOCIATION EMPLOYEE BENEFIT PLAN 2009 form 5500 responses
2009-09-01Type of plan entitySingle employer plan
2009-09-01Submission has been amendedNo
2009-09-01This submission is the final filingNo
2009-09-01This return/report is a short plan year return/report (less than 12 months)No
2009-09-01Plan is a collectively bargained planNo
2009-09-01Plan funding arrangement – General assets of the sponsorYes
2009-09-01Plan benefit arrangement – General assets of the sponsorYes
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract number417003411510
Policy instance 2
Insurance contract or identification number417003411510
Number of Individuals Covered298
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $5,635
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $56,918
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,635
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number179284
Policy instance 1
Insurance contract or identification number179284
Number of Individuals Covered0
Insurance policy start date2018-01-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $5,340
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $58,078
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,340
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number179284
Policy instance 1
Insurance contract or identification number179284
Number of Individuals Covered297
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $62,576
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $680,660
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $62,576
Insurance broker organization code?3
Insurance broker nameKING PHILLIPS INSURANCE AGENCY
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract number417003411510
Policy instance 2
Insurance contract or identification number417003411510
Number of Individuals Covered298
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $56,067
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $561,491
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $56,067
Insurance broker organization code?3
Insurance broker nameWORTHAM SAN ANTONIO INC

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