Civic Intelligence
Filing

Stouges Anesthesia Specialties Inc. 401K Plan

Stouges Anesthesia Specialties Inc. • EIN 34-1324209 • Plan year 1999

Filing Insights

Participants

Flat

6 → 6

0 • 0.00%

Assets

No comparison

- → -

No earlier value available.

Investment Management Fee

-

Admin expenses - • Total expenses -

Filing Details

Context

No event flags were generated for this filing.

Status Flags

Fidelity bond in place

Not reported

Limited-scope audit performed

Not reported

Contributions transmitted on time

Not reported

Participant loans in default

Not reported

Leases in default

Not reported

Reportable party-in-interest issues

Not reported

Loss discovered during year

Not reported

Assets with undetermined value

Not reported

Non-cash contributions

Not reported

Assets held for investment

Not reported

5% transactions reported

Not reported

All plan assets distributed

Not reported

Benefits paid when due

Not reported

Plan blackout period

Not reported

Plan termination resolution adopted

Not reported

Counterparties

Company Timeline

This filing is highlighted inside the broader sponsor history.

Year / FilingFilingsParticipantsAssetsContributionsContrib./Participant
200110$0$0-
Stouges Anesthesia Specialties Inc. 401K Plan-0---
200010$0$0-
Stouges Anesthesia Specialties Inc. 401K Plan-0---
199916$0$0-
Stouges Anesthesia Specialties Inc. 401K PlanCurrent6---
Schedule Details

Schedule A

Row 1
Filing Id
56037052213021
Form Id
2102552
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
10371052213020002
Ins Broker 01 Name
FRANK R. NOVY
Ins Broker 01 Street Addr
7050 ENGLE ROAD
Ins Broker 01 City
MIDDLEBURG HTS
Ins Broker 01 State
OH
Ins Broker 01 ZIP Code
44130
Ins Broker Comm Pd 01 Amount
$375
Ins Broker Fees Pd 01 Amount
$5,802
Ins Broker Fees Pd 01 Text
INFORMATION CONSULTING
Ins Broker 01 Code
3
Row 2
Ins Carrier Name: AMERICA SKANDIA INSURANCE COMPANY
Filing Id
56037052213021
Form Id
2102552
Schedule A EIN
34-1324209
Schedule A Plan Num
001
Schedule A Plan Year Begin Date
1999-01-01
Schedule A Tax Period
19991231
Ins Carrier Name
AMERICA SKANDIA INSURANCE COMPANY
Ins Carrier EIN
06-1241288
Ins Carrier Naic Code
86630
Ins Contract Num
000380407
Ins Prsn Covered End of year Count
6
Ins Policy From Date
1999-01-01
Ins Policy To Date
1999-12-31
Ins Broker Comm Total Amount
$375
Ins Broker Fees Total Amount
$5,802
Pension End of year Gen Account Amount
$0
Pension End of year Sep Account Amount
$0
Pension Prem Paid Total Amount
$0
Pension Unpaid Premium Amount
$0
Pension Contract Cost Amount
$0
Pnsn Type Unalloc Cntrct I
4
Pension Oth Unalloc Type Text
VARIABLE ANNUITY
Pension End Prev Bal Amount
$569,131
Pension Contribution Dep Amount
$43,152
Pension Divnd Cr Dep Amount
$0
Pension Interest Cr Dur Yr Amount
$0
Pension Transfer From Amount
$0
Pension Other Amount
$107,584
Pension Other Text
GAIN / LOSS
Pension Total Additions Amount
$150,736
Pension Total Bal Addn Amount
$719,867
Pension Bnfts Dsbrsd Amount
$0
Pension Admin Chrg Amount
$60
Pension Transfer To Amount
$719,807
Pension Oth Ded Amount
$0
Pension Total Ded Amount
$719,867
Pension End of year Bal Amount
$0
Wlfr Premium Rcvd Amount
$0
Wlfr Unpaid Due Amount
$0
Wlfr Reserve Amount
$0
Wlfr Total Earned Prem Amount
$0
Wlfr Claims Paid Amount
$0
Wlfr Incr Reserve Amount
$0
Wlfr Incurred Claim Amount
$0
Wlfr Claims Chrgd Amount
$0
Wlfr Ret Commissions Amount
$0
Wlfr Ret Admin Amount
$0
Wlfr Ret Oth Cost Amount
$0
Wlfr Ret Oth Expense Amount
$0
Wlfr Ret Taxes Amount
$0
Wlfr Ret Charges Amount
$0
Wlfr Ret Oth Chrgs Amount
$0
Wlfr Ret Total Amount
$0
Wlfr Refund Amount
$0
Wlfr Held Bnfts Amount
$0
Wlfr Claims Reserve Amount
$0
Wlfr Oth Reserve Amount
$0
Wlfr Divnds Due Amount
$0
Wlfr Total Charges Paid Amount
$0
Wlfr Acquis Cost Amount
$0

Schedule I

Schedule I Financial Statement

Small plan result

Balance sheet and activity values reported by the filer for this small-plan annual return.

End-of-year assets$808,269

Balance Sheet

Beginning and end of plan year.

Total assets$597,713$808,269Increase +$210,556 (35.23%)
Total liabilities$0$0No change $0
Net assets$597,713$808,269Increase +$210,556 (35.23%)

Contributions

Employer contributions$0
Participant contributions$20,459
Other contributions$0

Income & Expenses

Total income$210,586
Total expenses$30
Net income$210,556
Source fields
Schedule I source fields
Filing Id
56037052213021
Schedule I EIN
34-1324209
Schedule I Plan Num
001
Schedule I Plan Year Begin Date
1999-01-01
Schedule I Tax Period
19991231
Small Total Assets Beginning of year Amount
$597,713
Small Total Liabilities Beginning of year Amount
$0
Small Net Assets Beginning of year Amount
$597,713
Small Total Assets End of year Amount
$808,269
Small Total Liabilities End of year Amount
$0
Small Net Assets End of year Amount
$808,269
Small Employer Contribution Income Amount
$0
Small Participant Contribution Amount
$20,459
Small Oth Contribution Rcvd Amount
$0
Small Non Cash Contribution Bs Amount
$0
Small Other Income Amount
$190,127
Small Total Income Amount
$210,586
Small Total Distribution Bnft Amount
$0
Small Corrective Distribution Amount
$0
Small Dm Dstrb Ptcp Ln A
0
Small Oth Expenses Amount
$30
Small Total Expenses Amount
$30
Small Net Income Amount
$210,556
Small Total Plan Transfers Amount
$0
Small Joint Venture End of year Indicator
No
Small Joint Venture End of year Amount
$0
Small Employer Prop End of year Indicator
No
Small Employer Prop End of year Amount
$0
Small Investment Real Est End of year I
2
Small Investment Real Est End of year A
0
Small Employer Sec End of year Indicator
No
Small Employer Sec End of year Amount
$0
Small Mortg Participants End of year Indicator
No
Small Mortg Participants End of year Amount
$0
Small Oth Lns Participants End of year Indicator
No
Small Oth Lns Participants End of year Amount
$0
Small Personal Prop End of year Indicator
No
Small Personal Prop End of year Amount
$0
Small Fail Xmt Ctb I
2
Small Fail Xmt Ctb A
0
Small Loans In Default Indicator
No
Small Loans In Default Amount
$0
Small Leases In Default Indicator
No
Small Leases In Default Amount
$0
Small Pt In Interest Not Reported I
2
Small Pt In Interest Not Reported A
0
Small Plan Ins Fidelity Bond Indicator
Yes
Small Plan Ins Fidelity Bond Amount
$100,000
Small Loss Discovered Dur Year Indicator
No
Small Loss Discovered Dur Year Amount
$0
Small Asset Undeterm Valuation Indicator
No
Small Asset Undeterm Valuation Amount
$0
Small Non Cash Contribution Indicator
No
Small Non Cash Contribution Amount
$0
Small 20 Percent Sngl Investment Indicator
No
Small 20 Percent Sngl Investment Amount
$0
Small All Plan Asset Distribution Indicator
No
Small Res Terminate Plan Adpt Indicator
No
Small Res Terminate Plan Adpt Amount
$0

Schedule R

Schedule R Pension Information

Retirement plan characteristics

Testing, payor, opinion-letter, and transfer information reported with the filing.

Transfers

Distributed property value$0
Schedule R source fields
Row 1
Filing Id
56037052213021
Schedule R EIN
34-1324209
Schedule R Plan number
001
Schedule R Plan Year Begin Date
1999-01-01
Schedule R Tax Period
19991231
Pension Value Dstrb Pd Property Amount
$0
Pension Employer Contribution Rqr Amount
$0
Pension Employer Contribution Paid Amount
$0
Pension Funding Deficiency Amount
$0