Civic Intelligence

Summit Medical Group Pa Employees' Benefit Trust

EIN 23-7451011 • 501(c)9 • Berkeley Heights, NJ

Profile

The trust provides health and dental benefits for qualifying and participating summit medical group employees and their designated dependents in accordance with irc section 501(c)(9) trust requirements.

1 Diamond Hill RoadBerkeley Heights, NJ 07922

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2015

Liabilities / Revenue

31st percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)9 • $10M-$25M nonprofits • Source year 2015

Net Margin

33rd percentile

-0.2%

Higher net margin than 33% of similar nonprofits.

501(c)9 • $10M-$25M nonprofits • Source year 2015

Top Officer Pay

48th percentile

$0

Higher top officer pay than 48% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)9 • $10M-$25M nonprofits • Source year 2015

Asset Growth

6th percentile

-100%

Faster asset growth than 6% of similar nonprofits.

501(c)9 • $10M-$25M nonprofits • Annualized from 2014 to 2015

Revenue Growth

84th percentile

28%

Faster revenue growth than 84% of similar nonprofits.

501(c)9 • $10M-$25M nonprofits • Annualized from 2014 to 2015

Assets

Down

$0

Down $48,718 (-100%) from 2014

Liabilities

Flat

$0

Flat from 2014

Net Assets

Down

$0

Down $48,718 (-100%) from 2014

Revenue

Up

$19,844,037

Up $4,369,454 (+28%) from 2014

Expenses

Up

$19,892,755

Up $4,403,311 (+28%) from 2014

Net Income

Down

-$48,718

Down $33,857 (-228%) from 2014

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$800K$600K$400K$200K$0Assets 2010: $544,332Liabilities 2010: $0Net Assets 2010: $544,3322010Assets 2011: $768,846Liabilities 2011: $0Net Assets 2011: $768,8462011Assets 2012: $488,193Liabilities 2012: $0Net Assets 2012: $488,1932012Assets 2013: $63,579Liabilities 2013: $0Net Assets 2013: $63,5792013Assets 2014: $48,718Liabilities 2014: $0Net Assets 2014: $48,7182014Assets 2015: $0Liabilities 2015: $0Net Assets 2015: $02015

Highlighted filing

2015

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$20M$10M$0-$10MExpenses 2010: $8,419,7312010Expenses 2011: $9,229,8092011Expenses 2012: $10,480,3162012Revenue 2013: $11,133,856Expenses 2013: $11,558,470Net Income 2013: -$424,6142013Revenue 2014: $15,474,583Expenses 2014: $15,489,444Net Income 2014: -$14,8612014Revenue 2015: $19,844,037Expenses 2015: $19,892,755Net Income 2015: -$48,7182015

Highlighted filing

2015

Revenue$19,844,037
Expenses$19,892,755
Net Income-$48,718

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Nov 15, 2016
Return Version
2015v2.1
Gross Receipts
$19,844,037
Mission and Program Overview

Mission

The trust provides health and dental benefits for qualifying and participating summit medical group employees and their designated dependents in accordance with irc section 501(c)(9) trust requirements.

The trust provides health and dental benefits for qualifying and participating summit medical group employees and their designated dependents.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$48,718$0▼ $48,718
Savings and Temporary Cash Investments$0$0→ $0
Accounts Receivable$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Land, Buildings, and Equipment, Net$0--
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$48,718$0▼ $48,718
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$0$0→ $0
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Other Liabilities$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$48,718$0▼ $48,718
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$48,718$0▼ $48,718
Total Liabilities and Net Assets / Fund Balance$48,718$0▼ $48,718
Compensation and Service Providers

Board Members and Trustees

NameTitle
Summit Medical Group PaTrustee
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$19,844,037
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-48,718
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,091,313
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members$18,801,442--$18,801,442
Other Expenses$982,182$109,131-$1,091,313
Total Functional Expenses$19,783,624$109,131$0$19,892,755
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

CORE FORM, PART VI, SECTION A; QUESTION 3

The organization has retained the services of aetna and standard insurance company, its third party administrators, to manage its day to day affairs and activities.

CORE FORM, PART VI, SECTION B; QUESTION 11B

The organization's federal form 990 was provided to its board member for review prior to filing with the internal revenue service ("irs"). Summit medical group, p.a., the organization's trustee and plan sponsor, has assumed the responsibility to oversee and coordinate the federal form 990 preparation, review and filing process. As part of the tax return preparation process the organization hired a professional cpa firm with experience and expertise in both healthcare and not for-profit tax return preparation to prepare the federal form 990. The cpa firm's tax professionals worked closely with summit medical group, p.a.'s finance personnel to obtain the information needed in order to prepare a complete and accurate tax return. The cpa firm prepared a draft federal form 990 and furnished it to summit medical group, p.a.'s finance personnel for review. Revisions were made to the draft federal form 990 where necessary and a final draft was furnished by the cpa firm to summit medical group, p.a.'s finance personnel for final review and approval prior to presentation of the federal form 990 to the organization's board member and the filing of the tax return with the irs.

CORE FORM, PART VI, SECTION C; QUESTION 19

The organization's filed certificate of incorporation and any amednments can be obtained and reviewed through the state of new jersey department of the treasury. In addition, the organization's audited financial statements and form 5500, annual return/report of employee benefit plan, are available through the state of new jersey department of banking and insurance.

Filing and Contact Details

Filer

Filer Name
Summit Medical Group Pa
EIN
23-7451011
In Care Of
% ROBERT BOOTH
Phone
9082778777
Address
1 Diamond Hill Road, Berkeley Heights, NJ 07922

Signing Officer

Name
Rob Booth
Title
CFO
Signed
2016-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Summit Medical Group Pa
Formed
1975
Legal Domicile
Nj
Voting Board Members
1
Independent Board Members
1
Employees
0
Volunteers
0

Preparer

Firm
WithumSmithBrown PC
Address
465 South St Ste 200, Morristown, NJ 07960-6497
Preparer
Anthony J Panico
Phone
9738989494
Supplemental Narrative

Additional Explanations

Core Form, Part III, Question 3

The plan terminated in 2015. Please refer to schedule n for details.

Raw XML Appendix378 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/EmployeeCnt00
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IRS990/EscrowAccountLiabilityGrp/BOYAmt00
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IRS990/ExpenseAmt019783624
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IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt00
IRS990/FinalReturnInd0X
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IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt00.0
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/TitleTxt0TRUSTEE
IRS990/Form990ProvidedToGvrnBodyInd0true
IRS990/FormationYr01975
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedInd0false
IRS990/FundraisingActivitiesInd0false
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt01
IRS990/GrantAmt00
IRS990/GrantsPayableGrp/BOYAmt00
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IRS990/GrantsToDomesticIndividualsGrp/TotalAmt00
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IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt019844037
IRS990/GroupReturnForAffiliatesInd0false
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IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt00
IRS990/IndependentAuditFinclStmtInd0false
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IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartIIIInd0X
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IRS990/InformationTechnologyGrp/TotalAmt00
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IRS990/InvestmentInJointVentureInd0false
IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt00
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IRS990/InvestmentsProgramRelatedGrp/BOYAmt00
IRS990/InvestmentsProgramRelatedGrp/EOYAmt00
IRS990/InvestmentsPubTradedSecGrp/BOYAmt00
IRS990/InvestmentsPubTradedSecGrp/EOYAmt00
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipBasisNetGrp/BOYAmt00
IRS990/LegalDomicileStateCd0NJ
IRS990/LoanOutstandingInd0false
IRS990/LoansFromOfficersDirectorsGrp/BOYAmt00
IRS990/LoansFromOfficersDirectorsGrp/EOYAmt00
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingCashInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0THE TRUST PROVIDES HEALTH AND DENTAL BENEFITS FOR QUALIFYING AND PARTICIPATING SUMMIT MEDICAL GROUP EMPLOYEES AND THEIR DESIGNATED DEPENDENTS IN ACCORDANCE WITH IRC SECTION 501(C)(9) TRUST REQUIREMENTS.
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt00
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IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt00
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd0false
IRS990/OccupancyGrp/TotalAmt00
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IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501cInd0X
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IRS990/OtherExpensesGrp/ManagementAndGeneralAmt0109131
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IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/PersonNm0ALIC AETNA
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt0PO BOX 8863
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IRS990ScheduleN/OwnerOfSuccessorInd0false
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IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt0The Plan was terminated during 2015. Remaining assets were transferred to Aetna Life for individual participant benefit payments.
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc0CORE FORM, PART IV, QUESTION 31
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE PLAN TERMINATED IN 2015. PLEASE REFER TO SCHEDULE N FOR DETAILS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ORGANIZATION HAS RETAINED THE SERVICES OF AETNA AND STANDARD INSURANCE COMPANY, ITS THIRD PARTY ADMINISTRATORS, TO MANAGE ITS DAY TO DAY AFFAIRS AND ACTIVITIES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO ITS BOARD MEMBER FOR REVIEW PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). SUMMIT MEDICAL GROUP, P.A., THE ORGANIZATION'S TRUSTEE AND PLAN SPONSOR, HAS ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH SUMMIT MEDICAL GROUP, P.A.'S FINANCE PERSONNEL TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO SUMMIT MEDICAL GROUP, P.A.'S FINANCE PERSONNEL FOR REVIEW. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO SUMMIT MEDICAL GROUP, P.A.'S FINANCE PERSONNEL FOR FINAL REVIEW AND APPROVAL PRIOR TO PRESENTATION OF THE FEDERAL FORM 990 TO THE ORGANIZATION'S BOARD MEMBER AND THE FILING OF THE TAX RETURN WITH THE IRS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMEDNMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. IN ADDITION, THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS AND FORM 5500, ANNUAL RETURN/REPORT OF EMPLOYEE BENEFIT PLAN, ARE AVAILABLE THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF BANKING AND INSURANCE.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0CORE FORM, PART III, QUESTION 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1CORE FORM, PART VI, SECTION A; QUESTION 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2CORE FORM, PART VI, SECTION B; QUESTION 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3CORE FORM, PART VI, SECTION C; QUESTION 19
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IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN0223487984
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt0C CORP.
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd0NJ
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt0HEALTHCARE SVCS.
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt0SUMMIT MEDICAL GROUP PA
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt01 DIAMOND HILL ROAD
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/CityNm0BERKELEY HEIGHTS
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/StateAbbreviationCd0NJ
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IRS990/TemporarilyRstrNetAssetsGrp/EOYAmt00
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0true
IRS990/TotalAssetsBOYAmt048718
IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt048718
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IRS990/TotalCompGreaterThan150KInd0false
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IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0109131
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt019783624
IRS990/TotalFunctionalExpensesGrp/TotalAmt019892755
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt00
IRS990/TotalLiabilitiesEOYAmt00
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IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt048718
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt019783624
IRS990/TotalProgramServiceRevenueAmt019844037
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt019844037
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt019844037
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt048718
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/TotalAmt00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt048718
IRS990/UnrestrictedNetAssetsGrp/EOYAmt00
IRS990/UnsecuredNotesLoansPayableGrp/BOYAmt00
IRS990/UnsecuredNotesLoansPayableGrp/EOYAmt00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt01 DIAMOND HILL ROAD
IRS990/USAddress/CityNm0BERKELEY HEIGHTS
IRS990/USAddress/StateAbbreviationCd0NJ
IRS990/USAddress/ZIPCd007922
IRS990/VotingMembersGoverningBodyCnt01
IRS990/VotingMembersIndependentCnt01
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0ROB BOOTH
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CFO
ReturnHeader/BusinessOfficerGrp/SignatureDt02016-11-15
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0SUMMIT MEDICAL GROUP PA
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0EMPLOYEES' BENEFIT TRUST
ReturnHeader/Filer/BusinessNameControlTxt0SUMM
ReturnHeader/Filer/EIN0237451011
ReturnHeader/Filer/InCareOfNm0% ROBERT BOOTH
ReturnHeader/Filer/PhoneNum09082778777
ReturnHeader/Filer/USAddress/AddressLine1Txt01 Diamond Hill Road
ReturnHeader/Filer/USAddress/CityNm0Berkeley Heights
ReturnHeader/Filer/USAddress/StateAbbreviationCd0NJ
ReturnHeader/Filer/USAddress/ZIPCd007922
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0WithumSmithBrown PC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0465 South St Ste 200
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Morristown
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NJ
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0079606497
ReturnHeader/PreparerPersonGrp/PhoneNum09738989494
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Anthony J Panico
ReturnHeader/ReturnTs02016-11-15T10:52:00-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02015-01-01
ReturnHeader/TaxPeriodEndDt02015-12-31
ReturnHeader/TaxYr02015

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