2014-11-07T09:14:28-06:00 2013-12-31 580942047 BABUSH NEIMAN KORNMAN & JOHNSON LLP 5909 PEACHTREE DUNWOODY RD SUITE 800 ATLANTA GA 30328 990 2013-01-01 276362820 GEORGIA CANCER SPECIALISTS IPC VOLUNTARY EMPLOYEES BENEFICIARY ASSOC GEOR 7704969400 1835 SAVOY DRIVE SUITE 300 ATLANTA GA 30341 AL SOLTAN MD PRESIDENT 7704969400 2014-11-06 1 HOWARD F NEIMAN P00029525 7702611900 2013 2015-11-30 17:44:51Z ASSOCIATION TRUST DR AL SOLTAN 1835 SAVOY DRIVE ATLANTA GA 30341 2644559 0 X N/A X 2009 GA TO PROVIDE VARIOUS WELFARE BENEFITS TO ALL EMPLOYEES OF GEORGIA CANCER SPECIALISTS I, P.C. 1 1 0 0 0 0 0 0 6013524 2644559 0 0 0 0 6013524 2644559 0 0 4713354 3577250 0 0 0 0 0 1099828 13527 5813182 3590777 200342 -946218 1004221 58003 0 0 1004221 58003 COLLECTS INSURANCE PREMIUMS FROM EMPLOYEES AND EMPLOYER AND PAYS HEALTH & INSURANCE BENEFITS ON BEHALF OF HEALTH CARE PLAN (GEORGIA CANCER SPECALIST I, P.C. WELFARE BENEFIT PLAN.) 0 0 3590777 2644559 COLLECTION OF INSURANCE PREMIUMS AND PAYMENT OF HEALTH AND INSURANCE BENEFITS FOR GEORGIA CANCER SPECIALISTS I, P.C. WELFARE BENEFIT PLAN. 3590777 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 X 1 1 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 GA X WYANE CERSEY 7704969400 1835 SAVOY DRIVE SUITE 300 ATLANTA GA 30341 ANTHONY LAGROON CURRENT TRUSTEE 0.00 40.00 X 0 185133 22346 AL SOLTAN PRESIDENT 0.00 40.00 X 0 551318 0 CHERYL JONES VICE PRESIDENT 0.00 40.00 X 0 825003 0 SZABO STEPHEN SECRETARY 0.00 40.00 X 0 1106666 0 GERALD GOLDKLANG BOARD OF DIRECTOR 0.00 40.00 X 0 713520 0 GENA VOLAS-REDD BOARD OF DIRECTOR 0.00 40.00 X 0 890931 0 JOHN MANFREDI BOARD OF DIRECTOR 0.00 40.00 X 0 822087 0 JAYANTHI SRINIVASIAH BOARD OF DIRECTOR 0.00 40.00 X 0 1168978 0 LAURA WEAKLAND BOARD OF DIRECTOR 0.00 40.00 X 0 683961 0 NISHAN FERNANDO BOARD OF DIRECTOR 0.00 40.00 X 0 574257 0 PRADEEP JOLLY BOARD OF DIRECTOR 0.00 40.00 X 0 683429 0 RICHARD LOYD BOARD OF DIRECTOR 0.00 40.00 X 0 704897 0 CARLOS FRANCO HIGHEST COMPENSATED EMPLOYEE 0.00 40.00 X 0 693133 0 SIMBO ADULOJU HIGHEST COMPENSATED EMPLOYEE 0.00 40.00 X 0 702511 7822 DEEPTI MUNJAL HIGHEST COMPENSATED EMPLOYEE 0.00 40.00 X 0 749191 0 WILLIAM WHALEY HIGHEST COMPENSATED EMPLOYEE 0.00 40.00 X 0 770121 0 RAO MORAVINENI HIGHEST COMPENSATED EMPLOYEE 0.00 40.00 X 0 973374 0 J BANCROFT LESSNE FORMER TRUSTEE 0.00 X 0 394940 0 RONALD W FLEMING FORMER TRUSTEE 0.00 X 0 147195 5439 0 13340645 35607 0 1 1 0 AETNA 151 FARMINGTON AVENUE HARTFORD CT 06156 ADMINISTRATION OF BENEFIT PLAN 2519546 CONNECTICUT GENERAL LIFE INSURANCE CO (C 7555 GOODWIN ROAD CHATTANOOGA TN 37421 ADMINISTRATION OF BENEFIT PLAN 733543 UNUM 1200 COLONIAL LIFE BLVD COLUMBIA SC 29210 ADMINISTRATION OF BENEFIT PLAN 167459 3 EMPLOYER CONTRIBUTIONS 900001 2278168 2278168 EMPLOYEE CONTRIBUTIONS 900001 366391 366391 2644559 2644559 0 0 2644559 3577250 3577250 ADMINISTRATIVE EXPENSES 13527 13527 3590777 3590777 0 0 1004221 58003 1004221 58003 0 0 X 0 0 0 0 1004221 58003 1004221 58003 1004221 58003 -946218 0 X X 0 1 X 1 0 0 2644559 0 2644559 0 2644559 3590777 0 3590777 0 3590777 0 0 0 ANTHONY LAGROON CURRENT TRUSTEE 0 185133 0 0 0 0 0 0 0 22346 0 207479 0 0 AL SOLTAN PRESIDENT 0 527754 0 0 0 23564 0 0 0 0 0 551318 0 0 CHERYL JONES VICE PRESIDENT 0 801009 0 0 0 23994 0 0 0 0 0 825003 0 0 SZABO STEPHEN SECRETARY 0 1083176 0 0 0 23490 0 0 0 0 0 1106666 0 0 GERALD GOLDKLANG BOARD OF DIRECTOR 0 688290 0 0 0 25230 0 0 0 0 0 713520 0 0 GENA VOLAS-REDD BOARD OF DIRECTOR 0 867441 0 0 0 23490 0 0 0 0 0 890931 0 0 JOHN MANFREDI BOARD OF DIRECTOR 0 796857 0 0 0 25230 0 0 0 0 0 822087 0 0 JAYANTHI SRINIVASIAH BOARD OF DIRECTOR 0 1144984 0 0 0 23994 0 0 0 0 0 1168978 0 0 LAURA WEAKLAND BOARD OF DIRECTOR 0 660459 0 0 0 23502 0 0 0 0 0 683961 0 0 NISHAN FERNANDO BOARD OF DIRECTOR 0 551868 0 0 0 22389 0 0 0 0 0 574257 0 0 PRADEEP JOLLY BOARD OF DIRECTOR 0 658703 0 0 0 24726 0 0 0 0 0 683429 0 0 RICHARD LOYD BOARD OF DIRECTOR 0 680903 0 0 0 23994 0 0 0 0 0 704897 0 0 CARLOS FRANCO HIGHEST COMPENSATED EMPLOYEE 0 668407 0 0 0 24726 0 0 0 0 0 693133 0 0 SIMBO ADULOJU HIGHEST COMPENSATED EMPLOYEE 0 702511 0 0 0 0 0 0 0 7822 0 710333 0 0 DEEPTI MUNJAL HIGHEST COMPENSATED EMPLOYEE 0 726119 0 0 0 23072 0 0 0 0 0 749191 0 0 WILLIAM WHALEY HIGHEST COMPENSATED EMPLOYEE 0 751602 0 0 0 18519 0 0 0 0 0 770121 0 0 RAO MORAVINENI HIGHEST COMPENSATED EMPLOYEE 0 949884 0 0 0 23490 0 0 0 0 0 973374 0 0 J BANCROFT LESSNE FORMER TRUSTEE 0 383834 0 0 0 11106 0 0 0 0 0 394940 0 0 RONALD W FLEMING FORMER TRUSTEE 0 147195 0 0 0 0 0 0 0 5439 0 152634 0 0 FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 IS PROVIDED TO THE GOVERNING BODY OF THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THERE HAS BEEN NO CHANGE AS TO HOW THE AUDITOR WAS SELECTED SINCE THE PLAN WAS CREATED IN 2009. THE PLAN TRUSTEES MAKE SUCH DECISION. GEORGIA CANCER SPECIALISTS I PC 1835 SAVOY DRIVE STE 300 ATLANTA GA 30341 582181189 HEALTH CARE SERVICES GA N/A S 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 GEORGIA CANCER SPECIALISTS I PC S 2644559 FMV