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FIVE STAR SURGICAL 401 K PROFIT SHARING PLAN TRUST 401k Plan overview

Plan NameFIVE STAR SURGICAL 401 K PROFIT SHARING PLAN TRUST
Plan identification number 001

FIVE STAR SURGICAL 401 K PROFIT SHARING PLAN TRUST Benefits

401k Plan TypeDefined 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.
  • 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

FIVE STAR SURGICAL INC has sponsored the creation of one or more 401k plans.

Company Name:FIVE STAR SURGICAL INC
Employer identification number (EIN):043438467
NAIC Classification:811310
NAIC Description:Commercial and Industrial Machinery and Equipment (except Automotive and Electronic) Repair and Maintenance

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FIVE STAR SURGICAL 401 K PROFIT SHARING PLAN TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012023-01-01LYNNE FOLEY2024-06-13
0012022-01-01LYNNE FOLEY2023-05-25
0012021-01-01LYNNE FOLEY2022-06-13
0012020-01-01MARGARET SZEWCZYK2021-10-14
0012019-01-01MARGARET SZEWCZYK2020-07-16
0012018-01-01LYNNE FOLEY2019-06-06
0012017-01-01LYNNE FOLEY2018-06-13
0012016-01-01JOHN CAMARA2017-06-13
0012015-01-01JOHN CAMARA2016-05-18
0012014-01-01JOHN CAMARA2015-05-19
0012013-01-01JOHN CAMARA2014-05-16
0012012-01-01FIVE STAR SURGICAL INC
0012011-01-01JOHN P. CAMARA2012-09-12
0012010-01-01JOHN P. CAMARA2011-09-02

Plan Statistics for FIVE STAR SURGICAL 401 K PROFIT SHARING PLAN TRUST

401k plan membership statisitcs for FIVE STAR SURGICAL 401 K PROFIT SHARING PLAN TRUST

Measure Date Value
2012: FIVE STAR SURGICAL 401 K PROFIT SHARING PLAN TRUST 2012 401k membership
Total participants, beginning-of-year2012-01-013
Total number of active participants reported on line 7a of the Form 55002012-01-0144
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-016
Total of all active and inactive participants2012-01-0150
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0150
Number of participants with account balances2012-01-0124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010

Financial Data on FIVE STAR SURGICAL 401 K PROFIT SHARING PLAN TRUST

Measure Date Value
2012 : FIVE STAR SURGICAL 401 K PROFIT SHARING PLAN TRUST 2012 401k financial data
Transfers to/from the plan2012-12-31$0
Total plan liabilities at end of year2012-12-31$0
Total plan liabilities at beginning of year2012-12-31$0
Total income from all sources2012-12-31$794,760
Expenses. Total of all expenses incurred2012-12-31$28,964
Benefits paid (including direct rollovers)2012-12-31$25,572
Total plan assets at end of year2012-12-31$765,796
Total plan assets at beginning of year2012-12-31$0
Value of fidelity bond covering the plan2012-12-31$0
Total contributions received or receivable from participants2012-12-31$40,228
Expenses. Other expenses not covered elsewhere2012-12-31$0
Contributions received from other sources (not participants or employers)2012-12-31$0
Other income received2012-12-31$744,889
Net income (gross income less expenses)2012-12-31$765,796
Net plan assets at end of year (total assets less liabilities)2012-12-31$765,796
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$0
Assets. Value of participant loans2012-12-31$39,161
Total contributions received or receivable from employer(s)2012-12-31$9,643
Value of certain deemed distributions of participant loans2012-12-31$0
Value of corrective distributions2012-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$3,392
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Funding deficiency by the employer to the plan for this plan year2012-12-31$0
Minimum employer required contribution for this plan year2012-12-31$0
Amount contributed by the employer to the plan for this plan year2012-12-31$0

Form 5500 Responses for FIVE STAR SURGICAL 401 K PROFIT SHARING PLAN TRUST

2012: FIVE STAR SURGICAL 401 K PROFIT SHARING PLAN TRUST 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes

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