401k Plan data: RETINA ASSOCIATES OF MID-WYOMING LLC 401(K) PROFIT SHARING PLAN plan

RETINA ASSOCIATES OF MID-WYOMING LLC 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	RETINA ASSOCIATES OF MID-WYOMING LLC 401(K) PROFIT SHARING PLAN
Plan identification number	001

RETINA ASSOCIATES OF MID-WYOMING LLC 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of 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 408 accounts and annuities - See Limited Pension Plan Reporting instructions for pension plan utilizing individual Code section 408 retirement accounts or annuities as the funding vehicle for providing benefits.
Participant-directed brokerage accounts provided as an investment option under the plan.

401k Sponsoring company profile

RETINA ASSOCIATES OF MID- WYOMING has sponsored the creation of one or more 401k plans.

Company Name: RETINA ASSOCIATES OF MID- WYOMING

Employer identification number (EIN): 202834237

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RETINA ASSOCIATES OF MID-WYOMING LLC 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 RAM PEDDADA RAM PEDDADA 2015-04-24
001 2013-01-01 RAM PEDDADA RAM PEDDADA 2014-12-01
001 2012-01-01 RAM PEDDADA RAM PEDDADA 2014-12-02
001 2011-01-01 RAM PEDDADA RAM PEDDADA 2012-06-08
001 2010-01-01 RAM PEDDADA RAM PEDDADA 2011-07-19

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2014-01-01	RAM PEDDADA	RAM PEDDADA	2015-04-24
001	2013-01-01	RAM PEDDADA	RAM PEDDADA	2014-12-01
001	2012-01-01	RAM PEDDADA	RAM PEDDADA	2014-12-02
001	2011-01-01	RAM PEDDADA	RAM PEDDADA	2012-06-08
001	2010-01-01	RAM PEDDADA	RAM PEDDADA	2011-07-19

Plan Statistics for RETINA ASSOCIATES OF MID-WYOMING LLC 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for RETINA ASSOCIATES OF MID-WYOMING LLC 401(K) PROFIT SHARING PLAN

Measure Date Value
2014: RETINA ASSOCIATES OF MID-WYOMING LLC 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 0
Number of participants with account balances 2014-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: RETINA ASSOCIATES OF MID-WYOMING LLC 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Number of retired or separated participants receiving benefits 2013-01-01 1
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 1
Number of participants with account balances 2013-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: RETINA ASSOCIATES OF MID-WYOMING LLC 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
Number of retired or separated participants receiving benefits 2012-01-01 3
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 3
Number of participants with account balances 2012-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: RETINA ASSOCIATES OF MID-WYOMING LLC 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 0
Number of retired or separated participants receiving benefits 2011-01-01 6
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 6
Number of participants with account balances 2011-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: RETINA ASSOCIATES OF MID-WYOMING LLC 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 6
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 6
Number of participants with account balances 2010-01-01 6

Measure	Date	Value
2014: RETINA ASSOCIATES OF MID-WYOMING LLC 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	0
Number of participants with account balances	2014-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: RETINA ASSOCIATES OF MID-WYOMING LLC 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Number of retired or separated participants receiving benefits	2013-01-01	1
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	1
Number of participants with account balances	2013-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: RETINA ASSOCIATES OF MID-WYOMING LLC 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
Number of retired or separated participants receiving benefits	2012-01-01	3
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	3
Number of participants with account balances	2012-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: RETINA ASSOCIATES OF MID-WYOMING LLC 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	0
Number of retired or separated participants receiving benefits	2011-01-01	6
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	6
Number of participants with account balances	2011-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: RETINA ASSOCIATES OF MID-WYOMING LLC 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	6
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	6
Number of participants with account balances	2010-01-01	6

Financial Data on RETINA ASSOCIATES OF MID-WYOMING LLC 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2014 : RETINA ASSOCIATES OF MID-WYOMING LLC 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$0
Expenses. Total of all expenses incurred	2014-12-31	$2,164
Benefits paid (including direct rollovers)	2014-12-31	$2,164
Total plan assets at end of year	2014-12-31	$0
Total plan assets at beginning of year	2014-12-31	$2,164
Net income (gross income less expenses)	2014-12-31	$-2,164
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$2,164
2013 : RETINA ASSOCIATES OF MID-WYOMING LLC 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$618
Expenses. Total of all expenses incurred	2013-12-31	$11,509
Benefits paid (including direct rollovers)	2013-12-31	$11,509
Total plan assets at end of year	2013-12-31	$2,164
Total plan assets at beginning of year	2013-12-31	$13,055
Other income received	2013-12-31	$618
Net income (gross income less expenses)	2013-12-31	$-10,891
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$2,164
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$13,055
2012 : RETINA ASSOCIATES OF MID-WYOMING LLC 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$510
Expenses. Total of all expenses incurred	2012-12-31	$92,475
Benefits paid (including direct rollovers)	2012-12-31	$92,475
Total plan assets at end of year	2012-12-31	$13,055
Total plan assets at beginning of year	2012-12-31	$105,020
Other income received	2012-12-31	$510
Net income (gross income less expenses)	2012-12-31	$-91,965
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$13,055
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$105,020
2011 : RETINA ASSOCIATES OF MID-WYOMING LLC 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$45,282
Expenses. Total of all expenses incurred	2011-12-31	$797
Benefits paid (including direct rollovers)	2011-12-31	$797
Total plan assets at end of year	2011-12-31	$105,020
Total plan assets at beginning of year	2011-12-31	$60,535
Total contributions received or receivable from participants	2011-12-31	$12,061
Other income received	2011-12-31	$-753
Net income (gross income less expenses)	2011-12-31	$44,485
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$105,020
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$60,535
Total contributions received or receivable from employer(s)	2011-12-31	$33,974
2010 : RETINA ASSOCIATES OF MID-WYOMING LLC 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$60,535
Total plan assets at end of year	2010-12-31	$60,535
Total contributions received or receivable from participants	2010-12-31	$46,952
Contributions received from other sources (not participants or employers)	2010-12-31	$966
Other income received	2010-12-31	$65
Net income (gross income less expenses)	2010-12-31	$60,535
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$60,535
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$0
Total contributions received or receivable from employer(s)	2010-12-31	$12,552

Form 5500 Responses for RETINA ASSOCIATES OF MID-WYOMING LLC 401(K) PROFIT SHARING PLAN

2014: RETINA ASSOCIATES OF MID-WYOMING LLC 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	This submission is the final filing	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: RETINA ASSOCIATES OF MID-WYOMING LLC 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: RETINA ASSOCIATES OF MID-WYOMING LLC 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: RETINA ASSOCIATES OF MID-WYOMING LLC 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: RETINA ASSOCIATES OF MID-WYOMING LLC 401(K) PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	First time form 5500 has been submitted	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	RETINA ASSOCIATES OF MID- WYOMING
Employer identification number (EIN):	202834237
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)