401k Plan data: WESTFIELD ANIMAL HOSPITAL PROFIT

WESTFIELD ANIMAL HOSPITAL PROFIT - SHARING PLAN 401k Plan overview

Plan Name	WESTFIELD ANIMAL HOSPITAL PROFIT - SHARING PLAN
Plan identification number	001

WESTFIELD ANIMAL HOSPITAL PROFIT - SHARING PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Plan covered by PBGC that was terminated and closed out for PBGC purposes - Before the end of the plan year (or a prior plan year), (1) the plan terminated in a standard (or distress) termination and completed the distribution of plan assets in satisfaction of all benefit liabilities (or all ERISA Title IV benefits for distress termination); or (2) a trustee was appointed for a terminated plan pursuant to ERISA section 4042.
Profit-sharing
Plan sponsor(s) received services of leased employees, as defined in Code section 414(n), during the plan year.

401k Sponsoring company profile

WESTFIELD ANIMAL HOSPITAL, P.A. has sponsored the creation of one or more 401k plans.

Company Name: WESTFIELD ANIMAL HOSPITAL, P.A.

Employer identification number (EIN): 221979288

NAIC Classification: 621399
NAIC Description: Offices of All Other Miscellaneous Health Practitioners

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WESTFIELD ANIMAL HOSPITAL PROFIT - SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2012-01-01 STEVEN KETCHAM
001 2011-01-01 STEVEN KETCHAM
001 2009-01-01 STEVEN KETCHAM

Plan id#	Filing Submission Date	Name of Administrator
001	2012-01-01	STEVEN KETCHAM
001	2011-01-01	STEVEN KETCHAM
001	2009-01-01	STEVEN KETCHAM

Plan Statistics for WESTFIELD ANIMAL HOSPITAL PROFIT - SHARING PLAN

401k plan membership statisitcs for WESTFIELD ANIMAL HOSPITAL PROFIT - SHARING PLAN

Measure Date Value
2012: WESTFIELD ANIMAL HOSPITAL PROFIT - SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
Total of all active and inactive participants 2012-01-01 0
Total participants 2012-01-01 0
2011: WESTFIELD ANIMAL HOSPITAL PROFIT - SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 2
Total of all active and inactive participants 2011-01-01 2
Total participants 2011-01-01 2
2009: WESTFIELD ANIMAL HOSPITAL PROFIT - SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 2
Total of all active and inactive participants 2009-01-01 2
Total participants 2009-01-01 2

Measure	Date	Value
2012: WESTFIELD ANIMAL HOSPITAL PROFIT - SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
Total of all active and inactive participants	2012-01-01	0
Total participants	2012-01-01	0
2011: WESTFIELD ANIMAL HOSPITAL PROFIT - SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	2
Total of all active and inactive participants	2011-01-01	2
Total participants	2011-01-01	2
2009: WESTFIELD ANIMAL HOSPITAL PROFIT - SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	2
Total of all active and inactive participants	2009-01-01	2
Total participants	2009-01-01	2

Financial Data on WESTFIELD ANIMAL HOSPITAL PROFIT - SHARING PLAN

Measure	Date	Value
2012 : WESTFIELD ANIMAL HOSPITAL PROFIT - SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$16,874
Expenses. Total of all expenses incurred	2012-12-31	$215,096
Benefits paid (including direct rollovers)	2012-12-31	$215,096
Total plan assets at end of year	2012-12-31	$0
Total plan assets at beginning of year	2012-12-31	$198,222
Value of fidelity bond covering the plan	2012-12-31	$265,000
Other income received	2012-12-31	$16,874
Net income (gross income less expenses)	2012-12-31	$-198,222
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$198,222
2011 : WESTFIELD ANIMAL HOSPITAL PROFIT - SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$21,980
Expenses. Total of all expenses incurred	2011-12-31	$120,000
Benefits paid (including direct rollovers)	2011-12-31	$120,000
Total plan assets at end of year	2011-12-31	$198,222
Total plan assets at beginning of year	2011-12-31	$296,242
Value of fidelity bond covering the plan	2011-12-31	$265,000
Other income received	2011-12-31	$21,980
Net income (gross income less expenses)	2011-12-31	$-98,020
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$198,222
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$296,242
2010 : WESTFIELD ANIMAL HOSPITAL PROFIT - SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$39,885
Total plan assets at end of year	2010-12-31	$436,037
Total plan assets at beginning of year	2010-12-31	$475,922
Value of fidelity bond covering the plan	2010-12-31	$265,000
Other income received	2010-12-31	$39,885
Net income (gross income less expenses)	2010-12-31	$39,885
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$436,037
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$475,922
Assets. Value of participant loans	2010-12-31	$139,795

Form 5500 Responses for WESTFIELD ANIMAL HOSPITAL PROFIT - SHARING PLAN

2012: WESTFIELD ANIMAL HOSPITAL PROFIT - SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	Yes
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: WESTFIELD ANIMAL HOSPITAL PROFIT - SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: WESTFIELD ANIMAL HOSPITAL PROFIT - SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	WESTFIELD ANIMAL HOSPITAL, P.A.
Employer identification number (EIN):	221979288
NAIC Classification:	621399
NAIC Description:	Offices of All Other Miscellaneous Health Practitioners