401k Plan data: MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN plan

MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN
Plan identification number	002

MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
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.

401k Sponsoring company profile

MCHENRY COUNTY ORTHOPAEDICS, S.C. has sponsored the creation of one or more 401k plans.

Company Name: MCHENRY COUNTY ORTHOPAEDICS, S.C.

Employer identification number (EIN): 363892041

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2017-01-01 WARREN S. JABLONSKY, M.D.
002 2016-01-01 WARREN S. JABLONSKY, M.D.
002 2015-01-01 WARREN S. JABLONSKY, M.D.
002 2014-01-01 WARREN S. JABLONSKY, M.D.
002 2013-01-01 WARREN S. JABLONSKY, M.D.
002 2012-01-01 WILLIAM D. COX, JR.
002 2011-01-01 WILLIAM D. COX, JR.
002 2009-01-01 WILLIAM D. COX, JR.

Plan id#	Filing Submission Date	Name of Administrator
002	2017-01-01	WARREN S. JABLONSKY, M.D.
002	2016-01-01	WARREN S. JABLONSKY, M.D.
002	2015-01-01	WARREN S. JABLONSKY, M.D.
002	2014-01-01	WARREN S. JABLONSKY, M.D.
002	2013-01-01	WARREN S. JABLONSKY, M.D.
002	2012-01-01	WILLIAM D. COX, JR.
002	2011-01-01	WILLIAM D. COX, JR.
002	2009-01-01	WILLIAM D. COX, JR.

Plan Statistics for MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN

Measure Date Value
2017: MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 19
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 0
Number of participants with account balances 2017-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 80
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 19
Total of all active and inactive participants 2016-01-01 19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 19
Number of participants with account balances 2016-01-01 19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 76
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 80
Total of all active and inactive participants 2015-01-01 80
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 80
Number of participants with account balances 2015-01-01 80
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 79
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 59
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 17
Total of all active and inactive participants 2014-01-01 76
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 76
Number of participants with account balances 2014-01-01 76
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 8
2013: MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 83
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 66
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 13
Total of all active and inactive participants 2013-01-01 79
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 79
Number of participants with account balances 2013-01-01 79
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 7
2012: MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 85
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 68
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 10
Total of all active and inactive participants 2012-01-01 78
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 78
Number of participants with account balances 2012-01-01 78
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 5
2011: MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 74
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 62
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 12
Total of all active and inactive participants 2011-01-01 74
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 74
Number of participants with account balances 2011-01-01 74
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 4
2009: MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 59
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 59
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 7
Total of all active and inactive participants 2009-01-01 66
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 66
Number of participants with account balances 2009-01-01 66
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 4

Measure	Date	Value
2017: MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	19
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	0
Number of participants with account balances	2017-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	80
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	19
Total of all active and inactive participants	2016-01-01	19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	19
Number of participants with account balances	2016-01-01	19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	76
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	80
Total of all active and inactive participants	2015-01-01	80
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	80
Number of participants with account balances	2015-01-01	80
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	79
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	59
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	17
Total of all active and inactive participants	2014-01-01	76
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	76
Number of participants with account balances	2014-01-01	76
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	8
2013: MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	83
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	66
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	13
Total of all active and inactive participants	2013-01-01	79
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	79
Number of participants with account balances	2013-01-01	79
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	7
2012: MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	85
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	68
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	10
Total of all active and inactive participants	2012-01-01	78
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	78
Number of participants with account balances	2012-01-01	78
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	5
2011: MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	74
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	62
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	12
Total of all active and inactive participants	2011-01-01	74
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	74
Number of participants with account balances	2011-01-01	74
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	4
2009: MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	59
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	59
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	7
Total of all active and inactive participants	2009-01-01	66
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	66
Number of participants with account balances	2009-01-01	66
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	4

Financial Data on MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2017 : MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources	2017-01-31	$6,660
Expenses. Total of all expenses incurred	2017-01-31	$288,315
Benefits paid (including direct rollovers)	2017-01-31	$288,315
Total plan assets at end of year	2017-01-31	$0
Total plan assets at beginning of year	2017-01-31	$281,655
Value of fidelity bond covering the plan	2017-01-31	$500,000
Other income received	2017-01-31	$6,660
Net income (gross income less expenses)	2017-01-31	$-281,655
Net plan assets at end of year (total assets less liabilities)	2017-01-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2017-01-31	$281,655
2016 : MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$492,019
Expenses. Total of all expenses incurred	2016-12-31	$9,139,062
Benefits paid (including direct rollovers)	2016-12-31	$9,130,190
Total plan assets at end of year	2016-12-31	$281,655
Total plan assets at beginning of year	2016-12-31	$8,928,698
Value of fidelity bond covering the plan	2016-12-31	$500,000
Other income received	2016-12-31	$492,019
Net income (gross income less expenses)	2016-12-31	$-8,647,043
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$281,655
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$8,928,698
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$8,872
2015 : MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$427,898
Expenses. Total of all expenses incurred	2015-12-31	$100,206
Benefits paid (including direct rollovers)	2015-12-31	$88,512
Total plan assets at end of year	2015-12-31	$8,928,698
Total plan assets at beginning of year	2015-12-31	$8,601,006
Value of fidelity bond covering the plan	2015-12-31	$500,000
Total contributions received or receivable from participants	2015-12-31	$280,190
Other income received	2015-12-31	$-227,386
Net income (gross income less expenses)	2015-12-31	$327,692
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$8,928,698
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$8,601,006
Total contributions received or receivable from employer(s)	2015-12-31	$375,094
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$11,694
2014 : MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$1,056,822
Expenses. Total of all expenses incurred	2014-12-31	$258,658
Benefits paid (including direct rollovers)	2014-12-31	$248,811
Total plan assets at end of year	2014-12-31	$8,601,006
Total plan assets at beginning of year	2014-12-31	$7,802,842
Value of fidelity bond covering the plan	2014-12-31	$500,000
Total contributions received or receivable from participants	2014-12-31	$307,218
Contributions received from other sources (not participants or employers)	2014-12-31	$52,380
Other income received	2014-12-31	$297,582
Net income (gross income less expenses)	2014-12-31	$798,164
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$8,601,006
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$7,802,842
Total contributions received or receivable from employer(s)	2014-12-31	$399,642
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$9,847
2013 : MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$1,906,582
Expenses. Total of all expenses incurred	2013-12-31	$87,265
Benefits paid (including direct rollovers)	2013-12-31	$79,441
Total plan assets at end of year	2013-12-31	$7,802,842
Total plan assets at beginning of year	2013-12-31	$5,983,525
Value of fidelity bond covering the plan	2013-12-31	$500,000
Total contributions received or receivable from participants	2013-12-31	$310,143
Contributions received from other sources (not participants or employers)	2013-12-31	$23,511
Other income received	2013-12-31	$1,148,438
Net income (gross income less expenses)	2013-12-31	$1,819,317
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$7,802,842
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$5,983,525
Total contributions received or receivable from employer(s)	2013-12-31	$424,490
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$7,824
2012 : MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$1,357,464
Expenses. Total of all expenses incurred	2012-12-31	$339,855
Benefits paid (including direct rollovers)	2012-12-31	$332,513
Total plan assets at end of year	2012-12-31	$5,983,525
Total plan assets at beginning of year	2012-12-31	$4,965,916
Value of fidelity bond covering the plan	2012-12-31	$500,000
Total contributions received or receivable from participants	2012-12-31	$303,476
Other income received	2012-12-31	$618,729
Net income (gross income less expenses)	2012-12-31	$1,017,609
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$5,983,525
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$4,965,916
Total contributions received or receivable from employer(s)	2012-12-31	$435,259
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$7,342
2011 : MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$496,808
Expenses. Total of all expenses incurred	2011-12-31	$164,593
Benefits paid (including direct rollovers)	2011-12-31	$157,346
Total plan assets at end of year	2011-12-31	$4,965,916
Total plan assets at beginning of year	2011-12-31	$4,633,701
Value of fidelity bond covering the plan	2011-12-31	$500,000
Total contributions received or receivable from participants	2011-12-31	$256,362
Other income received	2011-12-31	$-136,343
Net income (gross income less expenses)	2011-12-31	$332,215
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$4,965,916
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$4,633,701
Total contributions received or receivable from employer(s)	2011-12-31	$376,789
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$7,247
2010 : MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$1,131,339
Expenses. Total of all expenses incurred	2010-12-31	$215,831
Benefits paid (including direct rollovers)	2010-12-31	$209,090
Total plan assets at end of year	2010-12-31	$4,633,701
Total plan assets at beginning of year	2010-12-31	$3,718,193
Value of fidelity bond covering the plan	2010-12-31	$465,000
Total contributions received or receivable from participants	2010-12-31	$240,002
Other income received	2010-12-31	$558,180
Net income (gross income less expenses)	2010-12-31	$915,508
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$4,633,701
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$3,718,193
Total contributions received or receivable from employer(s)	2010-12-31	$333,157
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$6,741

Form 5500 Responses for MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN

2017: MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	This submission is the final filing	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: MCHENRY COUNTY ORTHOPAEDICS, SC 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 – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: MCHENRY COUNTY ORTHOPAEDICS, SC 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Section 412(e)(3) insurance Contracts	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

57760

Policy instance

Insurance contract or identification number	57760
Number of Individuals Covered	79
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $33,374
Total amount of fees paid to insurance company	USD $2,929
Are there contracts with allocated funds for group deferred annuity?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $16,687
Additional information about fees paid to insurance broker	BROKER COMMISSION
Insurance broker organization code?	3
Amount paid for insurance broker fees	2929
Insurance broker name	RETIREMENT PLAN CONSULTANTS

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

57760

Policy instance

Insurance contract or identification number	57760
Number of Individuals Covered	71
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $29,736
Are there contracts with allocated funds for group deferred annuity?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $14,868
Additional information about fees paid to insurance broker	BROKER COMMISSION
Insurance broker organization code?	3
Insurance broker name	TRIAD INSURANCE INC

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

57760

Policy instance

Insurance contract or identification number	57760
Number of Individuals Covered	75
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $25,474
Are there contracts with allocated funds for group deferred annuity?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $12,737
Additional information about fees paid to insurance broker	BROKER COMMISSION
Insurance broker organization code?	3
Insurance broker name	TRIAD INSURANCE INC

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

57760

Policy instance

Insurance contract or identification number	57760
Number of Individuals Covered	75
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $20,850
Are there contracts with allocated funds for group deferred annuity?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $10,425
Additional information about fees paid to insurance broker	BROKER COMMISSION
Insurance broker organization code?	3
Insurance broker name	TRIAD INSURANCE INC

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

57760

Policy instance

Insurance contract or identification number	57760
Number of Individuals Covered	70
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $18,066
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

57760

Policy instance

Insurance contract or identification number	57760
Number of Individuals Covered	68
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $14,190
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,095
Additional information about fees paid to insurance broker	BROKER COMMISSION
Insurance broker organization code?	3
Insurance broker name	TRIAD INSURANCE INC

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Company Name:	MCHENRY COUNTY ORTHOPAEDICS, S.C.
Employer identification number (EIN):	363892041
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)