401k Plan data: FIRST HEALTH ASSOCIATES, S.C. 401(K) PLAN plan

FIRST HEALTH ASSOCIATES, S.C. 401(K) PLAN 401k Plan overview

Plan Name	FIRST HEALTH ASSOCIATES, S.C. 401(K) PLAN
Plan identification number	001

FIRST HEALTH ASSOCIATES, S.C. 401(K) PLAN Benefits

401k Plan Type

Defined 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.
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.

401k Sponsoring company profile

FIRST HEALTH ASSOCIATES, S.C. has sponsored the creation of one or more 401k plans.

Company Name: FIRST HEALTH ASSOCIATES, S.C.

Employer identification number (EIN): 364311220

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FIRST HEALTH ASSOCIATES, S.C. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2010-01-01 PAUL KOLASKI
001 2009-01-01 PAUL KOLASKI
001 2009-01-01 PAUL KOLASKI 2010-05-26

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2010-01-01	PAUL KOLASKI
001	2009-01-01	PAUL KOLASKI
001	2009-01-01		PAUL KOLASKI	2010-05-26

Plan Statistics for FIRST HEALTH ASSOCIATES, S.C. 401(K) PLAN

401k plan membership statisitcs for FIRST HEALTH ASSOCIATES, S.C. 401(K) PLAN

Measure Date Value
2010: FIRST HEALTH ASSOCIATES, S.C. 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 0
Number of participants with account balances 2010-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: FIRST HEALTH ASSOCIATES, S.C. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 7
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 2
Total of all active and inactive participants 2009-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 9
Number of participants with account balances 2009-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2010: FIRST HEALTH ASSOCIATES, S.C. 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	0
Number of participants with account balances	2010-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: FIRST HEALTH ASSOCIATES, S.C. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	7
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	2
Total of all active and inactive participants	2009-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	9
Number of participants with account balances	2009-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on FIRST HEALTH ASSOCIATES, S.C. 401(K) PLAN

Measure	Date	Value
2010 : FIRST HEALTH ASSOCIATES, S.C. 401(K) PLAN 2010 401k financial data
Total income from all sources	2010-02-10	$-33
Expenses. Total of all expenses incurred	2010-02-10	$892
Benefits paid (including direct rollovers)	2010-02-10	$892
Total plan assets at end of year	2010-02-10	$0
Total plan assets at beginning of year	2010-02-10	$925
Other income received	2010-02-10	$-33
Net income (gross income less expenses)	2010-02-10	$-925
Net plan assets at end of year (total assets less liabilities)	2010-02-10	$0
Net plan assets at beginning of year (total assets less liabilities)	2010-02-10	$925
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-02-10	$0
2009 : FIRST HEALTH ASSOCIATES, S.C. 401(K) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for FIRST HEALTH ASSOCIATES, S.C. 401(K) PLAN

2010: FIRST HEALTH ASSOCIATES, S.C. 401(K) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
2010-01-01	This submission is the final filing	Yes
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: FIRST HEALTH ASSOCIATES, S.C. 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
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 funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	FIRST HEALTH ASSOCIATES, S.C.
Employer identification number (EIN):	364311220
NAIC Classification:	621399
NAIC Description:	Offices of All Other Miscellaneous Health Practitioners