401k Plan data: NORTHERN ILLINOIS PLASTIC SURGERY CONSULTANTS, LTD. PROFIT SHARING PLAN plan

NORTHERN ILLINOIS PLASTIC SURGERY CONSULTANTS, LTD. PROFIT SHARING PLAN 401k Plan overview

Plan Name	NORTHERN ILLINOIS PLASTIC SURGERY CONSULTANTS, LTD. PROFIT SHARING PLAN
Plan identification number	002

NORTHERN ILLINOIS PLASTIC SURGERY CONSULTANTS, LTD. PROFIT SHARING 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.
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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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) received services of leased employees, as defined in Code section 414(n), during the plan year.

401k Sponsoring company profile

NORTHERN ILLINOIS PLASTIC SURGERY CONSULTANTS, LTD. has sponsored the creation of one or more 401k plans.

Company Name: NORTHERN ILLINOIS PLASTIC SURGERY CONSULTANTS, LTD.

Employer identification number (EIN): 364395016

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTHERN ILLINOIS PLASTIC SURGERY CONSULTANTS, LTD. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2016-01-01 RICHARD KOPOLOVIC 2016-10-23 RICHARD KOPOLOVIC 2016-10-23
002 2015-01-01 RICHARD KOPOLOVIC 2016-04-16 RICHARD KOPOLOVIC 2016-04-16
002 2014-01-01 RICHARD KOPOLOVIC RICHARD KOPOLOVIC 2015-08-28
002 2013-01-01 RICHARD KOPOLOVIC RICHARD KOPOLOVIC 2014-06-24
002 2012-01-01 RICHARD KOPOLOVIC RICHARD KOPOLOVIC 2013-10-01
002 2011-01-01 RICHARD KOPOLOVIC RICHARD KOPOLOVIC 2012-07-19
002 2009-01-01 RICHARD KOPOLOVIC RICHARD KOPOLOVIC 2010-08-27

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2016-01-01	RICHARD KOPOLOVIC	2016-10-23	RICHARD KOPOLOVIC	2016-10-23
002	2015-01-01	RICHARD KOPOLOVIC	2016-04-16	RICHARD KOPOLOVIC	2016-04-16
002	2014-01-01	RICHARD KOPOLOVIC		RICHARD KOPOLOVIC	2015-08-28
002	2013-01-01	RICHARD KOPOLOVIC		RICHARD KOPOLOVIC	2014-06-24
002	2012-01-01	RICHARD KOPOLOVIC		RICHARD KOPOLOVIC	2013-10-01
002	2011-01-01	RICHARD KOPOLOVIC		RICHARD KOPOLOVIC	2012-07-19
002	2009-01-01	RICHARD KOPOLOVIC		RICHARD KOPOLOVIC	2010-08-27

Plan Statistics for NORTHERN ILLINOIS PLASTIC SURGERY CONSULTANTS, LTD. PROFIT SHARING PLAN

401k plan membership statisitcs for NORTHERN ILLINOIS PLASTIC SURGERY CONSULTANTS, LTD. PROFIT SHARING PLAN

Measure Date Value
2014: NORTHERN ILLINOIS PLASTIC SURGERY CONSULTANTS, LTD. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 3
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 1
Total of all active and inactive participants 2014-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 4
Number of participants with account balances 2014-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: NORTHERN ILLINOIS PLASTIC SURGERY CONSULTANTS, LTD. 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 3
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 0
Total of all active and inactive participants 2013-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 3
Number of participants with account balances 2013-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: NORTHERN ILLINOIS PLASTIC SURGERY CONSULTANTS, LTD. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 3
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 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: NORTHERN ILLINOIS PLASTIC SURGERY CONSULTANTS, LTD. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 3
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 0
Total of all active and inactive participants 2011-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 3
Number of participants with account balances 2011-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: NORTHERN ILLINOIS PLASTIC SURGERY CONSULTANTS, LTD. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 3
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 0
Total of all active and inactive participants 2009-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 3
Number of participants with account balances 2009-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2014: NORTHERN ILLINOIS PLASTIC SURGERY CONSULTANTS, LTD. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	3
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	1
Total of all active and inactive participants	2014-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	4
Number of participants with account balances	2014-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: NORTHERN ILLINOIS PLASTIC SURGERY CONSULTANTS, LTD. 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	3
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	0
Total of all active and inactive participants	2013-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	3
Number of participants with account balances	2013-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: NORTHERN ILLINOIS PLASTIC SURGERY CONSULTANTS, LTD. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	3
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	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: NORTHERN ILLINOIS PLASTIC SURGERY CONSULTANTS, LTD. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	3
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	0
Total of all active and inactive participants	2011-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	3
Number of participants with account balances	2011-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: NORTHERN ILLINOIS PLASTIC SURGERY CONSULTANTS, LTD. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	3
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	0
Total of all active and inactive participants	2009-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	3
Number of participants with account balances	2009-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on NORTHERN ILLINOIS PLASTIC SURGERY CONSULTANTS, LTD. PROFIT SHARING PLAN

Measure	Date	Value
2014 : NORTHERN ILLINOIS PLASTIC SURGERY CONSULTANTS, LTD. PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$133,700
Expenses. Total of all expenses incurred	2014-12-31	$13,233
Total plan assets at end of year	2014-12-31	$2,529,371
Total plan assets at beginning of year	2014-12-31	$2,408,904
Value of fidelity bond covering the plan	2014-12-31	$260,000
Total contributions received or receivable from participants	2014-12-31	$28,747
Expenses. Other expenses not covered elsewhere	2014-12-31	$0
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$95,453
Net income (gross income less expenses)	2014-12-31	$120,467
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$2,529,371
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$2,408,904
Total contributions received or receivable from employer(s)	2014-12-31	$9,500
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$13,233
2013 : NORTHERN ILLINOIS PLASTIC SURGERY CONSULTANTS, LTD. PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$429,248
Expenses. Total of all expenses incurred	2013-12-31	$11,565
Total plan assets at end of year	2013-12-31	$2,408,904
Total plan assets at beginning of year	2013-12-31	$1,991,221
Value of fidelity bond covering the plan	2013-12-31	$220,000
Total contributions received or receivable from participants	2013-12-31	$46,000
Expenses. Other expenses not covered elsewhere	2013-12-31	$0
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$353,248
Net income (gross income less expenses)	2013-12-31	$417,683
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$2,408,904
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,991,221
Total contributions received or receivable from employer(s)	2013-12-31	$30,000
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$11,565
2012 : NORTHERN ILLINOIS PLASTIC SURGERY CONSULTANTS, LTD. PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$324,384
Expenses. Total of all expenses incurred	2012-12-31	$10,009
Total plan assets at end of year	2012-12-31	$1,991,221
Total plan assets at beginning of year	2012-12-31	$1,676,846
Value of fidelity bond covering the plan	2012-12-31	$220,000
Total contributions received or receivable from participants	2012-12-31	$45,000
Expenses. Other expenses not covered elsewhere	2012-12-31	$0
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$238,116
Net income (gross income less expenses)	2012-12-31	$314,375
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,991,221
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,676,846
Total contributions received or receivable from employer(s)	2012-12-31	$41,268
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$10,009
2011 : NORTHERN ILLINOIS PLASTIC SURGERY CONSULTANTS, LTD. PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$48,703
Expenses. Total of all expenses incurred	2011-12-31	$8,709
Benefits paid (including direct rollovers)	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$1,676,846
Total plan assets at beginning of year	2011-12-31	$1,636,852
Value of fidelity bond covering the plan	2011-12-31	$180,000
Total contributions received or receivable from participants	2011-12-31	$44,000
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-31,851
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$39,994
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,676,846
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,636,852
Total contributions received or receivable from employer(s)	2011-12-31	$36,554
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$8,709
2010 : NORTHERN ILLINOIS PLASTIC SURGERY CONSULTANTS, LTD. PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$246,576
Expenses. Total of all expenses incurred	2010-12-31	$7,462
Total plan assets at end of year	2010-12-31	$1,636,852
Total plan assets at beginning of year	2010-12-31	$1,397,738
Value of fidelity bond covering the plan	2010-12-31	$50,000
Total contributions received or receivable from participants	2010-12-31	$22,000
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$185,769
Net income (gross income less expenses)	2010-12-31	$239,114
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,636,852
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,397,738
Total contributions received or receivable from employer(s)	2010-12-31	$38,807
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$7,462

Form 5500 Responses for NORTHERN ILLINOIS PLASTIC SURGERY CONSULTANTS, LTD. PROFIT SHARING PLAN

2014: NORTHERN ILLINOIS PLASTIC SURGERY CONSULTANTS, LTD. PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: NORTHERN ILLINOIS PLASTIC SURGERY CONSULTANTS, LTD. PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: NORTHERN ILLINOIS PLASTIC SURGERY CONSULTANTS, LTD. 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	No
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: NORTHERN ILLINOIS PLASTIC SURGERY CONSULTANTS, LTD. 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: NORTHERN ILLINOIS PLASTIC SURGERY CONSULTANTS, LTD. 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:	NORTHERN ILLINOIS PLASTIC SURGERY CONSULTANTS, LTD.
Employer identification number (EIN):	364395016
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)