401k Plan data: SURGICAL ASSOCIATES OF WEST MICHIGAN, PC 401(K) PROFIT SHARING PLAN plan

SURGICAL ASSOCIATES OF WEST MICHIGAN, PC 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	SURGICAL ASSOCIATES OF WEST MICHIGAN, PC 401(K) PROFIT SHARING PLAN
Plan identification number	001

SURGICAL ASSOCIATES OF WEST MICHIGAN, PC 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.
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

SURGICAL ASSOCIATES OF WEST MICHIGAN PC has sponsored the creation of one or more 401k plans.

Company Name: SURGICAL ASSOCIATES OF WEST MICHIGAN PC

Employer identification number (EIN): 383283434

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SURGICAL ASSOCIATES OF WEST MICHIGAN, PC 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 MICHAEL TOMASZCZYK
001 2014-01-01 MICHAEL TOMASZCZYK
001 2013-01-01 MICHAEL TOMASZCZYK
001 2012-01-01 DOUGLAS ZWEMER, MD
001 2011-01-01 DOUGLAS ZWEMER, MD
001 2009-01-01 DOUGLAS ZWEMER, MD

Plan id#	Filing Submission Date	Name of Administrator
001	2015-01-01	MICHAEL TOMASZCZYK
001	2014-01-01	MICHAEL TOMASZCZYK
001	2013-01-01	MICHAEL TOMASZCZYK
001	2012-01-01	DOUGLAS ZWEMER, MD
001	2011-01-01	DOUGLAS ZWEMER, MD
001	2009-01-01	DOUGLAS ZWEMER, MD

Plan Statistics for SURGICAL ASSOCIATES OF WEST MICHIGAN, PC 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for SURGICAL ASSOCIATES OF WEST MICHIGAN, PC 401(K) PROFIT SHARING PLAN

Measure Date Value
2015: SURGICAL ASSOCIATES OF WEST MICHIGAN, PC 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 5
Number of retired or separated participants receiving benefits 2015-01-01 5
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 10
Number of participants with account balances 2015-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: SURGICAL ASSOCIATES OF WEST MICHIGAN, PC 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 6
Number of retired or separated participants receiving benefits 2014-01-01 4
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 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 10
Number of participants with account balances 2014-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: SURGICAL ASSOCIATES OF WEST MICHIGAN, PC 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 6
Number of retired or separated participants receiving benefits 2013-01-01 4
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 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 10
Number of participants with account balances 2013-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: SURGICAL ASSOCIATES OF WEST MICHIGAN, PC 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 5
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 5
Total of all active and inactive participants 2012-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 10
Number of participants with account balances 2012-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: SURGICAL ASSOCIATES OF WEST MICHIGAN, PC 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 7
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 3
Total of all active and inactive participants 2011-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 10
Number of participants with account balances 2011-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: SURGICAL ASSOCIATES OF WEST MICHIGAN, PC 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 9
Number of retired or separated participants receiving benefits 2009-01-01 1
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 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 10
Number of participants with account balances 2009-01-01 10

Measure	Date	Value
2015: SURGICAL ASSOCIATES OF WEST MICHIGAN, PC 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	5
Number of retired or separated participants receiving benefits	2015-01-01	5
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	10
Number of participants with account balances	2015-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: SURGICAL ASSOCIATES OF WEST MICHIGAN, PC 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	6
Number of retired or separated participants receiving benefits	2014-01-01	4
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	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	10
Number of participants with account balances	2014-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: SURGICAL ASSOCIATES OF WEST MICHIGAN, PC 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	6
Number of retired or separated participants receiving benefits	2013-01-01	4
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	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	10
Number of participants with account balances	2013-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: SURGICAL ASSOCIATES OF WEST MICHIGAN, PC 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	5
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	5
Total of all active and inactive participants	2012-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	10
Number of participants with account balances	2012-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: SURGICAL ASSOCIATES OF WEST MICHIGAN, PC 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	7
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	3
Total of all active and inactive participants	2011-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	10
Number of participants with account balances	2011-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: SURGICAL ASSOCIATES OF WEST MICHIGAN, PC 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	9
Number of retired or separated participants receiving benefits	2009-01-01	1
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	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	10
Number of participants with account balances	2009-01-01	10

Financial Data on SURGICAL ASSOCIATES OF WEST MICHIGAN, PC 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2015 : SURGICAL ASSOCIATES OF WEST MICHIGAN, PC 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$40,268
Total plan assets at end of year	2015-12-31	$1,518,001
Total plan assets at beginning of year	2015-12-31	$1,477,733
Value of fidelity bond covering the plan	2015-12-31	$150,000
Total contributions received or receivable from participants	2015-12-31	$51,536
Other income received	2015-12-31	$-19,323
Net income (gross income less expenses)	2015-12-31	$40,268
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,518,001
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,477,733
Assets. Value of participant loans	2015-12-31	$7,589
Assets. Value of real-estate (other than employer real property)	2015-12-31	$755,785
Total contributions received or receivable from employer(s)	2015-12-31	$8,055
2014 : SURGICAL ASSOCIATES OF WEST MICHIGAN, PC 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$75,514
Total plan assets at end of year	2014-12-31	$1,477,733
Total plan assets at beginning of year	2014-12-31	$1,402,219
Value of fidelity bond covering the plan	2014-12-31	$135,000
Total contributions received or receivable from participants	2014-12-31	$53,050
Other income received	2014-12-31	$10,924
Net income (gross income less expenses)	2014-12-31	$75,514
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,477,733
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,402,219
Assets. Value of participant loans	2014-12-31	$18,812
Assets. Value of real-estate (other than employer real property)	2014-12-31	$707,785
Total contributions received or receivable from employer(s)	2014-12-31	$11,540
2013 : SURGICAL ASSOCIATES OF WEST MICHIGAN, PC 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$153,722
Total plan assets at end of year	2013-12-31	$1,402,219
Total plan assets at beginning of year	2013-12-31	$1,248,497
Total contributions received or receivable from participants	2013-12-31	$61,949
Other income received	2013-12-31	$76,415
Net income (gross income less expenses)	2013-12-31	$153,722
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,402,219
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,248,497
Assets. Value of participant loans	2013-12-31	$17,757
Assets. Value of real-estate (other than employer real property)	2013-12-31	$661,785
Total contributions received or receivable from employer(s)	2013-12-31	$15,358
2012 : SURGICAL ASSOCIATES OF WEST MICHIGAN, PC 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$79,234
Total plan assets at end of year	2012-12-31	$1,248,497
Total plan assets at beginning of year	2012-12-31	$1,169,263
Total contributions received or receivable from participants	2012-12-31	$17,421
Other income received	2012-12-31	$43,234
Net income (gross income less expenses)	2012-12-31	$79,234
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,248,497
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,169,263
Assets. Value of participant loans	2012-12-31	$17,757
Assets. Value of real-estate (other than employer real property)	2012-12-31	$614,255
Total contributions received or receivable from employer(s)	2012-12-31	$18,579
2011 : SURGICAL ASSOCIATES OF WEST MICHIGAN, PC 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$93,177
Total plan assets at end of year	2011-12-31	$1,169,263
Total plan assets at beginning of year	2011-12-31	$1,076,086
Total contributions received or receivable from participants	2011-12-31	$59,284
Other income received	2011-12-31	$16,955
Net income (gross income less expenses)	2011-12-31	$93,177
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,169,263
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,076,086
Assets. Value of participant loans	2011-12-31	$26,304
Assets. Value of real-estate (other than employer real property)	2011-12-31	$614,255
Total contributions received or receivable from employer(s)	2011-12-31	$16,938
2010 : SURGICAL ASSOCIATES OF WEST MICHIGAN, PC 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$33,572
Expenses. Total of all expenses incurred	2010-12-31	$14,161
Benefits paid (including direct rollovers)	2010-12-31	$14,161
Total plan assets at end of year	2010-12-31	$1,076,086
Total plan assets at beginning of year	2010-12-31	$1,056,675
Total contributions received or receivable from participants	2010-12-31	$59,733
Other income received	2010-12-31	$-44,937
Net income (gross income less expenses)	2010-12-31	$19,411
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,076,086
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,056,675
Assets. Value of participant loans	2010-12-31	$10,298
Assets. Value of real-estate (other than employer real property)	2010-12-31	$570,255
Total contributions received or receivable from employer(s)	2010-12-31	$18,776

Form 5500 Responses for SURGICAL ASSOCIATES OF WEST MICHIGAN, PC 401(K) PROFIT SHARING PLAN

2015: SURGICAL ASSOCIATES OF WEST MICHIGAN, PC 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 – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: SURGICAL ASSOCIATES OF WEST MICHIGAN, PC 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 – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: SURGICAL ASSOCIATES OF WEST MICHIGAN, PC 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 – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: SURGICAL ASSOCIATES OF WEST MICHIGAN, PC 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 – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: SURGICAL ASSOCIATES OF WEST MICHIGAN, PC 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
2009: SURGICAL ASSOCIATES OF WEST MICHIGAN, PC 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 – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	SURGICAL ASSOCIATES OF WEST MICHIGAN PC
Employer identification number (EIN):	383283434
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)