401k Plan data: PLASTIC & COSMETIC SURGEONS, P.A. PROFIT SHARING AND TRUST plan

PLASTIC & COSMETIC SURGEONS, P.A. PROFIT SHARING AND TRUST 401k Plan overview

Plan Name	PLASTIC & COSMETIC SURGEONS, P.A. PROFIT SHARING AND TRUST
Plan identification number	002

PLASTIC & COSMETIC SURGEONS, P.A. PROFIT SHARING AND TRUST 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.
Participant-directed brokerage accounts provided as an investment option under the plan.

401k Sponsoring company profile

PLASTIC & COSMETIC SURGEONS, P.A. has sponsored the creation of one or more 401k plans.

Company Name: PLASTIC & COSMETIC SURGEONS, P.A.

Employer identification number (EIN): 521002930

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PLASTIC & COSMETIC SURGEONS, P.A. PROFIT SHARING AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2015-09-01 JOSEPH ORLANDO, M.D. 2016-11-17
002 2014-09-01 JOSEPH ORLANDO, M.D. 2016-02-16
002 2013-09-01 JOSEPH ORLANDO, M.D. 2015-06-23
002 2011-09-01 PHILIP HUBER

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2015-09-01	JOSEPH ORLANDO, M.D.	2016-11-17
002	2014-09-01	JOSEPH ORLANDO, M.D.	2016-02-16
002	2013-09-01	JOSEPH ORLANDO, M.D.	2015-06-23
002	2011-09-01	PHILIP HUBER

Plan Statistics for PLASTIC & COSMETIC SURGEONS, P.A. PROFIT SHARING AND TRUST

401k plan membership statisitcs for PLASTIC & COSMETIC SURGEONS, P.A. PROFIT SHARING AND TRUST

Measure Date Value
2011: PLASTIC & COSMETIC SURGEONS, P.A. PROFIT SHARING AND TRUST 2011 401k membership
Total participants, beginning-of-year 2011-09-01 12
Total number of active participants reported on line 7a of the Form 5500 2011-09-01 6
Number of other retired or separated participants entitled to future benefits 2011-09-01 5
Total of all active and inactive participants 2011-09-01 11
Total participants 2011-09-01 11
Number of participants with account balances 2011-09-01 11

Measure	Date	Value
2011: PLASTIC & COSMETIC SURGEONS, P.A. PROFIT SHARING AND TRUST 2011 401k membership
Total participants, beginning-of-year	2011-09-01	12
Total number of active participants reported on line 7a of the Form 5500	2011-09-01	6
Number of other retired or separated participants entitled to future benefits	2011-09-01	5
Total of all active and inactive participants	2011-09-01	11
Total participants	2011-09-01	11
Number of participants with account balances	2011-09-01	11

Financial Data on PLASTIC & COSMETIC SURGEONS, P.A. PROFIT SHARING AND TRUST

Measure	Date	Value
2012 : PLASTIC & COSMETIC SURGEONS, P.A. PROFIT SHARING AND TRUST 2012 401k financial data
Total income from all sources	2012-08-31	$103,171
Expenses. Total of all expenses incurred	2012-08-31	$978
Benefits paid (including direct rollovers)	2012-08-31	$978
Total plan assets at end of year	2012-08-31	$662,473
Total plan assets at beginning of year	2012-08-31	$560,280
Value of fidelity bond covering the plan	2012-08-31	$150,000
Total contributions received or receivable from participants	2012-08-31	$22,938
Other income received	2012-08-31	$38,473
Net income (gross income less expenses)	2012-08-31	$102,193
Net plan assets at end of year (total assets less liabilities)	2012-08-31	$662,473
Net plan assets at beginning of year (total assets less liabilities)	2012-08-31	$560,280
Assets. Value of participant loans	2012-08-31	$4,670
Total contributions received or receivable from employer(s)	2012-08-31	$41,760
Minimum employer required contribution for this plan year	2012-08-31	$0
Amount contributed by the employer to the plan for this plan year	2012-08-31	$0

Form 5500 Responses for PLASTIC & COSMETIC SURGEONS, P.A. PROFIT SHARING AND TRUST

2011: PLASTIC & COSMETIC SURGEONS, P.A. PROFIT SHARING AND TRUST 2011 form 5500 responses
2011-09-01	Type of plan entity	Single employer plan
2011-09-01	Submission has been amended	No
2011-09-01	This submission is the final filing	No
2011-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-09-01	Plan is a collectively bargained plan	No
2011-09-01	Plan funding arrangement – Insurance	Yes
2011-09-01	Plan funding arrangement – Trust	Yes
2011-09-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

22483

Policy instance

Insurance contract or identification number	22483
Number of Individuals Covered	11
Insurance policy start date	2011-09-01
Insurance policy end date	2012-08-31
Total amount of fees paid to insurance company	USD $1,743
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

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Company Name:	PLASTIC & COSMETIC SURGEONS, P.A.
Employer identification number (EIN):	521002930
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)