401k Plan data: EYE SPECIALISTS OF LOUISVILLE, PSC PROFIT SHARING PLAN plan

EYE SPECIALISTS OF LOUISVILLE, PSC PROFIT SHARING PLAN 401k Plan overview

Plan Name	EYE SPECIALISTS OF LOUISVILLE, PSC PROFIT SHARING PLAN
Plan identification number	001

EYE SPECIALISTS OF LOUISVILLE, PSC 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.
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

EYE SPECIALISTS OF LOUISVILLE, PSC has sponsored the creation of one or more 401k plans.

Company Name: EYE SPECIALISTS OF LOUISVILLE, PSC

Employer identification number (EIN): 611327258

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EYE SPECIALISTS OF LOUISVILLE, PSC PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2013-01-01 HENRY KAPLAN MD 2013-12-19 HENRY KAPLAN MD 2013-12-19
001 2012-01-01 HENRY KAPLAN MD 2013-03-08 HENRY KAPLAN MD 2013-03-08
001 2011-01-01 HENRY KAPLAN MD 2012-09-28 HENRY KAPLAN MD 2012-09-28
001 2010-01-01 HENRY KAPLAN, MD
001 2009-01-01 HENRY KAPLIN, MD

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2013-01-01	HENRY KAPLAN MD	2013-12-19	HENRY KAPLAN MD	2013-12-19
001	2012-01-01	HENRY KAPLAN MD	2013-03-08	HENRY KAPLAN MD	2013-03-08
001	2011-01-01	HENRY KAPLAN MD	2012-09-28	HENRY KAPLAN MD	2012-09-28
001	2010-01-01	HENRY KAPLAN, MD
001	2009-01-01	HENRY KAPLIN, MD

Plan Statistics for EYE SPECIALISTS OF LOUISVILLE, PSC PROFIT SHARING PLAN

401k plan membership statisitcs for EYE SPECIALISTS OF LOUISVILLE, PSC PROFIT SHARING PLAN

Measure Date Value
2010: EYE SPECIALISTS OF LOUISVILLE, PSC PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 19
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 13
Number of other retired or separated participants entitled to future benefits 2010-01-01 3
Total of all active and inactive participants 2010-01-01 16
Total participants 2010-01-01 16
Number of participants with account balances 2010-01-01 16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 1
2009: EYE SPECIALISTS OF LOUISVILLE, PSC PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 16
Number of other retired or separated participants entitled to future benefits 2009-01-01 3
Total of all active and inactive participants 2009-01-01 19
Total participants 2009-01-01 19
Number of participants with account balances 2009-01-01 19
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: EYE SPECIALISTS OF LOUISVILLE, PSC PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	19
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	13
Number of other retired or separated participants entitled to future benefits	2010-01-01	3
Total of all active and inactive participants	2010-01-01	16
Total participants	2010-01-01	16
Number of participants with account balances	2010-01-01	16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	1
2009: EYE SPECIALISTS OF LOUISVILLE, PSC PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	16
Number of other retired or separated participants entitled to future benefits	2009-01-01	3
Total of all active and inactive participants	2009-01-01	19
Total participants	2009-01-01	19
Number of participants with account balances	2009-01-01	19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on EYE SPECIALISTS OF LOUISVILLE, PSC PROFIT SHARING PLAN

Measure	Date	Value
2010 : EYE SPECIALISTS OF LOUISVILLE, PSC PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$17,735
Expenses. Total of all expenses incurred	2010-12-31	$212
Benefits paid (including direct rollovers)	2010-12-31	$212
Total plan assets at end of year	2010-12-31	$78,288
Total plan assets at beginning of year	2010-12-31	$60,765
Value of fidelity bond covering the plan	2010-12-31	$63,000
Other income received	2010-12-31	$6,586
Net income (gross income less expenses)	2010-12-31	$17,523
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$78,288
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$60,765
Total contributions received or receivable from employer(s)	2010-12-31	$11,149

Form 5500 Responses for EYE SPECIALISTS OF LOUISVILLE, PSC PROFIT SHARING PLAN

2010: EYE SPECIALISTS OF LOUISVILLE, PSC PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: EYE SPECIALISTS OF LOUISVILLE, PSC PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	EYE SPECIALISTS OF LOUISVILLE, PSC
Employer identification number (EIN):	611327258
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)