401k Plan data: EYE SPECIALISTS OF LOUISVILLE, PSC MONEY PURCHASE PENSION PLAN plan

EYE SPECIALISTS OF LOUISVILLE, PSC MONEY PURCHASE PENSION PLAN 401k Plan overview

Plan Name	EYE SPECIALISTS OF LOUISVILLE, PSC MONEY PURCHASE PENSION PLAN
Plan identification number	002

EYE SPECIALISTS OF LOUISVILLE, PSC MONEY PURCHASE PENSION PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Money purchase (other than target benefit) 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.

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 MONEY PURCHASE PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2011-01-01 HENRY KAPLAN MD 2012-09-28 HENRY KAPLAN MD 2012-09-28
002 2009-01-01 HENRY KAPLIN, MD

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2011-01-01	HENRY KAPLAN MD	2012-09-28	HENRY KAPLAN MD	2012-09-28
002	2009-01-01	HENRY KAPLIN, MD

Plan Statistics for EYE SPECIALISTS OF LOUISVILLE, PSC MONEY PURCHASE PENSION PLAN

401k plan membership statisitcs for EYE SPECIALISTS OF LOUISVILLE, PSC MONEY PURCHASE PENSION PLAN

Measure Date Value
2009: EYE SPECIALISTS OF LOUISVILLE, PSC MONEY PURCHASE PENSION 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
2009: EYE SPECIALISTS OF LOUISVILLE, PSC MONEY PURCHASE PENSION 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 MONEY PURCHASE PENSION PLAN

Measure	Date	Value
2010 : EYE SPECIALISTS OF LOUISVILLE, PSC MONEY PURCHASE PENSION PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$161,684
Expenses. Total of all expenses incurred	2010-12-31	$1,616
Benefits paid (including direct rollovers)	2010-12-31	$1,616
Total plan assets at end of year	2010-12-31	$727,072
Total plan assets at beginning of year	2010-12-31	$567,004
Value of fidelity bond covering the plan	2010-12-31	$63,000
Other income received	2010-12-31	$61,378
Net income (gross income less expenses)	2010-12-31	$160,068
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$727,072
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$567,004
Total contributions received or receivable from employer(s)	2010-12-31	$100,306
Funding deficiency by the employer to the plan for this plan year	2010-12-31	$0
Minimum employer required contribution for this plan year	2010-12-31	$100,306
Amount contributed by the employer to the plan for this plan year	2010-12-31	$100,306
2009 : EYE SPECIALISTS OF LOUISVILLE, PSC MONEY PURCHASE PENSION PLAN 2009 401k financial data
Funding deficiency by the employer to the plan for this plan year	2009-12-31	$0
Minimum employer required contribution for this plan year	2009-12-31	$117,042
Amount contributed by the employer to the plan for this plan year	2009-12-31	$117,042

Form 5500 Responses for EYE SPECIALISTS OF LOUISVILLE, PSC MONEY PURCHASE PENSION PLAN

2009: EYE SPECIALISTS OF LOUISVILLE, PSC MONEY PURCHASE PENSION 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)