401k Plan data: SPECIALIZED MEDICAL DEVICES, INC. 401(K) PLAN plan

SPECIALIZED MEDICAL DEVICES, INC. 401(K) PLAN 401k Plan overview

Plan Name	SPECIALIZED MEDICAL DEVICES, INC. 401(K) PLAN
Plan identification number	002

SPECIALIZED MEDICAL DEVICES, INC. 401(K) 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.
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

SPECIALIZED MEDICAL DEVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name: SPECIALIZED MEDICAL DEVICES, INC.

Employer identification number (EIN): 631029699

NAIC Classification: 812990
NAIC Description: All Other Personal Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SPECIALIZED MEDICAL DEVICES, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2020-01-01 LINDA KILLIAN 2021-06-30 LINDA KILLIAN 2021-06-30
002 2019-01-01 LINDA KILLIAN 2020-07-22 LINDA KILLIAN 2020-07-22
002 2018-01-01 LINDA KILLIAN 2019-10-14 LINDA KILLIAN 2019-10-14
002 2017-01-01 LINDA KILLIAN 2018-10-10 LINDA KILLIAN 2018-10-10
002 2016-01-01 LINDA KILLIAN 2017-09-27 LINDA KILLIAN 2017-09-27
002 2015-01-01 LINDA KILLIAN 2016-10-05 LINDA KILLIAN 2016-10-05
002 2014-01-01 LINDA KILLIAN 2015-08-26 LINDA KILLIAN 2015-08-26
002 2013-01-01 LINDA KILLIAN LINDA KILLIAN 2014-10-03
002 2012-01-01 LINDA L. KILLIAN LINDA L. KILLIAN 2013-09-04
002 2011-01-01 LINDA HARVISON
002 2010-01-01 LINDA HARVISON
002 2009-01-01 LINDA HARVISON LINDA HARVISON 2010-07-23

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2020-01-01	LINDA KILLIAN	2021-06-30	LINDA KILLIAN	2021-06-30
002	2019-01-01	LINDA KILLIAN	2020-07-22	LINDA KILLIAN	2020-07-22
002	2018-01-01	LINDA KILLIAN	2019-10-14	LINDA KILLIAN	2019-10-14
002	2017-01-01	LINDA KILLIAN	2018-10-10	LINDA KILLIAN	2018-10-10
002	2016-01-01	LINDA KILLIAN	2017-09-27	LINDA KILLIAN	2017-09-27
002	2015-01-01	LINDA KILLIAN	2016-10-05	LINDA KILLIAN	2016-10-05
002	2014-01-01	LINDA KILLIAN	2015-08-26	LINDA KILLIAN	2015-08-26
002	2013-01-01	LINDA KILLIAN		LINDA KILLIAN	2014-10-03
002	2012-01-01	LINDA L. KILLIAN		LINDA L. KILLIAN	2013-09-04
002	2011-01-01	LINDA HARVISON
002	2010-01-01	LINDA HARVISON
002	2009-01-01	LINDA HARVISON		LINDA HARVISON	2010-07-23

Plan Statistics for SPECIALIZED MEDICAL DEVICES, INC. 401(K) PLAN

401k plan membership statisitcs for SPECIALIZED MEDICAL DEVICES, INC. 401(K) PLAN

Measure Date Value
2013: SPECIALIZED MEDICAL DEVICES, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 19
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 29
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 6
Total of all active and inactive participants 2013-01-01 35
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 35
Number of participants with account balances 2013-01-01 22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: SPECIALIZED MEDICAL DEVICES, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 21
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 13
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 6
Total of all active and inactive participants 2012-01-01 19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 19
Number of participants with account balances 2012-01-01 19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: SPECIALIZED MEDICAL DEVICES, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 22
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 12
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 9
Total of all active and inactive participants 2011-01-01 21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 21
Number of participants with account balances 2011-01-01 21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 3
2010: SPECIALIZED MEDICAL DEVICES, INC. 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 27
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 16
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 6
Total of all active and inactive participants 2010-01-01 22
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 22
Number of participants with account balances 2010-01-01 22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 2
2009: SPECIALIZED MEDICAL DEVICES, INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 30
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 21
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 6
Total of all active and inactive participants 2009-01-01 27
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 27
Number of participants with account balances 2009-01-01 26
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 4

Measure	Date	Value
2013: SPECIALIZED MEDICAL DEVICES, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	19
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	29
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	6
Total of all active and inactive participants	2013-01-01	35
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	35
Number of participants with account balances	2013-01-01	22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: SPECIALIZED MEDICAL DEVICES, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	21
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	13
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	6
Total of all active and inactive participants	2012-01-01	19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	19
Number of participants with account balances	2012-01-01	19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: SPECIALIZED MEDICAL DEVICES, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	22
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	12
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	9
Total of all active and inactive participants	2011-01-01	21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	21
Number of participants with account balances	2011-01-01	21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	3
2010: SPECIALIZED MEDICAL DEVICES, INC. 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	27
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	16
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	6
Total of all active and inactive participants	2010-01-01	22
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	22
Number of participants with account balances	2010-01-01	22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	2
2009: SPECIALIZED MEDICAL DEVICES, INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	30
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	21
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	6
Total of all active and inactive participants	2009-01-01	27
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	27
Number of participants with account balances	2009-01-01	26
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	4

Financial Data on SPECIALIZED MEDICAL DEVICES, INC. 401(K) PLAN

Measure	Date	Value
2013 : SPECIALIZED MEDICAL DEVICES, INC. 401(K) PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$171,944
Expenses. Total of all expenses incurred	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$823,565
Total plan assets at beginning of year	2013-12-31	$651,621
Value of fidelity bond covering the plan	2013-12-31	$30,000
Total contributions received or receivable from participants	2013-12-31	$42,156
Other income received	2013-12-31	$92,395
Net income (gross income less expenses)	2013-12-31	$171,944
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$823,565
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$651,621
Total contributions received or receivable from employer(s)	2013-12-31	$37,393
2012 : SPECIALIZED MEDICAL DEVICES, INC. 401(K) PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$120,413
Expenses. Total of all expenses incurred	2012-12-31	$16,302
Benefits paid (including direct rollovers)	2012-12-31	$16,302
Total plan assets at end of year	2012-12-31	$651,621
Total plan assets at beginning of year	2012-12-31	$547,510
Value of fidelity bond covering the plan	2012-12-31	$30,000
Total contributions received or receivable from participants	2012-12-31	$37,637
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$48,804
Net income (gross income less expenses)	2012-12-31	$104,111
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$651,621
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$547,510
Total contributions received or receivable from employer(s)	2012-12-31	$33,972
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$0
2011 : SPECIALIZED MEDICAL DEVICES, INC. 401(K) PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$62,552
Expenses. Total of all expenses incurred	2011-12-31	$30,137
Benefits paid (including direct rollovers)	2011-12-31	$30,137
Total plan assets at end of year	2011-12-31	$547,510
Total plan assets at beginning of year	2011-12-31	$515,095
Value of fidelity bond covering the plan	2011-12-31	$30,000
Total contributions received or receivable from participants	2011-12-31	$37,480
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-9,089
Net income (gross income less expenses)	2011-12-31	$32,415
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$547,510
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$515,095
Total contributions received or receivable from employer(s)	2011-12-31	$34,161
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	$0
2010 : SPECIALIZED MEDICAL DEVICES, INC. 401(K) PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$134,230
Expenses. Total of all expenses incurred	2010-12-31	$59,322
Benefits paid (including direct rollovers)	2010-12-31	$59,322
Total plan assets at end of year	2010-12-31	$515,095
Total plan assets at beginning of year	2010-12-31	$440,187
Value of fidelity bond covering the plan	2010-12-31	$30,000
Total contributions received or receivable from participants	2010-12-31	$42,075
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$53,567
Net income (gross income less expenses)	2010-12-31	$74,908
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$515,095
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$440,187
Total contributions received or receivable from employer(s)	2010-12-31	$38,588
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$0

Form 5500 Responses for SPECIALIZED MEDICAL DEVICES, INC. 401(K) PLAN

2013: SPECIALIZED MEDICAL DEVICES, INC. 401(K) 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: SPECIALIZED MEDICAL DEVICES, INC. 401(K) 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: SPECIALIZED MEDICAL DEVICES, INC. 401(K) 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
2010: SPECIALIZED MEDICAL DEVICES, INC. 401(K) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: SPECIALIZED MEDICAL DEVICES, INC. 401(K) 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:	SPECIALIZED MEDICAL DEVICES, INC.
Employer identification number (EIN):	631029699
NAIC Classification:	812990
NAIC Description:	All Other Personal Services