401k Plan data: VETERINARY SURGICAL ASSOCIATES 401(K) PROFIT SHARING PLAN plan

VETERINARY SURGICAL ASSOCIATES 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	VETERINARY SURGICAL ASSOCIATES 401(K) PROFIT SHARING PLAN
Plan identification number	001

VETERINARY SURGICAL ASSOCIATES 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
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.
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.
Plan covering Self-Employed individuals.
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

VETERINARY SURGICAL ASSOCIATES has sponsored the creation of one or more 401k plans.

Company Name: VETERINARY SURGICAL ASSOCIATES

Employer identification number (EIN): 680277014

NAIC Classification: 621399
NAIC Description: Offices of All Other Miscellaneous Health Practitioners

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VETERINARY SURGICAL ASSOCIATES 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2011-01-01 JULIE SMITH, DVM JULIE SMITH, DVM 2012-10-10
001 2009-01-01 JULIE SMITH, DVM JULIE SMITH, DVM 2010-10-12

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2011-01-01	JULIE SMITH, DVM		JULIE SMITH, DVM	2012-10-10
001	2009-01-01	JULIE SMITH, DVM		JULIE SMITH, DVM	2010-10-12

Plan Statistics for VETERINARY SURGICAL ASSOCIATES 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for VETERINARY SURGICAL ASSOCIATES 401(K) PROFIT SHARING PLAN

Measure Date Value
2011: VETERINARY SURGICAL ASSOCIATES 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 205
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 161
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 42
Total of all active and inactive participants 2011-01-01 203
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 203
Number of participants with account balances 2011-01-01 203
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 12
2009: VETERINARY SURGICAL ASSOCIATES 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 174
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 169
Number of retired or separated participants receiving benefits 2009-01-01 28
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 197
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 197
Number of participants with account balances 2009-01-01 197
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 3

Measure	Date	Value
2011: VETERINARY SURGICAL ASSOCIATES 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	205
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	161
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	42
Total of all active and inactive participants	2011-01-01	203
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	203
Number of participants with account balances	2011-01-01	203
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	12
2009: VETERINARY SURGICAL ASSOCIATES 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	174
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	169
Number of retired or separated participants receiving benefits	2009-01-01	28
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	197
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	197
Number of participants with account balances	2009-01-01	197
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	3

Financial Data on VETERINARY SURGICAL ASSOCIATES 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2011 : VETERINARY SURGICAL ASSOCIATES 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$1,180,913
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$330,444
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$310,302
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$1,287,704
Value of total assets at end of year	2011-12-31	$8,779,342
Value of total assets at beginning of year	2011-12-31	$7,928,873
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$20,142
Total interest from all sources	2011-12-31	$1,588
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$166,428
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$166,428
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$708,164
Participant contributions at end of year	2011-12-31	$100,708
Participant contributions at beginning of year	2011-12-31	$35,464
Participant contributions at beginning of year	2011-12-31	$60,500
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$15,682
Administrative expenses (other) incurred	2011-12-31	$20,142
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$850,469
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$8,779,342
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$7,928,873
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$8,120,401
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$7,240,621
Interest on participant loans	2011-12-31	$1,588
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-274,807
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$563,858
Employer contributions (assets) at end of year	2011-12-31	$558,233
Employer contributions (assets) at beginning of year	2011-12-31	$592,288
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$310,302
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-12-31	No
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	GLENN BIALIK CPA
Accountancy firm EIN	2011-12-31	208369902
2010 : VETERINARY SURGICAL ASSOCIATES 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$2,097,579
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$958,553
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$935,920
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$1,263,129
Value of total assets at end of year	2010-12-31	$7,928,873
Value of total assets at beginning of year	2010-12-31	$6,789,847
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$22,633
Total interest from all sources	2010-12-31	$752
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$658,864
Participant contributions at end of year	2010-12-31	$35,464
Participant contributions at end of year	2010-12-31	$60,500
Participant contributions at beginning of year	2010-12-31	$261,169
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$11,977
Administrative expenses (other) incurred	2010-12-31	$22,633
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Income. Non cash contributions	2010-12-31	$0
Value of net income/loss	2010-12-31	$1,139,026
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$7,928,873
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$6,789,847
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$7,240,621
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$5,825,512
Interest on participant loans	2010-12-31	$752
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$833,698
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$592,288
Employer contributions (assets) at end of year	2010-12-31	$592,288
Employer contributions (assets) at beginning of year	2010-12-31	$703,166
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$935,920
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	No
Opinion of an independent qualified public accountant for this plan	2010-12-31	Unqualified
Accountancy firm name	2010-12-31	GLEN BIALIK, CPA
Accountancy firm EIN	2010-12-31	208369902
2009 : VETERINARY SURGICAL ASSOCIATES 401(K) PROFIT SHARING PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for VETERINARY SURGICAL ASSOCIATES 401(K) PROFIT SHARING PLAN

2011: VETERINARY SURGICAL ASSOCIATES 401(K) PROFIT SHARING 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
2009: VETERINARY SURGICAL ASSOCIATES 401(K) PROFIT SHARING 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:	VETERINARY SURGICAL ASSOCIATES
Employer identification number (EIN):	680277014
NAIC Classification:	621399
NAIC Description:	Offices of All Other Miscellaneous Health Practitioners