401k Plan data: NORTHWEST EYE PHYSICIANS, INC. PROFIT SHARING PLAN plan

NORTHWEST EYE PHYSICIANS, INC. PROFIT SHARING PLAN 401k Plan overview

Plan Name	NORTHWEST EYE PHYSICIANS, INC. PROFIT SHARING PLAN
Plan identification number	001

NORTHWEST EYE PHYSICIANS, INC. PROFIT SHARING PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing 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

NORTHWEST EYE PHYSICIANS, INC. has sponsored the creation of one or more 401k plans.

Company Name: NORTHWEST EYE PHYSICIANS, INC.

Employer identification number (EIN): 730784364

NAIC Classification: 621320
NAIC Description: Offices of Optometrists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTHWEST EYE PHYSICIANS, INC. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2019-01-01 JOHNNY JONES 2019-11-13
001 2018-01-01 JOHNNY JONES 2019-05-21
001 2017-01-01 JOHNNY JONES 2018-04-23
001 2016-01-01 JOHNNY JONES 2017-04-28
001 2015-01-01 JOHNNY JONES 2016-05-10
001 2014-01-01 JOHNNY JONES 2015-05-26
001 2013-01-01 JOHNNY JONES
001 2012-01-01 JOHNNY JONES
001 2011-01-01 JOHNNY JONES
001 2010-01-01 JOHNNY JONES
001 2009-01-01 JOHNNY JONES

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2019-01-01	JOHNNY JONES	2019-11-13
001	2018-01-01	JOHNNY JONES	2019-05-21
001	2017-01-01	JOHNNY JONES	2018-04-23
001	2016-01-01	JOHNNY JONES	2017-04-28
001	2015-01-01	JOHNNY JONES	2016-05-10
001	2014-01-01	JOHNNY JONES	2015-05-26
001	2013-01-01	JOHNNY JONES
001	2012-01-01	JOHNNY JONES
001	2011-01-01	JOHNNY JONES
001	2010-01-01	JOHNNY JONES
001	2009-01-01	JOHNNY JONES

Plan Statistics for NORTHWEST EYE PHYSICIANS, INC. PROFIT SHARING PLAN

401k plan membership statisitcs for NORTHWEST EYE PHYSICIANS, INC. PROFIT SHARING PLAN

Measure Date Value
2013: NORTHWEST EYE PHYSICIANS, INC. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 9
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 3
Total of all active and inactive participants 2013-01-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 12
Number of participants with account balances 2013-01-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: NORTHWEST EYE PHYSICIANS, INC. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 8
Number of retired or separated participants receiving benefits 2012-01-01 1
Number of other retired or separated participants entitled to future benefits 2012-01-01 2
Total of all active and inactive participants 2012-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 11
Number of participants with account balances 2012-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: NORTHWEST EYE PHYSICIANS, INC. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 8
Number of retired or separated participants receiving benefits 2011-01-01 1
Number of other retired or separated participants entitled to future benefits 2011-01-01 2
Total of all active and inactive participants 2011-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 11
Number of participants with account balances 2011-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: NORTHWEST EYE PHYSICIANS, INC. PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 8
Number of retired or separated participants receiving benefits 2010-01-01 1
Number of other retired or separated participants entitled to future benefits 2010-01-01 2
Total of all active and inactive participants 2010-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 11
Number of participants with account balances 2010-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: NORTHWEST EYE PHYSICIANS, INC. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 7
Number of retired or separated participants receiving benefits 2009-01-01 2
Number of other retired or separated participants entitled to future benefits 2009-01-01 2
Total of all active and inactive participants 2009-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 11
Number of participants with account balances 2009-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2013: NORTHWEST EYE PHYSICIANS, INC. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	9
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	3
Total of all active and inactive participants	2013-01-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	12
Number of participants with account balances	2013-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: NORTHWEST EYE PHYSICIANS, INC. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	8
Number of retired or separated participants receiving benefits	2012-01-01	1
Number of other retired or separated participants entitled to future benefits	2012-01-01	2
Total of all active and inactive participants	2012-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	11
Number of participants with account balances	2012-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: NORTHWEST EYE PHYSICIANS, INC. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	8
Number of retired or separated participants receiving benefits	2011-01-01	1
Number of other retired or separated participants entitled to future benefits	2011-01-01	2
Total of all active and inactive participants	2011-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	11
Number of participants with account balances	2011-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: NORTHWEST EYE PHYSICIANS, INC. PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	8
Number of retired or separated participants receiving benefits	2010-01-01	1
Number of other retired or separated participants entitled to future benefits	2010-01-01	2
Total of all active and inactive participants	2010-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	11
Number of participants with account balances	2010-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: NORTHWEST EYE PHYSICIANS, INC. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	7
Number of retired or separated participants receiving benefits	2009-01-01	2
Number of other retired or separated participants entitled to future benefits	2009-01-01	2
Total of all active and inactive participants	2009-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	11
Number of participants with account balances	2009-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on NORTHWEST EYE PHYSICIANS, INC. PROFIT SHARING PLAN

Measure	Date	Value
2013 : NORTHWEST EYE PHYSICIANS, INC. PROFIT SHARING PLAN 2013 401k financial data
Total plan liabilities at end of year	2013-12-31	$0
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$493,476
Expenses. Total of all expenses incurred	2013-12-31	$81,184
Benefits paid (including direct rollovers)	2013-12-31	$81,184
Total plan assets at end of year	2013-12-31	$2,695,650
Total plan assets at beginning of year	2013-12-31	$2,283,358
Value of fidelity bond covering the plan	2013-12-31	$20,000
Other income received	2013-12-31	$455,089
Net income (gross income less expenses)	2013-12-31	$412,292
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$2,695,650
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$2,283,358
Total contributions received or receivable from employer(s)	2013-12-31	$38,387
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : NORTHWEST EYE PHYSICIANS, INC. PROFIT SHARING PLAN 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$326,230
Expenses. Total of all expenses incurred	2012-12-31	$53,033
Benefits paid (including direct rollovers)	2012-12-31	$40,684
Total plan assets at end of year	2012-12-31	$2,283,358
Total plan assets at beginning of year	2012-12-31	$2,010,161
Value of fidelity bond covering the plan	2012-12-31	$20,000
Expenses. Other expenses not covered elsewhere	2012-12-31	$12,349
Other income received	2012-12-31	$294,295
Net income (gross income less expenses)	2012-12-31	$273,197
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$2,283,358
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$2,010,161
Total contributions received or receivable from employer(s)	2012-12-31	$31,935
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : NORTHWEST EYE PHYSICIANS, INC. PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$-46,237
Expenses. Total of all expenses incurred	2011-12-31	$20,139
Total plan assets at end of year	2011-12-31	$2,010,161
Total plan assets at beginning of year	2011-12-31	$2,076,537
Value of fidelity bond covering the plan	2011-12-31	$20,000
Other income received	2011-12-31	$-73,816
Net income (gross income less expenses)	2011-12-31	$-66,376
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$2,010,161
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$2,076,537
Total contributions received or receivable from employer(s)	2011-12-31	$27,579
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$20,139
2010 : NORTHWEST EYE PHYSICIANS, INC. PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$216,658
Expenses. Total of all expenses incurred	2010-12-31	$61,686
Benefits paid (including direct rollovers)	2010-12-31	$40,337
Total plan assets at end of year	2010-12-31	$2,076,537
Total plan assets at beginning of year	2010-12-31	$1,921,565
Other income received	2010-12-31	$191,093
Net income (gross income less expenses)	2010-12-31	$154,972
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$2,076,537
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,921,565
Total contributions received or receivable from employer(s)	2010-12-31	$25,565
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$21,349
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0

Form 5500 Responses for NORTHWEST EYE PHYSICIANS, INC. PROFIT SHARING PLAN

2013: NORTHWEST EYE PHYSICIANS, INC. PROFIT SHARING 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: NORTHWEST EYE PHYSICIANS, INC. PROFIT SHARING 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: NORTHWEST EYE PHYSICIANS, INC. 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
2010: NORTHWEST EYE PHYSICIANS, INC. PROFIT SHARING 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: NORTHWEST EYE PHYSICIANS, INC. 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:	NORTHWEST EYE PHYSICIANS, INC.
Employer identification number (EIN):	730784364
NAIC Classification:	621320
NAIC Description:	Offices of Optometrists