401k Plan data: INTERNATIONAL CENTER FOR VASECTOMY REVERSAL, P.C. CASH BALANCE PLAN plan

INTERNATIONAL CENTER FOR VASECTOMY REVERSAL, P.C. CASH BALANCE PLAN 401k Plan overview

Plan Name	INTERNATIONAL CENTER FOR VASECTOMY REVERSAL, P.C. CASH BALANCE PLAN
Plan identification number	003

INTERNATIONAL CENTER FOR VASECTOMY REVERSAL, P.C. CASH BALANCE PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Cash balance or similar plan - Plan has a "cash balance" formula. For this purpose, a "cash balance" formula is a benefit formula in a defined benefit plan by whatever name (for example, personal account plan, pension equity plan, life cycle plan, cash account plan, etc.) that rather than, or in addition to, expressing the accrued benefit as a life annuity commencing at normal retirement age, defines benefits for each employee in terms more common to a defined contribution plan such as a single sum distribution amount (for example, 10 percent of final average pay times years of service, or the amount of the employee's hypothetical account balance).
Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

INTERNATIONAL CENTER FOR VASECTOMY REVERSAL has sponsored the creation of one or more 401k plans.

Company Name: INTERNATIONAL CENTER FOR VASECTOMY REVERSAL

Employer identification number (EIN): 860998185

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INTERNATIONAL CENTER FOR VASECTOMY REVERSAL, P.C. CASH BALANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2011-01-01 SHELDON MARKS SHELDON MARKS 2011-10-05
003 2010-01-01 SHELDON MARKS SHELDON MARKS 2011-09-29
003 2009-01-01 SHELDON MARKS SHELDON MARKS 2010-09-16

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
003	2011-01-01	SHELDON MARKS	SHELDON MARKS	2011-10-05
003	2010-01-01	SHELDON MARKS	SHELDON MARKS	2011-09-29
003	2009-01-01	SHELDON MARKS	SHELDON MARKS	2010-09-16

Plan Statistics for INTERNATIONAL CENTER FOR VASECTOMY REVERSAL, P.C. CASH BALANCE PLAN

401k plan membership statisitcs for INTERNATIONAL CENTER FOR VASECTOMY REVERSAL, P.C. CASH BALANCE PLAN

Measure Date Value
2011: INTERNATIONAL CENTER FOR VASECTOMY REVERSAL, P.C. CASH BALANCE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 0
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 0
Total of all active and inactive participants 2011-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: INTERNATIONAL CENTER FOR VASECTOMY REVERSAL, P.C. CASH BALANCE PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1
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 1
Total of all active and inactive participants 2010-01-01 2
Total participants 2010-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: INTERNATIONAL CENTER FOR VASECTOMY REVERSAL, P.C. CASH BALANCE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 6
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 9
Total participants 2009-01-01 9

Measure	Date	Value
2011: INTERNATIONAL CENTER FOR VASECTOMY REVERSAL, P.C. CASH BALANCE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	0
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	0
Total of all active and inactive participants	2011-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: INTERNATIONAL CENTER FOR VASECTOMY REVERSAL, P.C. CASH BALANCE PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1
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	1
Total of all active and inactive participants	2010-01-01	2
Total participants	2010-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: INTERNATIONAL CENTER FOR VASECTOMY REVERSAL, P.C. CASH BALANCE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	6
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	9
Total participants	2009-01-01	9

Financial Data on INTERNATIONAL CENTER FOR VASECTOMY REVERSAL, P.C. CASH BALANCE PLAN

Measure	Date	Value
2011 : INTERNATIONAL CENTER FOR VASECTOMY REVERSAL, P.C. CASH BALANCE PLAN 2011 401k financial data
Total income from all sources	2011-09-13	$2,173
Expenses. Total of all expenses incurred	2011-09-13	$271,266
Benefits paid (including direct rollovers)	2011-09-13	$270,899
Total plan assets at end of year	2011-09-13	$0
Total plan assets at beginning of year	2011-09-13	$269,093
Value of fidelity bond covering the plan	2011-09-13	$150,000
Assets. Value of loans (other than to participants)	2011-09-13	$0
Other income received	2011-09-13	$2,173
Net income (gross income less expenses)	2011-09-13	$-269,093
Net plan assets at end of year (total assets less liabilities)	2011-09-13	$0
Net plan assets at beginning of year (total assets less liabilities)	2011-09-13	$269,093
Expenses. Administrative service providers (salaries,fees and commissions)	2011-09-13	$367
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-09-13	$225,000
2010 : INTERNATIONAL CENTER FOR VASECTOMY REVERSAL, P.C. CASH BALANCE PLAN 2010 401k financial data
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$5,990
Expenses. Total of all expenses incurred	2010-12-31	$11,717
Benefits paid (including direct rollovers)	2010-12-31	$11,047
Total plan assets at end of year	2010-12-31	$269,093
Total plan assets at beginning of year	2010-12-31	$274,820
Value of fidelity bond covering the plan	2010-12-31	$150,000
Assets. Value of loans (other than to participants)	2010-12-31	$225,000
Other income received	2010-12-31	$5,990
Net income (gross income less expenses)	2010-12-31	$-5,727
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$269,093
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$274,820
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$670
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : INTERNATIONAL CENTER FOR VASECTOMY REVERSAL, P.C. CASH BALANCE 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 INTERNATIONAL CENTER FOR VASECTOMY REVERSAL, P.C. CASH BALANCE PLAN

2011: INTERNATIONAL CENTER FOR VASECTOMY REVERSAL, P.C. CASH BALANCE 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	Yes
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
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: INTERNATIONAL CENTER FOR VASECTOMY REVERSAL, P.C. CASH BALANCE 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: INTERNATIONAL CENTER FOR VASECTOMY REVERSAL, P.C. CASH BALANCE 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:	INTERNATIONAL CENTER FOR VASECTOMY REVERSAL
Employer identification number (EIN):	860998185
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)