401k Plan data: NORTHWEST EYE 401 (K) PROFIT SHARING PLAN plan

NORTHWEST EYE 401 (K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	NORTHWEST EYE 401 (K) PROFIT SHARING PLAN
Plan identification number	004

NORTHWEST EYE 401 (K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
Participant-directed brokerage accounts provided as an investment option under the plan.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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 SURGEONS, P.C. has sponsored the creation of one or more 401k plans.

Company Name: NORTHWEST EYE SURGEONS, P.C.

Employer identification number (EIN): 911719913

NAIC Classification: 621320
NAIC Description: Offices of Optometrists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTHWEST EYE 401 (K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
004 2016-01-01 SPENCER MICHAEL
004 2015-01-01 SPENCER MICHAEL
004 2014-01-01 MAUREEN J. TIPP
004 2013-01-01 MAUREEN J. TIPP
004 2012-01-01 MAUREEN J. TIPP
004 2011-01-01 MAUREEN J. TIPP
004 2009-01-01 MAUREEN J. TIPP

Plan id#	Filing Submission Date	Name of Administrator
004	2016-01-01	SPENCER MICHAEL
004	2015-01-01	SPENCER MICHAEL
004	2014-01-01	MAUREEN J. TIPP
004	2013-01-01	MAUREEN J. TIPP
004	2012-01-01	MAUREEN J. TIPP
004	2011-01-01	MAUREEN J. TIPP
004	2009-01-01	MAUREEN J. TIPP

Plan Statistics for NORTHWEST EYE 401 (K) PROFIT SHARING PLAN

401k plan membership statisitcs for NORTHWEST EYE 401 (K) PROFIT SHARING PLAN

Measure Date Value
2016: NORTHWEST EYE 401 (K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 208
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
Total participants 2016-01-01 0
Number of participants with account balances 2016-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: NORTHWEST EYE 401 (K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 203
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 170
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 38
Total of all active and inactive participants 2015-01-01 208
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 208
Number of participants with account balances 2015-01-01 161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 2
2014: NORTHWEST EYE 401 (K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 186
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 169
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 34
Total of all active and inactive participants 2014-01-01 203
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 203
Number of participants with account balances 2014-01-01 160
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 3
2013: NORTHWEST EYE 401 (K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 165
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 160
Number of other retired or separated participants entitled to future benefits 2013-01-01 26
Total of all active and inactive participants 2013-01-01 186
Total participants 2013-01-01 186
Number of participants with account balances 2013-01-01 153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 1
2012: NORTHWEST EYE 401 (K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 175
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 163
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 2
Total of all active and inactive participants 2012-01-01 165
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 165
Number of participants with account balances 2012-01-01 144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 1
2011: NORTHWEST EYE 401 (K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 158
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 144
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 31
Total of all active and inactive participants 2011-01-01 175
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 175
Number of participants with account balances 2011-01-01 139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 2
2009: NORTHWEST EYE 401 (K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 136
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 130
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 1
Total of all active and inactive participants 2009-01-01 131
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 131
Number of participants with account balances 2009-01-01 126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 3

Measure	Date	Value
2016: NORTHWEST EYE 401 (K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	208
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
Total participants	2016-01-01	0
Number of participants with account balances	2016-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: NORTHWEST EYE 401 (K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	203
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	170
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	38
Total of all active and inactive participants	2015-01-01	208
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	208
Number of participants with account balances	2015-01-01	161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	2
2014: NORTHWEST EYE 401 (K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	186
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	169
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	34
Total of all active and inactive participants	2014-01-01	203
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	203
Number of participants with account balances	2014-01-01	160
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	3
2013: NORTHWEST EYE 401 (K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	165
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	160
Number of other retired or separated participants entitled to future benefits	2013-01-01	26
Total of all active and inactive participants	2013-01-01	186
Total participants	2013-01-01	186
Number of participants with account balances	2013-01-01	153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	1
2012: NORTHWEST EYE 401 (K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	175
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	163
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	2
Total of all active and inactive participants	2012-01-01	165
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	165
Number of participants with account balances	2012-01-01	144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	1
2011: NORTHWEST EYE 401 (K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	158
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	144
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	31
Total of all active and inactive participants	2011-01-01	175
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	175
Number of participants with account balances	2011-01-01	139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	2
2009: NORTHWEST EYE 401 (K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	136
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	130
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	1
Total of all active and inactive participants	2009-01-01	131
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	131
Number of participants with account balances	2009-01-01	126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	3

Financial Data on NORTHWEST EYE 401 (K) PROFIT SHARING PLAN

Measure	Date	Value
2016 : NORTHWEST EYE 401 (K) PROFIT SHARING PLAN 2016 401k financial data
Total transfer of assets from this plan	2016-09-30	$8,264,129
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-09-30	$150
Total income from all sources (including contributions)	2016-09-30	$1,153,825
Total of all expenses incurred	2016-09-30	$4,193,906
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-09-30	$4,158,142
Value of total corrective distributions	2016-09-30	$3,910
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-09-30	$581,350
Value of total assets at end of year	2016-09-30	$0
Value of total assets at beginning of year	2016-09-30	$11,304,360
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-09-30	$31,854
Total interest from all sources	2016-09-30	$636
Total dividends received (eg from common stock, registered investment company shares)	2016-09-30	$68,517
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-09-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-09-30	$68,517
Was this plan covered by a fidelity bond	2016-09-30	Yes
Value of fidelity bond cover	2016-09-30	$500,000
If this is an individual account plan, was there a blackout period	2016-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2016-09-30	No
Contributions received from participants	2016-09-30	$422,697
Participant contributions at end of year	2016-09-30	$0
Participant contributions at beginning of year	2016-09-30	$28,328
Assets. Other investments not covered elsewhere at end of year	2016-09-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2016-09-30	$1,751,087
Other income not declared elsewhere	2016-09-30	$104,073
Administrative expenses (other) incurred	2016-09-30	$294
Liabilities. Value of operating payables at end of year	2016-09-30	$0
Liabilities. Value of operating payables at beginning of year	2016-09-30	$150
Total non interest bearing cash at end of year	2016-09-30	$0
Total non interest bearing cash at beginning of year	2016-09-30	$10,819
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-09-30	No
Value of net income/loss	2016-09-30	$-3,040,081
Value of net assets at end of year (total assets less liabilities)	2016-09-30	$0
Value of net assets at beginning of year (total assets less liabilities)	2016-09-30	$11,304,210
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-09-30	No
Were any leases to which the plan was party in default or uncollectible	2016-09-30	No
Investment advisory and management fees	2016-09-30	$25,273
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-09-30	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-09-30	$8,938,554
Interest on participant loans	2016-09-30	$636
Value of interest in common/collective trusts at end of year	2016-09-30	$0
Value of interest in common/collective trusts at beginning of year	2016-09-30	$571,804
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-09-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-09-30	$1,674
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-09-30	$1,674
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-09-30	$399,249
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-09-30	No
Was there a failure to transmit to the plan any participant contributions	2016-09-30	No
Has the plan failed to provide any benefit when due under the plan	2016-09-30	No
Contributions received in cash from employer	2016-09-30	$158,653
Employer contributions (assets) at end of year	2016-09-30	$0
Employer contributions (assets) at beginning of year	2016-09-30	$2,094
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-09-30	$4,158,142
Contract administrator fees	2016-09-30	$6,287
Did the plan have assets held for investment	2016-09-30	No
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	2016-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-09-30	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-09-30	Disclaimer
Accountancy firm name	2016-09-30	CHRIS T. BENNETT, CPA
Accountancy firm EIN	2016-09-30	911088177
2015 : NORTHWEST EYE 401 (K) PROFIT SHARING PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$150
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$775
Total income from all sources (including contributions)	2015-12-31	$756,959
Total of all expenses incurred	2015-12-31	$2,344,862
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$2,277,414
Value of total corrective distributions	2015-12-31	$26,780
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$1,062,152
Value of total assets at end of year	2015-12-31	$11,304,360
Value of total assets at beginning of year	2015-12-31	$12,892,888
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$40,668
Total interest from all sources	2015-12-31	$1,248
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$503,685
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$503,685
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$761,126
Participant contributions at end of year	2015-12-31	$28,328
Participant contributions at beginning of year	2015-12-31	$16,375
Assets. Other investments not covered elsewhere at end of year	2015-12-31	$1,751,087
Assets. Other investments not covered elsewhere at beginning of year	2015-12-31	$1,807,153
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$15,735
Other income not declared elsewhere	2015-12-31	$-56,066
Liabilities. Value of operating payables at end of year	2015-12-31	$150
Liabilities. Value of operating payables at beginning of year	2015-12-31	$775
Total non interest bearing cash at end of year	2015-12-31	$10,819
Total non interest bearing cash at beginning of year	2015-12-31	$-1,492
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-1,587,903
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$11,304,210
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$12,892,113
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$34,179
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$8,938,554
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$10,256,638
Interest on participant loans	2015-12-31	$1,246
Value of interest in common/collective trusts at end of year	2015-12-31	$571,804
Value of interest in common/collective trusts at beginning of year	2015-12-31	$807,587
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$1,674
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$5,269
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$5,269
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$2
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-761,414
Net investment gain or loss from common/collective trusts	2015-12-31	$7,354
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$285,291
Employer contributions (assets) at end of year	2015-12-31	$2,094
Employer contributions (assets) at beginning of year	2015-12-31	$1,358
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$2,277,414
Contract administrator fees	2015-12-31	$6,489
Did the plan have assets held for investment	2015-12-31	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	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	CHRIS T. BENNETT, CPA
Accountancy firm EIN	2015-12-31	911088177
2014 : NORTHWEST EYE 401 (K) PROFIT SHARING PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$775
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$175
Total income from all sources (including contributions)	2014-12-31	$1,663,107
Total of all expenses incurred	2014-12-31	$273,399
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$197,167
Value of total corrective distributions	2014-12-31	$38,336
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$974,883
Value of total assets at end of year	2014-12-31	$12,892,888
Value of total assets at beginning of year	2014-12-31	$11,502,580
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$37,896
Total interest from all sources	2014-12-31	$662
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$693,831
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$693,831
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$711,206
Participant contributions at end of year	2014-12-31	$16,375
Participant contributions at beginning of year	2014-12-31	$12,503
Assets. Other investments not covered elsewhere at end of year	2014-12-31	$12,063,791
Assets. Other investments not covered elsewhere at beginning of year	2014-12-31	$1,697,231
Liabilities. Value of operating payables at end of year	2014-12-31	$775
Liabilities. Value of operating payables at beginning of year	2014-12-31	$175
Total non interest bearing cash at end of year	2014-12-31	$-1,492
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$1,389,708
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$12,892,113
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$11,502,405
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$34,182
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$9,086,422
Interest on participant loans	2014-12-31	$662
Value of interest in common/collective trusts at end of year	2014-12-31	$807,587
Value of interest in common/collective trusts at beginning of year	2014-12-31	$705,725
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$5,269
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$699
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$699
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$-11,861
Net investment gain or loss from common/collective trusts	2014-12-31	$5,592
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$263,677
Employer contributions (assets) at end of year	2014-12-31	$1,358
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$197,167
Contract administrator fees	2014-12-31	$3,714
Did the plan have assets held for investment	2014-12-31	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	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	CHRIS T. BENNETT, CPA
Accountancy firm EIN	2014-12-31	911088177
2013 : NORTHWEST EYE 401 (K) PROFIT SHARING PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$175
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$375
Total income from all sources (including contributions)	2013-12-31	$2,785,655
Total of all expenses incurred	2013-12-31	$475,540
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$433,373
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$893,974
Value of total assets at end of year	2013-12-31	$11,502,580
Value of total assets at beginning of year	2013-12-31	$9,192,665
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$42,167
Total interest from all sources	2013-12-31	$666
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$374,820
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$374,820
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$636,196
Participant contributions at end of year	2013-12-31	$12,503
Participant contributions at beginning of year	2013-12-31	$18,750
Participant contributions at beginning of year	2013-12-31	$687
Assets. Other investments not covered elsewhere at end of year	2013-12-31	$1,697,231
Assets. Other investments not covered elsewhere at beginning of year	2013-12-31	$1,461,918
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$27,595
Liabilities. Value of operating payables at end of year	2013-12-31	$175
Liabilities. Value of operating payables at beginning of year	2013-12-31	$375
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$2,310,115
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$11,502,405
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$9,192,290
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$33,129
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$9,086,422
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$6,808,842
Interest on participant loans	2013-12-31	$665
Value of interest in common/collective trusts at end of year	2013-12-31	$705,725
Value of interest in common/collective trusts at beginning of year	2013-12-31	$896,152
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$699
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$1,213
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$1,213
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$1
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$1,510,643
Net investment gain or loss from common/collective trusts	2013-12-31	$5,552
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$230,183
Employer contributions (assets) at beginning of year	2013-12-31	$5,103
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$433,373
Contract administrator fees	2013-12-31	$9,038
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	CHRIS T BENNETT, CPA
Accountancy firm EIN	2013-12-31	911088177
2012 : NORTHWEST EYE 401 (K) PROFIT SHARING PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$375
Total income from all sources (including contributions)	2012-12-31	$1,829,090
Total of all expenses incurred	2012-12-31	$1,619,786
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$1,580,193
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$790,827
Value of total assets at end of year	2012-12-31	$9,192,665
Value of total assets at beginning of year	2012-12-31	$8,982,986
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$39,593
Total interest from all sources	2012-12-31	$1,389
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$216,413
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$216,413
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$576,738
Participant contributions at end of year	2012-12-31	$18,750
Participant contributions at beginning of year	2012-12-31	$44,384
Participant contributions at end of year	2012-12-31	$687
Assets. Other investments not covered elsewhere at end of year	2012-12-31	$1,461,918
Assets. Other investments not covered elsewhere at beginning of year	2012-12-31	$2,462,192
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$155
Administrative expenses (other) incurred	2012-12-31	$4,043
Liabilities. Value of operating payables at end of year	2012-12-31	$375
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$209,304
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$9,192,290
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$8,982,986
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$32,274
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$6,808,842
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$5,606,052
Interest on participant loans	2012-12-31	$1,387
Value of interest in common/collective trusts at end of year	2012-12-31	$896,152
Value of interest in common/collective trusts at beginning of year	2012-12-31	$847,500
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$1,213
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$22,858
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$22,858
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$2
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$810,839
Net investment gain or loss from common/collective trusts	2012-12-31	$9,622
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$213,934
Employer contributions (assets) at end of year	2012-12-31	$5,103
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$1,580,193
Contract administrator fees	2012-12-31	$3,276
Did the plan have assets held for investment	2012-12-31	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	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	CHRIS T. BENNETT, CPA
Accountancy firm EIN	2012-12-31	911088177
2011 : NORTHWEST EYE 401 (K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources (including contributions)	2011-12-31	$587,966
Total of all expenses incurred	2011-12-31	$227,565
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$180,967
Value of total corrective distributions	2011-12-31	$8,561
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$686,597
Value of total assets at end of year	2011-12-31	$8,982,986
Value of total assets at beginning of year	2011-12-31	$8,622,585
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$38,037
Total interest from all sources	2011-12-31	$1,009
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$175,122
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	$175,122
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
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$489,103
Participant contributions at end of year	2011-12-31	$44,384
Participant contributions at beginning of year	2011-12-31	$23,495
Assets. Other investments not covered elsewhere at end of year	2011-12-31	$2,462,192
Assets. Other investments not covered elsewhere at beginning of year	2011-12-31	$2,618,709
Other income not declared elsewhere	2011-12-31	$-9,510
Administrative expenses (other) incurred	2011-12-31	$4,956
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	$360,401
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$8,982,986
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$8,622,585
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
Investment advisory and management fees	2011-12-31	$30,701
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$5,606,052
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$5,166,600
Interest on participant loans	2011-12-31	$1,009
Value of interest in common/collective trusts at end of year	2011-12-31	$847,500
Value of interest in common/collective trusts at beginning of year	2011-12-31	$807,108
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$22,858
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$6,673
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$6,673
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-280,732
Net investment gain or loss from common/collective trusts	2011-12-31	$15,480
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	$197,494
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$180,967
Contract administrator fees	2011-12-31	$2,380
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	CHRIS T. BENNETT, CPA
Accountancy firm EIN	2011-12-31	911088177
2010 : NORTHWEST EYE 401 (K) PROFIT SHARING PLAN 2010 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$28
Total income from all sources (including contributions)	2010-12-31	$1,550,476
Total of all expenses incurred	2010-12-31	$434,065
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$396,729
Expenses. Certain deemed distributions of participant loans	2010-12-31	$2,600
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$757,818
Value of total assets at end of year	2010-12-31	$8,622,585
Value of total assets at beginning of year	2010-12-31	$7,506,202
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$34,736
Total interest from all sources	2010-12-31	$798
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$114,792
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$114,792
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	$505,058
Participant contributions at end of year	2010-12-31	$23,495
Participant contributions at beginning of year	2010-12-31	$12,686
Assets. Other investments not covered elsewhere at end of year	2010-12-31	$2,618,709
Assets. Other investments not covered elsewhere at beginning of year	2010-12-31	$2,385,609
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$66,007
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$28
Other income not declared elsewhere	2010-12-31	$233,128
Administrative expenses (other) incurred	2010-12-31	$3,365
Total non interest bearing cash at beginning of year	2010-12-31	$217
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
Value of net income/loss	2010-12-31	$1,116,411
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$8,622,585
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$7,506,174
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
Investment advisory and management fees	2010-12-31	$28,403
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$5,166,600
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$100,038
Interest on participant loans	2010-12-31	$798
Value of interest in common/collective trusts at end of year	2010-12-31	$807,108
Value of interest in common/collective trusts at beginning of year	2010-12-31	$5,007,652
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$6,673
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$427,187
Net investment gain or loss from common/collective trusts	2010-12-31	$16,753
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	$186,753
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$396,729
Contract administrator fees	2010-12-31	$2,968
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	2010-12-31	No
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	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	CHRIS T. BENNETT, CPA
Accountancy firm EIN	2010-12-31	911088177
2009 : NORTHWEST EYE 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 NORTHWEST EYE 401 (K) PROFIT SHARING PLAN

2016: NORTHWEST EYE 401 (K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	This submission is the final filing	Yes
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: NORTHWEST EYE 401 (K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: NORTHWEST EYE 401 (K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: NORTHWEST EYE 401 (K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: NORTHWEST EYE 401 (K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: NORTHWEST EYE 401 (K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: NORTHWEST EYE 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:	NORTHWEST EYE SURGEONS, P.C.
Employer identification number (EIN):	911719913
NAIC Classification:	621320
NAIC Description:	Offices of Optometrists