401k Plan data: SURGICAL SPECIALTY GROUP PC PROFIT SHARING PLAN plan

SURGICAL SPECIALTY GROUP PC PROFIT SHARING PLAN 401k Plan overview

Plan Name	SURGICAL SPECIALTY GROUP PC PROFIT SHARING PLAN
Plan identification number	001

SURGICAL SPECIALTY GROUP PC 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.
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

SURGICAL SPECIALTY GROUP PC has sponsored the creation of one or more 401k plans.

Company Name: SURGICAL SPECIALTY GROUP PC

Employer identification number (EIN): 930592479

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SURGICAL SPECIALTY GROUP PC PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2011-07-01 DANIEL DOLLINGER
001 2010-07-01 DANIEL DOLLINGER
001 2009-07-01 SCOTT M BROWNING SCOTT M BROWNING 2010-08-23

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2011-07-01	DANIEL DOLLINGER
001	2010-07-01	DANIEL DOLLINGER
001	2009-07-01	SCOTT M BROWNING	SCOTT M BROWNING	2010-08-23

Plan Statistics for SURGICAL SPECIALTY GROUP PC PROFIT SHARING PLAN

401k plan membership statisitcs for SURGICAL SPECIALTY GROUP PC PROFIT SHARING PLAN

Measure Date Value
2011: SURGICAL SPECIALTY GROUP PC PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 12
Total of all active and inactive participants 2011-07-01 0
Total participants 2011-07-01 0
2010: SURGICAL SPECIALTY GROUP PC PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-07-01 14
Total number of active participants reported on line 7a of the Form 5500 2010-07-01 12
Number of retired or separated participants receiving benefits 2010-07-01 2
Total of all active and inactive participants 2010-07-01 14
Total participants 2010-07-01 14
Number of participants with account balances 2010-07-01 12
2009: SURGICAL SPECIALTY GROUP PC PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 11
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 13
Number of retired or separated participants receiving benefits 2009-07-01 1
Number of other retired or separated participants entitled to future benefits 2009-07-01 0
Total of all active and inactive participants 2009-07-01 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 0
Total participants 2009-07-01 14
Number of participants with account balances 2009-07-01 14

Measure	Date	Value
2011: SURGICAL SPECIALTY GROUP PC PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	12
Total of all active and inactive participants	2011-07-01	0
Total participants	2011-07-01	0
2010: SURGICAL SPECIALTY GROUP PC PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-07-01	14
Total number of active participants reported on line 7a of the Form 5500	2010-07-01	12
Number of retired or separated participants receiving benefits	2010-07-01	2
Total of all active and inactive participants	2010-07-01	14
Total participants	2010-07-01	14
Number of participants with account balances	2010-07-01	12
2009: SURGICAL SPECIALTY GROUP PC PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	11
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	13
Number of retired or separated participants receiving benefits	2009-07-01	1
Number of other retired or separated participants entitled to future benefits	2009-07-01	0
Total of all active and inactive participants	2009-07-01	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	0
Total participants	2009-07-01	14
Number of participants with account balances	2009-07-01	14

Financial Data on SURGICAL SPECIALTY GROUP PC PROFIT SHARING PLAN

Measure	Date	Value
2012 : SURGICAL SPECIALTY GROUP PC PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-06-30	$-185,546
Expenses. Total of all expenses incurred	2012-06-30	$2,170,388
Benefits paid (including direct rollovers)	2012-06-30	$2,167,888
Total plan assets at end of year	2012-06-30	$0
Total plan assets at beginning of year	2012-06-30	$2,355,934
Expenses. Other expenses not covered elsewhere	2012-06-30	$2,500
Other income received	2012-06-30	$-185,546
Net income (gross income less expenses)	2012-06-30	$-2,355,934
Net plan assets at end of year (total assets less liabilities)	2012-06-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-06-30	$2,355,934
2011 : SURGICAL SPECIALTY GROUP PC PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-06-30	$545,548
Expenses. Total of all expenses incurred	2011-06-30	$291,980
Benefits paid (including direct rollovers)	2011-06-30	$286,980
Total plan assets at end of year	2011-06-30	$2,355,934
Total plan assets at beginning of year	2011-06-30	$2,102,366
Value of fidelity bond covering the plan	2011-06-30	$500,000
Total contributions received or receivable from participants	2011-06-30	$28,955
Other income received	2011-06-30	$500,297
Net income (gross income less expenses)	2011-06-30	$253,568
Net plan assets at end of year (total assets less liabilities)	2011-06-30	$2,355,934
Net plan assets at beginning of year (total assets less liabilities)	2011-06-30	$2,102,366
Total contributions received or receivable from employer(s)	2011-06-30	$16,296
Expenses. Administrative service providers (salaries,fees and commissions)	2011-06-30	$5,000
Funding deficiency by the employer to the plan for this plan year	2011-06-30	$0
Minimum employer required contribution for this plan year	2011-06-30	$0
Amount contributed by the employer to the plan for this plan year	2011-06-30	$0

Form 5500 Responses for SURGICAL SPECIALTY GROUP PC PROFIT SHARING PLAN

2011: SURGICAL SPECIALTY GROUP PC PROFIT SHARING PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	This submission is the final filing	Yes
2011-07-01	Plan funding arrangement – Trust	Yes
2011-07-01	Plan benefit arrangement - Trust	Yes
2010: SURGICAL SPECIALTY GROUP PC PROFIT SHARING PLAN 2010 form 5500 responses
2010-07-01	Type of plan entity	Single employer plan
2010-07-01	Plan funding arrangement – Trust	Yes
2010-07-01	Plan benefit arrangement - Trust	Yes
2009: SURGICAL SPECIALTY GROUP PC PROFIT SHARING PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Plan funding arrangement – Trust	Yes
2009-07-01	Plan benefit arrangement - Trust	Yes

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Company Name:	SURGICAL SPECIALTY GROUP PC
Employer identification number (EIN):	930592479
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)