401k Plan data: BARRX MEDICAL, INC. 401(K) PLAN plan

BARRX MEDICAL, INC. 401(K) PLAN 401k Plan overview

Plan Name	BARRX MEDICAL, INC. 401(K) PLAN
Plan identification number	025

BARRX MEDICAL, INC. 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.
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.
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

COVIDIEN LP has sponsored the creation of one or more 401k plans.

Company Name: COVIDIEN LP

Employer identification number (EIN): 020502162

NAIC Classification: 339110

Additional information about COVIDIEN LP

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 1998-10-13

Company Identification Number: 0011333211

Legal Registered Office Address: 15 HAMPSHIRE ST ATTN: MARNI NICHOLAS

MANSFIELD
United States of America (USA)
02048

More information about COVIDIEN LP

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BARRX MEDICAL, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
025 2012-01-01 JOSEPH MONGELLI JOSEPH MONGELLI 2014-07-23
025 2011-01-01 JOSEPH MONGELLI

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
025	2012-01-01	JOSEPH MONGELLI		JOSEPH MONGELLI	2014-07-23
025	2011-01-01	JOSEPH MONGELLI

Plan Statistics for BARRX MEDICAL, INC. 401(K) PLAN

401k plan membership statisitcs for BARRX MEDICAL, INC. 401(K) PLAN

Measure Date Value
2012: BARRX MEDICAL, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 84
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
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 0
Total of all active and inactive participants 2012-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 0
Number of participants with account balances 2012-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: BARRX MEDICAL, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 110
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 120
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 4
Total of all active and inactive participants 2011-01-01 124
Total participants 2011-01-01 124
Number of participants with account balances 2011-01-01 84

Measure	Date	Value
2012: BARRX MEDICAL, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	84
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
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	0
Total of all active and inactive participants	2012-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	0
Number of participants with account balances	2012-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: BARRX MEDICAL, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	110
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	120
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	4
Total of all active and inactive participants	2011-01-01	124
Total participants	2011-01-01	124
Number of participants with account balances	2011-01-01	84

Financial Data on BARRX MEDICAL, INC. 401(K) PLAN

Measure	Date	Value
2012 : BARRX MEDICAL, INC. 401(K) PLAN 2012 401k financial data
Transfers to/from the plan	2012-10-31	$-2,833,472
Total income from all sources	2012-10-31	$870,126
Expenses. Total of all expenses incurred	2012-10-31	$1,513,460
Benefits paid (including direct rollovers)	2012-10-31	$1,513,158
Total plan assets at end of year	2012-10-31	$0
Total plan assets at beginning of year	2012-10-31	$3,476,806
Value of fidelity bond covering the plan	2012-10-31	$2,500,000
Total contributions received or receivable from participants	2012-10-31	$464,209
Expenses. Other expenses not covered elsewhere	2012-10-31	$0
Contributions received from other sources (not participants or employers)	2012-10-31	$0
Other income received	2012-10-31	$375,071
Noncash contributions received	2012-10-31	$0
Net income (gross income less expenses)	2012-10-31	$-643,334
Net plan assets at end of year (total assets less liabilities)	2012-10-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-10-31	$3,476,806
Assets. Value of participant loans	2012-10-31	$0
Total contributions received or receivable from employer(s)	2012-10-31	$30,846
Value of certain deemed distributions of participant loans	2012-10-31	$0
Value of corrective distributions	2012-10-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-10-31	$302
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-10-31	$0
2011 : BARRX MEDICAL, INC. 401(K) PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$1,006,151
Expenses. Total of all expenses incurred	2011-12-31	$439,524
Benefits paid (including direct rollovers)	2011-12-31	$437,767
Total plan assets at end of year	2011-12-31	$3,476,806
Total plan assets at beginning of year	2011-12-31	$2,910,179
Value of fidelity bond covering the plan	2011-12-31	$100,000
Total contributions received or receivable from participants	2011-12-31	$799,276
Contributions received from other sources (not participants or employers)	2011-12-31	$308,101
Other income received	2011-12-31	$-101,226
Net income (gross income less expenses)	2011-12-31	$566,627
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$3,476,806
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$2,910,179
Assets. Value of participant loans	2011-12-31	$14,936
Total contributions received or receivable from employer(s)	2011-12-31	$0
Value of corrective distributions	2011-12-31	$1,550
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$207
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0

Form 5500 Responses for BARRX MEDICAL, INC. 401(K) PLAN

2012: BARRX MEDICAL, INC. 401(K) 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	Yes
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
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: BARRX MEDICAL, INC. 401(K) 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

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Company Name:	COVIDIEN LP
Employer identification number (EIN):	020502162
NAIC Classification:	339110

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	1998-10-13
Company Identification Number:	0011333211
Legal Registered Office Address:	15 HAMPSHIRE ST ATTN: MARNI NICHOLAS MANSFIELD United States of America (USA) 02048