401k Plan data: MANSFIELD PATHOLOGY ASSOCIATES, INC. PENSION PLAN plan

MANSFIELD PATHOLOGY ASSOCIATES, INC. PENSION PLAN 401k Plan overview

Plan Name	MANSFIELD PATHOLOGY ASSOCIATES, INC. PENSION PLAN
Plan identification number	001

MANSFIELD PATHOLOGY ASSOCIATES, INC. PENSION PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Money purchase (other than target benefit) 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.

401k Sponsoring company profile

MANSFIELD PATHOLOGY ASSOCIATES, INC . has sponsored the creation of one or more 401k plans.

Company Name: MANSFIELD PATHOLOGY ASSOCIATES, INC .

Employer identification number (EIN): 341295005

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MANSFIELD PATHOLOGY ASSOCIATES, INC. PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2012-10-01 JOHN BURGESS 2013-07-15
001 2011-10-01 JOHN BURGESS 2013-07-15
001 2008-10-01 JOHN BURGESS
001 2007-10-01 JOHN BURGESS
001 2006-10-01 JOHN BURGESS
001 2005-10-01 JOHN BURGESS
001 2004-10-01 JOHN BURGESS
001 2003-10-01 JOHN BURGESS
001 2002-10-01 JOHN BURGESS
001 2001-10-01 JOHN BURGESS

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2012-10-01	JOHN BURGESS	2013-07-15
001	2011-10-01	JOHN BURGESS	2013-07-15
001	2008-10-01	JOHN BURGESS
001	2007-10-01	JOHN BURGESS
001	2006-10-01	JOHN BURGESS
001	2005-10-01	JOHN BURGESS
001	2004-10-01	JOHN BURGESS
001	2003-10-01	JOHN BURGESS
001	2002-10-01	JOHN BURGESS
001	2001-10-01	JOHN BURGESS

Plan Statistics for MANSFIELD PATHOLOGY ASSOCIATES, INC. PENSION PLAN

401k plan membership statisitcs for MANSFIELD PATHOLOGY ASSOCIATES, INC. PENSION PLAN

Measure Date Value
2008: MANSFIELD PATHOLOGY ASSOCIATES, INC. PENSION PLAN 2008 401k membership
Total participants, beginning-of-year 2008-10-01 2
Total number of active participants reported on line 7a of the Form 5500 2008-10-01 2
Number of retired or separated participants receiving benefits 2008-10-01 0
Number of other retired or separated participants entitled to future benefits 2008-10-01 0
Total of all active and inactive participants 2008-10-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2008-10-01 0
Total participants 2008-10-01 2
Number of participants with account balances 2008-10-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2008-10-01 0
2007: MANSFIELD PATHOLOGY ASSOCIATES, INC. PENSION PLAN 2007 401k membership
Total participants, beginning-of-year 2007-10-01 2
Total number of active participants reported on line 7a of the Form 5500 2007-10-01 2
Number of retired or separated participants receiving benefits 2007-10-01 0
Number of other retired or separated participants entitled to future benefits 2007-10-01 0
Total of all active and inactive participants 2007-10-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2007-10-01 0
Total participants 2007-10-01 2
Number of participants with account balances 2007-10-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2007-10-01 0
2006: MANSFIELD PATHOLOGY ASSOCIATES, INC. PENSION PLAN 2006 401k membership
Total participants, beginning-of-year 2006-10-01 2
Total number of active participants reported on line 7a of the Form 5500 2006-10-01 2
Number of retired or separated participants receiving benefits 2006-10-01 0
Number of other retired or separated participants entitled to future benefits 2006-10-01 0
Total of all active and inactive participants 2006-10-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2006-10-01 0
Total participants 2006-10-01 2
Number of participants with account balances 2006-10-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2006-10-01 0
2005: MANSFIELD PATHOLOGY ASSOCIATES, INC. PENSION PLAN 2005 401k membership
Total participants, beginning-of-year 2005-10-01 2
Total number of active participants reported on line 7a of the Form 5500 2005-10-01 2
Number of retired or separated participants receiving benefits 2005-10-01 0
Number of other retired or separated participants entitled to future benefits 2005-10-01 0
Total of all active and inactive participants 2005-10-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2005-10-01 0
Total participants 2005-10-01 2
Number of participants with account balances 2005-10-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2005-10-01 0
2004: MANSFIELD PATHOLOGY ASSOCIATES, INC. PENSION PLAN 2004 401k membership
Total participants, beginning-of-year 2004-10-01 2
Total number of active participants reported on line 7a of the Form 5500 2004-10-01 2
Number of retired or separated participants receiving benefits 2004-10-01 0
Number of other retired or separated participants entitled to future benefits 2004-10-01 0
Total of all active and inactive participants 2004-10-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2004-10-01 0
Total participants 2004-10-01 2
Number of participants with account balances 2004-10-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2004-10-01 0
2003: MANSFIELD PATHOLOGY ASSOCIATES, INC. PENSION PLAN 2003 401k membership
Total participants, beginning-of-year 2003-10-01 2
Total number of active participants reported on line 7a of the Form 5500 2003-10-01 2
Number of retired or separated participants receiving benefits 2003-10-01 0
Number of other retired or separated participants entitled to future benefits 2003-10-01 0
Total of all active and inactive participants 2003-10-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2003-10-01 0
Total participants 2003-10-01 2
Number of participants with account balances 2003-10-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2003-10-01 0
2002: MANSFIELD PATHOLOGY ASSOCIATES, INC. PENSION PLAN 2002 401k membership
Total participants, beginning-of-year 2002-10-01 2
Total number of active participants reported on line 7a of the Form 5500 2002-10-01 2
Number of retired or separated participants receiving benefits 2002-10-01 0
Number of other retired or separated participants entitled to future benefits 2002-10-01 0
Total of all active and inactive participants 2002-10-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2002-10-01 0
Total participants 2002-10-01 2
Number of participants with account balances 2002-10-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2002-10-01 0
2001: MANSFIELD PATHOLOGY ASSOCIATES, INC. PENSION PLAN 2001 401k membership
Total participants, beginning-of-year 2001-10-01 2
Total number of active participants reported on line 7a of the Form 5500 2001-10-01 2
Number of retired or separated participants receiving benefits 2001-10-01 0
Number of other retired or separated participants entitled to future benefits 2001-10-01 0
Total of all active and inactive participants 2001-10-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2001-10-01 0
Total participants 2001-10-01 2
Number of participants with account balances 2001-10-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2001-10-01 0

Measure	Date	Value
2008: MANSFIELD PATHOLOGY ASSOCIATES, INC. PENSION PLAN 2008 401k membership
Total participants, beginning-of-year	2008-10-01	2
Total number of active participants reported on line 7a of the Form 5500	2008-10-01	2
Number of retired or separated participants receiving benefits	2008-10-01	0
Number of other retired or separated participants entitled to future benefits	2008-10-01	0
Total of all active and inactive participants	2008-10-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2008-10-01	0
Total participants	2008-10-01	2
Number of participants with account balances	2008-10-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2008-10-01	0
2007: MANSFIELD PATHOLOGY ASSOCIATES, INC. PENSION PLAN 2007 401k membership
Total participants, beginning-of-year	2007-10-01	2
Total number of active participants reported on line 7a of the Form 5500	2007-10-01	2
Number of retired or separated participants receiving benefits	2007-10-01	0
Number of other retired or separated participants entitled to future benefits	2007-10-01	0
Total of all active and inactive participants	2007-10-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2007-10-01	0
Total participants	2007-10-01	2
Number of participants with account balances	2007-10-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2007-10-01	0
2006: MANSFIELD PATHOLOGY ASSOCIATES, INC. PENSION PLAN 2006 401k membership
Total participants, beginning-of-year	2006-10-01	2
Total number of active participants reported on line 7a of the Form 5500	2006-10-01	2
Number of retired or separated participants receiving benefits	2006-10-01	0
Number of other retired or separated participants entitled to future benefits	2006-10-01	0
Total of all active and inactive participants	2006-10-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2006-10-01	0
Total participants	2006-10-01	2
Number of participants with account balances	2006-10-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2006-10-01	0
2005: MANSFIELD PATHOLOGY ASSOCIATES, INC. PENSION PLAN 2005 401k membership
Total participants, beginning-of-year	2005-10-01	2
Total number of active participants reported on line 7a of the Form 5500	2005-10-01	2
Number of retired or separated participants receiving benefits	2005-10-01	0
Number of other retired or separated participants entitled to future benefits	2005-10-01	0
Total of all active and inactive participants	2005-10-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2005-10-01	0
Total participants	2005-10-01	2
Number of participants with account balances	2005-10-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2005-10-01	0
2004: MANSFIELD PATHOLOGY ASSOCIATES, INC. PENSION PLAN 2004 401k membership
Total participants, beginning-of-year	2004-10-01	2
Total number of active participants reported on line 7a of the Form 5500	2004-10-01	2
Number of retired or separated participants receiving benefits	2004-10-01	0
Number of other retired or separated participants entitled to future benefits	2004-10-01	0
Total of all active and inactive participants	2004-10-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2004-10-01	0
Total participants	2004-10-01	2
Number of participants with account balances	2004-10-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2004-10-01	0
2003: MANSFIELD PATHOLOGY ASSOCIATES, INC. PENSION PLAN 2003 401k membership
Total participants, beginning-of-year	2003-10-01	2
Total number of active participants reported on line 7a of the Form 5500	2003-10-01	2
Number of retired or separated participants receiving benefits	2003-10-01	0
Number of other retired or separated participants entitled to future benefits	2003-10-01	0
Total of all active and inactive participants	2003-10-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2003-10-01	0
Total participants	2003-10-01	2
Number of participants with account balances	2003-10-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2003-10-01	0
2002: MANSFIELD PATHOLOGY ASSOCIATES, INC. PENSION PLAN 2002 401k membership
Total participants, beginning-of-year	2002-10-01	2
Total number of active participants reported on line 7a of the Form 5500	2002-10-01	2
Number of retired or separated participants receiving benefits	2002-10-01	0
Number of other retired or separated participants entitled to future benefits	2002-10-01	0
Total of all active and inactive participants	2002-10-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2002-10-01	0
Total participants	2002-10-01	2
Number of participants with account balances	2002-10-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2002-10-01	0
2001: MANSFIELD PATHOLOGY ASSOCIATES, INC. PENSION PLAN 2001 401k membership
Total participants, beginning-of-year	2001-10-01	2
Total number of active participants reported on line 7a of the Form 5500	2001-10-01	2
Number of retired or separated participants receiving benefits	2001-10-01	0
Number of other retired or separated participants entitled to future benefits	2001-10-01	0
Total of all active and inactive participants	2001-10-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2001-10-01	0
Total participants	2001-10-01	2
Number of participants with account balances	2001-10-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2001-10-01	0

Financial Data on MANSFIELD PATHOLOGY ASSOCIATES, INC. PENSION PLAN

Measure	Date	Value
2011 : MANSFIELD PATHOLOGY ASSOCIATES, INC. PENSION PLAN 2011 401k financial data
Total income from all sources	2011-09-30	$194,527
Expenses. Total of all expenses incurred	2011-09-30	$0
Total plan assets at end of year	2011-09-30	$343,216
Total plan assets at beginning of year	2011-09-30	$148,689
Value of fidelity bond covering the plan	2011-09-30	$80,000
Other income received	2011-09-30	$194,527
Net income (gross income less expenses)	2011-09-30	$194,527
Net plan assets at end of year (total assets less liabilities)	2011-09-30	$343,216
Net plan assets at beginning of year (total assets less liabilities)	2011-09-30	$148,689

Form 5500 Responses for MANSFIELD PATHOLOGY ASSOCIATES, INC. PENSION PLAN

2008: MANSFIELD PATHOLOGY ASSOCIATES, INC. PENSION PLAN 2008 form 5500 responses
2008-10-01	Type of plan entity	Single employer plan
2008-10-01	Submission has been amended	No
2008-10-01	This submission is the final filing	No
2008-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-10-01	Plan is a collectively bargained plan	No
2008-10-01	Plan funding arrangement – Trust	Yes
2008-10-01	Plan benefit arrangement - Trust	Yes
2007: MANSFIELD PATHOLOGY ASSOCIATES, INC. PENSION PLAN 2007 form 5500 responses
2007-10-01	Type of plan entity	Single employer plan
2007-10-01	Submission has been amended	No
2007-10-01	This submission is the final filing	No
2007-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-10-01	Plan is a collectively bargained plan	No
2007-10-01	Plan funding arrangement – Trust	Yes
2007-10-01	Plan benefit arrangement - Trust	Yes
2006: MANSFIELD PATHOLOGY ASSOCIATES, INC. PENSION PLAN 2006 form 5500 responses
2006-10-01	Type of plan entity	Single employer plan
2006-10-01	Submission has been amended	No
2006-10-01	This submission is the final filing	No
2006-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2006-10-01	Plan is a collectively bargained plan	No
2006-10-01	Plan funding arrangement – Trust	Yes
2006-10-01	Plan benefit arrangement - Trust	Yes
2005: MANSFIELD PATHOLOGY ASSOCIATES, INC. PENSION PLAN 2005 form 5500 responses
2005-10-01	Type of plan entity	Single employer plan
2005-10-01	Submission has been amended	No
2005-10-01	This submission is the final filing	No
2005-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2005-10-01	Plan is a collectively bargained plan	No
2005-10-01	Plan funding arrangement – Trust	Yes
2005-10-01	Plan benefit arrangement - Trust	Yes
2004: MANSFIELD PATHOLOGY ASSOCIATES, INC. PENSION PLAN 2004 form 5500 responses
2004-10-01	Type of plan entity	Single employer plan
2004-10-01	Submission has been amended	No
2004-10-01	This submission is the final filing	No
2004-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2004-10-01	Plan is a collectively bargained plan	No
2004-10-01	Plan funding arrangement – Trust	Yes
2004-10-01	Plan benefit arrangement - Trust	Yes
2003: MANSFIELD PATHOLOGY ASSOCIATES, INC. PENSION PLAN 2003 form 5500 responses
2003-10-01	Type of plan entity	Single employer plan
2003-10-01	Submission has been amended	No
2003-10-01	This submission is the final filing	No
2003-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2003-10-01	Plan is a collectively bargained plan	No
2003-10-01	Plan funding arrangement – Trust	Yes
2003-10-01	Plan benefit arrangement - Trust	Yes
2002: MANSFIELD PATHOLOGY ASSOCIATES, INC. PENSION PLAN 2002 form 5500 responses
2002-10-01	Type of plan entity	Single employer plan
2002-10-01	Submission has been amended	No
2002-10-01	This submission is the final filing	No
2002-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2002-10-01	Plan is a collectively bargained plan	No
2002-10-01	Plan funding arrangement – Trust	Yes
2002-10-01	Plan benefit arrangement - Trust	Yes
2001: MANSFIELD PATHOLOGY ASSOCIATES, INC. PENSION PLAN 2001 form 5500 responses
2001-10-01	Type of plan entity	Single employer plan
2001-10-01	Submission has been amended	No
2001-10-01	This submission is the final filing	No
2001-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2001-10-01	Plan is a collectively bargained plan	No
2001-10-01	Plan funding arrangement – Trust	Yes
2001-10-01	Plan benefit arrangement - Trust	Yes

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Company Name:	MANSFIELD PATHOLOGY ASSOCIATES, INC .
Employer identification number (EIN):	341295005
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)