401k Plan data: MIDWEST DIAGNOSTIC PATHOLOGY, S.C. 401(K) SAVINGS PLAN AND TRUST plan

MIDWEST DIAGNOSTIC PATHOLOGY, S.C. 401(K) SAVINGS PLAN AND TRUST 401k Plan overview

Plan Name	MIDWEST DIAGNOSTIC PATHOLOGY, S.C. 401(K) SAVINGS PLAN AND TRUST
Plan identification number	003

MIDWEST DIAGNOSTIC PATHOLOGY, S.C. 401(K) SAVINGS PLAN AND TRUST 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.
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.

401k Sponsoring company profile

MIDWEST DIAGNOSTIC PATHOLOGY, S.C. has sponsored the creation of one or more 401k plans.

Company Name: MIDWEST DIAGNOSTIC PATHOLOGY, S.C.

Employer identification number (EIN): 364386543

NAIC Classification: 621510
NAIC Description: Medical and Diagnostic Laboratories

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MIDWEST DIAGNOSTIC PATHOLOGY, S.C. 401(K) SAVINGS PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2015-01-01 IMAD ALMANASEER, M.D. 2016-10-11
003 2014-01-01
003 2013-01-01
003 2012-01-01 RONALD SIROTA, M.D. MICHAEL WELDON-LINNE 2013-10-14
003 2011-01-01 RONALD SIROTA MD MICHAEL WELDON-LINNE 2012-10-11
003 2010-01-01 RONALD SIROTA MD MICHAEL WELDON-LINNE 2011-10-05
003 2009-01-01 RONALD SIROTA MD MICHAEL WELDON-LINNE 2010-09-29

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
003	2015-01-01	IMAD ALMANASEER, M.D.	2016-10-11
003	2014-01-01
003	2013-01-01
003	2012-01-01	RONALD SIROTA, M.D.		MICHAEL WELDON-LINNE	2013-10-14
003	2011-01-01	RONALD SIROTA MD		MICHAEL WELDON-LINNE	2012-10-11
003	2010-01-01	RONALD SIROTA MD		MICHAEL WELDON-LINNE	2011-10-05
003	2009-01-01	RONALD SIROTA MD		MICHAEL WELDON-LINNE	2010-09-29

Plan Statistics for MIDWEST DIAGNOSTIC PATHOLOGY, S.C. 401(K) SAVINGS PLAN AND TRUST

401k plan membership statisitcs for MIDWEST DIAGNOSTIC PATHOLOGY, S.C. 401(K) SAVINGS PLAN AND TRUST

Measure Date Value
2012: MIDWEST DIAGNOSTIC PATHOLOGY, S.C. 401(K) SAVINGS PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 17
Total of all active and inactive participants 2012-01-01 17
Total participants 2012-01-01 17
2011: MIDWEST DIAGNOSTIC PATHOLOGY, S.C. 401(K) SAVINGS PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 16
Total of all active and inactive participants 2011-01-01 16
Total participants 2011-01-01 16
Number of participants with account balances 2011-01-01 16
2010: MIDWEST DIAGNOSTIC PATHOLOGY, S.C. 401(K) SAVINGS PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year 2010-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 17
Total of all active and inactive participants 2010-01-01 17
Total participants 2010-01-01 17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 17
2009: MIDWEST DIAGNOSTIC PATHOLOGY, S.C. 401(K) SAVINGS PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 15
Total of all active and inactive participants 2009-01-01 15
Total participants 2009-01-01 15
Number of participants with account balances 2009-01-01 15

Measure	Date	Value
2012: MIDWEST DIAGNOSTIC PATHOLOGY, S.C. 401(K) SAVINGS PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	17
Total of all active and inactive participants	2012-01-01	17
Total participants	2012-01-01	17
2011: MIDWEST DIAGNOSTIC PATHOLOGY, S.C. 401(K) SAVINGS PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	16
Total of all active and inactive participants	2011-01-01	16
Total participants	2011-01-01	16
Number of participants with account balances	2011-01-01	16
2010: MIDWEST DIAGNOSTIC PATHOLOGY, S.C. 401(K) SAVINGS PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year	2010-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	17
Total of all active and inactive participants	2010-01-01	17
Total participants	2010-01-01	17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	17
2009: MIDWEST DIAGNOSTIC PATHOLOGY, S.C. 401(K) SAVINGS PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	15
Total of all active and inactive participants	2009-01-01	15
Total participants	2009-01-01	15
Number of participants with account balances	2009-01-01	15

Financial Data on MIDWEST DIAGNOSTIC PATHOLOGY, S.C. 401(K) SAVINGS PLAN AND TRUST

Measure	Date	Value
2012 : MIDWEST DIAGNOSTIC PATHOLOGY, S.C. 401(K) SAVINGS PLAN AND TRUST 2012 401k financial data
Total income from all sources	2012-12-31	$590,447
Expenses. Total of all expenses incurred	2012-12-31	$44,741
Benefits paid (including direct rollovers)	2012-12-31	$44,741
Total plan assets at end of year	2012-12-31	$6,264,784
Total plan assets at beginning of year	2012-12-31	$5,719,078
Value of fidelity bond covering the plan	2012-12-31	$500,000
Total contributions received or receivable from participants	2012-12-31	$337,500
Other income received	2012-12-31	$252,947
Net income (gross income less expenses)	2012-12-31	$545,706
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$6,264,784
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$5,719,078
2011 : MIDWEST DIAGNOSTIC PATHOLOGY, S.C. 401(K) SAVINGS PLAN AND TRUST 2011 401k financial data
Total income from all sources	2011-12-31	$355,968
Expenses. Total of all expenses incurred	2011-12-31	$434,759
Benefits paid (including direct rollovers)	2011-12-31	$434,759
Total plan assets at end of year	2011-12-31	$5,707,473
Total plan assets at beginning of year	2011-12-31	$5,786,264
Value of fidelity bond covering the plan	2011-12-31	$500,000
Total contributions received or receivable from participants	2011-12-31	$324,500
Other income received	2011-12-31	$31,468
Net income (gross income less expenses)	2011-12-31	$-78,791
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$5,707,473
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$5,786,264
2010 : MIDWEST DIAGNOSTIC PATHOLOGY, S.C. 401(K) SAVINGS PLAN AND TRUST 2010 401k financial data
Total income from all sources	2010-12-31	$1,319,960
Expenses. Total of all expenses incurred	2010-12-31	$13,151
Total plan assets at end of year	2010-12-31	$5,786,264
Total plan assets at beginning of year	2010-12-31	$4,479,455
Value of fidelity bond covering the plan	2010-12-31	$500,000
Total contributions received or receivable from participants	2010-12-31	$368,500
Expenses. Other expenses not covered elsewhere	2010-12-31	$13,151
Other income received	2010-12-31	$951,460
Net income (gross income less expenses)	2010-12-31	$1,306,809
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$5,786,264
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$4,479,455

Form 5500 Responses for MIDWEST DIAGNOSTIC PATHOLOGY, S.C. 401(K) SAVINGS PLAN AND TRUST

2012: MIDWEST DIAGNOSTIC PATHOLOGY, S.C. 401(K) SAVINGS PLAN AND TRUST 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: MIDWEST DIAGNOSTIC PATHOLOGY, S.C. 401(K) SAVINGS PLAN AND TRUST 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
2010: MIDWEST DIAGNOSTIC PATHOLOGY, S.C. 401(K) SAVINGS PLAN AND TRUST 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: MIDWEST DIAGNOSTIC PATHOLOGY, S.C. 401(K) SAVINGS PLAN AND TRUST 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	MIDWEST DIAGNOSTIC PATHOLOGY, S.C.
Employer identification number (EIN):	364386543
NAIC Classification:	621510
NAIC Description:	Medical and Diagnostic Laboratories