401k Plan data: AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS PLAN plan

AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS PLAN 401k Plan overview

Plan Name	AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS PLAN
Plan identification number	001

AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS 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.
Plan covering Self-Employed individuals.
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

AMPHION MEDICAL SOLUTIONS, LLC has sponsored the creation of one or more 401k plans.

Company Name: AMPHION MEDICAL SOLUTIONS, LLC

Employer identification number (EIN): 392043844

NAIC Classification: 561410
NAIC Description: Document Preparation Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01 DANA GREEN
001 2015-01-01 DANA GREEN
001 2014-01-01 STEPHEN MAYER
001 2013-01-01 STEPHEN MAYER
001 2012-01-01 STEVE MAYER
001 2011-01-01 STEVE MAYER
001 2010-01-01 STEVE MAYER STEVE MAYER 2011-10-14
001 2009-01-01 STEVE MAYER STEVE MAYER 2010-10-14

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2016-01-01	DANA GREEN
001	2015-01-01	DANA GREEN
001	2014-01-01	STEPHEN MAYER
001	2013-01-01	STEPHEN MAYER
001	2012-01-01	STEVE MAYER
001	2011-01-01	STEVE MAYER
001	2010-01-01	STEVE MAYER	STEVE MAYER	2011-10-14
001	2009-01-01	STEVE MAYER	STEVE MAYER	2010-10-14

Plan Statistics for AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS PLAN

401k plan membership statisitcs for AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS PLAN

Measure Date Value
2016: AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 534
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
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 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: AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 530
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 465
Number of other retired or separated participants entitled to future benefits 2015-01-01 69
Total of all active and inactive participants 2015-01-01 534
Total participants 2015-01-01 534
Number of participants with account balances 2015-01-01 263
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 488
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 465
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 75
Total of all active and inactive participants 2014-01-01 540
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 540
Number of participants with account balances 2014-01-01 247
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 80
2013: AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 437
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 348
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 62
Total of all active and inactive participants 2013-01-01 410
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 410
Number of participants with account balances 2013-01-01 223
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 24
2012: AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 421
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 335
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 59
Total of all active and inactive participants 2012-01-01 394
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 394
Number of participants with account balances 2012-01-01 219
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 13
2011: AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 342
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 307
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 55
Total of all active and inactive participants 2011-01-01 362
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 362
Number of participants with account balances 2011-01-01 204
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 13
2010: AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 286
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 245
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 45
Total of all active and inactive participants 2010-01-01 290
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 290
Number of participants with account balances 2010-01-01 177
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 26
2009: AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 293
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 226
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 28
Total of all active and inactive participants 2009-01-01 254
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 254
Number of participants with account balances 2009-01-01 162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 9

Measure	Date	Value
2016: AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	534
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
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	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: AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	530
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	465
Number of other retired or separated participants entitled to future benefits	2015-01-01	69
Total of all active and inactive participants	2015-01-01	534
Total participants	2015-01-01	534
Number of participants with account balances	2015-01-01	263
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	488
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	465
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	75
Total of all active and inactive participants	2014-01-01	540
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	540
Number of participants with account balances	2014-01-01	247
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	80
2013: AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	437
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	348
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	62
Total of all active and inactive participants	2013-01-01	410
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	410
Number of participants with account balances	2013-01-01	223
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	24
2012: AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	421
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	335
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	59
Total of all active and inactive participants	2012-01-01	394
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	394
Number of participants with account balances	2012-01-01	219
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	13
2011: AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	342
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	307
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	55
Total of all active and inactive participants	2011-01-01	362
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	362
Number of participants with account balances	2011-01-01	204
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	13
2010: AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	286
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	245
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	45
Total of all active and inactive participants	2010-01-01	290
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	290
Number of participants with account balances	2010-01-01	177
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	26
2009: AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	293
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	226
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	28
Total of all active and inactive participants	2009-01-01	254
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	254
Number of participants with account balances	2009-01-01	162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	9

Financial Data on AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS PLAN

Measure	Date	Value
2016 : AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$745
Total income from all sources (including contributions)	2016-12-31	$305,805
Total of all expenses incurred	2016-12-31	$5,208,565
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$5,167,195
Value of total assets at end of year	2016-12-31	$0
Value of total assets at beginning of year	2016-12-31	$4,903,505
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$41,370
Total interest from all sources	2016-12-31	$110
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$68,198
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2016-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$68,198
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Participant contributions at end of year	2016-12-31	$0
Participant contributions at beginning of year	2016-12-31	$26,777
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-12-31	$745
Other income not declared elsewhere	2016-12-31	$1,298
Administrative expenses (other) incurred	2016-12-31	$41,370
Total non interest bearing cash at end of year	2016-12-31	$0
Total non interest bearing cash at beginning of year	2016-12-31	$745
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$-4,902,760
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$4,902,760
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$4,637,600
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$113,728
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$113,728
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$110
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$236,199
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Employer contributions (assets) at end of year	2016-12-31	$0
Employer contributions (assets) at beginning of year	2016-12-31	$124,655
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$5,167,195
Did the plan have assets held for investment	2016-12-31	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	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	SUTE SEAY, LLC
Accountancy firm EIN	2016-12-31	611663588
2015 : AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$745
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$34,915
Total income from all sources (including contributions)	2015-12-31	$754,437
Total of all expenses incurred	2015-12-31	$1,167,374
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$1,127,288
Value of total corrective distributions	2015-12-31	$1,227
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$672,689
Value of total assets at end of year	2015-12-31	$4,903,505
Value of total assets at beginning of year	2015-12-31	$5,350,612
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$38,859
Total interest from all sources	2015-12-31	$134
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$228,532
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	$228,532
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	$546,573
Participant contributions at end of year	2015-12-31	$26,777
Participant contributions at beginning of year	2015-12-31	$11,954
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$3,448
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$745
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$34,915
Administrative expenses (other) incurred	2015-12-31	$38,859
Total non interest bearing cash at end of year	2015-12-31	$745
Total non interest bearing cash at beginning of year	2015-12-31	$34,915
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	$-412,937
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$4,902,760
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$5,315,697
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$4,637,600
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$4,967,293
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$113,728
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$182,623
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$182,623
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$134
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-146,918
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	$122,668
Employer contributions (assets) at end of year	2015-12-31	$124,655
Employer contributions (assets) at beginning of year	2015-12-31	$153,827
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$1,127,288
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	HONKAMP KRUEGER & CO, PC
Accountancy firm EIN	2015-12-31	420946155
2014 : AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$34,915
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$4,330
Total income from all sources (including contributions)	2014-12-31	$1,158,400
Total of all expenses incurred	2014-12-31	$588,410
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$554,618
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$685,277
Value of total assets at end of year	2014-12-31	$5,350,612
Value of total assets at beginning of year	2014-12-31	$4,750,037
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$33,792
Total interest from all sources	2014-12-31	$44
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$246,942
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$246,942
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	$502,684
Participant contributions at end of year	2014-12-31	$11,954
Participant contributions at beginning of year	2014-12-31	$30,942
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$28,639
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$34,915
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$4,330
Other income not declared elsewhere	2014-12-31	$33
Administrative expenses (other) incurred	2014-12-31	$33,792
Total non interest bearing cash at end of year	2014-12-31	$34,915
Total non interest bearing cash at beginning of year	2014-12-31	$467
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	$569,990
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$5,315,697
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$4,745,707
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$4,967,293
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$4,369,102
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$182,623
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$229,526
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$229,526
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$44
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$226,104
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	$153,954
Employer contributions (assets) at end of year	2014-12-31	$153,827
Employer contributions (assets) at beginning of year	2014-12-31	$120,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$554,618
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	HONKAMP KRUEGER & CO, PC
Accountancy firm EIN	2014-12-31	420946155
2013 : AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$4,330
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$735
Total income from all sources (including contributions)	2013-12-31	$1,488,711
Total of all expenses incurred	2013-12-31	$261,620
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$232,892
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$728,201
Value of total assets at end of year	2013-12-31	$4,750,037
Value of total assets at beginning of year	2013-12-31	$3,519,351
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$28,728
Total interest from all sources	2013-12-31	$99
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$181,453
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	$181,453
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	$478,100
Participant contributions at end of year	2013-12-31	$30,942
Participant contributions at beginning of year	2013-12-31	$24,623
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$138,060
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$2,050
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$4,330
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$735
Administrative expenses (other) incurred	2013-12-31	$28,728
Total non interest bearing cash at end of year	2013-12-31	$467
Total non interest bearing cash at beginning of year	2013-12-31	$735
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	$1,227,091
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$4,745,707
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$3,518,616
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$4,369,102
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$3,183,402
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$229,526
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$180,582
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$180,582
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$99
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$578,958
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	$112,041
Employer contributions (assets) at end of year	2013-12-31	$120,000
Employer contributions (assets) at beginning of year	2013-12-31	$127,959
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$232,892
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	HONKAMP KRUEGER & CO, PC
Accountancy firm EIN	2013-12-31	420946155
2012 : AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$735
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$615
Total income from all sources (including contributions)	2012-12-31	$949,859
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$226,163
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$201,287
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$592,708
Value of total assets at end of year	2012-12-31	$3,519,351
Value of total assets at beginning of year	2012-12-31	$2,795,535
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$24,876
Total interest from all sources	2012-12-31	$290
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$86,323
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	$86,323
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$20,000
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	$427,727
Participant contributions at end of year	2012-12-31	$24,623
Participant contributions at beginning of year	2012-12-31	$16,047
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$37,022
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$2,050
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$735
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$615
Administrative expenses (other) incurred	2012-12-31	$24,876
Total non interest bearing cash at end of year	2012-12-31	$735
Total non interest bearing cash at beginning of year	2012-12-31	$504
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	$723,696
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$3,518,616
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$2,794,920
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$3,183,402
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$2,557,610
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$180,582
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$169,759
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$169,759
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$290
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$270,538
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	$127,959
Employer contributions (assets) at end of year	2012-12-31	$127,959
Employer contributions (assets) at beginning of year	2012-12-31	$51,615
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$201,287
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	BREMSER GROUP, INC.
Accountancy firm EIN	2012-12-31	200242104
2011 : AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$615
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$1,788
Total income from all sources (including contributions)	2011-12-31	$438,124
Total loss/gain on sale of assets	2011-12-31	$2,641
Total of all expenses incurred	2011-12-31	$219,616
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$197,773
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$429,528
Value of total assets at end of year	2011-12-31	$2,795,535
Value of total assets at beginning of year	2011-12-31	$2,578,200
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$21,843
Total interest from all sources	2011-12-31	$189
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$80,389
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	$80,389
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$20,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$363,117
Participant contributions at end of year	2011-12-31	$16,047
Participant contributions at beginning of year	2011-12-31	$9,521
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$14,691
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$615
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$1,788
Administrative expenses (other) incurred	2011-12-31	$21,843
Total non interest bearing cash at end of year	2011-12-31	$504
Total non interest bearing cash at beginning of year	2011-12-31	$1,589
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	$218,508
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$2,794,920
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$2,576,412
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$2,557,610
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$2,365,275
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$169,759
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$145,362
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$145,362
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$189
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-74,623
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	$51,720
Employer contributions (assets) at end of year	2011-12-31	$51,615
Employer contributions (assets) at beginning of year	2011-12-31	$56,453
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$197,773
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
Aggregate proceeds on sale of assets	2011-12-31	$439,977
Aggregate carrying amount (costs) on sale of assets	2011-12-31	$437,336
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	BREMSER GROUP, INC.
Accountancy firm EIN	2011-12-31	200242104
2010 : AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$1,788
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$722,535
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$113,833
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$94,770
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$432,732
Value of total assets at end of year	2010-12-31	$2,578,200
Value of total assets at beginning of year	2010-12-31	$1,967,710
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$19,063
Total interest from all sources	2010-12-31	$246
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$53,257
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	$53,257
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$20,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$378,108
Participant contributions at end of year	2010-12-31	$9,521
Participant contributions at beginning of year	2010-12-31	$22,333
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$1,788
Administrative expenses (other) incurred	2010-12-31	$19,063
Total non interest bearing cash at end of year	2010-12-31	$1,589
Total non interest bearing cash at beginning of year	2010-12-31	$386
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	$608,702
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$2,576,412
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,967,710
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$2,365,275
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$1,726,203
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$145,362
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$156,959
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$156,959
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$246
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$236,300
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	$54,624
Employer contributions (assets) at end of year	2010-12-31	$56,453
Employer contributions (assets) at beginning of year	2010-12-31	$61,829
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$94,770
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	BREMSER GROUP, INC.
Accountancy firm EIN	2010-12-31	200242104
2009 : AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS 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 AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS PLAN

2016: AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS 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	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS 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: AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS 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: AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS 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: AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS 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	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
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: AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS 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
2010: AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: AMPHION MEDICAL SOLUTIONS, LLC 401(K) SAVINGS 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:	AMPHION MEDICAL SOLUTIONS, LLC
Employer identification number (EIN):	392043844
NAIC Classification:	561410
NAIC Description:	Document Preparation Services