401k Plan data: RESTISENSE CORPORATION 401(K) PROFIT SHARING PLAN plan

RESTISENSE CORPORATION 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	RESTISENSE CORPORATION 401(K) PROFIT SHARING PLAN
Plan identification number	001

RESTISENSE CORPORATION 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of 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.
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

RESTISENSE CORPORATION has sponsored the creation of one or more 401k plans.

Company Name: RESTISENSE CORPORATION

Employer identification number (EIN): 455610820

NAIC Classification: 446190

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RESTISENSE CORPORATION 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 CHRISTOPHER POLETTO
001 2014-01-01 CHRISTOPHER POLETTO
001 2013-01-01 CHRISTOPHER POLETTO
001 2012-06-02 CHRISTOPHER POLETTO

Plan id#	Filing Submission Date	Name of Administrator
001	2015-01-01	CHRISTOPHER POLETTO
001	2014-01-01	CHRISTOPHER POLETTO
001	2013-01-01	CHRISTOPHER POLETTO
001	2012-06-02	CHRISTOPHER POLETTO

Plan Statistics for RESTISENSE CORPORATION 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for RESTISENSE CORPORATION 401(K) PROFIT SHARING PLAN

Measure Date Value
2015: RESTISENSE CORPORATION 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 0
Number of participants with account balances 2015-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: RESTISENSE CORPORATION 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1
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 0
Total of all active and inactive participants 2014-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 1
Number of participants with account balances 2014-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: RESTISENSE CORPORATION 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 2
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 0
Total of all active and inactive participants 2013-01-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 2
Number of participants with account balances 2013-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: RESTISENSE CORPORATION 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-06-02 1
Total number of active participants reported on line 7a of the Form 5500 2012-06-02 1
Number of retired or separated participants receiving benefits 2012-06-02 0
Number of other retired or separated participants entitled to future benefits 2012-06-02 0
Total of all active and inactive participants 2012-06-02 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-06-02 0
Total participants 2012-06-02 1
Number of participants with account balances 2012-06-02 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-06-02 0

Measure	Date	Value
2015: RESTISENSE CORPORATION 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	0
Number of participants with account balances	2015-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: RESTISENSE CORPORATION 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1
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	0
Total of all active and inactive participants	2014-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	1
Number of participants with account balances	2014-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: RESTISENSE CORPORATION 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	2
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	0
Total of all active and inactive participants	2013-01-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	2
Number of participants with account balances	2013-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: RESTISENSE CORPORATION 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-06-02	1
Total number of active participants reported on line 7a of the Form 5500	2012-06-02	1
Number of retired or separated participants receiving benefits	2012-06-02	0
Number of other retired or separated participants entitled to future benefits	2012-06-02	0
Total of all active and inactive participants	2012-06-02	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-06-02	0
Total participants	2012-06-02	1
Number of participants with account balances	2012-06-02	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-06-02	0

Financial Data on RESTISENSE CORPORATION 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2015 : RESTISENSE CORPORATION 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total plan liabilities at beginning of year	2015-12-31	$0
Total income from all sources	2015-12-31	$0
Expenses. Total of all expenses incurred	2015-12-31	$547
Benefits paid (including direct rollovers)	2015-12-31	$547
Total plan assets at end of year	2015-12-31	$0
Total plan assets at beginning of year	2015-12-31	$547
Total contributions received or receivable from participants	2015-12-31	$0
Expenses. Other expenses not covered elsewhere	2015-12-31	$0
Contributions received from other sources (not participants or employers)	2015-12-31	$0
Other income received	2015-12-31	$0
Noncash contributions received	2015-12-31	$0
Net income (gross income less expenses)	2015-12-31	$-547
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$547
Total contributions received or receivable from employer(s)	2015-12-31	$0
Value of certain deemed distributions of participant loans	2015-12-31	$0
Value of corrective distributions	2015-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : RESTISENSE CORPORATION 401(K) PROFIT SHARING PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
Total plan liabilities at end of year	2014-12-31	$0
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$-49,258
Expenses. Total of all expenses incurred	2014-12-31	$0
Benefits paid (including direct rollovers)	2014-12-31	$0
Total plan assets at end of year	2014-12-31	$547
Total plan assets at beginning of year	2014-12-31	$49,805
Total contributions received or receivable from participants	2014-12-31	$0
Expenses. Other expenses not covered elsewhere	2014-12-31	$0
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$-49,258
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$-49,258
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$547
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$49,805
Assets. Value of employer securities	2014-12-31	$547
Total contributions received or receivable from employer(s)	2014-12-31	$0
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$0
2013 : RESTISENSE CORPORATION 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$-162,442
Expenses. Total of all expenses incurred	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$49,805
Total plan assets at beginning of year	2013-12-31	$212,247
Other income received	2013-12-31	$-162,442
Net income (gross income less expenses)	2013-12-31	$-162,442
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$49,805
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$212,247
Assets. Value of employer securities	2013-12-31	$49,258
2012 : RESTISENSE CORPORATION 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$212,247
Expenses. Total of all expenses incurred	2012-12-31	$0
Total plan assets at end of year	2012-12-31	$212,247
Total plan assets at beginning of year	2012-12-31	$0
Contributions received from other sources (not participants or employers)	2012-12-31	$212,247
Net income (gross income less expenses)	2012-12-31	$212,247
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$212,247
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$0
Assets. Value of employer securities	2012-12-31	$211,700

Form 5500 Responses for RESTISENSE CORPORATION 401(K) PROFIT SHARING PLAN

2015: RESTISENSE CORPORATION 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	Yes
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: RESTISENSE CORPORATION 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: RESTISENSE CORPORATION 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: RESTISENSE CORPORATION 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-06-02	Type of plan entity	Single employer plan
2012-06-02	First time form 5500 has been submitted	Yes
2012-06-02	Submission has been amended	No
2012-06-02	This submission is the final filing	No
2012-06-02	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-06-02	Plan is a collectively bargained plan	No
2012-06-02	Plan funding arrangement – Trust	Yes
2012-06-02	Plan benefit arrangement - Trust	Yes

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Company Name:	RESTISENSE CORPORATION
Employer identification number (EIN):	455610820
NAIC Classification:	446190