401k Plan data: CROSSROADS SURGICAL ASSOCIATES PROFIT SHARING 401(K) PLAN AND TRUST plan

CROSSROADS SURGICAL ASSOCIATES PROFIT SHARING 401(K) PLAN AND TRUST 401k Plan overview

Plan Name	CROSSROADS SURGICAL ASSOCIATES PROFIT SHARING 401(K) PLAN AND TRUST
Plan identification number	001

CROSSROADS SURGICAL ASSOCIATES PROFIT SHARING 401(K) PLAN AND TRUST Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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

CROSSROADS SURGICAL ASSOCIATES has sponsored the creation of one or more 401k plans.

Company Name: CROSSROADS SURGICAL ASSOCIATES

Employer identification number (EIN): 742890823

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CROSSROADS SURGICAL ASSOCIATES PROFIT SHARING 401(K) PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 B. DEAN MCDANIEL, M.D. 2016-04-29
001 2014-01-01 B. DEAN MCDANIEL, M.D. 2015-09-18 B. DEAN MCDANIEL, M.D. 2015-09-18
001 2013-01-01 STEPHEN HOUGEN
001 2012-01-01 STEPHEN HOUGEN
001 2011-01-01 STEPHEN HOUGEN
001 2010-01-01 STEPHEN HOUGEN
001 2009-01-01 STEPHEN HOUGEN STEPHEN T. HOUGEN, MD, PA 2010-10-13
001 2009-01-01 STEPHEN HOUGEN
001 2009-01-01 STEPHEN HOUGEN STEPHEN HOUGEN 2010-10-15
001 2009-01-01 STEPHEN HOUGEN STEPHEN T. HOUGEN, MD, PA 2010-10-06
001 2009-01-01 STEPHEN HOUGEN STEPHEN T. HOUGEN 2010-10-14
001 2009-01-01 STEPHEN HOUGEN STEPHEN T. HOUGEN, MD, PA 2010-10-06
001 2009-01-01 STEPHEN HOUGEN CROSSROADS SURGICAL ASSOCIATES 2010-10-21

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2015-01-01	B. DEAN MCDANIEL, M.D.	2016-04-29
001	2014-01-01	B. DEAN MCDANIEL, M.D.	2015-09-18	B. DEAN MCDANIEL, M.D.	2015-09-18
001	2013-01-01	STEPHEN HOUGEN
001	2012-01-01	STEPHEN HOUGEN
001	2011-01-01	STEPHEN HOUGEN
001	2010-01-01	STEPHEN HOUGEN
001	2009-01-01	STEPHEN HOUGEN		STEPHEN T. HOUGEN, MD, PA	2010-10-13
001	2009-01-01	STEPHEN HOUGEN
001	2009-01-01	STEPHEN HOUGEN		STEPHEN HOUGEN	2010-10-15
001	2009-01-01	STEPHEN HOUGEN		STEPHEN T. HOUGEN, MD, PA	2010-10-06
001	2009-01-01	STEPHEN HOUGEN		STEPHEN T. HOUGEN	2010-10-14
001	2009-01-01	STEPHEN HOUGEN		STEPHEN T. HOUGEN, MD, PA	2010-10-06
001	2009-01-01	STEPHEN HOUGEN		CROSSROADS SURGICAL ASSOCIATES	2010-10-21

Plan Statistics for CROSSROADS SURGICAL ASSOCIATES PROFIT SHARING 401(K) PLAN AND TRUST

401k plan membership statisitcs for CROSSROADS SURGICAL ASSOCIATES PROFIT SHARING 401(K) PLAN AND TRUST

Measure Date Value
2013: CROSSROADS SURGICAL ASSOCIATES PROFIT SHARING 401(K) PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year 2013-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 6
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 2
Total of all active and inactive participants 2013-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 8
Number of participants with account balances 2013-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: CROSSROADS SURGICAL ASSOCIATES PROFIT SHARING 401(K) PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 6
Number of retired or separated participants receiving benefits 2012-01-01 1
Number of other retired or separated participants entitled to future benefits 2012-01-01 2
Total of all active and inactive participants 2012-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 9
Number of participants with account balances 2012-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: CROSSROADS SURGICAL ASSOCIATES PROFIT SHARING 401(K) PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 8
Number of retired or separated participants receiving benefits 2011-01-01 2
Number of other retired or separated participants entitled to future benefits 2011-01-01 1
Total of all active and inactive participants 2011-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 11
Number of participants with account balances 2011-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: CROSSROADS SURGICAL ASSOCIATES PROFIT SHARING 401(K) PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year 2010-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 10
Number of retired or separated participants receiving benefits 2010-01-01 4
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 14
Number of participants with account balances 2010-01-01 14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 1
2009: CROSSROADS SURGICAL ASSOCIATES PROFIT SHARING 401(K) PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 7
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 6
Total of all active and inactive participants 2009-01-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 13
Number of participants with account balances 2009-01-01 13

Measure	Date	Value
2013: CROSSROADS SURGICAL ASSOCIATES PROFIT SHARING 401(K) PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year	2013-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	6
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	2
Total of all active and inactive participants	2013-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	8
Number of participants with account balances	2013-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: CROSSROADS SURGICAL ASSOCIATES PROFIT SHARING 401(K) PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	6
Number of retired or separated participants receiving benefits	2012-01-01	1
Number of other retired or separated participants entitled to future benefits	2012-01-01	2
Total of all active and inactive participants	2012-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	9
Number of participants with account balances	2012-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: CROSSROADS SURGICAL ASSOCIATES PROFIT SHARING 401(K) PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	8
Number of retired or separated participants receiving benefits	2011-01-01	2
Number of other retired or separated participants entitled to future benefits	2011-01-01	1
Total of all active and inactive participants	2011-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	11
Number of participants with account balances	2011-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: CROSSROADS SURGICAL ASSOCIATES PROFIT SHARING 401(K) PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year	2010-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	10
Number of retired or separated participants receiving benefits	2010-01-01	4
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	14
Number of participants with account balances	2010-01-01	14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	1
2009: CROSSROADS SURGICAL ASSOCIATES PROFIT SHARING 401(K) PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	7
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	6
Total of all active and inactive participants	2009-01-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	13
Number of participants with account balances	2009-01-01	13

Financial Data on CROSSROADS SURGICAL ASSOCIATES PROFIT SHARING 401(K) PLAN AND TRUST

Measure	Date	Value
2013 : CROSSROADS SURGICAL ASSOCIATES PROFIT SHARING 401(K) PLAN AND TRUST 2013 401k financial data
Total income from all sources	2013-12-31	$172,664
Expenses. Total of all expenses incurred	2013-12-31	$133,863
Benefits paid (including direct rollovers)	2013-12-31	$124,600
Total plan assets at end of year	2013-12-31	$1,084,530
Total plan assets at beginning of year	2013-12-31	$1,045,729
Total contributions received or receivable from participants	2013-12-31	$10,197
Other income received	2013-12-31	$162,467
Net income (gross income less expenses)	2013-12-31	$38,801
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,084,530
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,045,729
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$9,263
2012 : CROSSROADS SURGICAL ASSOCIATES PROFIT SHARING 401(K) PLAN AND TRUST 2012 401k financial data
Total income from all sources	2012-12-31	$165,125
Expenses. Total of all expenses incurred	2012-12-31	$42,290
Benefits paid (including direct rollovers)	2012-12-31	$33,095
Total plan assets at end of year	2012-12-31	$1,045,729
Total plan assets at beginning of year	2012-12-31	$922,894
Total contributions received or receivable from participants	2012-12-31	$45,277
Other income received	2012-12-31	$108,777
Net income (gross income less expenses)	2012-12-31	$122,835
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,045,729
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$922,894
Total contributions received or receivable from employer(s)	2012-12-31	$11,071
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$9,195
2011 : CROSSROADS SURGICAL ASSOCIATES PROFIT SHARING 401(K) PLAN AND TRUST 2011 401k financial data
Total income from all sources	2011-12-31	$-2,743
Expenses. Total of all expenses incurred	2011-12-31	$17,100
Benefits paid (including direct rollovers)	2011-12-31	$8,616
Total plan assets at end of year	2011-12-31	$922,894
Total plan assets at beginning of year	2011-12-31	$942,737
Total contributions received or receivable from participants	2011-12-31	$48,457
Other income received	2011-12-31	$-63,624
Net income (gross income less expenses)	2011-12-31	$-19,843
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$922,894
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$942,737
Assets. Value of participant loans	2011-12-31	$1,006
Total contributions received or receivable from employer(s)	2011-12-31	$12,424
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$8,484
2010 : CROSSROADS SURGICAL ASSOCIATES PROFIT SHARING 401(K) PLAN AND TRUST 2010 401k financial data
Total income from all sources	2010-12-31	$177,476
Expenses. Total of all expenses incurred	2010-12-31	$171,036
Benefits paid (including direct rollovers)	2010-12-31	$163,772
Total plan assets at end of year	2010-12-31	$942,737
Total plan assets at beginning of year	2010-12-31	$936,297
Total contributions received or receivable from participants	2010-12-31	$46,516
Other income received	2010-12-31	$109,235
Net income (gross income less expenses)	2010-12-31	$6,440
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$942,737
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$936,297
Total contributions received or receivable from employer(s)	2010-12-31	$21,725
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$7,264

Form 5500 Responses for CROSSROADS SURGICAL ASSOCIATES PROFIT SHARING 401(K) PLAN AND TRUST

2013: CROSSROADS SURGICAL ASSOCIATES PROFIT SHARING 401(K) PLAN AND TRUST 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: CROSSROADS SURGICAL ASSOCIATES PROFIT SHARING 401(K) 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: CROSSROADS SURGICAL ASSOCIATES PROFIT SHARING 401(K) 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: CROSSROADS SURGICAL ASSOCIATES PROFIT SHARING 401(K) 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: CROSSROADS SURGICAL ASSOCIATES PROFIT SHARING 401(K) PLAN AND TRUST 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	CROSSROADS SURGICAL ASSOCIATES
Employer identification number (EIN):	742890823
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)