401k Plan data: HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING PLAN plan

HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING PLAN 401k Plan overview

Plan Name	HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING PLAN
Plan identification number	009

HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

HILLCREST SURGICAL MEDICAL GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name: HILLCREST SURGICAL MEDICAL GROUP, INC.

Employer identification number (EIN): 952664825

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
009 2017-01-01 GEORGE ZORN GEORGE ZORN 2018-06-21
009 2016-01-01 GEORGE ZORN GEORGE ZORN 2017-10-11
009 2015-01-01 GEORGE ZORN GEORGE ZORN 2016-10-14
009 2014-01-01 LAURENCE TANAKA LAURENCE TANAKA 2015-10-14
009 2013-01-01 LAURENCE TANAKAK LAURENCE TANAKAK 2014-10-06
009 2012-01-01 LAURENCE TANAKA LAURENCE TANAKA 2013-10-15
009 2011-01-01 LAURENCE TANAKA LAURENCE TANAKA 2012-10-05
009 2009-01-01 GEORGE ZORN

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
009	2017-01-01	GEORGE ZORN	GEORGE ZORN	2018-06-21
009	2016-01-01	GEORGE ZORN	GEORGE ZORN	2017-10-11
009	2015-01-01	GEORGE ZORN	GEORGE ZORN	2016-10-14
009	2014-01-01	LAURENCE TANAKA	LAURENCE TANAKA	2015-10-14
009	2013-01-01	LAURENCE TANAKAK	LAURENCE TANAKAK	2014-10-06
009	2012-01-01	LAURENCE TANAKA	LAURENCE TANAKA	2013-10-15
009	2011-01-01	LAURENCE TANAKA	LAURENCE TANAKA	2012-10-05
009	2009-01-01	GEORGE ZORN

Plan Statistics for HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING PLAN

401k plan membership statisitcs for HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING PLAN

Measure Date Value
2017: HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 0
Number of participants with account balances 2017-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 3
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 11
Total of all active and inactive participants 2016-01-01 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 14
Number of participants with account balances 2016-01-01 14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 11
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 3
Total of all active and inactive participants 2015-01-01 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 14
Number of participants with account balances 2015-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 10
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 3
Total of all active and inactive participants 2014-01-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 13
Number of participants with account balances 2014-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 1
2013: HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 22
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 9
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 5
Total of all active and inactive participants 2013-01-01 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 14
Number of participants with account balances 2013-01-01 14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 3
2012: HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 20
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 14
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 8
Total of all active and inactive participants 2012-01-01 22
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 22
Number of participants with account balances 2012-01-01 22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 3
2011: HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 19
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 13
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 4
Total of all active and inactive participants 2011-01-01 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 17
Number of participants with account balances 2011-01-01 17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 1
2009: HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 15
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 2
Total of all active and inactive participants 2009-01-01 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 17
Number of participants with account balances 2009-01-01 17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 1

Measure	Date	Value
2017: HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	0
Number of participants with account balances	2017-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	3
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	11
Total of all active and inactive participants	2016-01-01	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	14
Number of participants with account balances	2016-01-01	14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	11
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	3
Total of all active and inactive participants	2015-01-01	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	14
Number of participants with account balances	2015-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	10
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	3
Total of all active and inactive participants	2014-01-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	13
Number of participants with account balances	2014-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	1
2013: HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	22
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	9
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	5
Total of all active and inactive participants	2013-01-01	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	14
Number of participants with account balances	2013-01-01	14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	3
2012: HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	20
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	14
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	8
Total of all active and inactive participants	2012-01-01	22
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	22
Number of participants with account balances	2012-01-01	22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	3
2011: HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	19
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	13
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	4
Total of all active and inactive participants	2011-01-01	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	17
Number of participants with account balances	2011-01-01	17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	1
2009: HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	15
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	2
Total of all active and inactive participants	2009-01-01	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	17
Number of participants with account balances	2009-01-01	17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	1

Financial Data on HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING PLAN

Measure	Date	Value
2017 : HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING PLAN 2017 401k financial data
Transfers to/from the plan	2017-12-31	$0
Total income from all sources	2017-12-31	$929,387
Expenses. Total of all expenses incurred	2017-12-31	$6,892,705
Benefits paid (including direct rollovers)	2017-12-31	$6,853,636
Total plan assets at end of year	2017-12-31	$0
Total plan assets at beginning of year	2017-12-31	$5,963,318
Value of fidelity bond covering the plan	2017-12-31	$750,000
Total contributions received or receivable from participants	2017-12-31	$0
Expenses. Other expenses not covered elsewhere	2017-12-31	$0
Contributions received from other sources (not participants or employers)	2017-12-31	$0
Other income received	2017-12-31	$929,387
Net income (gross income less expenses)	2017-12-31	$-5,963,318
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$5,963,318
Assets. Value of assets in partnership/joint-venture interests	2017-12-31	$0
Assets. Value of real-estate (other than employer real property)	2017-12-31	$0
Total contributions received or receivable from employer(s)	2017-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$39,069
2016 : HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$84,195
Expenses. Total of all expenses incurred	2016-12-31	$65,106
Benefits paid (including direct rollovers)	2016-12-31	$26,059
Total plan assets at end of year	2016-12-31	$5,963,318
Total plan assets at beginning of year	2016-12-31	$5,944,229
Value of fidelity bond covering the plan	2016-12-31	$750,000
Total contributions received or receivable from participants	2016-12-31	$3,162
Expenses. Other expenses not covered elsewhere	2016-12-31	$10,017
Contributions received from other sources (not participants or employers)	2016-12-31	$0
Other income received	2016-12-31	$81,033
Net income (gross income less expenses)	2016-12-31	$19,089
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$5,963,318
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$5,944,229
Assets. Value of assets in partnership/joint-venture interests	2016-12-31	$35,000
Assets. Value of real-estate (other than employer real property)	2016-12-31	$382,900
Total contributions received or receivable from employer(s)	2016-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$29,030
2015 : HILLCREST SURGICAL MEDICAL GROUP, INC. 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	$-80,357
Expenses. Total of all expenses incurred	2015-12-31	$56,576
Benefits paid (including direct rollovers)	2015-12-31	$26,706
Total plan assets at end of year	2015-12-31	$5,944,229
Total plan assets at beginning of year	2015-12-31	$6,081,162
Value of fidelity bond covering the plan	2015-12-31	$750,000
Total contributions received or receivable from participants	2015-12-31	$2,530
Expenses. Other expenses not covered elsewhere	2015-12-31	$9,142
Contributions received from other sources (not participants or employers)	2015-12-31	$0
Other income received	2015-12-31	$-82,887
Net income (gross income less expenses)	2015-12-31	$-136,933
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$5,944,229
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$6,081,162
Assets. Value of assets in partnership/joint-venture interests	2015-12-31	$143,722
Assets. Value of real-estate (other than employer real property)	2015-12-31	$659,164
Total contributions received or receivable from employer(s)	2015-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$20,728
2014 : HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING PLAN 2014 401k financial data
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	$2,247,651
Expenses. Total of all expenses incurred	2014-12-31	$31,314
Benefits paid (including direct rollovers)	2014-12-31	$20,176
Total plan assets at end of year	2014-12-31	$6,081,162
Total plan assets at beginning of year	2014-12-31	$3,864,825
Total contributions received or receivable from participants	2014-12-31	$2,735
Contributions received from other sources (not participants or employers)	2014-12-31	$1,532,571
Other income received	2014-12-31	$712,345
Net income (gross income less expenses)	2014-12-31	$2,216,337
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$6,081,162
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$3,864,825
Assets. Value of assets in partnership/joint-venture interests	2014-12-31	$143,722
Assets. Value of real-estate (other than employer real property)	2014-12-31	$659,164
Total contributions received or receivable from employer(s)	2014-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$11,138
2013 : HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING PLAN 2013 401k financial data
Total plan liabilities at end of year	2013-12-31	$0
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$67,106
Expenses. Total of all expenses incurred	2013-12-31	$137,162
Benefits paid (including direct rollovers)	2013-12-31	$128,741
Total plan assets at end of year	2013-12-31	$3,864,825
Total plan assets at beginning of year	2013-12-31	$3,934,881
Value of fidelity bond covering the plan	2013-12-31	$700,000
Total contributions received or receivable from participants	2013-12-31	$18,978
Other income received	2013-12-31	$44,864
Net income (gross income less expenses)	2013-12-31	$-70,056
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$3,864,825
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$3,934,881
Assets. Value of assets in partnership/joint-venture interests	2013-12-31	$143,722
Assets. Value of real-estate (other than employer real property)	2013-12-31	$456,264
Total contributions received or receivable from employer(s)	2013-12-31	$3,264
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$8,421
2012 : HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$420,378
Expenses. Total of all expenses incurred	2012-12-31	$3,266
Benefits paid (including direct rollovers)	2012-12-31	$3,116
Total plan assets at end of year	2012-12-31	$3,934,881
Total plan assets at beginning of year	2012-12-31	$3,517,769
Value of fidelity bond covering the plan	2012-12-31	$700,000
Total contributions received or receivable from participants	2012-12-31	$38,415
Other income received	2012-12-31	$300,905
Net income (gross income less expenses)	2012-12-31	$417,112
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$3,934,881
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$3,517,769
Assets. Value of assets in partnership/joint-venture interests	2012-12-31	$143,722
Assets. Value of real-estate (other than employer real property)	2012-12-31	$356,264
Total contributions received or receivable from employer(s)	2012-12-31	$81,058
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$150
2011 : HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$-22,914
Expenses. Total of all expenses incurred	2011-12-31	$519,655
Benefits paid (including direct rollovers)	2011-12-31	$519,605
Total plan assets at end of year	2011-12-31	$3,517,769
Total plan assets at beginning of year	2011-12-31	$4,060,338
Value of fidelity bond covering the plan	2011-12-31	$700,000
Total contributions received or receivable from participants	2011-12-31	$0
Expenses. Other expenses not covered elsewhere	2011-12-31	$0
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-111,705
Net income (gross income less expenses)	2011-12-31	$-542,569
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$3,517,769
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$4,060,338
Assets. Value of assets in partnership/joint-venture interests	2011-12-31	$35,000
Assets. Value of real-estate (other than employer real property)	2011-12-31	$456,264
Total contributions received or receivable from employer(s)	2011-12-31	$88,791
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$50
2010 : HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$110,447
Expenses. Total of all expenses incurred	2010-12-31	$58,663
Benefits paid (including direct rollovers)	2010-12-31	$39,456
Total plan assets at end of year	2010-12-31	$4,060,338
Total plan assets at beginning of year	2010-12-31	$4,008,554
Value of fidelity bond covering the plan	2010-12-31	$700,000
Total contributions received or receivable from participants	2010-12-31	$0
Expenses. Other expenses not covered elsewhere	2010-12-31	$9,183
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$-66,810
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$51,784
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$4,060,338
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$4,008,554
Assets. Value of assets in partnership/joint-venture interests	2010-12-31	$35,000
Assets. Value of real-estate (other than employer real property)	2010-12-31	$456,264
Total contributions received or receivable from employer(s)	2010-12-31	$177,257
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$10,024
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0

Form 5500 Responses for HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING PLAN

2017: HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: HILLCREST SURGICAL MEDICAL GROUP, INC. 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	No
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 – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: HILLCREST SURGICAL MEDICAL GROUP, INC. 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 – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: HILLCREST SURGICAL MEDICAL GROUP, INC. 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 – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING 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 – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING 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 – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: HILLCREST SURGICAL MEDICAL GROUP, INC. 401-K PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number	18824
Policy instance	1
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number	18824
Policy instance	1
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number	18824
Policy instance	1
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number	18824
Policy instance	1
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number	18824
Policy instance	1
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number	17148
Policy instance	1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	615104
Policy instance	2
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number	18824
Policy instance	3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	615104
Policy instance	1
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number	18824
Policy instance	3
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number	17148
Policy instance	2

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Company Name:	HILLCREST SURGICAL MEDICAL GROUP, INC.
Employer identification number (EIN):	952664825
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)