401k Plan data: THE MEDICAL EYE CENTER, PC PROFIT SHARING PLAN plan

THE MEDICAL EYE CENTER, PC PROFIT SHARING PLAN 401k Plan overview

Plan Name	THE MEDICAL EYE CENTER, PC PROFIT SHARING PLAN
Plan identification number	001

THE MEDICAL EYE CENTER, PC PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
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.
Participant-directed brokerage accounts provided as an investment option under the plan.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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

THE MEDICAL EYE CENTER, PC has sponsored the creation of one or more 401k plans.

Company Name: THE MEDICAL EYE CENTER, PC

Employer identification number (EIN): 020444664

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE MEDICAL EYE CENTER, PC PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01 AHAD FAZELAT 2019-12-31 AHAD FAZELAT 2019-12-31
001 2016-01-01 AHAD FAZELAT 2017-05-25 AHAD FAZELAT 2017-05-25
001 2015-01-01 AHAD FAZELAT 2016-10-07 AHAD FAZELAT 2016-10-07
001 2014-01-01 GEORGE SHAKER 2015-07-27
001 2013-01-01 DAVID BELLOWS
001 2012-01-01 DAVID BELLOWS
001 2011-01-01 DAVID BELLOWS
001 2010-01-01 DAVID BELLOWS
001 2009-01-01 DAVID BELLOWS

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2017-01-01	AHAD FAZELAT	2019-12-31	AHAD FAZELAT	2019-12-31
001	2016-01-01	AHAD FAZELAT	2017-05-25	AHAD FAZELAT	2017-05-25
001	2015-01-01	AHAD FAZELAT	2016-10-07	AHAD FAZELAT	2016-10-07
001	2014-01-01	GEORGE SHAKER	2015-07-27
001	2013-01-01	DAVID BELLOWS
001	2012-01-01	DAVID BELLOWS
001	2011-01-01	DAVID BELLOWS
001	2010-01-01	DAVID BELLOWS
001	2009-01-01	DAVID BELLOWS

Plan Statistics for THE MEDICAL EYE CENTER, PC PROFIT SHARING PLAN

401k plan membership statisitcs for THE MEDICAL EYE CENTER, PC PROFIT SHARING PLAN

Measure Date Value
2013: THE MEDICAL EYE CENTER, PC PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 32
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 30
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 6
Total of all active and inactive participants 2013-01-01 36
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 36
Number of participants with account balances 2013-01-01 33
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 1
2012: THE MEDICAL EYE CENTER, PC PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 31
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 27
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 3
Total of all active and inactive participants 2012-01-01 30
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 30
Number of participants with account balances 2012-01-01 29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 1
2011: THE MEDICAL EYE CENTER, PC 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 21
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 2
Total of all active and inactive participants 2011-01-01 23
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 23
Number of participants with account balances 2011-01-01 23
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 1
2010: THE MEDICAL EYE CENTER, PC PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 26
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 19
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 9
Total of all active and inactive participants 2010-01-01 28
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 28
Number of participants with account balances 2010-01-01 28
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 5
2009: THE MEDICAL EYE CENTER, PC PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 27
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 21
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 5
Total of all active and inactive participants 2009-01-01 26
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 26
Number of participants with account balances 2009-01-01 23
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 2

Measure	Date	Value
2013: THE MEDICAL EYE CENTER, PC PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	32
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	30
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	6
Total of all active and inactive participants	2013-01-01	36
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	36
Number of participants with account balances	2013-01-01	33
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	1
2012: THE MEDICAL EYE CENTER, PC PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	31
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	27
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	3
Total of all active and inactive participants	2012-01-01	30
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	30
Number of participants with account balances	2012-01-01	29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	1
2011: THE MEDICAL EYE CENTER, PC 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	21
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	2
Total of all active and inactive participants	2011-01-01	23
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	23
Number of participants with account balances	2011-01-01	23
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	1
2010: THE MEDICAL EYE CENTER, PC PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	26
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	19
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	9
Total of all active and inactive participants	2010-01-01	28
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	28
Number of participants with account balances	2010-01-01	28
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	5
2009: THE MEDICAL EYE CENTER, PC PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	27
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	21
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	5
Total of all active and inactive participants	2009-01-01	26
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	26
Number of participants with account balances	2009-01-01	23
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	2

Financial Data on THE MEDICAL EYE CENTER, PC PROFIT SHARING PLAN

Measure	Date	Value
2013 : THE MEDICAL EYE CENTER, PC PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$605,449
Expenses. Total of all expenses incurred	2013-12-31	$46,310
Benefits paid (including direct rollovers)	2013-12-31	$38,697
Total plan assets at end of year	2013-12-31	$4,411,226
Total plan assets at beginning of year	2013-12-31	$3,852,087
Value of fidelity bond covering the plan	2013-12-31	$500,000
Total contributions received or receivable from participants	2013-12-31	$121,477
Contributions received from other sources (not participants or employers)	2013-12-31	$45,820
Other income received	2013-12-31	$248,166
Net income (gross income less expenses)	2013-12-31	$559,139
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$4,411,226
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$3,852,087
Assets. Value of participant loans	2013-12-31	$1,331
Total contributions received or receivable from employer(s)	2013-12-31	$189,986
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$7,613
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : THE MEDICAL EYE CENTER, PC PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$503,636
Expenses. Total of all expenses incurred	2012-12-31	$6,045
Benefits paid (including direct rollovers)	2012-12-31	$3,761
Total plan assets at end of year	2012-12-31	$3,852,087
Total plan assets at beginning of year	2012-12-31	$3,354,496
Value of fidelity bond covering the plan	2012-12-31	$500,000
Total contributions received or receivable from participants	2012-12-31	$97,976
Other income received	2012-12-31	$405,660
Net income (gross income less expenses)	2012-12-31	$497,591
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$3,852,087
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$3,354,496
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$2,284
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : THE MEDICAL EYE CENTER, PC PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$219,440
Expenses. Total of all expenses incurred	2011-12-31	$50,952
Benefits paid (including direct rollovers)	2011-12-31	$45,756
Total plan assets at end of year	2011-12-31	$3,354,496
Total plan assets at beginning of year	2011-12-31	$3,186,008
Value of fidelity bond covering the plan	2011-12-31	$500,000
Total contributions received or receivable from participants	2011-12-31	$80,315
Expenses. Other expenses not covered elsewhere	2011-12-31	$5,196
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$13,699
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$168,488
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$3,354,496
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$3,186,008
Total contributions received or receivable from employer(s)	2011-12-31	$125,426
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$0
2010 : THE MEDICAL EYE CENTER, PC 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	$632,073
Expenses. Total of all expenses incurred	2010-12-31	$273,576
Benefits paid (including direct rollovers)	2010-12-31	$268,917
Total plan assets at end of year	2010-12-31	$3,186,008
Total plan assets at beginning of year	2010-12-31	$2,827,511
Value of fidelity bond covering the plan	2010-12-31	$500,000
Total contributions received or receivable from participants	2010-12-31	$93,747
Expenses. Other expenses not covered elsewhere	2010-12-31	$0
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$331,154
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$358,497
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$3,186,008
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$2,827,511
Total contributions received or receivable from employer(s)	2010-12-31	$207,172
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	$4,659
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 THE MEDICAL EYE CENTER, PC PROFIT SHARING PLAN

2013: THE MEDICAL EYE CENTER, PC 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: THE MEDICAL EYE CENTER, PC 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 - Trust	Yes
2011: THE MEDICAL EYE CENTER, PC 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 - Trust	Yes
2010: THE MEDICAL EYE CENTER, PC PROFIT SHARING 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: THE MEDICAL EYE CENTER, PC PROFIT SHARING 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:	THE MEDICAL EYE CENTER, PC
Employer identification number (EIN):	020444664
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)