401k Plan data: ORTHOPEDIC ASSOCIATES OF SO. WORCESTER COUNTY,P.C. PROFIT SHARING PLAN plan

ORTHOPEDIC ASSOCIATES OF SO. WORCESTER COUNTY,P.C. PROFIT SHARING PLAN 401k Plan overview

Plan Name	ORTHOPEDIC ASSOCIATES OF SO. WORCESTER COUNTY,P.C. PROFIT SHARING PLAN
Plan identification number	002

ORTHOPEDIC ASSOCIATES OF SO. WORCESTER COUNTY,P.C. PROFIT SHARING PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing 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

ORTHOPEDIC ASSOCIATES OF SO. WORCESTER COUNTY, P.C. has sponsored the creation of one or more 401k plans.

Company Name: ORTHOPEDIC ASSOCIATES OF SO. WORCESTER COUNTY, P.C.

Employer identification number (EIN): 042616277

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ORTHOPEDIC ASSOCIATES OF SO. WORCESTER COUNTY,P.C. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2012-06-01 JOSEPH A. VENEZIANO, M.D., TRUSTEE
002 2011-06-01 JOSEPH A. VENEZIANO, M.D., TRUSTEE
002 2009-06-01 JOSEPH A. VENEZIANO, M.D., TRUSTEE

Plan id#	Filing Submission Date	Name of Administrator
002	2012-06-01	JOSEPH A. VENEZIANO, M.D., TRUSTEE
002	2011-06-01	JOSEPH A. VENEZIANO, M.D., TRUSTEE
002	2009-06-01	JOSEPH A. VENEZIANO, M.D., TRUSTEE

Plan Statistics for ORTHOPEDIC ASSOCIATES OF SO. WORCESTER COUNTY,P.C. PROFIT SHARING PLAN

401k plan membership statisitcs for ORTHOPEDIC ASSOCIATES OF SO. WORCESTER COUNTY,P.C. PROFIT SHARING PLAN

Measure Date Value
2012: ORTHOPEDIC ASSOCIATES OF SO. WORCESTER COUNTY,P.C. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-06-01 1
Total number of active participants reported on line 7a of the Form 5500 2012-06-01 1
Total of all active and inactive participants 2012-06-01 1
Total participants 2012-06-01 1
Number of participants with account balances 2012-06-01 0
2011: ORTHOPEDIC ASSOCIATES OF SO. WORCESTER COUNTY,P.C. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-06-01 1
Total number of active participants reported on line 7a of the Form 5500 2011-06-01 1
Total of all active and inactive participants 2011-06-01 1
Total participants 2011-06-01 1
Number of participants with account balances 2011-06-01 1
2009: ORTHOPEDIC ASSOCIATES OF SO. WORCESTER COUNTY,P.C. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-06-01 5
Total number of active participants reported on line 7a of the Form 5500 2009-06-01 2
Number of other retired or separated participants entitled to future benefits 2009-06-01 3
Total of all active and inactive participants 2009-06-01 5
Total participants 2009-06-01 5
Number of participants with account balances 2009-06-01 5

Measure	Date	Value
2012: ORTHOPEDIC ASSOCIATES OF SO. WORCESTER COUNTY,P.C. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-06-01	1
Total number of active participants reported on line 7a of the Form 5500	2012-06-01	1
Total of all active and inactive participants	2012-06-01	1
Total participants	2012-06-01	1
Number of participants with account balances	2012-06-01	0
2011: ORTHOPEDIC ASSOCIATES OF SO. WORCESTER COUNTY,P.C. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-06-01	1
Total number of active participants reported on line 7a of the Form 5500	2011-06-01	1
Total of all active and inactive participants	2011-06-01	1
Total participants	2011-06-01	1
Number of participants with account balances	2011-06-01	1
2009: ORTHOPEDIC ASSOCIATES OF SO. WORCESTER COUNTY,P.C. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-06-01	5
Total number of active participants reported on line 7a of the Form 5500	2009-06-01	2
Number of other retired or separated participants entitled to future benefits	2009-06-01	3
Total of all active and inactive participants	2009-06-01	5
Total participants	2009-06-01	5
Number of participants with account balances	2009-06-01	5

Financial Data on ORTHOPEDIC ASSOCIATES OF SO. WORCESTER COUNTY,P.C. PROFIT SHARING PLAN

Measure	Date	Value
2013 : ORTHOPEDIC ASSOCIATES OF SO. WORCESTER COUNTY,P.C. PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-05-31	$217,223
Expenses. Total of all expenses incurred	2013-05-31	$1,005,600
Benefits paid (including direct rollovers)	2013-05-31	$1,005,461
Total plan assets at end of year	2013-05-31	$0
Total plan assets at beginning of year	2013-05-31	$788,377
Value of fidelity bond covering the plan	2013-05-31	$325,000
Contributions received from other sources (not participants or employers)	2013-05-31	$210,155
Other income received	2013-05-31	$7,068
Net income (gross income less expenses)	2013-05-31	$-788,377
Net plan assets at end of year (total assets less liabilities)	2013-05-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2013-05-31	$788,377
Expenses. Administrative service providers (salaries,fees and commissions)	2013-05-31	$139
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-05-31	$0
2012 : ORTHOPEDIC ASSOCIATES OF SO. WORCESTER COUNTY,P.C. PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-05-31	$156
Expenses. Total of all expenses incurred	2012-05-31	$125
Total plan assets at end of year	2012-05-31	$788,377
Total plan assets at beginning of year	2012-05-31	$788,346
Value of fidelity bond covering the plan	2012-05-31	$325,000
Other income received	2012-05-31	$156
Net income (gross income less expenses)	2012-05-31	$31
Net plan assets at end of year (total assets less liabilities)	2012-05-31	$788,377
Net plan assets at beginning of year (total assets less liabilities)	2012-05-31	$788,346
Expenses. Administrative service providers (salaries,fees and commissions)	2012-05-31	$125
2011 : ORTHOPEDIC ASSOCIATES OF SO. WORCESTER COUNTY,P.C. PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-05-31	$57,549
Expenses. Total of all expenses incurred	2011-05-31	$9,054
Benefits paid (including direct rollovers)	2011-05-31	$8,929
Total plan assets at end of year	2011-05-31	$788,346
Total plan assets at beginning of year	2011-05-31	$739,851
Value of fidelity bond covering the plan	2011-05-31	$325,000
Other income received	2011-05-31	$57,549
Net income (gross income less expenses)	2011-05-31	$48,495
Net plan assets at end of year (total assets less liabilities)	2011-05-31	$788,346
Net plan assets at beginning of year (total assets less liabilities)	2011-05-31	$739,851
Expenses. Administrative service providers (salaries,fees and commissions)	2011-05-31	$125
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-05-31	$0
2010 : ORTHOPEDIC ASSOCIATES OF SO. WORCESTER COUNTY,P.C. PROFIT SHARING PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-05-31	$0

Form 5500 Responses for ORTHOPEDIC ASSOCIATES OF SO. WORCESTER COUNTY,P.C. PROFIT SHARING PLAN

2012: ORTHOPEDIC ASSOCIATES OF SO. WORCESTER COUNTY,P.C. PROFIT SHARING PLAN 2012 form 5500 responses
2012-06-01	Type of plan entity	Single employer plan
2012-06-01	Plan funding arrangement – Trust	Yes
2012-06-01	Plan benefit arrangement - Trust	Yes
2011: ORTHOPEDIC ASSOCIATES OF SO. WORCESTER COUNTY,P.C. PROFIT SHARING PLAN 2011 form 5500 responses
2011-06-01	Type of plan entity	Single employer plan
2011-06-01	Plan funding arrangement – Trust	Yes
2011-06-01	Plan benefit arrangement - Trust	Yes
2009: ORTHOPEDIC ASSOCIATES OF SO. WORCESTER COUNTY,P.C. PROFIT SHARING PLAN 2009 form 5500 responses
2009-06-01	Type of plan entity	Single employer plan
2009-06-01	This submission is the final filing	No
2009-06-01	Plan funding arrangement – Trust	Yes
2009-06-01	Plan benefit arrangement - Trust	Yes

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Company Name:	ORTHOPEDIC ASSOCIATES OF SO. WORCESTER COUNTY, P.C.
Employer identification number (EIN):	042616277
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)