401k Plan data: THE ANIMAL CLINIC 401(K) PLAN plan

THE ANIMAL CLINIC 401(K) PLAN 401k Plan overview

Plan Name	THE ANIMAL CLINIC 401(K) PLAN
Plan identification number	001

THE ANIMAL CLINIC 401(K) 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.
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.
Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.

401k Sponsoring company profile

THE ANIMAL CLINIC has sponsored the creation of one or more 401k plans.

Company Name: THE ANIMAL CLINIC

Employer identification number (EIN): 201985018

NAIC Classification: 541940
NAIC Description: Veterinary Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE ANIMAL CLINIC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01 WILLIAM SHANNON 2017-04-25
001 2015-01-01 KIM SMITH 2016-06-13 W. G. SHANNON 2016-06-13
001 2015-01-01 W. G. SHANNON 2016-06-13
001 2014-01-01 WILLIAM G. SHANNON
001 2013-01-01 WILLIAM SHANNON WILLIAM SHANNON 2014-06-02
001 2012-01-01 WILLIAM SHANNON WILLIAM SHANNON 2013-05-30
001 2011-01-01 WILLIAM SHANNON
001 2010-01-01 WILLIAM SHANNON
001 2009-01-01 WILLIAM SHANNON WILLIAM SHANNON 2010-10-13
001 2008-01-01 WILLIAM SHANNON

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2016-01-01	WILLIAM SHANNON	2017-04-25
001	2015-01-01	KIM SMITH	2016-06-13	W. G. SHANNON	2016-06-13
001	2015-01-01	W. G. SHANNON	2016-06-13
001	2014-01-01	WILLIAM G. SHANNON
001	2013-01-01	WILLIAM SHANNON		WILLIAM SHANNON	2014-06-02
001	2012-01-01	WILLIAM SHANNON		WILLIAM SHANNON	2013-05-30
001	2011-01-01	WILLIAM SHANNON
001	2010-01-01	WILLIAM SHANNON
001	2009-01-01	WILLIAM SHANNON		WILLIAM SHANNON	2010-10-13
001	2008-01-01	WILLIAM SHANNON

Financial Data on THE ANIMAL CLINIC 401(K) PLAN

Measure	Date	Value
2014 : THE ANIMAL CLINIC 401(K) PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
Total income from all sources	2014-12-31	$88,351
Expenses. Total of all expenses incurred	2014-12-31	$492,121
Benefits paid (including direct rollovers)	2014-12-31	$491,258
Total plan assets at end of year	2014-12-31	$219,460
Total plan assets at beginning of year	2014-12-31	$623,230
Value of fidelity bond covering the plan	2014-12-31	$75,000
Total contributions received or receivable from participants	2014-12-31	$38,186
Expenses. Other expenses not covered elsewhere	2014-12-31	$863
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$23,489
Net income (gross income less expenses)	2014-12-31	$-403,770
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$219,460
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$623,230
Assets. Value of participant loans	2014-12-31	$0
Total contributions received or receivable from employer(s)	2014-12-31	$26,676
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2014-12-31	$0
Minimum employer required contribution for this plan year	2014-12-31	$0
Amount contributed by the employer to the plan for this plan year	2014-12-31	$0
2013 : THE ANIMAL CLINIC 401(K) PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$38
Total income from all sources	2013-12-31	$190,017
Expenses. Total of all expenses incurred	2013-12-31	$42,664
Benefits paid (including direct rollovers)	2013-12-31	$41,809
Total plan assets at end of year	2013-12-31	$623,230
Total plan assets at beginning of year	2013-12-31	$475,839
Value of fidelity bond covering the plan	2013-12-31	$75,000
Total contributions received or receivable from participants	2013-12-31	$36,654
Expenses. Other expenses not covered elsewhere	2013-12-31	$855
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$127,031
Net income (gross income less expenses)	2013-12-31	$147,353
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$623,230
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$475,839
Assets. Value of participant loans	2013-12-31	$0
Total contributions received or receivable from employer(s)	2013-12-31	$26,332
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2013-12-31	$0
Minimum employer required contribution for this plan year	2013-12-31	$0
Amount contributed by the employer to the plan for this plan year	2013-12-31	$0
2012 : THE ANIMAL CLINIC 401(K) PLAN 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
Total income from all sources	2012-12-31	$128,136
Expenses. Total of all expenses incurred	2012-12-31	$6,748
Benefits paid (including direct rollovers)	2012-12-31	$5,442
Total plan assets at end of year	2012-12-31	$475,839
Total plan assets at beginning of year	2012-12-31	$354,451
Value of fidelity bond covering the plan	2012-12-31	$75,000
Total contributions received or receivable from participants	2012-12-31	$40,340
Expenses. Other expenses not covered elsewhere	2012-12-31	$832
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$61,587
Net income (gross income less expenses)	2012-12-31	$121,388
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$475,839
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$354,451
Assets. Value of participant loans	2012-12-31	$0
Total contributions received or receivable from employer(s)	2012-12-31	$26,209
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$474
Funding deficiency by the employer to the plan for this plan year	2012-12-31	$0
Minimum employer required contribution for this plan year	2012-12-31	$0
Amount contributed by the employer to the plan for this plan year	2012-12-31	$0
2011 : THE ANIMAL CLINIC 401(K) PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total income from all sources	2011-12-31	$53,671
Expenses. Total of all expenses incurred	2011-12-31	$7,460
Benefits paid (including direct rollovers)	2011-12-31	$5,805
Total plan assets at end of year	2011-12-31	$354,451
Total plan assets at beginning of year	2011-12-31	$308,240
Value of fidelity bond covering the plan	2011-12-31	$75,000
Total contributions received or receivable from participants	2011-12-31	$47,344
Expenses. Other expenses not covered elsewhere	2011-12-31	$825
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-23,820
Net income (gross income less expenses)	2011-12-31	$46,211
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$354,451
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$308,240
Assets. Value of participant loans	2011-12-31	$0
Total contributions received or receivable from employer(s)	2011-12-31	$30,147
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$830
Funding deficiency by the employer to the plan for this plan year	2011-12-31	$0
Minimum employer required contribution for this plan year	2011-12-31	$0
Amount contributed by the employer to the plan for this plan year	2011-12-31	$0
2010 : THE ANIMAL CLINIC 401(K) PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total income from all sources	2010-12-31	$108,408
Expenses. Total of all expenses incurred	2010-12-31	$812
Benefits paid (including direct rollovers)	2010-12-31	$0
Total plan assets at end of year	2010-12-31	$308,240
Total plan assets at beginning of year	2010-12-31	$200,644
Value of fidelity bond covering the plan	2010-12-31	$75,000
Total contributions received or receivable from participants	2010-12-31	$47,716
Expenses. Other expenses not covered elsewhere	2010-12-31	$812
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$30,463
Net income (gross income less expenses)	2010-12-31	$107,596
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$308,240
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$200,644
Assets. Value of participant loans	2010-12-31	$0
Total contributions received or receivable from employer(s)	2010-12-31	$30,229
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
2009 : THE ANIMAL CLINIC 401(K) PLAN 2009 401k financial data
Funding deficiency by the employer to the plan for this plan year	2009-12-31	$0
Minimum employer required contribution for this plan year	2009-12-31	$0
Amount contributed by the employer to the plan for this plan year	2009-12-31	$0
2008 : THE ANIMAL CLINIC 401(K) PLAN 2008 401k financial data
Transfers to/from the plan	2008-12-31	$0
Total income from all sources	2008-12-31	$29,084
Expenses. Total of all expenses incurred	2008-12-31	$650
Benefits paid (including direct rollovers)	2008-12-31	$0
Total plan assets at end of year	2008-12-31	$83,602
Total plan assets at beginning of year	2008-12-31	$55,168
Value of fidelity bond covering the plan	2008-12-31	$75,000
Total contributions received or receivable from participants	2008-12-31	$45,974
Expenses. Other expenses not covered elsewhere	2008-12-31	$650
Contributions received from other sources (not participants or employers)	2008-12-31	$0
Other income received	2008-12-31	$-41,191
Net income (gross income less expenses)	2008-12-31	$28,434
Net plan assets at end of year (total assets less liabilities)	2008-12-31	$83,602
Net plan assets at beginning of year (total assets less liabilities)	2008-12-31	$55,168
Total contributions received or receivable from employer(s)	2008-12-31	$24,301
Value of certain deemed distributions of participant loans	2008-12-31	$0
Value of corrective distributions	2008-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2008-12-31	$0

Form 5500 Responses for THE ANIMAL CLINIC 401(K) PLAN

2014: THE ANIMAL CLINIC 401(K) 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 – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: THE ANIMAL CLINIC 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	Yes
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 – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: THE ANIMAL CLINIC 401(K) 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 – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: THE ANIMAL CLINIC 401(K) 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 – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: THE ANIMAL CLINIC 401(K) 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 – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: THE ANIMAL CLINIC 401(K) 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 – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2008: THE ANIMAL CLINIC 401(K) PLAN 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Submission has been amended	No
2008-01-01	This submission is the final filing	No
2008-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-01-01	Plan is a collectively bargained plan	No
2008-01-01	Plan funding arrangement – Insurance	Yes
2008-01-01	Plan funding arrangement – Trust	Yes
2008-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-804984
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-804984
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-804984
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-804984
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-804984
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-804984
Policy instance	1

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Company Name:	THE ANIMAL CLINIC
Employer identification number (EIN):	201985018
NAIC Classification:	541940
NAIC Description:	Veterinary Services