401k Plan data: CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN plan

CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN 401k Plan overview

Plan Name	CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN
Plan identification number	001

CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN Benefits

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

401k Sponsoring company profile

CLEVELAND EYE CARE & SURGERY, INC. has sponsored the creation of one or more 401k plans.

Company Name: CLEVELAND EYE CARE & SURGERY, INC.

Employer identification number (EIN): 270379599

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

Additional information about CLEVELAND EYE CARE & SURGERY, INC.

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division

Incorporation Date: 2009-05-27

Company Identification Number: 1859950

Legal Registered Office Address: 1375 E. NINTH STREET
9TH FLOOR
CLEVELAND
United States of America (USA)
44114

More information about CLEVELAND EYE CARE & SURGERY, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2018-01-01
001 2017-01-01 DAVID MITCHELL
001 2016-01-01 DAVID MITCHELL
001 2015-01-01 DAVID MITCHELL
001 2014-01-01 DAVID MITCHELL
001 2013-01-01 DAVID MITCHELL
001 2012-01-01 DAVID MITCHELL

Plan Statistics for CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN

401k plan membership statisitcs for CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN

Measure Date Value
2018: CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 0
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 0
Number of participants with account balances 2018-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 4
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 1
Number of other retired or separated participants entitled to future benefits 2017-01-01 3
Total of all active and inactive participants 2017-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 4
Number of participants with account balances 2017-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 4
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 0
Total of all active and inactive participants 2016-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 4
Number of participants with account balances 2016-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 3
Number of retired or separated participants receiving benefits 2015-01-01 5
Number of other retired or separated participants entitled to future benefits 2015-01-01 1
Total of all active and inactive participants 2015-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 9
Number of participants with account balances 2015-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 9
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 0
Total of all active and inactive participants 2014-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 9
Number of participants with account balances 2014-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 8
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 0
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: CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 7
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 0
Total of all active and inactive participants 2012-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 7
Number of participants with account balances 2012-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0

Measure	Date	Value
2018: CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	0
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	0
Number of participants with account balances	2018-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	4
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	1
Number of other retired or separated participants entitled to future benefits	2017-01-01	3
Total of all active and inactive participants	2017-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	4
Number of participants with account balances	2017-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	4
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	0
Total of all active and inactive participants	2016-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	4
Number of participants with account balances	2016-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	3
Number of retired or separated participants receiving benefits	2015-01-01	5
Number of other retired or separated participants entitled to future benefits	2015-01-01	1
Total of all active and inactive participants	2015-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	9
Number of participants with account balances	2015-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	9
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	0
Total of all active and inactive participants	2014-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	9
Number of participants with account balances	2014-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	8
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	0
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: CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	7
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	0
Total of all active and inactive participants	2012-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	7
Number of participants with account balances	2012-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0

Financial Data on CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN

Measure	Date	Value
2018 : CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$-13,388
Expenses. Total of all expenses incurred	2018-12-31	$239,071
Benefits paid (including direct rollovers)	2018-12-31	$238,783
Total plan assets at end of year	2018-12-31	$0
Total plan assets at beginning of year	2018-12-31	$252,459
Value of fidelity bond covering the plan	2018-12-31	$60,000
Expenses. Other expenses not covered elsewhere	2018-12-31	$288
Other income received	2018-12-31	$-13,388
Net income (gross income less expenses)	2018-12-31	$-252,459
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$252,459
2017 : CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$53,283
Expenses. Total of all expenses incurred	2017-12-31	$392,549
Benefits paid (including direct rollovers)	2017-12-31	$389,717
Total plan assets at end of year	2017-12-31	$252,459
Total plan assets at beginning of year	2017-12-31	$591,725
Value of fidelity bond covering the plan	2017-12-31	$60,000
Expenses. Other expenses not covered elsewhere	2017-12-31	$2,832
Other income received	2017-12-31	$43,615
Net income (gross income less expenses)	2017-12-31	$-339,266
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$252,459
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$591,725
Assets. Value of participant loans	2017-12-31	$0
Total contributions received or receivable from employer(s)	2017-12-31	$9,668
2016 : CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$70,333
Expenses. Total of all expenses incurred	2016-12-31	$18,020
Benefits paid (including direct rollovers)	2016-12-31	$14,036
Total plan assets at end of year	2016-12-31	$591,725
Total plan assets at beginning of year	2016-12-31	$539,412
Value of fidelity bond covering the plan	2016-12-31	$65,000
Expenses. Other expenses not covered elsewhere	2016-12-31	$3,984
Other income received	2016-12-31	$55,010
Net income (gross income less expenses)	2016-12-31	$52,313
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$591,725
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$539,412
Assets. Value of participant loans	2016-12-31	$25,890
Total contributions received or receivable from employer(s)	2016-12-31	$15,323
2015 : CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$1,880
Expenses. Total of all expenses incurred	2015-12-31	$238,411
Benefits paid (including direct rollovers)	2015-12-31	$233,136
Total plan assets at end of year	2015-12-31	$539,412
Total plan assets at beginning of year	2015-12-31	$775,943
Value of fidelity bond covering the plan	2015-12-31	$65,000
Expenses. Other expenses not covered elsewhere	2015-12-31	$5,275
Other income received	2015-12-31	$-8,905
Net income (gross income less expenses)	2015-12-31	$-236,531
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$539,412
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$775,943
Assets. Value of participant loans	2015-12-31	$26,720
Total contributions received or receivable from employer(s)	2015-12-31	$10,785
2014 : CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$-85,406
Expenses. Total of all expenses incurred	2014-12-31	$10,689
Total plan assets at end of year	2014-12-31	$775,943
Total plan assets at beginning of year	2014-12-31	$872,038
Value of fidelity bond covering the plan	2014-12-31	$900,000
Expenses. Other expenses not covered elsewhere	2014-12-31	$10,689
Other income received	2014-12-31	$-132,867
Net income (gross income less expenses)	2014-12-31	$-96,095
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$775,943
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$872,038
Assets. Value of participant loans	2014-12-31	$41,066
Total contributions received or receivable from employer(s)	2014-12-31	$47,461
2013 : CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$128,909
Expenses. Total of all expenses incurred	2013-12-31	$2,081
Total plan assets at end of year	2013-12-31	$872,038
Total plan assets at beginning of year	2013-12-31	$745,210
Value of fidelity bond covering the plan	2013-12-31	$900,000
Expenses. Other expenses not covered elsewhere	2013-12-31	$2,081
Other income received	2013-12-31	$76,906
Net income (gross income less expenses)	2013-12-31	$126,828
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$872,038
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$745,210
Assets. Value of participant loans	2013-12-31	$15,098
Total contributions received or receivable from employer(s)	2013-12-31	$52,003
2012 : CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$745,210
Total plan assets at end of year	2012-12-31	$745,210
Total plan assets at beginning of year	2012-12-31	$0
Value of fidelity bond covering the plan	2012-12-31	$750,000
Contributions received from other sources (not participants or employers)	2012-12-31	$725,535
Other income received	2012-12-31	$4
Net income (gross income less expenses)	2012-12-31	$745,210
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$745,210
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$0
Assets. Value of participant loans	2012-12-31	$64,023
Total contributions received or receivable from employer(s)	2012-12-31	$19,671

Form 5500 Responses for CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN

2018: CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	This submission is the final filing	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN 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: CLEVELAND EYE CARE & SURGERY, INC. PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	First time form 5500 has been submitted	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	CLEVELAND EYE CARE & SURGERY, INC.
Employer identification number (EIN):	270379599
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Jurisdiction of Incorporation:	Ohio Secretary of State Business Services Division
Incorporation Date:	2009-05-27
Company Identification Number:	1859950
Legal Registered Office Address:	1375 E. NINTH STREET 9TH FLOOR CLEVELAND United States of America (USA) 44114

Plan id#	Filing Submission Date	Name of Administrator
001	2018-01-01
001	2017-01-01	DAVID MITCHELL
001	2016-01-01	DAVID MITCHELL
001	2015-01-01	DAVID MITCHELL
001	2014-01-01	DAVID MITCHELL
001	2013-01-01	DAVID MITCHELL
001	2012-01-01	DAVID MITCHELL