401k Plan data: MEDICAL SERVICES OF COSHOCTON 403(B) PLAN plan

MEDICAL SERVICES OF COSHOCTON 403(B) PLAN 401k Plan overview

Plan Name	MEDICAL SERVICES OF COSHOCTON 403(B) PLAN
Plan identification number	004

MEDICAL SERVICES OF COSHOCTON 403(B) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.

401k Sponsoring company profile

MEDICAL SERVICES OF COSHOCTON has sponsored the creation of one or more 401k plans.

Company Name: MEDICAL SERVICES OF COSHOCTON

Employer identification number (EIN): 311471240

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEDICAL SERVICES OF COSHOCTON 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
004 2013-01-01 SCOTT SILVESTRI
004 2012-01-01 RICHARD DAVIS
004 2011-01-01 RICHARD DAVIS
004 2009-01-01 ROGER WILLIAMS

Plan id#	Filing Submission Date	Name of Administrator
004	2013-01-01	SCOTT SILVESTRI
004	2012-01-01	RICHARD DAVIS
004	2011-01-01	RICHARD DAVIS
004	2009-01-01	ROGER WILLIAMS

Plan Statistics for MEDICAL SERVICES OF COSHOCTON 403(B) PLAN

401k plan membership statisitcs for MEDICAL SERVICES OF COSHOCTON 403(B) PLAN

Measure Date Value
2013: MEDICAL SERVICES OF COSHOCTON 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 0
Number of participants with account balances 2013-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: MEDICAL SERVICES OF COSHOCTON 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1
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 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 1
Number of participants with account balances 2012-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: MEDICAL SERVICES OF COSHOCTON 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 20
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 0
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 1
Total of all active and inactive participants 2011-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 1
Number of participants with account balances 2011-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: MEDICAL SERVICES OF COSHOCTON 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 23
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 19
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 3
Total of all active and inactive participants 2009-01-01 22
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 22
Number of participants with account balances 2009-01-01 22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2013: MEDICAL SERVICES OF COSHOCTON 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	0
Number of participants with account balances	2013-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: MEDICAL SERVICES OF COSHOCTON 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1
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	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	1
Number of participants with account balances	2012-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: MEDICAL SERVICES OF COSHOCTON 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	20
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	0
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	1
Total of all active and inactive participants	2011-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	1
Number of participants with account balances	2011-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: MEDICAL SERVICES OF COSHOCTON 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	23
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	19
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	3
Total of all active and inactive participants	2009-01-01	22
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	22
Number of participants with account balances	2009-01-01	22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on MEDICAL SERVICES OF COSHOCTON 403(B) PLAN

Measure	Date	Value
2013 : MEDICAL SERVICES OF COSHOCTON 403(B) PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$-131
Expenses. Total of all expenses incurred	2013-12-31	$523
Benefits paid (including direct rollovers)	2013-12-31	$523
Total plan assets at end of year	2013-12-31	$0
Total plan assets at beginning of year	2013-12-31	$654
Other income received	2013-12-31	$-131
Net income (gross income less expenses)	2013-12-31	$-654
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$654
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : MEDICAL SERVICES OF COSHOCTON 403(B) PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$-325
Expenses. Total of all expenses incurred	2012-12-31	$0
Total plan assets at end of year	2012-12-31	$654
Total plan assets at beginning of year	2012-12-31	$979
Other income received	2012-12-31	$-325
Net income (gross income less expenses)	2012-12-31	$-325
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$654
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$979
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : MEDICAL SERVICES OF COSHOCTON 403(B) PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$27,972
Expenses. Total of all expenses incurred	2011-12-31	$625,594
Benefits paid (including direct rollovers)	2011-12-31	$625,594
Total plan assets at end of year	2011-12-31	$979
Total plan assets at beginning of year	2011-12-31	$598,601
Total contributions received or receivable from participants	2011-12-31	$13,128
Other income received	2011-12-31	$14,844
Net income (gross income less expenses)	2011-12-31	$-597,622
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$979
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$598,601
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : MEDICAL SERVICES OF COSHOCTON 403(B) PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$235,951
Expenses. Total of all expenses incurred	2010-12-31	$3,593
Benefits paid (including direct rollovers)	2010-12-31	$3,593
Total plan assets at end of year	2010-12-31	$598,601
Total plan assets at beginning of year	2010-12-31	$366,243
Total contributions received or receivable from participants	2010-12-31	$173,670
Other income received	2010-12-31	$62,281
Net income (gross income less expenses)	2010-12-31	$232,358
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$598,601
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$366,243
Total contributions received or receivable from employer(s)	2010-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : MEDICAL SERVICES OF COSHOCTON 403(B) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for MEDICAL SERVICES OF COSHOCTON 403(B) PLAN

2013: MEDICAL SERVICES OF COSHOCTON 403(B) 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	Yes
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: MEDICAL SERVICES OF COSHOCTON 403(B) 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: MEDICAL SERVICES OF COSHOCTON 403(B) 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
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: MEDICAL SERVICES OF COSHOCTON 403(B) 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:	MEDICAL SERVICES OF COSHOCTON
Employer identification number (EIN):	311471240
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)