401k Plan data: SALT CREEK OBSTETRICS AND GYNECOLOGY S.C. PROFIT SHARING 401K PLAN plan

SALT CREEK OBSTETRICS AND GYNECOLOGY S.C. PROFIT SHARING 401K PLAN 401k Plan overview

Plan Name	SALT CREEK OBSTETRICS AND GYNECOLOGY S.C. PROFIT SHARING 401K PLAN
Plan identification number	001

SALT CREEK OBSTETRICS AND GYNECOLOGY S.C. PROFIT SHARING 401K PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.

401k Sponsoring company profile

SALT CREEK OBSTETRICS & GYNECOLOGY S.C. has sponsored the creation of one or more 401k plans.

Company Name: SALT CREEK OBSTETRICS & GYNECOLOGY S.C.

Employer identification number (EIN): 364042552

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SALT CREEK OBSTETRICS AND GYNECOLOGY S.C. PROFIT SHARING 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2012-01-01 MARGARET PFISTER
001 2011-01-01 MARGARET PFISTER
001 2010-01-01 MARGARET PFISTER
001 2009-01-01 MARGARET PFISTER

Plan id#	Filing Submission Date	Name of Administrator
001	2012-01-01	MARGARET PFISTER
001	2011-01-01	MARGARET PFISTER
001	2010-01-01	MARGARET PFISTER
001	2009-01-01	MARGARET PFISTER

Plan Statistics for SALT CREEK OBSTETRICS AND GYNECOLOGY S.C. PROFIT SHARING 401K PLAN

401k plan membership statisitcs for SALT CREEK OBSTETRICS AND GYNECOLOGY S.C. PROFIT SHARING 401K PLAN

Measure Date Value
2012: SALT CREEK OBSTETRICS AND GYNECOLOGY S.C. PROFIT SHARING 401K PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 0
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: SALT CREEK OBSTETRICS AND GYNECOLOGY S.C. PROFIT SHARING 401K PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 5
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 0
Total of all active and inactive participants 2011-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 5
Number of participants with account balances 2011-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: SALT CREEK OBSTETRICS AND GYNECOLOGY S.C. PROFIT SHARING 401K PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 5
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 0
Total of all active and inactive participants 2010-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 5
Number of participants with account balances 2010-01-01 5
2009: SALT CREEK OBSTETRICS AND GYNECOLOGY S.C. PROFIT SHARING 401K PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 5
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 0
Total of all active and inactive participants 2009-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 5
Number of participants with account balances 2009-01-01 5

Measure	Date	Value
2012: SALT CREEK OBSTETRICS AND GYNECOLOGY S.C. PROFIT SHARING 401K PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	0
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: SALT CREEK OBSTETRICS AND GYNECOLOGY S.C. PROFIT SHARING 401K PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	5
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	0
Total of all active and inactive participants	2011-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	5
Number of participants with account balances	2011-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: SALT CREEK OBSTETRICS AND GYNECOLOGY S.C. PROFIT SHARING 401K PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	5
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	0
Total of all active and inactive participants	2010-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	5
Number of participants with account balances	2010-01-01	5
2009: SALT CREEK OBSTETRICS AND GYNECOLOGY S.C. PROFIT SHARING 401K PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	5
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	0
Total of all active and inactive participants	2009-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	5
Number of participants with account balances	2009-01-01	5

Financial Data on SALT CREEK OBSTETRICS AND GYNECOLOGY S.C. PROFIT SHARING 401K PLAN

Measure	Date	Value
2012 : SALT CREEK OBSTETRICS AND GYNECOLOGY S.C. PROFIT SHARING 401K PLAN 2012 401k financial data
Total income from all sources	2012-04-30	$20,149
Expenses. Total of all expenses incurred	2012-04-30	$1,101,556
Benefits paid (including direct rollovers)	2012-04-30	$1,101,556
Total plan assets at end of year	2012-04-30	$0
Total plan assets at beginning of year	2012-04-30	$1,081,407
Value of fidelity bond covering the plan	2012-04-30	$20,000
Other income received	2012-04-30	$20,149
Net income (gross income less expenses)	2012-04-30	$-1,081,407
Net plan assets at end of year (total assets less liabilities)	2012-04-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-04-30	$1,081,407
2011 : SALT CREEK OBSTETRICS AND GYNECOLOGY S.C. PROFIT SHARING 401K PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$96,402
Total plan assets at end of year	2011-12-31	$1,081,407
Total plan assets at beginning of year	2011-12-31	$985,005
Value of fidelity bond covering the plan	2011-12-31	$100,000
Total contributions received or receivable from participants	2011-12-31	$16,285
Other income received	2011-12-31	$73,330
Net income (gross income less expenses)	2011-12-31	$96,402
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,081,407
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$985,005
Total contributions received or receivable from employer(s)	2011-12-31	$6,787
2010 : SALT CREEK OBSTETRICS AND GYNECOLOGY S.C. PROFIT SHARING 401K PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$121,506
Total plan assets at end of year	2010-12-31	$985,005
Total plan assets at beginning of year	2010-12-31	$863,499
Value of fidelity bond covering the plan	2010-12-31	$100,000
Total contributions received or receivable from participants	2010-12-31	$29,700
Other income received	2010-12-31	$83,766
Net income (gross income less expenses)	2010-12-31	$121,506
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$985,005
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$863,499
Total contributions received or receivable from employer(s)	2010-12-31	$8,040

Form 5500 Responses for SALT CREEK OBSTETRICS AND GYNECOLOGY S.C. PROFIT SHARING 401K PLAN

2012: SALT CREEK OBSTETRICS AND GYNECOLOGY S.C. PROFIT SHARING 401K PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	This submission is the final filing	Yes
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: SALT CREEK OBSTETRICS AND GYNECOLOGY S.C. PROFIT SHARING 401K PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: SALT CREEK OBSTETRICS AND GYNECOLOGY S.C. PROFIT SHARING 401K PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: SALT CREEK OBSTETRICS AND GYNECOLOGY S.C. PROFIT SHARING 401K PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	SALT CREEK OBSTETRICS & GYNECOLOGY S.C.
Employer identification number (EIN):	364042552
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)