401k Plan data: GREAT LAKES MEDICAL SUPPLY, LLC. 401K PROFIT SHARING PLAN plan

GREAT LAKES MEDICAL SUPPLY, LLC. 401K PROFIT SHARING PLAN 401k Plan overview

Plan Name	GREAT LAKES MEDICAL SUPPLY, LLC. 401K PROFIT SHARING PLAN
Plan identification number	002

GREAT LAKES MEDICAL SUPPLY, LLC. 401K PROFIT SHARING 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.
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

GREAT LAKES MEDICAL SUPPLY, LLC. has sponsored the creation of one or more 401k plans.

Company Name: GREAT LAKES MEDICAL SUPPLY, LLC.

Employer identification number (EIN): 383258957

NAIC Classification: 424210
NAIC Description: Drugs and Druggists' Sundries Merchant Wholesalers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GREAT LAKES MEDICAL SUPPLY, LLC. 401K PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2014-01-01 KENNETH DRAZAN 2018-03-06
002 2013-01-01 KENNETH DRAZAN
002 2012-01-01 CHERI KUDJA
002 2011-01-01 VICTORIA BUSH
002 2010-01-01 JON TROPSA 2011-10-14

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2014-01-01	KENNETH DRAZAN	2018-03-06
002	2013-01-01	KENNETH DRAZAN
002	2012-01-01	CHERI KUDJA
002	2011-01-01	VICTORIA BUSH
002	2010-01-01	JON TROPSA	2011-10-14

Plan Statistics for GREAT LAKES MEDICAL SUPPLY, LLC. 401K PROFIT SHARING PLAN

401k plan membership statisitcs for GREAT LAKES MEDICAL SUPPLY, LLC. 401K PROFIT SHARING PLAN

Measure Date Value
2013: GREAT LAKES MEDICAL SUPPLY, LLC. 401K PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 102
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 50
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 50
Total of all active and inactive participants 2013-01-01 100
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 100
Number of participants with account balances 2013-01-01 50
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 20
2012: GREAT LAKES MEDICAL SUPPLY, LLC. 401K PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 131
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 52
Number of retired or separated participants receiving benefits 2012-01-01 3
Number of other retired or separated participants entitled to future benefits 2012-01-01 47
Total of all active and inactive participants 2012-01-01 102
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 102
Number of participants with account balances 2012-01-01 62
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 20
2011: GREAT LAKES MEDICAL SUPPLY, LLC. 401K PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 128
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 94
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 24
Total of all active and inactive participants 2011-01-01 118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 118
Number of participants with account balances 2011-01-01 76
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 9

Measure	Date	Value
2013: GREAT LAKES MEDICAL SUPPLY, LLC. 401K PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	102
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	50
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	50
Total of all active and inactive participants	2013-01-01	100
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	100
Number of participants with account balances	2013-01-01	50
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	20
2012: GREAT LAKES MEDICAL SUPPLY, LLC. 401K PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	131
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	52
Number of retired or separated participants receiving benefits	2012-01-01	3
Number of other retired or separated participants entitled to future benefits	2012-01-01	47
Total of all active and inactive participants	2012-01-01	102
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	102
Number of participants with account balances	2012-01-01	62
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	20
2011: GREAT LAKES MEDICAL SUPPLY, LLC. 401K PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	128
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	94
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	24
Total of all active and inactive participants	2011-01-01	118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	118
Number of participants with account balances	2011-01-01	76
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	9

Financial Data on GREAT LAKES MEDICAL SUPPLY, LLC. 401K PROFIT SHARING PLAN

Measure	Date	Value
2013 : GREAT LAKES MEDICAL SUPPLY, LLC. 401K PROFIT SHARING PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$238,657
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$218,106
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$208,980
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$34,852
Value of total assets at end of year	2013-12-31	$1,045,986
Value of total assets at beginning of year	2013-12-31	$1,025,435
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$9,126
Total interest from all sources	2013-12-31	$203,805
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$130,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$33,508
Participant contributions at end of year	2013-12-31	$4,712
Participant contributions at beginning of year	2013-12-31	$6,608
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$20,551
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$1,045,986
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$1,025,435
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in pooled separate accounts at end of year	2013-12-31	$1,041,274
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$1,007,276
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$11,551
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$11,551
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$203,805
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$1,344
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$208,980
Contract administrator fees	2013-12-31	$9,126
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	MCGLADREY LLP
Accountancy firm EIN	2013-12-31	420714325
2012 : GREAT LAKES MEDICAL SUPPLY, LLC. 401K PROFIT SHARING PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$242,807
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$233,389
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$223,433
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$93,731
Value of total assets at end of year	2012-12-31	$1,025,435
Value of total assets at beginning of year	2012-12-31	$1,016,017
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$9,956
Total interest from all sources	2012-12-31	$574
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$130,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$92,469
Participant contributions at end of year	2012-12-31	$6,608
Participant contributions at beginning of year	2012-12-31	$14,083
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$75
Administrative expenses (other) incurred	2012-12-31	$9,956
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$9,418
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$1,025,435
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$1,016,017
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in pooled separate accounts at end of year	2012-12-31	$1,007,276
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$981,914
Interest on participant loans	2012-12-31	$574
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$11,551
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$20,020
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$20,020
Net investment gain/loss from pooled separate accounts	2012-12-31	$148,502
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$1,187
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$223,433
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	MCGLADREY LLP
Accountancy firm EIN	2012-12-31	420714325
2011 : GREAT LAKES MEDICAL SUPPLY, LLC. 401K PROFIT SHARING PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$8,839
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$515,882
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$507,890
Value of total corrective distributions	2011-12-31	$2,620
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$128,509
Value of total assets at end of year	2011-12-31	$1,016,017
Value of total assets at beginning of year	2011-12-31	$1,523,060
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$5,372
Total interest from all sources	2011-12-31	$1,032
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$130,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$113,637
Participant contributions at end of year	2011-12-31	$14,083
Participant contributions at beginning of year	2011-12-31	$38,908
Administrative expenses (other) incurred	2011-12-31	$5,372
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-507,043
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$1,016,017
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$1,523,060
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in pooled separate accounts at end of year	2011-12-31	$981,914
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$1,481,534
Interest on participant loans	2011-12-31	$1,148
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$20,020
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$2,618
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$2,618
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$-116
Net investment gain/loss from pooled separate accounts	2011-12-31	$-120,702
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$14,872
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$507,890
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	MCGLADREY LLP
Accountancy firm EIN	2011-12-31	420714325

Form 5500 Responses for GREAT LAKES MEDICAL SUPPLY, LLC. 401K PROFIT SHARING PLAN

2013: GREAT LAKES MEDICAL SUPPLY, LLC. 401K PROFIT SHARING 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	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 - Trust	Yes
2012: GREAT LAKES MEDICAL SUPPLY, LLC. 401K PROFIT SHARING 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 - Trust	Yes
2011: GREAT LAKES MEDICAL SUPPLY, LLC. 401K PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	Yes
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 - Trust	Yes

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Company Name:	GREAT LAKES MEDICAL SUPPLY, LLC.
Employer identification number (EIN):	383258957
NAIC Classification:	424210
NAIC Description:	Drugs and Druggists' Sundries Merchant Wholesalers