401k Plan data: WEST SHORE OB GYN, PC 401(K) PROFIT SHARING PLAN plan

WEST SHORE OB GYN, PC 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	WEST SHORE OB GYN, PC 401(K) PROFIT SHARING PLAN
Plan identification number	001

WEST SHORE OB GYN, PC 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Plan covered by PBGC that was terminated and closed out for PBGC purposes - Before the end of the plan year (or a prior plan year), (1) the plan terminated in a standard (or distress) termination and completed the distribution of plan assets in satisfaction of all benefit liabilities (or all ERISA Title IV benefits for distress termination); or (2) a trustee was appointed for a terminated plan pursuant to ERISA section 4042.
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

WEST SHORE OB GYN, PC has sponsored the creation of one or more 401k plans.

Company Name: WEST SHORE OB GYN, PC

Employer identification number (EIN): 383619504

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WEST SHORE OB GYN, PC 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2011-01-01 DENISE M. WARREN, DO
001 2010-01-01 DENISE M. WARREN, DO
001 2009-01-01 DENISE M. WARREN, DO
001 2009-01-01 DENISE M. WARREN, DO

Plan id#	Filing Submission Date	Name of Administrator
001	2011-01-01	DENISE M. WARREN, DO
001	2010-01-01	DENISE M. WARREN, DO
001	2009-01-01	DENISE M. WARREN, DO
001	2009-01-01	DENISE M. WARREN, DO

Plan Statistics for WEST SHORE OB GYN, PC 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for WEST SHORE OB GYN, PC 401(K) PROFIT SHARING PLAN

Measure Date Value
2011: WEST SHORE OB GYN, PC 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 4
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 0
Total of all active and inactive participants 2011-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 0
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
2010: WEST SHORE OB GYN, PC 401(K) PROFIT SHARING 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 0
Number of retired or separated participants receiving benefits 2010-01-01 4
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 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 4
Number of participants with account balances 2010-01-01 2
2009: WEST SHORE OB GYN, PC 401(K) PROFIT SHARING 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
2011: WEST SHORE OB GYN, PC 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	4
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	0
Total of all active and inactive participants	2011-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	0
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
2010: WEST SHORE OB GYN, PC 401(K) PROFIT SHARING 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	0
Number of retired or separated participants receiving benefits	2010-01-01	4
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	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	4
Number of participants with account balances	2010-01-01	2
2009: WEST SHORE OB GYN, PC 401(K) PROFIT SHARING 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 WEST SHORE OB GYN, PC 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2011 : WEST SHORE OB GYN, PC 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$425
Expenses. Total of all expenses incurred	2011-12-31	$3,520
Benefits paid (including direct rollovers)	2011-12-31	$3,520
Total plan assets at end of year	2011-12-31	$10,562
Total plan assets at beginning of year	2011-12-31	$13,657
Other income received	2011-12-31	$425
Net income (gross income less expenses)	2011-12-31	$-3,095
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$10,562
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$13,657
2010 : WEST SHORE OB GYN, PC 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$11,172
Expenses. Total of all expenses incurred	2010-12-31	$294,282
Benefits paid (including direct rollovers)	2010-12-31	$294,282
Total plan assets at end of year	2010-12-31	$13,657
Total plan assets at beginning of year	2010-12-31	$296,767
Other income received	2010-12-31	$11,172
Net income (gross income less expenses)	2010-12-31	$-283,110
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$13,657
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$296,767

Form 5500 Responses for WEST SHORE OB GYN, PC 401(K) PROFIT SHARING PLAN

2011: WEST SHORE OB GYN, PC 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	This submission is the final filing	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: WEST SHORE OB GYN, PC 401(K) PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: WEST SHORE OB GYN, PC 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	WEST SHORE OB GYN, PC
Employer identification number (EIN):	383619504
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)