401k Plan data: EYE CARE CLINIC, LLC 401(K) PLAN plan

EYE CARE CLINIC, LLC 401(K) PLAN 401k Plan overview

Plan Name	EYE CARE CLINIC, LLC 401(K) PLAN
Plan identification number	002

EYE CARE CLINIC, LLC 401(K) 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.
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

EYE CARE CLINIC & OPTICAL, LLC has sponsored the creation of one or more 401k plans.

Company Name: EYE CARE CLINIC & OPTICAL, LLC

Employer identification number (EIN): 421538677

NAIC Classification: 621320
NAIC Description: Offices of Optometrists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EYE CARE CLINIC, LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2016-01-01
002 2015-01-01 ROBERT L HOLLY
002 2014-01-01 ROBERT L HOLLY
002 2013-01-01 ROBERT L HOLLY
002 2012-01-01 ROBERT L HOLLY
002 2011-01-01 NIKKI HIXSON
002 2010-01-01 NIKKI HIXSON 2011-02-21

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2016-01-01
002	2015-01-01	ROBERT L HOLLY
002	2014-01-01	ROBERT L HOLLY
002	2013-01-01	ROBERT L HOLLY
002	2012-01-01	ROBERT L HOLLY
002	2011-01-01	NIKKI HIXSON
002	2010-01-01	NIKKI HIXSON	2011-02-21

Plan Statistics for EYE CARE CLINIC, LLC 401(K) PLAN

401k plan membership statisitcs for EYE CARE CLINIC, LLC 401(K) PLAN

Measure Date Value
2015: EYE CARE CLINIC, LLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 7
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 7
Number of participants with account balances 2015-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: EYE CARE CLINIC, LLC 401(K) 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 7
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 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 7
Number of participants with account balances 2014-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: EYE CARE CLINIC, LLC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 6
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 1
Total of all active and inactive participants 2013-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 7
Number of participants with account balances 2013-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: EYE CARE CLINIC, LLC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 9
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 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 9
Number of participants with account balances 2012-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: EYE CARE CLINIC, LLC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 12
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 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 13
Number of participants with account balances 2011-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2015: EYE CARE CLINIC, LLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	7
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	7
Number of participants with account balances	2015-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: EYE CARE CLINIC, LLC 401(K) 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	7
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	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	7
Number of participants with account balances	2014-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: EYE CARE CLINIC, LLC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	6
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	1
Total of all active and inactive participants	2013-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	7
Number of participants with account balances	2013-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: EYE CARE CLINIC, LLC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	9
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	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	9
Number of participants with account balances	2012-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: EYE CARE CLINIC, LLC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	12
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	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	13
Number of participants with account balances	2011-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on EYE CARE CLINIC, LLC 401(K) PLAN

Measure	Date	Value
2015 : EYE CARE CLINIC, LLC 401(K) PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$58,283
Expenses. Total of all expenses incurred	2015-12-31	$2,371
Total plan assets at end of year	2015-12-31	$1,025,797
Total plan assets at beginning of year	2015-12-31	$969,885
Value of fidelity bond covering the plan	2015-12-31	$240,000
Total contributions received or receivable from participants	2015-12-31	$42,036
Other income received	2015-12-31	$3,397
Net income (gross income less expenses)	2015-12-31	$55,912
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,025,797
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$969,885
Assets. Value of participant loans	2015-12-31	$18,303
Assets. Value of real-estate (other than employer real property)	2015-12-31	$0
Total contributions received or receivable from employer(s)	2015-12-31	$12,850
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$2,371
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : EYE CARE CLINIC, LLC 401(K) PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$63,431
Expenses. Total of all expenses incurred	2014-12-31	$34,094
Benefits paid (including direct rollovers)	2014-12-31	$32,383
Total plan assets at end of year	2014-12-31	$969,885
Total plan assets at beginning of year	2014-12-31	$940,548
Value of fidelity bond covering the plan	2014-12-31	$240,000
Total contributions received or receivable from participants	2014-12-31	$37,704
Other income received	2014-12-31	$14,109
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$29,337
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$969,885
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$940,548
Assets. Value of participant loans	2014-12-31	$27,264
Assets. Value of real-estate (other than employer real property)	2014-12-31	$147,900
Total contributions received or receivable from employer(s)	2014-12-31	$11,618
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$1,711
2013 : EYE CARE CLINIC, LLC 401(K) PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$79,486
Expenses. Total of all expenses incurred	2013-12-31	$29,442
Benefits paid (including direct rollovers)	2013-12-31	$27,233
Total plan assets at end of year	2013-12-31	$940,548
Total plan assets at beginning of year	2013-12-31	$890,504
Value of fidelity bond covering the plan	2013-12-31	$240,000
Total contributions received or receivable from participants	2013-12-31	$34,643
Other income received	2013-12-31	$33,065
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$50,044
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$940,548
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$890,504
Assets. Value of participant loans	2013-12-31	$39,410
Assets. Value of real-estate (other than employer real property)	2013-12-31	$147,900
Total contributions received or receivable from employer(s)	2013-12-31	$11,778
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$2,209
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : EYE CARE CLINIC, LLC 401(K) PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$94,601
Expenses. Total of all expenses incurred	2012-12-31	$247,161
Benefits paid (including direct rollovers)	2012-12-31	$243,704
Total plan assets at end of year	2012-12-31	$890,504
Total plan assets at beginning of year	2012-12-31	$1,043,064
Value of fidelity bond covering the plan	2012-12-31	$175,000
Total contributions received or receivable from participants	2012-12-31	$33,584
Other income received	2012-12-31	$49,119
Noncash contributions received	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$-152,560
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$890,504
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,043,064
Assets. Value of participant loans	2012-12-31	$49,346
Assets. Value of real-estate (other than employer real property)	2012-12-31	$159,741
Total contributions received or receivable from employer(s)	2012-12-31	$11,898
Value of certain deemed distributions of participant loans	2012-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$3,457
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : EYE CARE CLINIC, LLC 401(K) PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$43,690
Expenses. Total of all expenses incurred	2011-12-31	$3,638
Total plan assets at end of year	2011-12-31	$1,043,064
Total plan assets at beginning of year	2011-12-31	$1,003,012
Value of fidelity bond covering the plan	2011-12-31	$105,000
Total contributions received or receivable from participants	2011-12-31	$36,537
Other income received	2011-12-31	$-5,446
Net income (gross income less expenses)	2011-12-31	$40,052
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,043,064
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,003,012
Assets. Value of real-estate (other than employer real property)	2011-12-31	$159,741
Total contributions received or receivable from employer(s)	2011-12-31	$12,599
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$3,638

Form 5500 Responses for EYE CARE CLINIC, LLC 401(K) PLAN

2015: EYE CARE CLINIC, LLC 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: EYE CARE CLINIC, LLC 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: EYE CARE CLINIC, LLC 401(K) 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 – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: EYE CARE CLINIC, LLC 401(K) 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: EYE CARE CLINIC, LLC 401(K) 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 – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	EYE CARE CLINIC & OPTICAL, LLC
Employer identification number (EIN):	421538677
NAIC Classification:	621320
NAIC Description:	Offices of Optometrists