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| Plan Name | LAKE FOREST PLASTIC SURGERY, LTD. 401(K) PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | LAKE FOREST PLASTIC SURGERY, LTD. 401(K) PLAN |
| Employer identification number (EIN): | 521096224 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2016-01-01 | ||||
| 001 | 2015-01-01 | ||||
| 001 | 2014-01-01 | ||||
| 001 | 2013-01-01 | ||||
| 001 | 2012-01-01 | PAUL STEINWALD, MD | 2013-07-08 | PAUL STEINWALD, MD | 2013-07-08 |
| 001 | 2011-01-01 | PAUL STEINWALD, MD | 2012-09-21 | PAUL STEINWALD, MD | 2012-09-21 |
| 001 | 2009-01-01 | PAUL STEINWALD | PAUL STEINWALD | 2010-10-14 |
| Measure | Date | Value |
|---|---|---|
| 2009: LAKE FOREST PLASTIC SURGERY, LTD. 401(K) PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-01-01 | 2 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 2 |
| Total of all active and inactive participants | 2009-01-01 | 2 |
| Total participants | 2009-01-01 | 2 |
| Number of participants with account balances | 2009-01-01 | 2 |
| Measure | Date | Value |
|---|---|---|
| 2010 : LAKE FOREST PLASTIC SURGERY, LTD. 401(K) PLAN 2010 401k financial data | ||
| Total income from all sources | 2010-12-31 | $87,513 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $3,297 |
| Total plan assets at end of year | 2010-12-31 | $282,423 |
| Total plan assets at beginning of year | 2010-12-31 | $198,207 |
| Value of fidelity bond covering the plan | 2010-12-31 | $50,000 |
| Total contributions received or receivable from participants | 2010-12-31 | $17,800 |
| Other income received | 2010-12-31 | $31,574 |
| Net income (gross income less expenses) | 2010-12-31 | $84,216 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $282,423 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $198,207 |
| Total contributions received or receivable from employer(s) | 2010-12-31 | $38,139 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2010-12-31 | $3,297 |
| 2009: LAKE FOREST PLASTIC SURGERY, LTD. 401(K) 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 – Insurance | Yes |
| 2009-01-01 | Plan funding arrangement – Trust | Yes |
| 2009-01-01 | Plan benefit arrangement - Trust | Yes |
| JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 ) | |||||||||||||||||||||
| Policy contract number | 92122 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
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