401k Plan data: WILLIAM J. WELSH-PLASTIC & RECONSTRUCTIVE SURGERY PC PROFIT SHARING PLAN plan

WILLIAM J. WELSH-PLASTIC & RECONSTRUCTIVE SURGERY PC PROFIT SHARING PLAN 401k Plan overview

Plan Name	WILLIAM J. WELSH-PLASTIC & RECONSTRUCTIVE SURGERY PC PROFIT SHARING PLAN
Plan identification number	001

WILLIAM J. WELSH-PLASTIC & RECONSTRUCTIVE SURGERY PC PROFIT SHARING PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing 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

WILLIAM J. WELSH-PLASTIC & RECONSTRUCTIVE SURGERY PC has sponsored the creation of one or more 401k plans.

Company Name: WILLIAM J. WELSH-PLASTIC & RECONSTRUCTIVE SURGERY PC

Employer identification number (EIN): 581490139

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WILLIAM J. WELSH-PLASTIC & RECONSTRUCTIVE SURGERY PC PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2013-01-01 WILLIAM WELSH WILLIAM WELSH 2014-05-15
001 2012-01-01 WILLIAM WELSH
001 2011-01-01 WILLIAM WELSH
001 2009-01-01 WILLIAM WELSH

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2013-01-01	WILLIAM WELSH	WILLIAM WELSH	2014-05-15
001	2012-01-01	WILLIAM WELSH
001	2011-01-01	WILLIAM WELSH
001	2009-01-01	WILLIAM WELSH

Plan Statistics for WILLIAM J. WELSH-PLASTIC & RECONSTRUCTIVE SURGERY PC PROFIT SHARING PLAN

401k plan membership statisitcs for WILLIAM J. WELSH-PLASTIC & RECONSTRUCTIVE SURGERY PC PROFIT SHARING PLAN

Measure Date Value
2013: WILLIAM J. WELSH-PLASTIC & RECONSTRUCTIVE SURGERY PC PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1
Total of all active and inactive participants 2013-01-01 0
Total participants 2013-01-01 0
2012: WILLIAM J. WELSH-PLASTIC & RECONSTRUCTIVE SURGERY PC PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1
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 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 1
Number of participants with account balances 2012-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: WILLIAM J. WELSH-PLASTIC & RECONSTRUCTIVE SURGERY PC PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1
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 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 1
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
2009: WILLIAM J. WELSH-PLASTIC & RECONSTRUCTIVE SURGERY PC PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1
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 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 1
Number of participants with account balances 2009-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2013: WILLIAM J. WELSH-PLASTIC & RECONSTRUCTIVE SURGERY PC PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1
Total of all active and inactive participants	2013-01-01	0
Total participants	2013-01-01	0
2012: WILLIAM J. WELSH-PLASTIC & RECONSTRUCTIVE SURGERY PC PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1
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	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	1
Number of participants with account balances	2012-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: WILLIAM J. WELSH-PLASTIC & RECONSTRUCTIVE SURGERY PC PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1
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	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	1
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
2009: WILLIAM J. WELSH-PLASTIC & RECONSTRUCTIVE SURGERY PC PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1
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	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	1
Number of participants with account balances	2009-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on WILLIAM J. WELSH-PLASTIC & RECONSTRUCTIVE SURGERY PC PROFIT SHARING PLAN

Measure	Date	Value
2013 : WILLIAM J. WELSH-PLASTIC & RECONSTRUCTIVE SURGERY PC PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$-416
Expenses. Total of all expenses incurred	2013-12-31	$194,324
Benefits paid (including direct rollovers)	2013-12-31	$194,324
Total plan assets at end of year	2013-12-31	$0
Total plan assets at beginning of year	2013-12-31	$194,740
Value of fidelity bond covering the plan	2013-12-31	$50,000
Other income received	2013-12-31	$-416
Net income (gross income less expenses)	2013-12-31	$-194,740
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$194,740
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$194,324
2012 : WILLIAM J. WELSH-PLASTIC & RECONSTRUCTIVE SURGERY PC PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$24,976
Expenses. Total of all expenses incurred	2012-12-31	$110,000
Benefits paid (including direct rollovers)	2012-12-31	$110,000
Total plan assets at end of year	2012-12-31	$194,700
Total plan assets at beginning of year	2012-12-31	$279,764
Value of fidelity bond covering the plan	2012-12-31	$50,000
Other income received	2012-12-31	$24,976
Net income (gross income less expenses)	2012-12-31	$-85,024
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$194,700
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$279,764
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$110,000
2011 : WILLIAM J. WELSH-PLASTIC & RECONSTRUCTIVE SURGERY PC PROFIT SHARING PLAN 2011 401k financial data
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$-13,046
Expenses. Total of all expenses incurred	2011-12-31	$50,000
Benefits paid (including direct rollovers)	2011-12-31	$50,000
Total plan assets at end of year	2011-12-31	$279,764
Total plan assets at beginning of year	2011-12-31	$342,810
Value of fidelity bond covering the plan	2011-12-31	$50,000
Other income received	2011-12-31	$-13,046
Net income (gross income less expenses)	2011-12-31	$-63,046
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$279,764
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$342,810
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$50,000
2010 : WILLIAM J. WELSH-PLASTIC & RECONSTRUCTIVE SURGERY PC PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$30,880
Total plan assets at end of year	2010-12-31	$342,910
Total plan assets at beginning of year	2010-12-31	$311,930
Value of fidelity bond covering the plan	2010-12-31	$50,000
Other income received	2010-12-31	$30,880
Net income (gross income less expenses)	2010-12-31	$30,880
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$342,910
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$311,930

Form 5500 Responses for WILLIAM J. WELSH-PLASTIC & RECONSTRUCTIVE SURGERY PC PROFIT SHARING PLAN

2013: WILLIAM J. WELSH-PLASTIC & RECONSTRUCTIVE SURGERY PC 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	Yes
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: WILLIAM J. WELSH-PLASTIC & RECONSTRUCTIVE SURGERY PC 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 – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: WILLIAM J. WELSH-PLASTIC & RECONSTRUCTIVE SURGERY PC PROFIT SHARING 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
2009: WILLIAM J. WELSH-PLASTIC & RECONSTRUCTIVE SURGERY PC PROFIT SHARING 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 – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	WILLIAM J. WELSH-PLASTIC & RECONSTRUCTIVE SURGERY PC
Employer identification number (EIN):	581490139
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)