401k Plan data: WOMEN'S HEALTH SERVICES-CHATTANOOGA, PC 401(K) PROFIT SHARING PLAN plan

WOMEN'S HEALTH SERVICES-CHATTANOOGA, PC 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	WOMEN'S HEALTH SERVICES-CHATTANOOGA, PC 401(K) PROFIT SHARING PLAN
Plan identification number	001

WOMEN'S HEALTH SERVICES-CHATTANOOGA, PC 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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

WOMEN'S HEALTH SERVICES-CHATTANOOGA P.C. has sponsored the creation of one or more 401k plans.

Company Name: WOMEN'S HEALTH SERVICES-CHATTANOOGA P.C.

Employer identification number (EIN): 621708736

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WOMEN'S HEALTH SERVICES-CHATTANOOGA, 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 2012-01-01 MELISSA KOLBEN

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2012-01-01	MELISSA KOLBEN

Plan Statistics for WOMEN'S HEALTH SERVICES-CHATTANOOGA, PC 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for WOMEN'S HEALTH SERVICES-CHATTANOOGA, PC 401(K) PROFIT SHARING PLAN

Measure Date Value
2012: WOMEN'S HEALTH SERVICES-CHATTANOOGA, PC 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 115
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 111
Number of retired or separated participants receiving benefits 2012-01-01 4
Number of other retired or separated participants entitled to future benefits 2012-01-01 27
Total of all active and inactive participants 2012-01-01 142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 1
Total participants 2012-01-01 143
Number of participants with account balances 2012-01-01 143
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0

Measure	Date	Value
2012: WOMEN'S HEALTH SERVICES-CHATTANOOGA, PC 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	115
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	111
Number of retired or separated participants receiving benefits	2012-01-01	4
Number of other retired or separated participants entitled to future benefits	2012-01-01	27
Total of all active and inactive participants	2012-01-01	142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	1
Total participants	2012-01-01	143
Number of participants with account balances	2012-01-01	143
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0

Financial Data on WOMEN'S HEALTH SERVICES-CHATTANOOGA, PC 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2012 : WOMEN'S HEALTH SERVICES-CHATTANOOGA, PC 401(K) 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	$1,461,476
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$141,367
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$137,490
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$824,012
Value of total assets at end of year	2012-12-31	$5,866,339
Value of total assets at beginning of year	2012-12-31	$4,546,230
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$3,877
Total interest from all sources	2012-12-31	$3,370
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$90,367
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	$500,000
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	$218,240
Participant contributions at end of year	2012-12-31	$180,602
Participant contributions at beginning of year	2012-12-31	$67,285
Participant contributions at end of year	2012-12-31	$11,003
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$13,116
Administrative expenses (other) incurred	2012-12-31	$3,877
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	$1,320,109
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$5,866,339
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$4,546,230
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 registered invesment companies (eg mutual funds) at end of year	2012-12-31	$5,393,875
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$4,448,651
Interest on participant loans	2012-12-31	$3,370
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$17,373
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$30,294
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$30,294
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$543,727
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	$592,656
Employer contributions (assets) at end of year	2012-12-31	$263,486
Income. Dividends from common stock	2012-12-31	$90,367
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$137,490
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-12-31	No
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	JASON UNDERWOOD CPA, PLLC
Accountancy firm EIN	2012-12-31	453976013

Form 5500 Responses for WOMEN'S HEALTH SERVICES-CHATTANOOGA, PC 401(K) PROFIT SHARING PLAN

2012: WOMEN'S HEALTH SERVICES-CHATTANOOGA, PC 401(K) 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

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Company Name:	WOMEN'S HEALTH SERVICES-CHATTANOOGA P.C.
Employer identification number (EIN):	621708736