401k Plan data: THE LASIK VISION INSTITUTE, LLC 401(K) PLAN plan

THE LASIK VISION INSTITUTE, LLC 401(K) PLAN 401k Plan overview

Plan Name	THE LASIK VISION INSTITUTE, LLC 401(K) PLAN
Plan identification number	001

THE LASIK VISION INSTITUTE, 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.
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.
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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
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

THE LASIK VISION INSTITUTE, LLC has sponsored the creation of one or more 401k plans.

Company Name: THE LASIK VISION INSTITUTE, LLC

Employer identification number (EIN): 650927564

NAIC Classification: 446130
NAIC Description: Optical Goods Stores

Additional information about THE LASIK VISION INSTITUTE, LLC

Jurisdiction of Incorporation: Nevada Department of State

Incorporation Date: 2000-03-15

Company Identification Number: 20001025656

Legal Registered Office Address: 701 S CARSON ST STE 200

CARSON CITY
United States of America (USA)
89701

More information about THE LASIK VISION INSTITUTE, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE LASIK VISION INSTITUTE, LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2013-01-01 RONALD ANTONIEWICZ
001 2012-01-01 RONALD ANTONIEWICZ
001 2011-01-01 RONALD ANTONIEWICZ

Plan id#	Filing Submission Date	Name of Administrator
001	2013-01-01	RONALD ANTONIEWICZ
001	2012-01-01	RONALD ANTONIEWICZ
001	2011-01-01	RONALD ANTONIEWICZ

Plan Statistics for THE LASIK VISION INSTITUTE, LLC 401(K) PLAN

401k plan membership statisitcs for THE LASIK VISION INSTITUTE, LLC 401(K) PLAN

Measure Date Value
2013: THE LASIK VISION INSTITUTE, LLC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 806
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 386
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 516
Total of all active and inactive participants 2013-01-01 902
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 902
Number of participants with account balances 2013-01-01 767
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 20
2012: THE LASIK VISION INSTITUTE, LLC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 742
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 327
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 479
Total of all active and inactive participants 2012-01-01 806
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 806
Number of participants with account balances 2012-01-01 681
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 13
2011: THE LASIK VISION INSTITUTE, LLC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,081
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 276
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 466
Total of all active and inactive participants 2011-01-01 742
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 742
Number of participants with account balances 2011-01-01 628
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 12

Measure	Date	Value
2013: THE LASIK VISION INSTITUTE, LLC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	806
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	386
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	516
Total of all active and inactive participants	2013-01-01	902
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	902
Number of participants with account balances	2013-01-01	767
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	20
2012: THE LASIK VISION INSTITUTE, LLC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	742
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	327
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	479
Total of all active and inactive participants	2012-01-01	806
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	806
Number of participants with account balances	2012-01-01	681
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	13
2011: THE LASIK VISION INSTITUTE, LLC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,081
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	276
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	466
Total of all active and inactive participants	2011-01-01	742
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	742
Number of participants with account balances	2011-01-01	628
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	12

Financial Data on THE LASIK VISION INSTITUTE, LLC 401(K) PLAN

Measure	Date	Value
2013 : THE LASIK VISION INSTITUTE, LLC 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$781,227
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$174,339
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$138,955
Expenses. Certain deemed distributions of participant loans	2013-12-31	$1,472
Value of total corrective distributions	2013-12-31	$30,744
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$382,260
Value of total assets at end of year	2013-12-31	$2,458,219
Value of total assets at beginning of year	2013-12-31	$1,851,331
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$3,168
Total interest from all sources	2013-12-31	$2,106
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$124,626
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$124,626
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$186,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$314,230
Participant contributions at end of year	2013-12-31	$50,081
Participant contributions at beginning of year	2013-12-31	$45,283
Administrative expenses (other) incurred	2013-12-31	$3,168
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$606,888
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$2,458,219
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$1,851,331
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$2,408,138
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$1,806,048
Interest on participant loans	2013-12-31	$2,106
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$272,235
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$68,030
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$138,955
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	GRANT THORTON
Accountancy firm EIN	2013-12-31	366055558
2012 : THE LASIK VISION INSTITUTE, LLC 401(K) 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	$448,117
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$105,199
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$74,838
Expenses. Certain deemed distributions of participant loans	2012-12-31	$262
Value of total corrective distributions	2012-12-31	$27,974
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$277,838
Value of total assets at end of year	2012-12-31	$1,851,331
Value of total assets at beginning of year	2012-12-31	$1,508,413
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$2,125
Total interest from all sources	2012-12-31	$2,275
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$49,214
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$49,214
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$151,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$228,997
Participant contributions at end of year	2012-12-31	$45,283
Participant contributions at beginning of year	2012-12-31	$44,742
Administrative expenses (other) incurred	2012-12-31	$2,125
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	$342,918
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$1,851,331
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$1,508,413
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	$1,806,048
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$1,463,671
Interest on participant loans	2012-12-31	$2,275
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$118,790
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	$48,841
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$74,838
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	GRANT THORNTON LLC
Accountancy firm EIN	2012-12-31	366055558
2011 : THE LASIK VISION INSTITUTE, LLC 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$237,812
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$142,234
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$135,400
Expenses. Certain deemed distributions of participant loans	2011-12-31	$1,758
Value of total corrective distributions	2011-12-31	$2,643
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$239,561
Value of total assets at end of year	2011-12-31	$1,508,413
Value of total assets at beginning of year	2011-12-31	$1,412,835
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$2,433
Total interest from all sources	2011-12-31	$3,185
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$34,873
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$34,873
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$142,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$197,690
Participant contributions at end of year	2011-12-31	$44,742
Participant contributions at beginning of year	2011-12-31	$59,294
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$2,728
Other income not declared elsewhere	2011-12-31	$2,862
Administrative expenses (other) incurred	2011-12-31	$2,433
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$95,578
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$1,508,413
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$1,412,835
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$1,463,671
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$1,106,756
Interest on participant loans	2011-12-31	$3,185
Value of interest in common/collective trusts at beginning of year	2011-12-31	$246,785
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-42,710
Net investment gain or loss from common/collective trusts	2011-12-31	$41
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$39,143
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$135,400
Did the plan have assets held for investment	2011-12-31	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	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	GRANT THORTON
Accountancy firm EIN	2011-12-31	366055558

Form 5500 Responses for THE LASIK VISION INSTITUTE, LLC 401(K) PLAN

2013: THE LASIK VISION INSTITUTE, 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: THE LASIK VISION INSTITUTE, 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: THE LASIK VISION INSTITUTE, 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:	THE LASIK VISION INSTITUTE, LLC
Employer identification number (EIN):	650927564
NAIC Classification:	446130
NAIC Description:	Optical Goods Stores

Jurisdiction of Incorporation:	Nevada Department of State
Incorporation Date:	2000-03-15
Company Identification Number:	20001025656
Legal Registered Office Address:	701 S CARSON ST STE 200 CARSON CITY United States of America (USA) 89701