401k Plan data: MEDEGEN DEFINED BENEFIT PLAN plan

MEDEGEN DEFINED BENEFIT PLAN 401k Plan overview

Plan Name	MEDEGEN DEFINED BENEFIT PLAN
Plan identification number	008

MEDEGEN DEFINED BENEFIT PLAN Benefits

401k Plan Type	Defined Benefit Pension
Plan Features/Benefits	Benefits are primarily flat dollar (includes dollars per year of service) Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021). Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).

401k Sponsoring company profile

MEDEGEN MEDICAL PRODUCTS has sponsored the creation of one or more 401k plans.

Company Name: MEDEGEN MEDICAL PRODUCTS

Employer identification number (EIN): 860946323

NAIC Classification: 326100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEDEGEN DEFINED BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
008 2012-01-01 BRIAN BAKER BRIAN BAKER 2013-10-14
008 2011-01-01 JOHN SHEFFIELD JOHN SHEFFIELD 2012-10-12
008 2009-01-01 TERESSA SEALS TERESSA SEALS 2010-10-12

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
008	2012-01-01	BRIAN BAKER	BRIAN BAKER	2013-10-14
008	2011-01-01	JOHN SHEFFIELD	JOHN SHEFFIELD	2012-10-12
008	2009-01-01	TERESSA SEALS	TERESSA SEALS	2010-10-12

Plan Statistics for MEDEGEN DEFINED BENEFIT PLAN

401k plan membership statisitcs for MEDEGEN DEFINED BENEFIT PLAN

Measure Date Value
2012: MEDEGEN DEFINED BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 135
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 45
Number of retired or separated participants receiving benefits 2012-01-01 40
Number of other retired or separated participants entitled to future benefits 2012-01-01 45
Total of all active and inactive participants 2012-01-01 130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 5
Total participants 2012-01-01 135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: MEDEGEN DEFINED BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 137
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 46
Number of retired or separated participants receiving benefits 2011-01-01 36
Number of other retired or separated participants entitled to future benefits 2011-01-01 49
Total of all active and inactive participants 2011-01-01 131
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 4
Total participants 2011-01-01 135
Number of participants with account balances 2011-01-01 135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: MEDEGEN DEFINED BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 138
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 57
Number of retired or separated participants receiving benefits 2009-01-01 30
Number of other retired or separated participants entitled to future benefits 2009-01-01 47
Total of all active and inactive participants 2009-01-01 134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 4
Total participants 2009-01-01 138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2012: MEDEGEN DEFINED BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	135
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	45
Number of retired or separated participants receiving benefits	2012-01-01	40
Number of other retired or separated participants entitled to future benefits	2012-01-01	45
Total of all active and inactive participants	2012-01-01	130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	5
Total participants	2012-01-01	135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: MEDEGEN DEFINED BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	137
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	46
Number of retired or separated participants receiving benefits	2011-01-01	36
Number of other retired or separated participants entitled to future benefits	2011-01-01	49
Total of all active and inactive participants	2011-01-01	131
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	4
Total participants	2011-01-01	135
Number of participants with account balances	2011-01-01	135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: MEDEGEN DEFINED BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	138
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	57
Number of retired or separated participants receiving benefits	2009-01-01	30
Number of other retired or separated participants entitled to future benefits	2009-01-01	47
Total of all active and inactive participants	2009-01-01	134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	4
Total participants	2009-01-01	138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on MEDEGEN DEFINED BENEFIT PLAN

Measure	Date	Value
2012 : MEDEGEN DEFINED BENEFIT PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2012-12-31	$92,100
Total unrealized appreciation/depreciation of assets	2012-12-31	$92,100
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	$185,637
Total loss/gain on sale of assets	2012-12-31	$9,912
Total of all expenses incurred	2012-12-31	$73,536
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$55,147
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$83,622
Value of total assets at end of year	2012-12-31	$1,123,977
Value of total assets at beginning of year	2012-12-31	$1,011,876
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$18,389
Total interest from all sources	2012-12-31	$3
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
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	$3,000,000
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
Administrative expenses (other) incurred	2012-12-31	$9,360
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	$112,101
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$1,123,977
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$1,011,876
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
Investment advisory and management fees	2012-12-31	$9,029
Value of interest in common/collective trusts at end of year	2012-12-31	$1,101,544
Value of interest in common/collective trusts at beginning of year	2012-12-31	$952,222
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$22,433
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$19,396
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$19,396
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$3
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	Yes
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	$83,622
Employer contributions (assets) at end of year	2012-12-31	$0
Employer contributions (assets) at beginning of year	2012-12-31	$40,258
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$55,147
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
Aggregate proceeds on sale of assets	2012-12-31	$274,192
Aggregate carrying amount (costs) on sale of assets	2012-12-31	$264,280
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	NAWROCKI SMITH, LLP
Accountancy firm EIN	2012-12-31	743216978
2011 : MEDEGEN DEFINED BENEFIT PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2011-12-31	$15,738
Total unrealized appreciation/depreciation of assets	2011-12-31	$15,738
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	$119,521
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$64,289
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$55,549
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$101,224
Value of total assets at end of year	2011-12-31	$1,011,876
Value of total assets at beginning of year	2011-12-31	$956,644
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$8,740
Total interest from all sources	2011-12-31	$79
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$3,000,000
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
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	$55,232
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$1,011,876
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$956,644
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
Investment advisory and management fees	2011-12-31	$8,740
Interest earned on other investments	2011-12-31	$77
Value of interest in common/collective trusts at end of year	2011-12-31	$952,222
Value of interest in common/collective trusts at beginning of year	2011-12-31	$902,417
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$19,396
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$18,384
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$18,384
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$2
Net investment gain or loss from common/collective trusts	2011-12-31	$2,480
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	Yes
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	$101,224
Employer contributions (assets) at end of year	2011-12-31	$40,258
Employer contributions (assets) at beginning of year	2011-12-31	$35,843
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$55,549
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	NAWROCKI SMITH, LLP
Accountancy firm EIN	2011-12-31	743216978
2010 : MEDEGEN DEFINED BENEFIT PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$7,886
Total unrealized appreciation/depreciation of assets	2010-12-31	$7,886
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$174,541
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$56,373
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$48,877
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$90,713
Value of total assets at end of year	2010-12-31	$956,644
Value of total assets at beginning of year	2010-12-31	$838,476
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$7,496
Total interest from all sources	2010-12-31	$3
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$118,168
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$956,644
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$838,476
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Investment advisory and management fees	2010-12-31	$7,496
Value of interest in common/collective trusts at end of year	2010-12-31	$902,417
Value of interest in common/collective trusts at beginning of year	2010-12-31	$760,579
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$18,384
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$15,554
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$15,554
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$3
Net investment gain or loss from common/collective trusts	2010-12-31	$75,939
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$90,713
Employer contributions (assets) at end of year	2010-12-31	$35,843
Employer contributions (assets) at beginning of year	2010-12-31	$62,343
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$48,877
Did the plan have assets held for investment	2010-12-31	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	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	NAWROCKI SMITH, LLP
Accountancy firm EIN	2010-12-31	743216978
2009 : MEDEGEN DEFINED BENEFIT PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for MEDEGEN DEFINED BENEFIT PLAN

2012: MEDEGEN DEFINED BENEFIT 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: MEDEGEN DEFINED BENEFIT 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: MEDEGEN DEFINED BENEFIT 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

Potentially related plans

MEDEGEN DEFINED BENEFIT PLAN [EIN = 112421849]

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Company Name:	MEDEGEN MEDICAL PRODUCTS
Employer identification number (EIN):	860946323
NAIC Classification:	326100