| Plan Name | PROFIT SHARING PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | PACIFIC RIDGE MEDICAL, INC. |
| Employer identification number (EIN): | 912181710 |
| NAIC Classification: | 454390 |
| NAIC Description: | Other Direct Selling Establishments |
Additional information about PACIFIC RIDGE MEDICAL, INC.
| Jurisdiction of Incorporation: | Washington Secretary of State Corporations Division |
| Incorporation Date: | 2003-01-09 |
| Company Identification Number: | 602261518 |
| Legal Registered Office Address: |
3624 46TH AVE SW SEATTLE United States of America (USA) 981163722 |
More information about PACIFIC RIDGE MEDICAL, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2013-01-01 | DALE KNEZEVICH | |||
| 001 | 2012-01-01 | DALE KNEZEVICH | |||
| 001 | 2011-01-01 | DALE KNEZEVICH |
| Measure | Date | Value |
|---|---|---|
| 2013 : PROFIT SHARING PLAN 2013 401k financial data | ||
| Transfers to/from the plan | 2013-03-15 | $0 |
| Total plan liabilities at beginning of year | 2013-03-15 | $0 |
| Total income from all sources | 2013-03-15 | $137,081 |
| Expenses. Total of all expenses incurred | 2013-03-15 | $1,661,300 |
| Benefits paid (including direct rollovers) | 2013-03-15 | $1,657,863 |
| Total plan assets at end of year | 2013-03-15 | $0 |
| Total plan assets at beginning of year | 2013-03-15 | $1,524,219 |
| Total contributions received or receivable from participants | 2013-03-15 | $0 |
| Expenses. Other expenses not covered elsewhere | 2013-03-15 | $0 |
| Contributions received from other sources (not participants or employers) | 2013-03-15 | $0 |
| Other income received | 2013-03-15 | $137,081 |
| Noncash contributions received | 2013-03-15 | $0 |
| Net income (gross income less expenses) | 2013-03-15 | $-1,524,219 |
| Net plan assets at end of year (total assets less liabilities) | 2013-03-15 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-03-15 | $1,524,219 |
| Total contributions received or receivable from employer(s) | 2013-03-15 | $0 |
| Value of certain deemed distributions of participant loans | 2013-03-15 | $0 |
| Value of corrective distributions | 2013-03-15 | $0 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2013-03-15 | $3,437 |
| Aggregate amount of withdrawal liability assessed or estimated to be assessed against such withdrawn employers | 2013-03-15 | 50000 |
| 2012 : PROFIT SHARING PLAN 2012 401k financial data | ||
| Total income from all sources | 2012-12-31 | $252,022 |
| Expenses. Total of all expenses incurred | 2012-12-31 | $62,807 |
| Benefits paid (including direct rollovers) | 2012-12-31 | $50,000 |
| Total plan assets at end of year | 2012-12-31 | $1,524,219 |
| Total plan assets at beginning of year | 2012-12-31 | $1,335,004 |
| Expenses. Other expenses not covered elsewhere | 2012-12-31 | $12,807 |
| Other income received | 2012-12-31 | $252,022 |
| Net income (gross income less expenses) | 2012-12-31 | $189,215 |
| Net plan assets at end of year (total assets less liabilities) | 2012-12-31 | $1,524,219 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-12-31 | $1,335,004 |
| Aggregate amount of withdrawal liability assessed or estimated to be assessed against such withdrawn employers | 2012-12-31 | 50000 |
| 2011 : PROFIT SHARING PLAN 2011 401k financial data | ||
| Total income from all sources | 2011-12-31 | $-142,569 |
| 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 | $1,335,004 |
| Total plan assets at beginning of year | 2011-12-31 | $1,527,573 |
| Total contributions received or receivable from participants | 2011-12-31 | $0 |
| Expenses. Other expenses not covered elsewhere | 2011-12-31 | $0 |
| Other income received | 2011-12-31 | $-142,569 |
| Net income (gross income less expenses) | 2011-12-31 | $-192,569 |
| Net plan assets at end of year (total assets less liabilities) | 2011-12-31 | $1,335,004 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-12-31 | $1,527,573 |
| Total contributions received or receivable from employer(s) | 2011-12-31 | $0 |
| Aggregate amount of withdrawal liability assessed or estimated to be assessed against such withdrawn employers | 2011-12-31 | 50000 |
| Funding deficiency by the employer to the plan for this plan year | 2011-12-31 | $0 |
| Minimum employer required contribution for this plan year | 2011-12-31 | $0 |
| Amount contributed by the employer to the plan for this plan year | 2011-12-31 | $0 |
| 2010 : PROFIT SHARING PLAN 2010 401k financial data | ||
| Total income from all sources | 2010-12-31 | $-77,979 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $50,000 |
| Benefits paid (including direct rollovers) | 2010-12-31 | $50,000 |
| Total plan assets at end of year | 2010-12-31 | $1,527,573 |
| Total plan assets at beginning of year | 2010-12-31 | $1,655,552 |
| Total contributions received or receivable from participants | 2010-12-31 | $0 |
| Other income received | 2010-12-31 | $-77,979 |
| Net income (gross income less expenses) | 2010-12-31 | $-127,979 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $1,527,573 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $1,655,552 |
| Total contributions received or receivable from employer(s) | 2010-12-31 | $0 |
| 2013: PROFIT SHARING PLAN 2013 form 5500 responses | ||
|---|---|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Submission has been amended | Yes |
| 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) | Yes |
| 2013-01-01 | Plan is a collectively bargained plan | No |
| 2013-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-01-01 | Plan benefit arrangement - Trust | Yes |
| 2012: 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: PROFIT SHARING PLAN 2011 form 5500 responses | ||
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Submission has been amended | Yes |
| 2011-01-01 | Plan funding arrangement – Trust | Yes |
| 2011-01-01 | Plan benefit arrangement - Trust | Yes |