401k Plan data: THE SCIENTIFIC IMAGE CENTER MANAGEMENT INC. PREMIUM ONLY PLAN plan

THE SCIENTIFIC IMAGE CENTER MANAGEMENT INC. PREMIUM ONLY PLAN 401k Plan overview

Plan Name	THE SCIENTIFIC IMAGE CENTER MANAGEMENT INC. PREMIUM ONLY PLAN
Plan identification number	501

THE SCIENTIFIC IMAGE CENTER MANAGEMENT INC. PREMIUM ONLY PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover

401k Sponsoring company profile

SCIENTIFIC IMAGE CENTER MANAGEMENT INC. has sponsored the creation of one or more 401k plans.

Company Name: SCIENTIFIC IMAGE CENTER MANAGEMENT INC.

Employer identification number (EIN): 201343435

NAIC Classification: 541600

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE SCIENTIFIC IMAGE CENTER MANAGEMENT INC. PREMIUM ONLY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2013-01-01
501 2012-01-01 RICK HRDLICKA
501 2011-01-01 BARBARA ZARANKIN
501 2010-01-01 BARBARA ZARANKIN
501 2009-01-01 BARBARA ZARANKIN BARBARA ZARANKIN 2010-10-14

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2013-01-01
501	2012-01-01	RICK HRDLICKA
501	2011-01-01	BARBARA ZARANKIN
501	2010-01-01	BARBARA ZARANKIN
501	2009-01-01	BARBARA ZARANKIN	BARBARA ZARANKIN	2010-10-14

Plan Statistics for THE SCIENTIFIC IMAGE CENTER MANAGEMENT INC. PREMIUM ONLY PLAN

401k plan membership statisitcs for THE SCIENTIFIC IMAGE CENTER MANAGEMENT INC. PREMIUM ONLY PLAN

Measure Date Value
2013: THE SCIENTIFIC IMAGE CENTER MANAGEMENT INC. PREMIUM ONLY PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 985
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1,036
Total of all active and inactive participants 2013-01-01 1,036
2012: THE SCIENTIFIC IMAGE CENTER MANAGEMENT INC. PREMIUM ONLY PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 849
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 985
Total of all active and inactive participants 2012-01-01 985
2011: THE SCIENTIFIC IMAGE CENTER MANAGEMENT INC. PREMIUM ONLY PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 822
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 849
Total of all active and inactive participants 2011-01-01 849
2010: THE SCIENTIFIC IMAGE CENTER MANAGEMENT INC. PREMIUM ONLY PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 961
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 822
Total of all active and inactive participants 2010-01-01 822
2009: THE SCIENTIFIC IMAGE CENTER MANAGEMENT INC. PREMIUM ONLY PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 451
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 961
Total of all active and inactive participants 2009-01-01 961

Measure	Date	Value
2013: THE SCIENTIFIC IMAGE CENTER MANAGEMENT INC. PREMIUM ONLY PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	985
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1,036
Total of all active and inactive participants	2013-01-01	1,036
2012: THE SCIENTIFIC IMAGE CENTER MANAGEMENT INC. PREMIUM ONLY PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	849
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	985
Total of all active and inactive participants	2012-01-01	985
2011: THE SCIENTIFIC IMAGE CENTER MANAGEMENT INC. PREMIUM ONLY PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	822
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	849
Total of all active and inactive participants	2011-01-01	849
2010: THE SCIENTIFIC IMAGE CENTER MANAGEMENT INC. PREMIUM ONLY PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	961
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	822
Total of all active and inactive participants	2010-01-01	822
2009: THE SCIENTIFIC IMAGE CENTER MANAGEMENT INC. PREMIUM ONLY PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	451
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	961
Total of all active and inactive participants	2009-01-01	961

Form 5500 Responses for THE SCIENTIFIC IMAGE CENTER MANAGEMENT INC. PREMIUM ONLY PLAN

2013: THE SCIENTIFIC IMAGE CENTER MANAGEMENT INC. PREMIUM ONLY PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: THE SCIENTIFIC IMAGE CENTER MANAGEMENT INC. PREMIUM ONLY PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: THE SCIENTIFIC IMAGE CENTER MANAGEMENT INC. PREMIUM ONLY PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: THE SCIENTIFIC IMAGE CENTER MANAGEMENT INC. PREMIUM ONLY PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: THE SCIENTIFIC IMAGE CENTER MANAGEMENT INC. PREMIUM ONLY PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	SCIENTIFIC IMAGE CENTER MANAGEMENT INC.
Employer identification number (EIN):	201343435
NAIC Classification:	541600