401k Plan data: KARDIA HEALTH SYSTEMS, INC. 401(K) PLAN plan

KARDIA HEALTH SYSTEMS, INC. 401(K) PLAN 401k Plan overview

Plan Name	KARDIA HEALTH SYSTEMS, INC. 401(K) PLAN
Plan identification number	001

KARDIA HEALTH SYSTEMS, INC. 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.
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

KARDIA HEALTH SYSTEMS, INC. has sponsored the creation of one or more 401k plans.

Company Name: KARDIA HEALTH SYSTEMS, INC.

Employer identification number (EIN): 205473562

NAIC Classification: 541990
NAIC Description: All Other Professional, Scientific, and Technical Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KARDIA HEALTH SYSTEMS, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2011-01-01 KEVIN L MOLLOY
001 2010-01-01 KEVIN L MOLLOY
001 2009-01-01 KEVIN L MOLLOY
001 2008-07-25 KEVIN L MOLLOY

Plan id#	Filing Submission Date	Name of Administrator
001	2011-01-01	KEVIN L MOLLOY
001	2010-01-01	KEVIN L MOLLOY
001	2009-01-01	KEVIN L MOLLOY
001	2008-07-25	KEVIN L MOLLOY

Plan Statistics for KARDIA HEALTH SYSTEMS, INC. 401(K) PLAN

401k plan membership statisitcs for KARDIA HEALTH SYSTEMS, INC. 401(K) PLAN

Measure Date Value
2011: KARDIA HEALTH SYSTEMS, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 0
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 0
Total of all active and inactive participants 2011-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 0
Number of participants with account balances 2011-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: KARDIA HEALTH SYSTEMS, INC. 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 19
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 8
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 6
Total of all active and inactive participants 2010-01-01 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 14
Number of participants with account balances 2010-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: KARDIA HEALTH SYSTEMS, INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 52
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 16
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 3
Total of all active and inactive participants 2009-01-01 19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 19
Number of participants with account balances 2009-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0
2008: KARDIA HEALTH SYSTEMS, INC. 401(K) PLAN 2008 401k membership
Total participants, beginning-of-year 2008-07-25 25
Total number of active participants reported on line 7a of the Form 5500 2008-07-25 25
Number of retired or separated participants receiving benefits 2008-07-25 0
Number of other retired or separated participants entitled to future benefits 2008-07-25 0
Total of all active and inactive participants 2008-07-25 25
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2008-07-25 0
Total participants 2008-07-25 25
Number of participants with account balances 2008-07-25 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2008-07-25 0

Measure	Date	Value
2011: KARDIA HEALTH SYSTEMS, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	0
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	0
Total of all active and inactive participants	2011-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	0
Number of participants with account balances	2011-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: KARDIA HEALTH SYSTEMS, INC. 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	19
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	8
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	6
Total of all active and inactive participants	2010-01-01	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	14
Number of participants with account balances	2010-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: KARDIA HEALTH SYSTEMS, INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	52
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	16
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	3
Total of all active and inactive participants	2009-01-01	19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	19
Number of participants with account balances	2009-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0
2008: KARDIA HEALTH SYSTEMS, INC. 401(K) PLAN 2008 401k membership
Total participants, beginning-of-year	2008-07-25	25
Total number of active participants reported on line 7a of the Form 5500	2008-07-25	25
Number of retired or separated participants receiving benefits	2008-07-25	0
Number of other retired or separated participants entitled to future benefits	2008-07-25	0
Total of all active and inactive participants	2008-07-25	25
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2008-07-25	0
Total participants	2008-07-25	25
Number of participants with account balances	2008-07-25	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2008-07-25	0

Financial Data on KARDIA HEALTH SYSTEMS, INC. 401(K) PLAN

Measure	Date	Value
2011 : KARDIA HEALTH SYSTEMS, INC. 401(K) PLAN 2011 401k financial data
Total income from all sources	2011-11-30	$2,967
Expenses. Total of all expenses incurred	2011-11-30	$66,286
Benefits paid (including direct rollovers)	2011-11-30	$65,873
Total plan assets at end of year	2011-11-30	$0
Total plan assets at beginning of year	2011-11-30	$63,319
Other income received	2011-11-30	$2,967
Net income (gross income less expenses)	2011-11-30	$-63,319
Net plan assets at end of year (total assets less liabilities)	2011-11-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2011-11-30	$63,319
Expenses. Administrative service providers (salaries,fees and commissions)	2011-11-30	$413
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-11-30	$0
2010 : KARDIA HEALTH SYSTEMS, INC. 401(K) PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$18,249
Expenses. Total of all expenses incurred	2010-12-31	$25,202
Benefits paid (including direct rollovers)	2010-12-31	$24,524
Total plan assets at end of year	2010-12-31	$63,319
Total plan assets at beginning of year	2010-12-31	$70,272
Total contributions received or receivable from participants	2010-12-31	$10,609
Other income received	2010-12-31	$7,640
Net income (gross income less expenses)	2010-12-31	$-6,953
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$63,319
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$70,272
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$678
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : KARDIA HEALTH SYSTEMS, INC. 401(K) 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
2008 : KARDIA HEALTH SYSTEMS, INC. 401(K) PLAN 2008 401k financial data
Total income from all sources	2008-12-31	$40,934
Expenses. Total of all expenses incurred	2008-12-31	$0
Total plan assets at end of year	2008-12-31	$40,934
Total plan assets at beginning of year	2008-12-31	$0
Total contributions received or receivable from participants	2008-12-31	$45,316
Other income received	2008-12-31	$-4,382
Net income (gross income less expenses)	2008-12-31	$40,934
Net plan assets at end of year (total assets less liabilities)	2008-12-31	$40,934
Net plan assets at beginning of year (total assets less liabilities)	2008-12-31	$0

Form 5500 Responses for KARDIA HEALTH SYSTEMS, INC. 401(K) PLAN

2011: KARDIA HEALTH SYSTEMS, INC. 401(K) 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	This submission is the final filing	Yes
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: KARDIA HEALTH SYSTEMS, INC. 401(K) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: KARDIA HEALTH SYSTEMS, INC. 401(K) 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 funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes
2008: KARDIA HEALTH SYSTEMS, INC. 401(K) PLAN 2008 form 5500 responses
2008-07-25	Type of plan entity	Single employer plan
2008-07-25	First time form 5500 has been submitted	Yes
2008-07-25	Submission has been amended	No
2008-07-25	This submission is the final filing	No
2008-07-25	This return/report is a short plan year return/report (less than 12 months)	Yes
2008-07-25	Plan is a collectively bargained plan	No
2008-07-25	Plan funding arrangement – Trust	Yes
2008-07-25	Plan benefit arrangement - Trust	Yes

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Company Name:	KARDIA HEALTH SYSTEMS, INC.
Employer identification number (EIN):	205473562
NAIC Classification:	541990
NAIC Description:	All Other Professional, Scientific, and Technical Services