401k Plan data: NORTHSHORE REHABILITATION SERVICES, RETIREMENT PLAN plan

NORTHSHORE REHABILITATION SERVICES, RETIREMENT PLAN 401k Plan overview

Plan Name	NORTHSHORE REHABILITATION SERVICES, RETIREMENT PLAN
Plan identification number	002

NORTHSHORE REHABILITATION SERVICES, RETIREMENT 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.
Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.

401k Sponsoring company profile

NORTHSHORE REHABILITATION SERVICES, RETIREMENT PLAN has sponsored the creation of one or more 401k plans.

Company Name: NORTHSHORE REHABILITATION SERVICES, RETIREMENT PLAN

Employer identification number (EIN): 341695879

NAIC Classification: 621340
NAIC Description: Offices of Physical, Occupational and Speech Therapists, and Audiologists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTHSHORE REHABILITATION SERVICES, RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2016-01-01
002 2015-01-01
002 2014-01-01
002 2013-01-01
002 2012-01-01 ANTHONY VAVRO
002 2011-01-01 ANTHONY VAVRO
002 2010-01-01 ANTHONY VAVRO
002 2009-01-01 ANTHONY VAVRO

Plan Statistics for NORTHSHORE REHABILITATION SERVICES, RETIREMENT PLAN

401k plan membership statisitcs for NORTHSHORE REHABILITATION SERVICES, RETIREMENT PLAN

Measure Date Value
2012: NORTHSHORE REHABILITATION SERVICES, RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 3
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 0
Total of all active and inactive participants 2012-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 3
Number of participants with account balances 2012-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: NORTHSHORE REHABILITATION SERVICES, RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 3
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 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 3
Number of participants with account balances 2011-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: NORTHSHORE REHABILITATION SERVICES, RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 3
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 0
Total of all active and inactive participants 2010-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 3
Number of participants with account balances 2010-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: NORTHSHORE REHABILITATION SERVICES, RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 3
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 0
Total of all active and inactive participants 2009-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 3
Number of participants with account balances 2009-01-01 3
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: NORTHSHORE REHABILITATION SERVICES, RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	3
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	0
Total of all active and inactive participants	2012-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	3
Number of participants with account balances	2012-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: NORTHSHORE REHABILITATION SERVICES, RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	3
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	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	3
Number of participants with account balances	2011-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: NORTHSHORE REHABILITATION SERVICES, RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	3
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	0
Total of all active and inactive participants	2010-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	3
Number of participants with account balances	2010-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: NORTHSHORE REHABILITATION SERVICES, RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	3
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	0
Total of all active and inactive participants	2009-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	3
Number of participants with account balances	2009-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on NORTHSHORE REHABILITATION SERVICES, RETIREMENT PLAN

Measure	Date	Value
2012 : NORTHSHORE REHABILITATION SERVICES, RETIREMENT PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$33,761
Expenses. Total of all expenses incurred	2012-12-31	$50
Total plan assets at end of year	2012-12-31	$338,091
Total plan assets at beginning of year	2012-12-31	$304,380
Other income received	2012-12-31	$33,761
Net income (gross income less expenses)	2012-12-31	$33,711
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$338,091
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$304,380
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$50
2011 : NORTHSHORE REHABILITATION SERVICES, RETIREMENT PLAN 2011 401k financial data
Expenses. Total of all expenses incurred	2011-12-31	$18,280
Total plan assets at end of year	2011-12-31	$304,380
Total plan assets at beginning of year	2011-12-31	$322,660
Expenses. Other expenses not covered elsewhere	2011-12-31	$18,280
Net income (gross income less expenses)	2011-12-31	$-18,280
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$304,380
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$322,660
2010 : NORTHSHORE REHABILITATION SERVICES, RETIREMENT PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$42,938
Expenses. Total of all expenses incurred	2010-12-31	$4,386
Total plan assets at end of year	2010-12-31	$322,660
Total plan assets at beginning of year	2010-12-31	$284,108
Expenses. Other expenses not covered elsewhere	2010-12-31	$4,386
Other income received	2010-12-31	$42,938
Net income (gross income less expenses)	2010-12-31	$38,552
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$322,660
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$284,108

Form 5500 Responses for NORTHSHORE REHABILITATION SERVICES, RETIREMENT PLAN

2012: NORTHSHORE REHABILITATION SERVICES, RETIREMENT 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: NORTHSHORE REHABILITATION SERVICES, RETIREMENT 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
2010: NORTHSHORE REHABILITATION SERVICES, RETIREMENT 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 is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: NORTHSHORE REHABILITATION SERVICES, RETIREMENT 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

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Company Name:	NORTHSHORE REHABILITATION SERVICES, RETIREMENT PLAN
Employer identification number (EIN):	341695879
NAIC Classification:	621340
NAIC Description:	Offices of Physical, Occupational and Speech Therapists, and Audiologists

Plan id#	Filing Submission Date	Name of Administrator
002	2016-01-01
002	2015-01-01
002	2014-01-01
002	2013-01-01
002	2012-01-01	ANTHONY VAVRO
002	2011-01-01	ANTHONY VAVRO
002	2010-01-01	ANTHONY VAVRO
002	2009-01-01	ANTHONY VAVRO