401k Plan data: MIDWEST EYE CONSULTANTS RETIREMENT SAVINGS PLAN plan

MIDWEST EYE CONSULTANTS RETIREMENT SAVINGS PLAN 401k Plan overview

Plan Name	MIDWEST EYE CONSULTANTS RETIREMENT SAVINGS PLAN
Plan identification number	001

MIDWEST EYE CONSULTANTS RETIREMENT SAVINGS 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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan covering Self-Employed individuals.
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

MIDWEST EYE CONSULTANTS, P.C. has sponsored the creation of one or more 401k plans.

Company Name: MIDWEST EYE CONSULTANTS, P.C.

Employer identification number (EIN): 351845786

NAIC Classification: 621320
NAIC Description: Offices of Optometrists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MIDWEST EYE CONSULTANTS RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 TROY COLE
001 2014-01-01 TROY M. COLE
001 2013-01-01 TROY COLE
001 2012-01-01 TROY COLE
001 2011-01-01 TROY M. COLE
001 2009-01-01 TROY M. COLE
001 2009-01-01 TROY COLE

Plan id#	Filing Submission Date	Name of Administrator
001	2015-01-01	TROY COLE
001	2014-01-01	TROY M. COLE
001	2013-01-01	TROY COLE
001	2012-01-01	TROY COLE
001	2011-01-01	TROY M. COLE
001	2009-01-01	TROY M. COLE
001	2009-01-01	TROY COLE

Plan Statistics for MIDWEST EYE CONSULTANTS RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for MIDWEST EYE CONSULTANTS RETIREMENT SAVINGS PLAN

Measure Date Value
2015: MIDWEST EYE CONSULTANTS RETIREMENT SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 465
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 459
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 83
Total of all active and inactive participants 2015-01-01 542
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 542
Number of participants with account balances 2015-01-01 452
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: MIDWEST EYE CONSULTANTS RETIREMENT SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 433
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 406
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 36
Total of all active and inactive participants 2014-01-01 442
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 442
Number of participants with account balances 2014-01-01 138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: MIDWEST EYE CONSULTANTS RETIREMENT SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 356
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 392
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 28
Total of all active and inactive participants 2013-01-01 420
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 420
Number of participants with account balances 2013-01-01 121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: MIDWEST EYE CONSULTANTS RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 324
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 331
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 25
Total of all active and inactive participants 2012-01-01 356
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 356
Number of participants with account balances 2012-01-01 108
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: MIDWEST EYE CONSULTANTS RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 219
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 303
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 21
Total of all active and inactive participants 2011-01-01 324
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 324
Number of participants with account balances 2011-01-01 105
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: MIDWEST EYE CONSULTANTS RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 199
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 188
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 6
Total of all active and inactive participants 2009-01-01 194
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 194
Number of participants with account balances 2009-01-01 69
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2015: MIDWEST EYE CONSULTANTS RETIREMENT SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	465
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	459
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	83
Total of all active and inactive participants	2015-01-01	542
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	542
Number of participants with account balances	2015-01-01	452
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: MIDWEST EYE CONSULTANTS RETIREMENT SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	433
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	406
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	36
Total of all active and inactive participants	2014-01-01	442
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	442
Number of participants with account balances	2014-01-01	138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: MIDWEST EYE CONSULTANTS RETIREMENT SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	356
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	392
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	28
Total of all active and inactive participants	2013-01-01	420
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	420
Number of participants with account balances	2013-01-01	121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: MIDWEST EYE CONSULTANTS RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	324
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	331
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	25
Total of all active and inactive participants	2012-01-01	356
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	356
Number of participants with account balances	2012-01-01	108
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: MIDWEST EYE CONSULTANTS RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	219
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	303
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	21
Total of all active and inactive participants	2011-01-01	324
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	324
Number of participants with account balances	2011-01-01	105
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: MIDWEST EYE CONSULTANTS RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	199
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	188
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	6
Total of all active and inactive participants	2009-01-01	194
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	194
Number of participants with account balances	2009-01-01	69
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on MIDWEST EYE CONSULTANTS RETIREMENT SAVINGS PLAN

Measure	Date	Value
2015 : MIDWEST EYE CONSULTANTS RETIREMENT SAVINGS PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total transfer of assets to this plan	2015-12-31	$0
Total transfer of assets from this plan	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$17,423
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$130,857
Total income from all sources (including contributions)	2015-12-31	$877,352
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$396,996
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$348,004
Expenses. Certain deemed distributions of participant loans	2015-12-31	$1,732
Value of total corrective distributions	2015-12-31	$17,614
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$910,800
Value of total assets at end of year	2015-12-31	$4,117,747
Value of total assets at beginning of year	2015-12-31	$3,750,825
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$29,646
Total interest from all sources	2015-12-31	$4,020
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$206,535
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$206,535
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$362,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$738,142
Participant contributions at end of year	2015-12-31	$77,935
Participant contributions at beginning of year	2015-12-31	$80,323
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$122,658
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2015-12-31	$95
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$17,423
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$130,857
Other income not declared elsewhere	2015-12-31	$5,982
Administrative expenses (other) incurred	2015-12-31	$29,646
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$480,356
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$4,100,324
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$3,619,968
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$3,968,554
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$3,657,976
Interest on participant loans	2015-12-31	$4,020
Value of interest in common/collective trusts at end of year	2015-12-31	$21,258
Value of interest in common/collective trusts at beginning of year	2015-12-31	$12,526
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-250,109
Net investment gain or loss from common/collective trusts	2015-12-31	$124
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$50,000
Employer contributions (assets) at end of year	2015-12-31	$50,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$347,909
Did the plan have assets held for investment	2015-12-31	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	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	BADEN GAGE & SCHROEDER, LLC
Accountancy firm EIN	2015-12-31	203623225
2014 : MIDWEST EYE CONSULTANTS RETIREMENT SAVINGS PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total transfer of assets to this plan	2014-12-31	$0
Total transfer of assets from this plan	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$130,857
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$648,775
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$302,028
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$36,851
Expenses. Certain deemed distributions of participant loans	2014-12-31	$31
Value of total corrective distributions	2014-12-31	$253,038
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$431,638
Value of total assets at end of year	2014-12-31	$3,750,825
Value of total assets at beginning of year	2014-12-31	$3,273,221
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$12,108
Total interest from all sources	2014-12-31	$4,369
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$188,844
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$188,844
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$328,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$431,638
Participant contributions at end of year	2014-12-31	$80,323
Participant contributions at beginning of year	2014-12-31	$84,415
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$130,857
Administrative expenses (other) incurred	2014-12-31	$12,108
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$346,747
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$3,619,968
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$3,273,221
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$3,657,976
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$2,788,997
Interest on participant loans	2014-12-31	$4,369
Value of interest in common/collective trusts at end of year	2014-12-31	$12,526
Value of interest in common/collective trusts at beginning of year	2014-12-31	$390,738
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$9,071
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$9,071
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$-11,579
Net investment gain or loss from common/collective trusts	2014-12-31	$35,503
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$36,851
Did the plan have assets held for investment	2014-12-31	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	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	BADEN GAGE & SCHROEDER, LLC
Accountancy firm EIN	2014-12-31	203623225
2013 : MIDWEST EYE CONSULTANTS RETIREMENT SAVINGS PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$1,204,835
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$131,755
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$73,977
Expenses. Certain deemed distributions of participant loans	2013-12-31	$598
Value of total corrective distributions	2013-12-31	$48,667
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$640,662
Value of total assets at end of year	2013-12-31	$3,273,221
Value of total assets at beginning of year	2013-12-31	$2,200,141
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$8,513
Total interest from all sources	2013-12-31	$2,453
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$124,596
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$124,596
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$221,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$417,996
Participant contributions at end of year	2013-12-31	$84,415
Participant contributions at beginning of year	2013-12-31	$30,747
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$222,666
Administrative expenses (other) incurred	2013-12-31	$8,513
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$1,073,080
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$3,273,221
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$2,200,141
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$2,788,997
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$1,930,986
Interest on participant loans	2013-12-31	$2,453
Value of interest in common/collective trusts at end of year	2013-12-31	$390,738
Value of interest in common/collective trusts at beginning of year	2013-12-31	$224,434
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$9,071
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$13,974
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$13,974
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$353,599
Net investment gain or loss from common/collective trusts	2013-12-31	$83,525
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$73,977
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	BADEN GAGE & SCHROEDER, LLC
Accountancy firm EIN	2013-12-31	203623225
2012 : MIDWEST EYE CONSULTANTS RETIREMENT SAVINGS PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
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	$618,904
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$208,069
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$182,286
Value of total corrective distributions	2012-12-31	$17,627
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$353,545
Value of total assets at end of year	2012-12-31	$2,200,141
Value of total assets at beginning of year	2012-12-31	$1,789,306
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$8,156
Total interest from all sources	2012-12-31	$880
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$52,016
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$52,016
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$179,000
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
Contributions received from participants	2012-12-31	$353,545
Participant contributions at end of year	2012-12-31	$30,747
Participant contributions at beginning of year	2012-12-31	$8,289
Administrative expenses (other) incurred	2012-12-31	$8,156
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	$410,835
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$2,200,141
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$1,789,306
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$1,930,986
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$1,564,071
Interest on participant loans	2012-12-31	$880
Value of interest in common/collective trusts at end of year	2012-12-31	$224,434
Value of interest in common/collective trusts at beginning of year	2012-12-31	$201,121
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$13,974
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$15,825
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$15,825
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$179,045
Net investment gain or loss from common/collective trusts	2012-12-31	$33,418
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$182,286
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
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	BADEN GAGE & SCHROEDER, LLC
Accountancy firm EIN	2012-12-31	203623225
2011 : MIDWEST EYE CONSULTANTS RETIREMENT SAVINGS PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
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	$322,947
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$87,536
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$61,634
Value of total corrective distributions	2011-12-31	$19,497
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$351,307
Value of total assets at end of year	2011-12-31	$1,789,306
Value of total assets at beginning of year	2011-12-31	$1,553,895
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$6,405
Total interest from all sources	2011-12-31	$534
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$41,483
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$41,483
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$156,000
If this is an individual account plan, was there a blackout period	2011-12-31	Yes
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
Contributions received from participants	2011-12-31	$340,005
Participant contributions at end of year	2011-12-31	$8,289
Participant contributions at beginning of year	2011-12-31	$9,588
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$11,302
Administrative expenses (other) incurred	2011-12-31	$6,405
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	$235,411
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$1,789,306
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$1,553,895
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$1,564,071
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$1,456,752
Interest on participant loans	2011-12-31	$534
Value of interest in common/collective trusts at end of year	2011-12-31	$201,121
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$15,825
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$87,555
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-60,103
Net investment gain or loss from common/collective trusts	2011-12-31	$-10,274
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$61,634
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-12-31	Yes
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	BG & S'S
Accountancy firm EIN	2011-12-31	351939627
2010 : MIDWEST EYE CONSULTANTS RETIREMENT SAVINGS PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
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	$496,415
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$87,030
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$42,294
Value of total corrective distributions	2010-12-31	$40,055
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$313,722
Value of total assets at end of year	2010-12-31	$1,553,895
Value of total assets at beginning of year	2010-12-31	$1,144,510
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$4,681
Total interest from all sources	2010-12-31	$2,304
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	$100,000
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
Contributions received from participants	2010-12-31	$305,240
Participant contributions at end of year	2010-12-31	$9,588
Participant contributions at beginning of year	2010-12-31	$12,682
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	$409,385
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$1,553,895
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,144,510
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
Value of interest in pooled separate accounts at end of year	2010-12-31	$1,456,752
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$1,087,821
Interest on participant loans	2010-12-31	$953
Interest earned on other investments	2010-12-31	$1,351
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$87,555
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$44,007
Net investment gain/loss from pooled separate accounts	2010-12-31	$180,389
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
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	$8,482
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$42,294
Contract administrator fees	2010-12-31	$4,681
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	BADEN, GAGE & SCHROEDER, LLC
Accountancy firm EIN	2010-12-31	351939627
2009 : MIDWEST EYE CONSULTANTS RETIREMENT SAVINGS 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 MIDWEST EYE CONSULTANTS RETIREMENT SAVINGS PLAN

2015: MIDWEST EYE CONSULTANTS RETIREMENT SAVINGS PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: MIDWEST EYE CONSULTANTS RETIREMENT SAVINGS PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: MIDWEST EYE CONSULTANTS RETIREMENT SAVINGS 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	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: MIDWEST EYE CONSULTANTS RETIREMENT SAVINGS PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
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: MIDWEST EYE CONSULTANTS RETIREMENT SAVINGS 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 – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: MIDWEST EYE CONSULTANTS RETIREMENT SAVINGS PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
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 – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )

Policy contract number

62709

Policy instance

Insurance contract or identification number	62709
Number of Individuals Covered	0
Insurance policy start date	2011-01-01
Insurance policy end date	2011-02-28
Total amount of commissions paid to insurance broker	USD $61
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )

Policy contract number

62709

Policy instance

Insurance contract or identification number	62709
Number of Individuals Covered	219
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $4,978
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

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Company Name:	MIDWEST EYE CONSULTANTS, P.C.
Employer identification number (EIN):	351845786
NAIC Classification:	621320
NAIC Description:	Offices of Optometrists