401k Plan data: VASCULAR SURGERY & NONINVASIVE DIAGNOSTICS PROFIT SHARING PLAN plan

VASCULAR SURGERY & NONINVASIVE DIAGNOSTICS PROFIT SHARING PLAN 401k Plan overview

Plan Name	VASCULAR SURGERY & NONINVASIVE DIAGNOSTICS PROFIT SHARING PLAN
Plan identification number	001

VASCULAR SURGERY & NONINVASIVE DIAGNOSTICS PROFIT SHARING 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.
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

VASCULAR SURGERY & NONINVASIVE DIAGNOSTICS LLC has sponsored the creation of one or more 401k plans.

Company Name: VASCULAR SURGERY & NONINVASIVE DIAGNOSTICS LLC

Employer identification number (EIN): 364471469

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VASCULAR SURGERY & NONINVASIVE DIAGNOSTICS PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2013-01-01 JOSEPH DURHAM 2014-06-11
001 2012-01-01 JOSEPH DURHAM 2013-07-26
001 2011-01-01 JOSEPH DURHAM 2012-10-19
001 2009-01-01 JOSEPH DURHAM

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2013-01-01	JOSEPH DURHAM	2014-06-11
001	2012-01-01	JOSEPH DURHAM	2013-07-26
001	2011-01-01	JOSEPH DURHAM	2012-10-19
001	2009-01-01	JOSEPH DURHAM

Plan Statistics for VASCULAR SURGERY & NONINVASIVE DIAGNOSTICS PROFIT SHARING PLAN

401k plan membership statisitcs for VASCULAR SURGERY & NONINVASIVE DIAGNOSTICS PROFIT SHARING PLAN

Measure Date Value
2009: VASCULAR SURGERY & NONINVASIVE DIAGNOSTICS PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 2
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 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 2
Number of participants with account balances 2009-01-01 2

Measure	Date	Value
2009: VASCULAR SURGERY & NONINVASIVE DIAGNOSTICS PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	2
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	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	2
Number of participants with account balances	2009-01-01	2

Financial Data on VASCULAR SURGERY & NONINVASIVE DIAGNOSTICS PROFIT SHARING PLAN

Measure	Date	Value
2010 : VASCULAR SURGERY & NONINVASIVE DIAGNOSTICS PROFIT SHARING PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$68,416
Expenses. Total of all expenses incurred	2010-12-31	$12,672
Benefits paid (including direct rollovers)	2010-12-31	$923
Total plan assets at end of year	2010-12-31	$323,871
Total plan assets at beginning of year	2010-12-31	$268,127
Value of fidelity bond covering the plan	2010-12-31	$30,000
Total contributions received or receivable from participants	2010-12-31	$0
Expenses. Other expenses not covered elsewhere	2010-12-31	$0
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$28,916
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$55,744
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$323,871
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$268,127
Assets. Value of participant loans	2010-12-31	$0
Total contributions received or receivable from employer(s)	2010-12-31	$39,500
Value of certain deemed distributions of participant loans	2010-12-31	$11,749
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0

Form 5500 Responses for VASCULAR SURGERY & NONINVASIVE DIAGNOSTICS PROFIT SHARING PLAN

2009: VASCULAR SURGERY & NONINVASIVE DIAGNOSTICS PROFIT SHARING 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 – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

C187710-0X

Policy instance

Insurance contract or identification number	C187710-0X
Number of Individuals Covered	1
Insurance policy start date	2010-05-29
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $664
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	Yes
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?	No
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

ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

C187224-0X

Policy instance

Insurance contract or identification number	C187224-0X
Number of Individuals Covered	1
Insurance policy start date	2010-03-29
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $15,307
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	Yes
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?	No
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

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Company Name:	VASCULAR SURGERY & NONINVASIVE DIAGNOSTICS LLC
Employer identification number (EIN):	364471469
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)