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

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

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

CRITICARE 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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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.
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

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

Company Name: CRITICARE SYSTEMS, INC.

Employer identification number (EIN): 391501563

NAIC Classification: 334500

Additional information about CRITICARE SYSTEMS, INC.

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 2045876

More information about CRITICARE SYSTEMS, INC.

Form 5500 Filing Information

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

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01 CRAIG HERNIKL 2017-02-16
001 2015-01-01 CRAIG HERNIKL 2016-10-17
001 2014-01-01 CRAIG HERNIKL 2015-10-15
001 2013-01-01 CRAIG HERNIKL 2014-07-24
001 2012-01-01 CRAIG HERNIKL
001 2011-01-01 ARVIND MANJEGOWDA

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2016-01-01	CRAIG HERNIKL	2017-02-16
001	2015-01-01	CRAIG HERNIKL	2016-10-17
001	2014-01-01	CRAIG HERNIKL	2015-10-15
001	2013-01-01	CRAIG HERNIKL	2014-07-24
001	2012-01-01	CRAIG HERNIKL
001	2011-01-01	ARVIND MANJEGOWDA

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

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

Measure Date Value
2012: CRITICARE SYSTEMS, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 114
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 58
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 21
Total of all active and inactive participants 2012-01-01 79
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 79
Number of participants with account balances 2012-01-01 77
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 4
2011: CRITICARE SYSTEMS, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 123
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 77
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 37
Total of all active and inactive participants 2011-01-01 114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 114
Number of participants with account balances 2011-01-01 102
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2012: CRITICARE SYSTEMS, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	114
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	58
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	21
Total of all active and inactive participants	2012-01-01	79
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	79
Number of participants with account balances	2012-01-01	77
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	4
2011: CRITICARE SYSTEMS, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	123
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	77
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	37
Total of all active and inactive participants	2011-01-01	114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	114
Number of participants with account balances	2011-01-01	102
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

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

Measure	Date	Value
2012 : CRITICARE SYSTEMS, INC. 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total transfer of assets from this plan	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	$702,066
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$2,961,834
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$2,955,104
Expenses. Certain deemed distributions of participant loans	2012-12-31	$2,432
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$25,365
Value of total assets at end of year	2012-12-31	$3,261,750
Value of total assets at beginning of year	2012-12-31	$5,521,518
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$4,298
Total interest from all sources	2012-12-31	$2,761
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$69,032
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	$69,032
Administrative expenses professional fees incurred	2012-12-31	$198
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	Yes
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	$19,985
Participant contributions at end of year	2012-12-31	$70,480
Participant contributions at beginning of year	2012-12-31	$63,504
Assets. Other investments not covered elsewhere at end of year	2012-12-31	$54,542
Total non interest bearing cash at beginning of year	2012-12-31	$1,982
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	$-2,259,768
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$3,261,750
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$5,521,518
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
Investment advisory and management fees	2012-12-31	$4,100
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$2,806,415
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$5,378,944
Interest on participant loans	2012-12-31	$2,761
Value of interest in common/collective trusts at end of year	2012-12-31	$330,313
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$106,822
Net investment gain or loss from common/collective trusts	2012-12-31	$498,086
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
Contributions received in cash from employer	2012-12-31	$5,380
Employer contributions (assets) at beginning of year	2012-12-31	$77,088
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$2,955,104
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	2012-12-31	Yes
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	MILLER, KAPLAN, ARASE & CO LLP
Accountancy firm EIN	2012-12-31	952036255
2011 : CRITICARE SYSTEMS, INC. 401(K) 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	$548,655
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$486,768
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$484,265
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$704,414
Value of total assets at end of year	2011-12-31	$5,521,518
Value of total assets at beginning of year	2011-12-31	$5,459,631
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$2,503
Total interest from all sources	2011-12-31	$2,987
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
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	$469,847
Participant contributions at end of year	2011-12-31	$63,504
Participant contributions at beginning of year	2011-12-31	$41,553
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$139,324
Total non interest bearing cash at end of year	2011-12-31	$1,982
Total non interest bearing cash at beginning of year	2011-12-31	$1,365
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	$61,887
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$5,521,518
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$5,459,631
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 pooled separate accounts at end of year	2011-12-31	$5,378,944
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$5,347,416
Interest on participant loans	2011-12-31	$2,987
Net investment gain/loss from pooled separate accounts	2011-12-31	$-158,746
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
Contributions received in cash from employer	2011-12-31	$95,243
Employer contributions (assets) at end of year	2011-12-31	$77,088
Employer contributions (assets) at beginning of year	2011-12-31	$69,297
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$484,265
Contract administrator fees	2011-12-31	$2,503
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	MILLER, KAPLAN, ARASE &CO,. LLP
Accountancy firm EIN	2011-12-31	952036255
2010 : CRITICARE SYSTEMS, INC. 401(K) PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total income from all sources	2010-12-31	$1,231,481
Expenses. Total of all expenses incurred	2010-12-31	$1,395,643
Benefits paid (including direct rollovers)	2010-12-31	$1,390,781
Total plan assets at end of year	2010-12-31	$5,459,631
Total plan assets at beginning of year	2010-12-31	$5,623,793
Value of fidelity bond covering the plan	2010-12-31	$500,000
Total contributions received or receivable from participants	2010-12-31	$437,561
Expenses. Other expenses not covered elsewhere	2010-12-31	$0
Contributions received from other sources (not participants or employers)	2010-12-31	$79,798
Other income received	2010-12-31	$544,661
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$-164,162
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$5,459,631
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$5,623,793
Assets. Value of participant loans	2010-12-31	$41,553
Total contributions received or receivable from employer(s)	2010-12-31	$169,461
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$4,862
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 CRITICARE SYSTEMS, INC. 401(K) PLAN

2012: CRITICARE SYSTEMS, INC. 401(K) 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 – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: CRITICARE 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	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

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

97596

Policy instance

Insurance contract or identification number	97596
Number of Individuals Covered	102
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
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?	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

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

97596

Policy instance

Insurance contract or identification number	97596
Number of Individuals Covered	102
Insurance policy start date	2011-07-06
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $18,428
Total amount of fees paid to insurance company	USD $7,912
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?	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

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

97596

Policy instance

Insurance contract or identification number	97596
Number of Individuals Covered	105
Insurance policy start date	2010-07-06
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $54,940
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?	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
Commission paid to Insurance Broker	USD $42,560
Insurance broker organization code?	3
Insurance broker name	WILLIAM J EVANS

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See full terms and conditions

Company Name:	CRITICARE SYSTEMS, INC.
Employer identification number (EIN):	391501563
NAIC Classification:	334500

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	2045876