401k Plan data: C&F IMAGING EZ(K) RETIREMENT PLAN plan

C&F IMAGING EZ(K) RETIREMENT PLAN 401k Plan overview

Plan Name	C&F IMAGING EZ(K) RETIREMENT PLAN
Plan identification number	001

C&F IMAGING EZ(K) 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.
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

C&F IMAGING has sponsored the creation of one or more 401k plans.

Company Name: C&F IMAGING

Employer identification number (EIN): 481237247

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan C&F IMAGING EZ(K) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2013-01-01 CARL FIESER
001 2012-01-01 CARL FIESER
001 2011-01-01 CARL FIESER
001 2010-01-01 CARL FIESER

Plan id#	Filing Submission Date	Name of Administrator
001	2013-01-01	CARL FIESER
001	2012-01-01	CARL FIESER
001	2011-01-01	CARL FIESER
001	2010-01-01	CARL FIESER

Plan Statistics for C&F IMAGING EZ(K) RETIREMENT PLAN

401k plan membership statisitcs for C&F IMAGING EZ(K) RETIREMENT PLAN

Measure Date Value
2013: C&F IMAGING EZ(K) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
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 0
Total of all active and inactive participants 2013-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 0
2012: C&F IMAGING EZ(K) 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 2
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 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 2
Number of participants with account balances 2012-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: C&F IMAGING EZ(K) 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 2
2010: C&F IMAGING EZ(K) 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 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0

Measure	Date	Value
2013: C&F IMAGING EZ(K) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
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	0
Total of all active and inactive participants	2013-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	0
2012: C&F IMAGING EZ(K) 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	2
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	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	2
Number of participants with account balances	2012-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: C&F IMAGING EZ(K) 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	2
2010: C&F IMAGING EZ(K) 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	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0

Financial Data on C&F IMAGING EZ(K) RETIREMENT PLAN

Measure	Date	Value
2013 : C&F IMAGING EZ(K) RETIREMENT PLAN 2013 401k financial data
Total income from all sources	2013-02-05	$369
Expenses. Total of all expenses incurred	2013-02-05	$10,493
Benefits paid (including direct rollovers)	2013-02-05	$10,317
Total plan assets at end of year	2013-02-05	$0
Total plan assets at beginning of year	2013-02-05	$10,124
Value of fidelity bond covering the plan	2013-02-05	$15,000
Other income received	2013-02-05	$369
Net income (gross income less expenses)	2013-02-05	$-10,124
Net plan assets at end of year (total assets less liabilities)	2013-02-05	$0
Net plan assets at beginning of year (total assets less liabilities)	2013-02-05	$10,124
Expenses. Administrative service providers (salaries,fees and commissions)	2013-02-05	$176
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-02-05	$0
2012 : C&F IMAGING EZ(K) RETIREMENT PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$12,497
Expenses. Total of all expenses incurred	2012-12-31	$116,236
Benefits paid (including direct rollovers)	2012-12-31	$115,191
Total plan assets at end of year	2012-12-31	$10,124
Total plan assets at beginning of year	2012-12-31	$113,863
Value of fidelity bond covering the plan	2012-12-31	$15,000
Total contributions received or receivable from participants	2012-12-31	$500
Other income received	2012-12-31	$9,365
Net income (gross income less expenses)	2012-12-31	$-103,739
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$10,124
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$113,863
Total contributions received or receivable from employer(s)	2012-12-31	$2,632
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$1,045
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : C&F IMAGING EZ(K) RETIREMENT PLAN 2011 401k financial data
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$1,347
Expenses. Total of all expenses incurred	2011-12-31	$891
Total plan assets at end of year	2011-12-31	$113,863
Total plan assets at beginning of year	2011-12-31	$113,407
Total contributions received or receivable from participants	2011-12-31	$1,500
Other income received	2011-12-31	$-5,271
Net income (gross income less expenses)	2011-12-31	$456
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$113,863
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$113,407
Total contributions received or receivable from employer(s)	2011-12-31	$5,118
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$891
2010 : C&F IMAGING EZ(K) RETIREMENT 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	$107,044
Expenses. Total of all expenses incurred	2010-12-31	$0
Benefits paid (including direct rollovers)	2010-12-31	$0
Total plan assets at end of year	2010-12-31	$113,407
Total plan assets at beginning of year	2010-12-31	$6,363
Value of fidelity bond covering the plan	2010-12-31	$1,000
Total contributions received or receivable from participants	2010-12-31	$1,626
Expenses. Other expenses not covered elsewhere	2010-12-31	$0
Contributions received from other sources (not participants or employers)	2010-12-31	$90,165
Other income received	2010-12-31	$14,454
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$107,044
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$113,407
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$6,363
Total contributions received or receivable from employer(s)	2010-12-31	$799
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	$0

Form 5500 Responses for C&F IMAGING EZ(K) RETIREMENT PLAN

2013: C&F IMAGING EZ(K) RETIREMENT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	Yes
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
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: C&F IMAGING EZ(K) 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: C&F IMAGING EZ(K) 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: C&F IMAGING EZ(K) 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

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Company Name:	C&F IMAGING
Employer identification number (EIN):	481237247
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)