401k Plan data: NORTH CASCADE WOMEN'S CLINIC PS 401K PROFIT SHARING PLAN AND TRUST plan

NORTH CASCADE WOMEN'S CLINIC PS 401K PROFIT SHARING PLAN AND TRUST 401k Plan overview

Plan Name	NORTH CASCADE WOMEN'S CLINIC PS 401K PROFIT SHARING PLAN AND TRUST
Plan identification number	001

NORTH CASCADE WOMEN'S CLINIC PS 401K PROFIT SHARING PLAN AND TRUST Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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

401k Sponsoring company profile

NORTH CASCADE WOMEN'S CLINIC PS has sponsored the creation of one or more 401k plans.

Company Name: NORTH CASCADE WOMEN'S CLINIC PS

Employer identification number (EIN): 911534860

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTH CASCADE WOMEN'S CLINIC PS 401K PROFIT SHARING PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 SHERRI PAROT 2016-10-12 SHERRI PAROT 2016-10-12
001 2014-01-01 SHERRI PAROT 2015-10-03 SHERRI PAROT 2015-10-03
001 2013-01-01 SHERRI PAROT 2014-10-07 SHERRI PAROT 2014-10-07
001 2012-01-01 SHERRI PAROT 2013-10-08
001 2011-01-01 SHERRI PAROT
001 2010-01-01 SHERRI PAROT
001 2009-01-01 SHERRI PAROT

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2015-01-01	SHERRI PAROT	2016-10-12	SHERRI PAROT	2016-10-12
001	2014-01-01	SHERRI PAROT	2015-10-03	SHERRI PAROT	2015-10-03
001	2013-01-01	SHERRI PAROT	2014-10-07	SHERRI PAROT	2014-10-07
001	2012-01-01	SHERRI PAROT	2013-10-08
001	2011-01-01	SHERRI PAROT
001	2010-01-01	SHERRI PAROT
001	2009-01-01	SHERRI PAROT

Plan Statistics for NORTH CASCADE WOMEN'S CLINIC PS 401K PROFIT SHARING PLAN AND TRUST

401k plan membership statisitcs for NORTH CASCADE WOMEN'S CLINIC PS 401K PROFIT SHARING PLAN AND TRUST

Measure Date Value
2011: NORTH CASCADE WOMEN'S CLINIC PS 401K PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 10
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 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 10
Number of participants with account balances 2011-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: NORTH CASCADE WOMEN'S CLINIC PS 401K PROFIT SHARING PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year 2010-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 9
Total of all active and inactive participants 2010-01-01 9
Total participants 2010-01-01 9
Number of participants with account balances 2010-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 1
2009: NORTH CASCADE WOMEN'S CLINIC PS 401K PROFIT SHARING PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 9
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 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 9
Number of participants with account balances 2009-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 2

Measure	Date	Value
2011: NORTH CASCADE WOMEN'S CLINIC PS 401K PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	10
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	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	10
Number of participants with account balances	2011-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: NORTH CASCADE WOMEN'S CLINIC PS 401K PROFIT SHARING PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year	2010-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	9
Total of all active and inactive participants	2010-01-01	9
Total participants	2010-01-01	9
Number of participants with account balances	2010-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	1
2009: NORTH CASCADE WOMEN'S CLINIC PS 401K PROFIT SHARING PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	9
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	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	9
Number of participants with account balances	2009-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	2

Financial Data on NORTH CASCADE WOMEN'S CLINIC PS 401K PROFIT SHARING PLAN AND TRUST

Measure	Date	Value
2011 : NORTH CASCADE WOMEN'S CLINIC PS 401K PROFIT SHARING PLAN AND TRUST 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$43,806
Expenses. Total of all expenses incurred	2011-12-31	$6,219
Benefits paid (including direct rollovers)	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$1,483,120
Total plan assets at beginning of year	2011-12-31	$1,445,533
Value of fidelity bond covering the plan	2011-12-31	$50,000
Total contributions received or receivable from participants	2011-12-31	$31,186
Expenses. Other expenses not covered elsewhere	2011-12-31	$6,219
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$0
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$37,587
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,483,120
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,445,533
Assets. Value of assets in partnership/joint-venture interests	2011-12-31	$14,349
Total contributions received or receivable from employer(s)	2011-12-31	$12,620
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2011-12-31	$0
Minimum employer required contribution for this plan year	2011-12-31	$12,620
Amount contributed by the employer to the plan for this plan year	2011-12-31	$12,620
2010 : NORTH CASCADE WOMEN'S CLINIC PS 401K PROFIT SHARING PLAN AND TRUST 2010 401k financial data
Total income from all sources	2010-12-31	$100,975
Expenses. Total of all expenses incurred	2010-12-31	$11,551
Benefits paid (including direct rollovers)	2010-12-31	$6,631
Total plan assets at end of year	2010-12-31	$1,445,533
Total plan assets at beginning of year	2010-12-31	$1,356,109
Value of fidelity bond covering the plan	2010-12-31	$50,000
Total contributions received or receivable from participants	2010-12-31	$18,070
Expenses. Other expenses not covered elsewhere	2010-12-31	$4,920
Other income received	2010-12-31	$69,070
Net income (gross income less expenses)	2010-12-31	$89,424
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,445,533
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,356,109
Assets. Value of assets in partnership/joint-venture interests	2010-12-31	$14,349
Total contributions received or receivable from employer(s)	2010-12-31	$13,835
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2010-12-31	$0
Minimum employer required contribution for this plan year	2010-12-31	$13,835
Amount contributed by the employer to the plan for this plan year	2010-12-31	$13,835
2009 : NORTH CASCADE WOMEN'S CLINIC PS 401K PROFIT SHARING PLAN AND TRUST 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
Funding deficiency by the employer to the plan for this plan year	2009-12-31	$-23,507
Minimum employer required contribution for this plan year	2009-12-31	$16,323
Amount contributed by the employer to the plan for this plan year	2009-12-31	$39,830

Form 5500 Responses for NORTH CASCADE WOMEN'S CLINIC PS 401K PROFIT SHARING PLAN AND TRUST

2011: NORTH CASCADE WOMEN'S CLINIC PS 401K PROFIT SHARING PLAN AND TRUST 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: NORTH CASCADE WOMEN'S CLINIC PS 401K PROFIT SHARING PLAN AND TRUST 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: NORTH CASCADE WOMEN'S CLINIC PS 401K PROFIT SHARING PLAN AND TRUST 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	NORTH CASCADE WOMEN'S CLINIC PS
Employer identification number (EIN):	911534860
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)