THE JOHN R. KINGSLEY, M.D., P.C. CASH BALANCE PLAN 401k Plan overview

THE JOHN R. KINGSLEY, M.D., P.C. CASH BALANCE PLAN Benefits

401k Sponsoring company profile

Company Name:	JOHN R. KINGSLEY, M.D., P.C.
Employer identification number (EIN):	010640132
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2018-01-01	ZEKE ELDRIDGE	2018-10-08	ZEKE ELDRIDGE	2018-10-08
002	2017-01-01	ZEKE ELDRIDGE	2018-10-08	ZEKE ELDRIDGE	2018-10-08
002	2016-01-01	ZEKE ELDRIDGE	2017-10-09	ZEKE ELDRIDGE	2017-10-09
002	2015-01-01	ZEKE ELDRIDGE	2016-10-12	ZEKE ELDRIDGE	2016-10-12
002	2014-01-01	ZEKE ELDRIDGE	2015-10-09	ZEKE ELDRIDGE	2015-10-09
002	2013-01-01	ZEKE ELDRIDGE	2014-10-07
002	2012-01-01	ZEKE ELDRIDGE	2013-08-06
002	2011-01-01	ZEKE ELDRIDGE

Plan Statistics for THE JOHN R. KINGSLEY, M.D., P.C. CASH BALANCE PLAN

Measure	Date	Value
2011: THE JOHN R. KINGSLEY, M.D., P.C. CASH BALANCE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	15
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	2
Total of all active and inactive participants	2011-01-01	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on THE JOHN R. KINGSLEY, M.D., P.C. CASH BALANCE PLAN

Form 5500 Responses for THE JOHN R. KINGSLEY, M.D., P.C. CASH BALANCE PLAN

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