401k Plan data: E. T. PARTRIDGE, MD PC PROFIT SHARING PLAN plan

E. T. PARTRIDGE, MD PC PROFIT SHARING PLAN 401k Plan overview

Plan Name	E. T. PARTRIDGE, MD PC PROFIT SHARING PLAN
Plan identification number	002

E. T. PARTRIDGE, MD PC PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).

401k Sponsoring company profile

E. T. PARTRIDGE MD PC has sponsored the creation of one or more 401k plans.

Company Name: E. T. PARTRIDGE MD PC

Employer identification number (EIN): 161033185

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan E. T. PARTRIDGE, MD PC PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2010-09-01 EUGENE PARTRIDGE
002 2009-09-01 EUGENE PARTRIDGE

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2010-09-01	EUGENE PARTRIDGE
002	2009-09-01	EUGENE PARTRIDGE

Plan Statistics for E. T. PARTRIDGE, MD PC PROFIT SHARING PLAN

401k plan membership statisitcs for E. T. PARTRIDGE, MD PC PROFIT SHARING PLAN

Measure Date Value
2010: E. T. PARTRIDGE, MD PC PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-09-01 8
Total number of active participants reported on line 7a of the Form 5500 2010-09-01 5
Number of retired or separated participants receiving benefits 2010-09-01 3
Number of other retired or separated participants entitled to future benefits 2010-09-01 0
Total of all active and inactive participants 2010-09-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-09-01 0
Total participants 2010-09-01 8
Number of participants with account balances 2010-09-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-09-01 0
2009: E. T. PARTRIDGE, MD PC PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-09-01 8
Total number of active participants reported on line 7a of the Form 5500 2009-09-01 5
Number of retired or separated participants receiving benefits 2009-09-01 3
Number of other retired or separated participants entitled to future benefits 2009-09-01 0
Total of all active and inactive participants 2009-09-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-09-01 0
Total participants 2009-09-01 8
Number of participants with account balances 2009-09-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-09-01 0

Measure	Date	Value
2010: E. T. PARTRIDGE, MD PC PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-09-01	8
Total number of active participants reported on line 7a of the Form 5500	2010-09-01	5
Number of retired or separated participants receiving benefits	2010-09-01	3
Number of other retired or separated participants entitled to future benefits	2010-09-01	0
Total of all active and inactive participants	2010-09-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-09-01	0
Total participants	2010-09-01	8
Number of participants with account balances	2010-09-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-09-01	0
2009: E. T. PARTRIDGE, MD PC PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-09-01	8
Total number of active participants reported on line 7a of the Form 5500	2009-09-01	5
Number of retired or separated participants receiving benefits	2009-09-01	3
Number of other retired or separated participants entitled to future benefits	2009-09-01	0
Total of all active and inactive participants	2009-09-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-09-01	0
Total participants	2009-09-01	8
Number of participants with account balances	2009-09-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-09-01	0

Financial Data on E. T. PARTRIDGE, MD PC PROFIT SHARING PLAN

Measure	Date	Value
2011 : E. T. PARTRIDGE, MD PC PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-08-31	$7,452
Expenses. Total of all expenses incurred	2011-08-31	$243,783
Benefits paid (including direct rollovers)	2011-08-31	$239,608
Total plan assets at end of year	2011-08-31	$0
Total plan assets at beginning of year	2011-08-31	$236,332
Value of fidelity bond covering the plan	2011-08-31	$50,000
Total contributions received or receivable from participants	2011-08-31	$0
Expenses. Other expenses not covered elsewhere	2011-08-31	$55
Contributions received from other sources (not participants or employers)	2011-08-31	$0
Other income received	2011-08-31	$7,452
Noncash contributions received	2011-08-31	$0
Net income (gross income less expenses)	2011-08-31	$-236,331
Net plan assets at end of year (total assets less liabilities)	2011-08-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2011-08-31	$236,332
Total contributions received or receivable from employer(s)	2011-08-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-08-31	$4,120

Form 5500 Responses for E. T. PARTRIDGE, MD PC PROFIT SHARING PLAN

2010: E. T. PARTRIDGE, MD PC PROFIT SHARING PLAN 2010 form 5500 responses
2010-09-01	Type of plan entity	Single employer plan
2010-09-01	First time form 5500 has been submitted	Yes
2010-09-01	Submission has been amended	Yes
2010-09-01	This submission is the final filing	No
2010-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-09-01	Plan is a collectively bargained plan	No
2010-09-01	Plan funding arrangement – Trust	Yes
2010-09-01	Plan benefit arrangement - Trust	Yes
2009: E. T. PARTRIDGE, MD PC PROFIT SHARING PLAN 2009 form 5500 responses
2009-09-01	Type of plan entity	Single employer plan
2009-09-01	First time form 5500 has been submitted	Yes
2009-09-01	Submission has been amended	No
2009-09-01	This submission is the final filing	No
2009-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-09-01	Plan is a collectively bargained plan	No
2009-09-01	Plan funding arrangement – Trust	Yes
2009-09-01	Plan benefit arrangement - Trust	Yes

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Company Name:	E. T. PARTRIDGE MD PC
Employer identification number (EIN):	161033185
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)