401k Plan data: WILLIAM MANDRICK, MD, INC., PROFIT SHARING PLAN plan

WILLIAM MANDRICK, MD, INC., PROFIT SHARING PLAN 401k Plan overview

Plan Name	WILLIAM MANDRICK, MD, INC., PROFIT SHARING PLAN
Plan identification number	002

WILLIAM MANDRICK, MD, INC., PROFIT SHARING 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.

401k Sponsoring company profile

WILLIAM MANDRICK, MD, INC. has sponsored the creation of one or more 401k plans.

Company Name: WILLIAM MANDRICK, MD, INC.

Employer identification number (EIN): 204828910

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WILLIAM MANDRICK, MD, INC., PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2016-01-01
002 2015-01-01
002 2014-01-01
002 2013-01-01
002 2012-01-01 WILLIAM MANDRICK
002 2011-01-01 WILLIAM MANDRICK
002 2010-01-01 WILLIAM MANDRICK
002 2009-01-01 WILLIAM MANDRICK

Plan Statistics for WILLIAM MANDRICK, MD, INC., PROFIT SHARING PLAN

401k plan membership statisitcs for WILLIAM MANDRICK, MD, INC., PROFIT SHARING PLAN

Measure Date Value
2016: WILLIAM MANDRICK, MD, INC., PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 2
Total of all active and inactive participants 2016-01-01 0
Total participants 2016-01-01 0
2015: WILLIAM MANDRICK, MD, INC., PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 2
Number of retired or separated participants receiving benefits 2015-01-01 1
Total of all active and inactive participants 2015-01-01 3
Total participants 2015-01-01 3
Number of participants with account balances 2015-01-01 2
2014: WILLIAM MANDRICK, MD, INC., PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 3
Total of all active and inactive participants 2014-01-01 3
Total participants 2014-01-01 3
Number of participants with account balances 2014-01-01 3
2013: WILLIAM MANDRICK, MD, INC., PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 3
Total of all active and inactive participants 2013-01-01 3
Total participants 2013-01-01 3
Number of participants with account balances 2013-01-01 3
2012: WILLIAM MANDRICK, MD, INC., PROFIT SHARING 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 3
Total of all active and inactive participants 2012-01-01 3
Total participants 2012-01-01 3
Number of participants with account balances 2012-01-01 3
2011: WILLIAM MANDRICK, MD, INC., PROFIT SHARING 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
Total of all active and inactive participants 2011-01-01 3
Total participants 2011-01-01 3
Number of participants with account balances 2011-01-01 3
2010: WILLIAM MANDRICK, MD, INC., PROFIT SHARING 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
Total of all active and inactive participants 2010-01-01 3
Total participants 2010-01-01 3
Number of participants with account balances 2010-01-01 3
2009: WILLIAM MANDRICK, MD, INC., PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 3
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 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 3
Number of participants with account balances 2009-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2016: WILLIAM MANDRICK, MD, INC., PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	2
Total of all active and inactive participants	2016-01-01	0
Total participants	2016-01-01	0
2015: WILLIAM MANDRICK, MD, INC., PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	2
Number of retired or separated participants receiving benefits	2015-01-01	1
Total of all active and inactive participants	2015-01-01	3
Total participants	2015-01-01	3
Number of participants with account balances	2015-01-01	2
2014: WILLIAM MANDRICK, MD, INC., PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	3
Total of all active and inactive participants	2014-01-01	3
Total participants	2014-01-01	3
Number of participants with account balances	2014-01-01	3
2013: WILLIAM MANDRICK, MD, INC., PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	3
Total of all active and inactive participants	2013-01-01	3
Total participants	2013-01-01	3
Number of participants with account balances	2013-01-01	3
2012: WILLIAM MANDRICK, MD, INC., PROFIT SHARING 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	3
Total of all active and inactive participants	2012-01-01	3
Total participants	2012-01-01	3
Number of participants with account balances	2012-01-01	3
2011: WILLIAM MANDRICK, MD, INC., PROFIT SHARING 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
Total of all active and inactive participants	2011-01-01	3
Total participants	2011-01-01	3
Number of participants with account balances	2011-01-01	3
2010: WILLIAM MANDRICK, MD, INC., PROFIT SHARING 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
Total of all active and inactive participants	2010-01-01	3
Total participants	2010-01-01	3
Number of participants with account balances	2010-01-01	3
2009: WILLIAM MANDRICK, MD, INC., PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	3
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	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	3
Number of participants with account balances	2009-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on WILLIAM MANDRICK, MD, INC., PROFIT SHARING PLAN

Measure	Date	Value
2016 : WILLIAM MANDRICK, MD, INC., PROFIT SHARING PLAN 2016 401k financial data
Total plan liabilities at beginning of year	2016-12-31	$0
Expenses. Total of all expenses incurred	2016-12-31	$69,521
Benefits paid (including direct rollovers)	2016-12-31	$69,521
Total plan assets at beginning of year	2016-12-31	$69,521
Value of fidelity bond covering the plan	2016-12-31	$16,500
Net income (gross income less expenses)	2016-12-31	$-69,521
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$69,521
2015 : WILLIAM MANDRICK, MD, INC., PROFIT SHARING PLAN 2015 401k financial data
Total plan liabilities at beginning of year	2015-12-31	$0
Total income from all sources	2015-12-31	$-7,017
Expenses. Total of all expenses incurred	2015-12-31	$587,944
Benefits paid (including direct rollovers)	2015-12-31	$587,944
Total plan assets at end of year	2015-12-31	$69,521
Total plan assets at beginning of year	2015-12-31	$664,482
Value of fidelity bond covering the plan	2015-12-31	$16,500
Other income received	2015-12-31	$-7,017
Net income (gross income less expenses)	2015-12-31	$-594,961
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$69,521
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$664,482
2014 : WILLIAM MANDRICK, MD, INC., PROFIT SHARING PLAN 2014 401k financial data
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$91,831
Total plan assets at end of year	2014-12-31	$664,482
Total plan assets at beginning of year	2014-12-31	$572,651
Value of fidelity bond covering the plan	2014-12-31	$16,500
Other income received	2014-12-31	$67,831
Net income (gross income less expenses)	2014-12-31	$91,831
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$664,482
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$572,651
Total contributions received or receivable from employer(s)	2014-12-31	$24,000
2013 : WILLIAM MANDRICK, MD, INC., PROFIT SHARING PLAN 2013 401k financial data
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$167,090
Total plan assets at end of year	2013-12-31	$572,651
Total plan assets at beginning of year	2013-12-31	$405,561
Value of fidelity bond covering the plan	2013-12-31	$16,500
Other income received	2013-12-31	$143,090
Net income (gross income less expenses)	2013-12-31	$167,090
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$572,651
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$405,561
Total contributions received or receivable from employer(s)	2013-12-31	$24,000
2012 : WILLIAM MANDRICK, MD, INC., PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$67,219
Total plan assets at end of year	2012-12-31	$405,561
Total plan assets at beginning of year	2012-12-31	$338,342
Value of fidelity bond covering the plan	2012-12-31	$16,500
Other income received	2012-12-31	$35,191
Net income (gross income less expenses)	2012-12-31	$67,219
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$405,561
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$338,342
Total contributions received or receivable from employer(s)	2012-12-31	$32,028
2011 : WILLIAM MANDRICK, MD, INC., PROFIT SHARING PLAN 2011 401k financial data
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$36,025
Expenses. Total of all expenses incurred	2011-12-31	$7,310
Total plan assets at end of year	2011-12-31	$338,342
Total plan assets at beginning of year	2011-12-31	$309,627
Value of fidelity bond covering the plan	2011-12-31	$16,500
Expenses. Other expenses not covered elsewhere	2011-12-31	$7,310
Other income received	2011-12-31	$4,832
Net income (gross income less expenses)	2011-12-31	$28,715
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$338,342
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$309,627
Total contributions received or receivable from employer(s)	2011-12-31	$31,193
2010 : WILLIAM MANDRICK, MD, INC., PROFIT SHARING PLAN 2010 401k financial data
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$56,345
Total plan assets at end of year	2010-12-31	$309,627
Total plan assets at beginning of year	2010-12-31	$253,282
Value of fidelity bond covering the plan	2010-12-31	$16,500
Other income received	2010-12-31	$26,881
Net income (gross income less expenses)	2010-12-31	$56,345
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$309,627
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$253,282
Total contributions received or receivable from employer(s)	2010-12-31	$29,464

Form 5500 Responses for WILLIAM MANDRICK, MD, INC., PROFIT SHARING PLAN

2016: WILLIAM MANDRICK, MD, INC., PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	This submission is the final filing	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: WILLIAM MANDRICK, MD, INC., PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: WILLIAM MANDRICK, MD, INC., PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: WILLIAM MANDRICK, MD, INC., PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: WILLIAM MANDRICK, MD, INC., PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: WILLIAM MANDRICK, MD, INC., PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: WILLIAM MANDRICK, MD, INC., PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: WILLIAM MANDRICK, MD, INC., PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	WILLIAM MANDRICK, MD, INC.
Employer identification number (EIN):	204828910
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)