401k Plan data: CENTRAL PENN REHABILITATION ASSOCIATES, INC. PROFIT SHARING PLAN plan

CENTRAL PENN REHABILITATION ASSOCIATES, INC. PROFIT SHARING PLAN 401k Plan overview

Plan Name	CENTRAL PENN REHABILITATION ASSOCIATES, INC. PROFIT SHARING PLAN
Plan identification number	002

CENTRAL PENN REHABILITATION ASSOCIATES, INC. PROFIT SHARING PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing 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

CENTRAL PENN REHABILITATION ASSOCIATES, INC. has sponsored the creation of one or more 401k plans.

Company Name: CENTRAL PENN REHABILITATION ASSOCIATES, INC.

Employer identification number (EIN): 251514209

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CENTRAL PENN REHABILITATION ASSOCIATES, INC. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2015-01-01 JOHN C. EVANS, D.O. JOHN CEVANS D O 2016-07-14
002 2014-01-01 JOHN C. EVANS, D.O. JOHN C EVANS D.O. 2015-07-20
002 2013-01-01 JOHN C. EVANS, D.O.
002 2012-01-01 JOHN C. EVANS, D.O. 2013-08-16 JOHN C EVANS 2013-08-16
002 2011-01-01 JOHN C. EVANS, D.O. 2012-07-25
002 2010-01-01 JOHN C. EVANS, D.O. 2011-10-07

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2015-01-01	JOHN C. EVANS, D.O.		JOHN CEVANS D O	2016-07-14
002	2014-01-01	JOHN C. EVANS, D.O.		JOHN C EVANS D.O.	2015-07-20
002	2013-01-01	JOHN C. EVANS, D.O.
002	2012-01-01	JOHN C. EVANS, D.O.	2013-08-16	JOHN C EVANS	2013-08-16
002	2011-01-01	JOHN C. EVANS, D.O.	2012-07-25
002	2010-01-01	JOHN C. EVANS, D.O.	2011-10-07

Plan Statistics for CENTRAL PENN REHABILITATION ASSOCIATES, INC. PROFIT SHARING PLAN

401k plan membership statisitcs for CENTRAL PENN REHABILITATION ASSOCIATES, INC. PROFIT SHARING PLAN

Measure Date Value
2015: CENTRAL PENN REHABILITATION ASSOCIATES, INC. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 0
Number of participants with account balances 2015-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: CENTRAL PENN REHABILITATION ASSOCIATES, INC. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 4
Total of all active and inactive participants 2014-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 4
Number of participants with account balances 2014-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: CENTRAL PENN REHABILITATION ASSOCIATES, INC. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 4
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 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 4
Number of participants with account balances 2013-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0

Measure	Date	Value
2015: CENTRAL PENN REHABILITATION ASSOCIATES, INC. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	0
Number of participants with account balances	2015-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: CENTRAL PENN REHABILITATION ASSOCIATES, INC. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	4
Total of all active and inactive participants	2014-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	4
Number of participants with account balances	2014-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: CENTRAL PENN REHABILITATION ASSOCIATES, INC. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	4
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	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	4
Number of participants with account balances	2013-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0

Financial Data on CENTRAL PENN REHABILITATION ASSOCIATES, INC. PROFIT SHARING PLAN

Measure	Date	Value
2015 : CENTRAL PENN REHABILITATION ASSOCIATES, INC. PROFIT SHARING PLAN 2015 401k financial data
Transfers to/from the plan	2015-12-31	$0
Total plan liabilities at end of year	2015-12-31	$0
Total plan liabilities at beginning of year	2015-12-31	$0
Total income from all sources	2015-12-31	$14,124
Expenses. Total of all expenses incurred	2015-12-31	$2,015,635
Benefits paid (including direct rollovers)	2015-12-31	$2,010,126
Total plan assets at end of year	2015-12-31	$0
Total plan assets at beginning of year	2015-12-31	$2,001,511
Value of fidelity bond covering the plan	2015-12-31	$300,000
Total contributions received or receivable from participants	2015-12-31	$0
Assets. Value of loans (other than to participants)	2015-12-31	$0
Expenses. Other expenses not covered elsewhere	2015-12-31	$0
Contributions received from other sources (not participants or employers)	2015-12-31	$0
Other income received	2015-12-31	$14,124
Noncash contributions received	2015-12-31	$0
Net income (gross income less expenses)	2015-12-31	$-2,001,511
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$2,001,511
Assets. Value of participant loans	2015-12-31	$0
Total contributions received or receivable from employer(s)	2015-12-31	$0
Value of certain deemed distributions of participant loans	2015-12-31	$0
Value of corrective distributions	2015-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$5,509
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : CENTRAL PENN REHABILITATION ASSOCIATES, INC. PROFIT SHARING PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
Total plan liabilities at end of year	2014-12-31	$0
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$128,805
Expenses. Total of all expenses incurred	2014-12-31	$6,130
Benefits paid (including direct rollovers)	2014-12-31	$0
Total plan assets at end of year	2014-12-31	$2,001,511
Total plan assets at beginning of year	2014-12-31	$1,878,836
Value of fidelity bond covering the plan	2014-12-31	$300,000
Total contributions received or receivable from participants	2014-12-31	$0
Assets. Value of loans (other than to participants)	2014-12-31	$23,133
Expenses. Other expenses not covered elsewhere	2014-12-31	$0
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$128,805
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$122,675
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$2,001,511
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,878,836
Assets. Value of participant loans	2014-12-31	$39,372
Total contributions received or receivable from employer(s)	2014-12-31	$0
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$6,130
2013 : CENTRAL PENN REHABILITATION ASSOCIATES, INC. PROFIT SHARING PLAN 2013 401k financial data
Total plan liabilities at end of year	2013-12-31	$0
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$262,685
Expenses. Total of all expenses incurred	2013-12-31	$4,345
Benefits paid (including direct rollovers)	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$1,878,836
Total plan assets at beginning of year	2013-12-31	$1,620,496
Value of fidelity bond covering the plan	2013-12-31	$300,000
Total contributions received or receivable from participants	2013-12-31	$0
Assets. Value of loans (other than to participants)	2013-12-31	$29,089
Expenses. Other expenses not covered elsewhere	2013-12-31	$0
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$262,685
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$258,340
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,878,836
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,620,496
Assets. Value of participant loans	2013-12-31	$41,355
Total contributions received or receivable from employer(s)	2013-12-31	$0
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$4,345

Form 5500 Responses for CENTRAL PENN REHABILITATION ASSOCIATES, INC. PROFIT SHARING PLAN

2015: CENTRAL PENN REHABILITATION ASSOCIATES, INC. PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	Yes
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: CENTRAL PENN REHABILITATION ASSOCIATES, INC. PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: CENTRAL PENN REHABILITATION ASSOCIATES, INC. PROFIT SHARING 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	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
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

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Company Name:	CENTRAL PENN REHABILITATION ASSOCIATES, INC.
Employer identification number (EIN):	251514209
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)