401k Plan data: CHARLES F. GOLDSWORTHY, MD plan

CHARLES F. GOLDSWORTHY, MD 401k Plan overview

Plan Name	CHARLES F. GOLDSWORTHY, MD
Plan identification number	001

CHARLES F. GOLDSWORTHY, MD Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Money purchase (other than target benefit) Profit-sharing

401k Sponsoring company profile

CHARLES F. GOLDSWORTHY, MD has sponsored the creation of one or more 401k plans.

Company Name: CHARLES F. GOLDSWORTHY, MD

Employer identification number (EIN): 330300236

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHARLES F. GOLDSWORTHY, MD

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 HAL BRAND, CPA
001 2013-01-01 HAL BRAND, CPA
001 2012-01-01 HAL BRAND, CPA

Plan id#	Filing Submission Date	Name of Administrator
001	2014-01-01	HAL BRAND, CPA
001	2013-01-01	HAL BRAND, CPA
001	2012-01-01	HAL BRAND, CPA

Plan Statistics for CHARLES F. GOLDSWORTHY, MD

401k plan membership statisitcs for CHARLES F. GOLDSWORTHY, MD

Measure Date Value
2014: CHARLES F. GOLDSWORTHY, MD 2014 401k membership
Total participants, beginning-of-year 2014-01-01 0
Total of all active and inactive participants 2014-01-01 0
Total participants 2014-01-01 0
2013: CHARLES F. GOLDSWORTHY, MD 2013 401k membership
Total participants, beginning-of-year 2013-01-01 0
Total of all active and inactive participants 2013-01-01 0
Total participants 2013-01-01 0
2012: CHARLES F. GOLDSWORTHY, MD 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1
Total of all active and inactive participants 2012-01-01 1
Total participants 2012-01-01 1
Number of participants with account balances 2012-01-01 1

Measure	Date	Value
2014: CHARLES F. GOLDSWORTHY, MD 2014 401k membership
Total participants, beginning-of-year	2014-01-01	0
Total of all active and inactive participants	2014-01-01	0
Total participants	2014-01-01	0
2013: CHARLES F. GOLDSWORTHY, MD 2013 401k membership
Total participants, beginning-of-year	2013-01-01	0
Total of all active and inactive participants	2013-01-01	0
Total participants	2013-01-01	0
2012: CHARLES F. GOLDSWORTHY, MD 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1
Total of all active and inactive participants	2012-01-01	1
Total participants	2012-01-01	1
Number of participants with account balances	2012-01-01	1

Financial Data on CHARLES F. GOLDSWORTHY, MD

Measure	Date	Value
2014 : CHARLES F. GOLDSWORTHY, MD 2014 401k financial data
Total income from all sources	2014-12-31	$116,295
Total plan assets at end of year	2014-12-31	$1,266,881
Total plan assets at beginning of year	2014-12-31	$1,150,586
Other income received	2014-12-31	$66,295
Net income (gross income less expenses)	2014-12-31	$116,295
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,266,881
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,150,586
Total contributions received or receivable from employer(s)	2014-12-31	$50,000
2013 : CHARLES F. GOLDSWORTHY, MD 2013 401k financial data
Total income from all sources	2013-12-31	$92,506
Total plan assets at end of year	2013-12-31	$1,150,586
Total plan assets at beginning of year	2013-12-31	$1,058,080
Other income received	2013-12-31	$40,506
Net income (gross income less expenses)	2013-12-31	$92,506
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,150,586
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,058,080
Total contributions received or receivable from employer(s)	2013-12-31	$52,000
2012 : CHARLES F. GOLDSWORTHY, MD 2012 401k financial data
Transfers to/from the plan	2012-12-31	$51,000
Total income from all sources	2012-12-31	$97,441
Total plan assets at end of year	2012-12-31	$1,058,080
Total plan assets at beginning of year	2012-12-31	$909,639
Other income received	2012-12-31	$46,441
Net income (gross income less expenses)	2012-12-31	$97,441
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,058,080
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$909,639
Total contributions received or receivable from employer(s)	2012-12-31	$51,000

Form 5500 Responses for CHARLES F. GOLDSWORTHY, MD

2014: CHARLES F. GOLDSWORTHY, MD 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: CHARLES F. GOLDSWORTHY, MD 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: CHARLES F. GOLDSWORTHY, MD 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

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Company Name:	CHARLES F. GOLDSWORTHY, MD
Employer identification number (EIN):	330300236
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)