401k Plan data: PATRICK F. KANE INC. MEDICAL BENEFIT PLAN plan

PATRICK F. KANE INC. MEDICAL BENEFIT PLAN 401k Plan overview

Plan Name	PATRICK F. KANE INC. MEDICAL BENEFIT PLAN
Plan identification number	501

PATRICK F. KANE INC. MEDICAL BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental Vision Temporary disability (accident and sickness) Long-term disability cover

401k Sponsoring company profile

PATRICK F. KANE INC. has sponsored the creation of one or more 401k plans.

Company Name: PATRICK F. KANE INC.

Employer identification number (EIN): 330599843

NAIC Classification: 531210
NAIC Description: Offices of Real Estate Agents and Brokers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PATRICK F. KANE INC. MEDICAL BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2012-01-01 PATRICK F. KANE
501 2011-01-01 PATRICK F KANE

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2012-01-01	PATRICK F. KANE
501	2011-01-01	PATRICK F KANE

Plan Statistics for PATRICK F. KANE INC. MEDICAL BENEFIT PLAN

401k plan membership statisitcs for PATRICK F. KANE INC. MEDICAL BENEFIT PLAN

Measure Date Value
2012: PATRICK F. KANE INC. MEDICAL BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1
Number of retired or separated participants receiving benefits 2012-01-01 1
Total of all active and inactive participants 2012-01-01 1
Total participants 2012-01-01 0
2011: PATRICK F. KANE INC. MEDICAL BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1
Number of retired or separated participants receiving benefits 2011-01-01 1
Total of all active and inactive participants 2011-01-01 1
Total participants 2011-01-01 1

Measure	Date	Value
2012: PATRICK F. KANE INC. MEDICAL BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1
Number of retired or separated participants receiving benefits	2012-01-01	1
Total of all active and inactive participants	2012-01-01	1
Total participants	2012-01-01	0
2011: PATRICK F. KANE INC. MEDICAL BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1
Number of retired or separated participants receiving benefits	2011-01-01	1
Total of all active and inactive participants	2011-01-01	1
Total participants	2011-01-01	1

Financial Data on PATRICK F. KANE INC. MEDICAL BENEFIT PLAN

Measure	Date	Value
2012 : PATRICK F. KANE INC. MEDICAL BENEFIT PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$6,442
Expenses. Total of all expenses incurred	2012-12-31	$54,879
Benefits paid (including direct rollovers)	2012-12-31	$54,179
Total plan assets at end of year	2012-12-31	$0
Total plan assets at beginning of year	2012-12-31	$48,437
Expenses. Other expenses not covered elsewhere	2012-12-31	$700
Other income received	2012-12-31	$6,442
Net income (gross income less expenses)	2012-12-31	$-48,437
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$48,437
2011 : PATRICK F. KANE INC. MEDICAL BENEFIT PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$-3,090
Expenses. Total of all expenses incurred	2011-12-31	$660
Total plan assets at end of year	2011-12-31	$48,437
Total plan assets at beginning of year	2011-12-31	$52,187
Expenses. Other expenses not covered elsewhere	2011-12-31	$660
Other income received	2011-12-31	$-3,090
Net income (gross income less expenses)	2011-12-31	$-3,750
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$48,437
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$52,187

Form 5500 Responses for PATRICK F. KANE INC. MEDICAL BENEFIT PLAN

2012: PATRICK F. KANE INC. MEDICAL BENEFIT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	This submission is the final filing	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: PATRICK F. KANE INC. MEDICAL BENEFIT 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

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Company Name:	PATRICK F. KANE INC.
Employer identification number (EIN):	330599843
NAIC Classification:	531210
NAIC Description:	Offices of Real Estate Agents and Brokers