401k Plan data: WILLIAM B KEREK MD PROFIT SHARING PLAN plan

WILLIAM B KEREK MD PROFIT SHARING PLAN 401k Plan overview

Plan Name	WILLIAM B KEREK MD PROFIT SHARING PLAN
Plan identification number	001

WILLIAM B KEREK MD PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.

401k Sponsoring company profile

WILLIAM B KEREK MD has sponsored the creation of one or more 401k plans.

Company Name: WILLIAM B KEREK MD

Employer identification number (EIN): 341260585

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 B KEREK MD PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 WILLIAM KEREK WILLIAM KEREK 2017-01-09
001 2015-01-01 WILLIAM KEREK WILLIAM KEREK 2017-01-05
001 2015-01-01 WILLIAM KEREK WILLIAM KEREK 2017-01-09
001 2014-01-01 WILLIAM B KEREK
001 2013-01-01 WILLIAM B KEREK WILLIAM B KEREK 2014-07-15
001 2012-01-01 WILLIAM B KEREK MD
001 2011-01-01 WILLIAM B KEREK MD
001 2009-01-01 WILLIAM B. KEREK, MD

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2015-01-01	WILLIAM KEREK	WILLIAM KEREK	2017-01-09
001	2015-01-01	WILLIAM KEREK	WILLIAM KEREK	2017-01-05
001	2015-01-01	WILLIAM KEREK	WILLIAM KEREK	2017-01-09
001	2014-01-01	WILLIAM B KEREK
001	2013-01-01	WILLIAM B KEREK	WILLIAM B KEREK	2014-07-15
001	2012-01-01	WILLIAM B KEREK MD
001	2011-01-01	WILLIAM B KEREK MD
001	2009-01-01	WILLIAM B. KEREK, MD

Plan Statistics for WILLIAM B KEREK MD PROFIT SHARING PLAN

401k plan membership statisitcs for WILLIAM B KEREK MD PROFIT SHARING PLAN

Measure Date Value
2015: WILLIAM B KEREK MD PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 1
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 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 1
Number of participants with account balances 2015-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
Number of employers contributing to the scheme 2015-01-01 1
2014: WILLIAM B KEREK MD PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1
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 0
Total of all active and inactive participants 2014-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 1
Number of participants with account balances 2014-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
Number of employers contributing to the scheme 2014-01-01 1
2013: WILLIAM B KEREK MD PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 2
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 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 2
Number of participants with account balances 2013-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
Number of employers contributing to the scheme 2013-01-01 1
2012: WILLIAM B KEREK MD PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 2
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 2
Number of participants with account balances 2012-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
Number of employers contributing to the scheme 2012-01-01 1
2011: WILLIAM B KEREK MD 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 1
Number of retired or separated participants receiving benefits 2011-01-01 1
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 2
Number of participants with account balances 2011-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 1
2009: WILLIAM B KEREK MD PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 4
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 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 4
Number of participants with account balances 2009-01-01 4

Measure	Date	Value
2015: WILLIAM B KEREK MD PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	1
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	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	1
Number of participants with account balances	2015-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
Number of employers contributing to the scheme	2015-01-01	1
2014: WILLIAM B KEREK MD PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1
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	0
Total of all active and inactive participants	2014-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	1
Number of participants with account balances	2014-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
Number of employers contributing to the scheme	2014-01-01	1
2013: WILLIAM B KEREK MD PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	2
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	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	2
Number of participants with account balances	2013-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
Number of employers contributing to the scheme	2013-01-01	1
2012: WILLIAM B KEREK MD PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	2
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	2
Number of participants with account balances	2012-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
Number of employers contributing to the scheme	2012-01-01	1
2011: WILLIAM B KEREK MD 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	1
Number of retired or separated participants receiving benefits	2011-01-01	1
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	2
Number of participants with account balances	2011-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	1
2009: WILLIAM B KEREK MD PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	4
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	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	4
Number of participants with account balances	2009-01-01	4

Financial Data on WILLIAM B KEREK MD PROFIT SHARING PLAN

Measure	Date	Value
2015 : WILLIAM B KEREK MD PROFIT SHARING PLAN 2015 401k financial data
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	$57,600
Expenses. Total of all expenses incurred	2015-12-31	$135,569
Benefits paid (including direct rollovers)	2015-12-31	$84
Total plan assets at end of year	2015-12-31	$607,143
Total plan assets at beginning of year	2015-12-31	$680,112
Expenses. Other expenses not covered elsewhere	2015-12-31	$135,485
Net income (gross income less expenses)	2015-12-31	$-77,969
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$607,143
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$680,112
Total contributions received or receivable from employer(s)	2015-12-31	$57,600
2014 : WILLIAM B KEREK MD PROFIT SHARING PLAN 2014 401k financial data
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	$104,671
Expenses. Total of all expenses incurred	2014-12-31	$128,671
Benefits paid (including direct rollovers)	2014-12-31	$17,776
Total plan assets at end of year	2014-12-31	$680,112
Total plan assets at beginning of year	2014-12-31	$704,112
Expenses. Other expenses not covered elsewhere	2014-12-31	$106,343
Other income received	2014-12-31	$38,671
Net income (gross income less expenses)	2014-12-31	$-24,000
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$680,112
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$704,112
Total contributions received or receivable from employer(s)	2014-12-31	$66,000
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$4,552
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$17,776
Funding deficiency by the employer to the plan for this plan year	2014-12-31	$0
Minimum employer required contribution for this plan year	2014-12-31	$0
Amount contributed by the employer to the plan for this plan year	2014-12-31	$0
2013 : WILLIAM B KEREK MD 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	$127,320
Expenses. Total of all expenses incurred	2013-12-31	$8,787
Total plan assets at end of year	2013-12-31	$704,112
Total plan assets at beginning of year	2013-12-31	$585,579
Other income received	2013-12-31	$85,320
Net income (gross income less expenses)	2013-12-31	$118,533
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$704,112
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$585,579
Total contributions received or receivable from employer(s)	2013-12-31	$42,000
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$8,787
Funding deficiency by the employer to the plan for this plan year	2013-12-31	$0
Minimum employer required contribution for this plan year	2013-12-31	$42,000
Amount contributed by the employer to the plan for this plan year	2013-12-31	$42,000
2012 : WILLIAM B KEREK MD PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$46,501
Expenses. Total of all expenses incurred	2012-12-31	$-12,580
Total plan assets at end of year	2012-12-31	$585,579
Total plan assets at beginning of year	2012-12-31	$530,461
Value of fidelity bond covering the plan	2012-12-31	$75,000
Expenses. Other expenses not covered elsewhere	2012-12-31	$-20,448
Other income received	2012-12-31	$9,171
Net income (gross income less expenses)	2012-12-31	$59,081
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$585,579
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$530,461
Total contributions received or receivable from employer(s)	2012-12-31	$37,330
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$7,868
Funding deficiency by the employer to the plan for this plan year	2012-12-31	$0
Minimum employer required contribution for this plan year	2012-12-31	$0
Amount contributed by the employer to the plan for this plan year	2012-12-31	$0
2011 : WILLIAM B KEREK MD PROFIT SHARING PLAN 2011 401k financial data
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$-111,580
Expenses. Total of all expenses incurred	2011-12-31	$6,970
Benefits paid (including direct rollovers)	2011-12-31	$3,762
Total plan assets at end of year	2011-12-31	$530,445
Total plan assets at beginning of year	2011-12-31	$648,995
Value of fidelity bond covering the plan	2011-12-31	$75,000
Expenses. Other expenses not covered elsewhere	2011-12-31	$493
Other income received	2011-12-31	$-111,580
Net income (gross income less expenses)	2011-12-31	$-118,550
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$530,445
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$648,995
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$2,715
Funding deficiency by the employer to the plan for this plan year	2011-12-31	$0
Minimum employer required contribution for this plan year	2011-12-31	$0
Amount contributed by the employer to the plan for this plan year	2011-12-31	$0
2010 : WILLIAM B KEREK MD PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$143,937
Expenses. Total of all expenses incurred	2010-12-31	$15,199
Benefits paid (including direct rollovers)	2010-12-31	$12,167
Total plan assets at end of year	2010-12-31	$648,995
Total plan assets at beginning of year	2010-12-31	$520,257
Value of fidelity bond covering the plan	2010-12-31	$75,000
Total contributions received or receivable from participants	2010-12-31	$41,301
Expenses. Other expenses not covered elsewhere	2010-12-31	$486
Other income received	2010-12-31	$102,177
Net income (gross income less expenses)	2010-12-31	$128,738
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$648,995
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$520,257
Total contributions received or receivable from employer(s)	2010-12-31	$459
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$2,546

Form 5500 Responses for WILLIAM B KEREK MD PROFIT SHARING PLAN

2015: WILLIAM B KEREK MD 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 B KEREK MD 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 B KEREK MD 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 B KEREK MD 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 B KEREK MD 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
2009: WILLIAM B KEREK MD 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 B KEREK MD
Employer identification number (EIN):	341260585
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)