401k Plan data: LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES PROFIT SHARING PLAN plan

LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES PROFIT SHARING PLAN 401k Plan overview

Plan Name	LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES PROFIT SHARING PLAN
Plan identification number	001

LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES 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 408 accounts and annuities - See Limited Pension Plan Reporting instructions for pension plan utilizing individual Code section 408 retirement accounts or annuities as the funding vehicle for providing benefits.

401k Sponsoring company profile

LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC has sponsored the creation of one or more 401k plans.

Company Name: LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC

Employer identification number (EIN): 351824225

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01 DR. CHAN DR. CHAN 2018-03-05
001 2016-01-01 DR. CHAN DR. CHAN 2017-10-13
001 2015-01-01 DR. S. CHAN DR. S. CHAN
001 2015-01-01 VERA LYNN LAMBERT
001 2014-01-01 DR. C. CASTOR DR. C. CASTOR 2015-10-15
001 2013-01-01 DR. C. CASTOR DR. C. CASTOR 2014-10-14
001 2012-01-01 DR. CHAN S. JOSIAH CHAN 2013-10-10
001 2011-01-01 DR. CHAN S. JOSIAH CHAN 2012-10-15
001 2009-01-01 DR. CHAN S. JOSIAH CHAN 2010-10-15

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2017-01-01	DR. CHAN	DR. CHAN	2018-03-05
001	2016-01-01	DR. CHAN	DR. CHAN	2017-10-13
001	2015-01-01	DR. S. CHAN	DR. S. CHAN
001	2015-01-01	VERA LYNN LAMBERT
001	2014-01-01	DR. C. CASTOR	DR. C. CASTOR	2015-10-15
001	2013-01-01	DR. C. CASTOR	DR. C. CASTOR	2014-10-14
001	2012-01-01	DR. CHAN	S. JOSIAH CHAN	2013-10-10
001	2011-01-01	DR. CHAN	S. JOSIAH CHAN	2012-10-15
001	2009-01-01	DR. CHAN	S. JOSIAH CHAN	2010-10-15

Plan Statistics for LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES PROFIT SHARING PLAN

401k plan membership statisitcs for LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES PROFIT SHARING PLAN

Measure Date Value
2017: LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 8
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 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 8
Number of participants with account balances 2015-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 9
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 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 9
Number of participants with account balances 2014-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 7
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 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 7
Number of participants with account balances 2013-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 7
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 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 7
Number of participants with account balances 2012-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 1
2011: LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 8
Number of retired or separated participants receiving benefits 2011-01-01 0
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 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 8
Number of participants with account balances 2011-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 8
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 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 8
Number of participants with account balances 2009-01-01 8

Measure	Date	Value
2017: LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	8
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	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	8
Number of participants with account balances	2015-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	9
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	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	9
Number of participants with account balances	2014-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	7
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	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	7
Number of participants with account balances	2013-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	7
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	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	7
Number of participants with account balances	2012-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	1
2011: LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	8
Number of retired or separated participants receiving benefits	2011-01-01	0
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	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	8
Number of participants with account balances	2011-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	8
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	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	8
Number of participants with account balances	2009-01-01	8

Financial Data on LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES PROFIT SHARING PLAN

Measure	Date	Value
2017 : LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$0
Expenses. Total of all expenses incurred	2017-12-31	$162
Benefits paid (including direct rollovers)	2017-12-31	$162
Total plan assets at end of year	2017-12-31	$0
Total plan assets at beginning of year	2017-12-31	$162
Net income (gross income less expenses)	2017-12-31	$-162
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$162
2016 : LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES PROFIT SHARING PLAN 2016 401k financial data
Transfers to/from the plan	2016-12-31	$-1,025,112
Total income from all sources	2016-12-31	$-8,880
Expenses. Total of all expenses incurred	2016-12-31	$383
Total plan assets at end of year	2016-12-31	$162
Total plan assets at beginning of year	2016-12-31	$1,034,537
Other income received	2016-12-31	$-8,880
Net income (gross income less expenses)	2016-12-31	$-9,263
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$162
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$1,034,537
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$383
2015 : LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$32,131
Expenses. Total of all expenses incurred	2015-12-31	$7,368
Total plan assets at end of year	2015-12-31	$1,034,537
Total plan assets at beginning of year	2015-12-31	$1,009,774
Other income received	2015-12-31	$-15,495
Net income (gross income less expenses)	2015-12-31	$24,763
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,034,537
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,009,774
Total contributions received or receivable from employer(s)	2015-12-31	$47,626
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$7,368
2014 : LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$93,826
Total plan assets at end of year	2014-12-31	$1,009,774
Total plan assets at beginning of year	2014-12-31	$915,948
Other income received	2014-12-31	$47,734
Net income (gross income less expenses)	2014-12-31	$93,826
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,009,774
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$915,948
Total contributions received or receivable from employer(s)	2014-12-31	$46,092
2013 : LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$126,628
Expenses. Total of all expenses incurred	2013-12-31	$8,512
Benefits paid (including direct rollovers)	2013-12-31	$8,512
Total plan assets at end of year	2013-12-31	$915,948
Total plan assets at beginning of year	2013-12-31	$797,832
Other income received	2013-12-31	$81,650
Net income (gross income less expenses)	2013-12-31	$118,116
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$915,948
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$797,832
Total contributions received or receivable from employer(s)	2013-12-31	$44,978
2012 : LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$107,357
Total plan assets at end of year	2012-12-31	$797,832
Total plan assets at beginning of year	2012-12-31	$690,475
Other income received	2012-12-31	$63,998
Net income (gross income less expenses)	2012-12-31	$107,357
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$797,832
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$690,475
Total contributions received or receivable from employer(s)	2012-12-31	$43,359
2011 : LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$30,548
Total plan assets at end of year	2011-12-31	$690,475
Total plan assets at beginning of year	2011-12-31	$659,927
Other income received	2011-12-31	$-12,605
Net income (gross income less expenses)	2011-12-31	$30,548
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$690,475
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$659,927
Total contributions received or receivable from employer(s)	2011-12-31	$43,153
2010 : LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$189,999
Total plan assets at end of year	2010-12-31	$659,927
Total plan assets at beginning of year	2010-12-31	$469,928
Other income received	2010-12-31	$145,922
Net income (gross income less expenses)	2010-12-31	$189,999
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$659,927
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$469,928
Total contributions received or receivable from employer(s)	2010-12-31	$44,077

Form 5500 Responses for LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES PROFIT SHARING PLAN

2017: LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	This submission is the final filing	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES 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: LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES 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: LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES 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: LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES 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: LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC EMPLOYEES 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:	LAKE COUNTY CARDIOLOGY & INTERNAL MEDICINE PC
Employer identification number (EIN):	351824225
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)