401k Plan data: RICHARD M. EVANS, D.P.M., P.C. SAFE HARBOR 401K PROFIT SHARING PLAN plan

RICHARD M. EVANS, D.P.M., P.C. SAFE HARBOR 401K PROFIT SHARING PLAN 401k Plan overview

Plan Name	RICHARD M. EVANS, D.P.M., P.C. SAFE HARBOR 401K PROFIT SHARING PLAN
Plan identification number	002

RICHARD M. EVANS, D.P.M., P.C. SAFE HARBOR 401K PROFIT SHARING PLAN Benefits

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

RICHARD M. EVANS, D.P.M., P.C. has sponsored the creation of one or more 401k plans.

Company Name: RICHARD M. EVANS, D.P.M., P.C.

Employer identification number (EIN): 470593123

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RICHARD M. EVANS, D.P.M., P.C. SAFE HARBOR 401K PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2016-07-01 RICHARD M. EVANS RICHARD M. EVANS 2017-07-25
002 2015-07-01 RICHARD M. EVANS 2016-08-25 RICHARD M. EVANS 2016-08-25
002 2014-07-01 RICHARD M. EVANS 2015-08-26 RICHARD M. EVANS 2015-08-26
002 2013-07-01 RICHARD M. EVANS 2014-08-12 RICHARD M. EVANS 2014-08-12
002 2012-07-01 RICHARD M. EVANS 2013-10-18 RICHARD M. EVANS 2013-10-18
002 2011-07-01 RICHARD M. EVANS 2012-09-24 RICHARD M. EVANS 2012-09-24
002 2010-07-01 RICHARD M. EVANS 2011-08-23 RICHARD M. EVANS 2011-08-23
002 2009-07-01 RICHARD M. EVANS 2010-09-01 RICHARD M. EVANS 2010-09-01

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2016-07-01	RICHARD M. EVANS		RICHARD M. EVANS	2017-07-25
002	2015-07-01	RICHARD M. EVANS	2016-08-25	RICHARD M. EVANS	2016-08-25
002	2014-07-01	RICHARD M. EVANS	2015-08-26	RICHARD M. EVANS	2015-08-26
002	2013-07-01	RICHARD M. EVANS	2014-08-12	RICHARD M. EVANS	2014-08-12
002	2012-07-01	RICHARD M. EVANS	2013-10-18	RICHARD M. EVANS	2013-10-18
002	2011-07-01	RICHARD M. EVANS	2012-09-24	RICHARD M. EVANS	2012-09-24
002	2010-07-01	RICHARD M. EVANS	2011-08-23	RICHARD M. EVANS	2011-08-23
002	2009-07-01	RICHARD M. EVANS	2010-09-01	RICHARD M. EVANS	2010-09-01

Financial Data on RICHARD M. EVANS, D.P.M., P.C. SAFE HARBOR 401K PROFIT SHARING PLAN

Measure	Date	Value
2017 : RICHARD M. EVANS, D.P.M., P.C. SAFE HARBOR 401K PROFIT SHARING PLAN 2017 401k financial data
Transfers to/from the plan	2017-06-30	$-7,090,955
Total income from all sources	2017-06-30	$395,161
Total plan assets at end of year	2017-06-30	$0
Total plan assets at beginning of year	2017-06-30	$6,695,794
Value of fidelity bond covering the plan	2017-06-30	$500,000
Other income received	2017-06-30	$395,161
Net income (gross income less expenses)	2017-06-30	$395,161
Net plan assets at end of year (total assets less liabilities)	2017-06-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2017-06-30	$6,695,794
2016 : RICHARD M. EVANS, D.P.M., P.C. SAFE HARBOR 401K PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-06-30	$121,559
Expenses. Total of all expenses incurred	2016-06-30	$209,783
Benefits paid (including direct rollovers)	2016-06-30	$209,783
Total plan assets at end of year	2016-06-30	$6,695,794
Total plan assets at beginning of year	2016-06-30	$6,784,018
Value of fidelity bond covering the plan	2016-06-30	$500,000
Total contributions received or receivable from participants	2016-06-30	$47,000
Other income received	2016-06-30	$11,740
Net income (gross income less expenses)	2016-06-30	$-88,224
Net plan assets at end of year (total assets less liabilities)	2016-06-30	$6,695,794
Net plan assets at beginning of year (total assets less liabilities)	2016-06-30	$6,784,018
Total contributions received or receivable from employer(s)	2016-06-30	$62,819
2015 : RICHARD M. EVANS, D.P.M., P.C. SAFE HARBOR 401K PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-06-30	$613,130
Total plan assets at end of year	2015-06-30	$6,784,018
Total plan assets at beginning of year	2015-06-30	$6,170,888
Value of fidelity bond covering the plan	2015-06-30	$500,000
Total contributions received or receivable from participants	2015-06-30	$23,000
Other income received	2015-06-30	$555,311
Net income (gross income less expenses)	2015-06-30	$613,130
Net plan assets at end of year (total assets less liabilities)	2015-06-30	$6,784,018
Net plan assets at beginning of year (total assets less liabilities)	2015-06-30	$6,170,888
Total contributions received or receivable from employer(s)	2015-06-30	$34,819
2014 : RICHARD M. EVANS, D.P.M., P.C. SAFE HARBOR 401K PROFIT SHARING PLAN 2014 401k financial data
Total plan liabilities at beginning of year	2014-06-30	$1,010
Total income from all sources	2014-06-30	$1,345,508
Total plan assets at end of year	2014-06-30	$6,170,855
Total plan assets at beginning of year	2014-06-30	$4,826,357
Value of fidelity bond covering the plan	2014-06-30	$500,000
Total contributions received or receivable from participants	2014-06-30	$23,000
Other income received	2014-06-30	$1,288,138
Net income (gross income less expenses)	2014-06-30	$1,345,508
Net plan assets at end of year (total assets less liabilities)	2014-06-30	$6,170,855
Net plan assets at beginning of year (total assets less liabilities)	2014-06-30	$4,825,347
Total contributions received or receivable from employer(s)	2014-06-30	$34,370
2013 : RICHARD M. EVANS, D.P.M., P.C. SAFE HARBOR 401K PROFIT SHARING PLAN 2013 401k financial data
Total plan liabilities at end of year	2013-06-30	$1,010
Total income from all sources	2013-06-30	$779,692
Total plan assets at end of year	2013-06-30	$4,826,357
Total plan assets at beginning of year	2013-06-30	$4,045,655
Value of fidelity bond covering the plan	2013-06-30	$350,000
Total contributions received or receivable from participants	2013-06-30	$22,500
Other income received	2013-06-30	$724,062
Net income (gross income less expenses)	2013-06-30	$779,692
Net plan assets at end of year (total assets less liabilities)	2013-06-30	$4,825,347
Net plan assets at beginning of year (total assets less liabilities)	2013-06-30	$4,045,655
Total contributions received or receivable from employer(s)	2013-06-30	$33,130
2012 : RICHARD M. EVANS, D.P.M., P.C. SAFE HARBOR 401K PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at beginning of year	2012-06-30	$462
Total income from all sources	2012-06-30	$-61,054
Total plan assets at end of year	2012-06-30	$4,045,655
Total plan assets at beginning of year	2012-06-30	$4,107,171
Value of fidelity bond covering the plan	2012-06-30	$400,000
Total contributions received or receivable from participants	2012-06-30	$22,000
Other income received	2012-06-30	$-115,342
Net income (gross income less expenses)	2012-06-30	$-61,054
Net plan assets at end of year (total assets less liabilities)	2012-06-30	$4,045,655
Net plan assets at beginning of year (total assets less liabilities)	2012-06-30	$4,106,709
Total contributions received or receivable from employer(s)	2012-06-30	$32,288
2011 : RICHARD M. EVANS, D.P.M., P.C. SAFE HARBOR 401K PROFIT SHARING PLAN 2011 401k financial data
Total plan liabilities at end of year	2011-06-30	$462
Total plan liabilities at beginning of year	2011-06-30	$2,969
Total income from all sources	2011-06-30	$1,071,222
Total plan assets at end of year	2011-06-30	$4,107,171
Total plan assets at beginning of year	2011-06-30	$3,038,456
Total contributions received or receivable from participants	2011-06-30	$22,000
Contributions received from other sources (not participants or employers)	2011-06-30	$2,969
Other income received	2011-06-30	$1,014,001
Net income (gross income less expenses)	2011-06-30	$1,071,222
Net plan assets at end of year (total assets less liabilities)	2011-06-30	$4,106,709
Net plan assets at beginning of year (total assets less liabilities)	2011-06-30	$3,035,487
Total contributions received or receivable from employer(s)	2011-06-30	$32,252

Form 5500 Responses for RICHARD M. EVANS, D.P.M., P.C. SAFE HARBOR 401K PROFIT SHARING PLAN

2016: RICHARD M. EVANS, D.P.M., P.C. SAFE HARBOR 401K PROFIT SHARING PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	This submission is the final filing	Yes
2016-07-01	Plan funding arrangement – Trust	Yes
2016-07-01	Plan benefit arrangement - Trust	Yes
2015: RICHARD M. EVANS, D.P.M., P.C. SAFE HARBOR 401K PROFIT SHARING PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Plan funding arrangement – Trust	Yes
2015-07-01	Plan benefit arrangement - Trust	Yes
2014: RICHARD M. EVANS, D.P.M., P.C. SAFE HARBOR 401K PROFIT SHARING PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Plan funding arrangement – Trust	Yes
2014-07-01	Plan benefit arrangement - Trust	Yes
2013: RICHARD M. EVANS, D.P.M., P.C. SAFE HARBOR 401K PROFIT SHARING PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Plan funding arrangement – Trust	Yes
2013-07-01	Plan benefit arrangement - Trust	Yes
2012: RICHARD M. EVANS, D.P.M., P.C. SAFE HARBOR 401K PROFIT SHARING PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Plan funding arrangement – Trust	Yes
2012-07-01	Plan benefit arrangement - Trust	Yes
2011: RICHARD M. EVANS, D.P.M., P.C. SAFE HARBOR 401K PROFIT SHARING PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Plan funding arrangement – Trust	Yes
2011-07-01	Plan benefit arrangement - Trust	Yes
2010: RICHARD M. EVANS, D.P.M., P.C. SAFE HARBOR 401K PROFIT SHARING PLAN 2010 form 5500 responses
2010-07-01	Type of plan entity	Single employer plan
2010-07-01	Plan funding arrangement – Trust	Yes
2010-07-01	Plan benefit arrangement - Trust	Yes
2009: RICHARD M. EVANS, D.P.M., P.C. SAFE HARBOR 401K PROFIT SHARING PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Plan funding arrangement – Trust	Yes
2009-07-01	Plan benefit arrangement - Trust	Yes

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Company Name:	RICHARD M. EVANS, D.P.M., P.C.
Employer identification number (EIN):	470593123
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)