401k Plan data: THE HOLLIS & MILLER GROUP, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN plan

THE HOLLIS & MILLER GROUP, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 401k Plan overview

Plan Name	THE HOLLIS & MILLER GROUP, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN
Plan identification number	503

THE HOLLIS & MILLER GROUP, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

HOLLIS MILLER ARCHITECTS, INC. has sponsored the creation of one or more 401k plans.

Company Name: HOLLIS MILLER ARCHITECTS, INC.

Employer identification number (EIN): 480662756

NAIC Classification: 541310
NAIC Description: Architectural Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE HOLLIS & MILLER GROUP, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2013-01-01 JOHN W. SOUTHARD
503 2012-01-01 JOHN W. SOUTHARD
503 2011-01-01 JOHN W. SOUTHARD
503 2009-01-01 JOHN SOUTHARD

Plan id#	Filing Submission Date	Name of Administrator
503	2013-01-01	JOHN W. SOUTHARD
503	2012-01-01	JOHN W. SOUTHARD
503	2011-01-01	JOHN W. SOUTHARD
503	2009-01-01	JOHN SOUTHARD

Plan Statistics for THE HOLLIS & MILLER GROUP, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN

401k plan membership statisitcs for THE HOLLIS & MILLER GROUP, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Measure Date Value
2013: THE HOLLIS & MILLER GROUP, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
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 0
2012: THE HOLLIS & MILLER GROUP, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 33
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 34
Number of retired or separated participants receiving benefits 2012-01-01 1
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 35
2011: THE HOLLIS & MILLER GROUP, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 36
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 33
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 33
2009: THE HOLLIS & MILLER GROUP, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 45
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 41
Number of retired or separated participants receiving benefits 2009-01-01 4
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 45

Measure	Date	Value
2013: THE HOLLIS & MILLER GROUP, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
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	0
2012: THE HOLLIS & MILLER GROUP, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	33
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	34
Number of retired or separated participants receiving benefits	2012-01-01	1
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	35
2011: THE HOLLIS & MILLER GROUP, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	36
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	33
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	33
2009: THE HOLLIS & MILLER GROUP, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	45
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	41
Number of retired or separated participants receiving benefits	2009-01-01	4
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	45

Financial Data on THE HOLLIS & MILLER GROUP, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Measure	Date	Value
2013 : THE HOLLIS & MILLER GROUP, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$-14,933
Total plan liabilities at beginning of year	2013-12-31	$132
Total income from all sources	2013-12-31	$68
Expenses. Total of all expenses incurred	2013-12-31	$7,280
Benefits paid (including direct rollovers)	2013-12-31	$5,634
Total plan assets at end of year	2013-12-31	$0
Total plan assets at beginning of year	2013-12-31	$22,277
Value of fidelity bond covering the plan	2013-12-31	$500,000
Other income received	2013-12-31	$4
Net income (gross income less expenses)	2013-12-31	$-7,212
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$22,145
Total contributions received or receivable from employer(s)	2013-12-31	$64
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$1,646
2012 : THE HOLLIS & MILLER GROUP, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2012 401k financial data
Total plan liabilities at end of year	2012-12-31	$132
Total plan liabilities at beginning of year	2012-12-31	$417
Total income from all sources	2012-12-31	$98,807
Expenses. Total of all expenses incurred	2012-12-31	$99,009
Benefits paid (including direct rollovers)	2012-12-31	$77,766
Total plan assets at end of year	2012-12-31	$22,277
Total plan assets at beginning of year	2012-12-31	$22,764
Value of fidelity bond covering the plan	2012-12-31	$500,000
Total contributions received or receivable from participants	2012-12-31	$79,828
Other income received	2012-12-31	$18
Net income (gross income less expenses)	2012-12-31	$-202
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$22,145
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$22,347
Total contributions received or receivable from employer(s)	2012-12-31	$18,961
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$21,243
2011 : THE HOLLIS & MILLER GROUP, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2011 401k financial data
Total plan liabilities at end of year	2011-12-31	$417
Total plan liabilities at beginning of year	2011-12-31	$240
Total income from all sources	2011-12-31	$118,273
Expenses. Total of all expenses incurred	2011-12-31	$128,450
Benefits paid (including direct rollovers)	2011-12-31	$107,534
Total plan assets at end of year	2011-12-31	$22,764
Total plan assets at beginning of year	2011-12-31	$32,764
Value of fidelity bond covering the plan	2011-12-31	$500,000
Total contributions received or receivable from participants	2011-12-31	$72,177
Other income received	2011-12-31	$1,530
Net income (gross income less expenses)	2011-12-31	$-10,177
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$22,347
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$32,524
Total contributions received or receivable from employer(s)	2011-12-31	$44,566
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$20,916
2010 : THE HOLLIS & MILLER GROUP, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2010 401k financial data
Total plan liabilities at end of year	2010-12-31	$240
Total plan liabilities at beginning of year	2010-12-31	$214
Total income from all sources	2010-12-31	$108,115
Expenses. Total of all expenses incurred	2010-12-31	$131,489
Benefits paid (including direct rollovers)	2010-12-31	$107,314
Total plan assets at end of year	2010-12-31	$32,764
Total plan assets at beginning of year	2010-12-31	$56,112
Value of fidelity bond covering the plan	2010-12-31	$500,000
Total contributions received or receivable from participants	2010-12-31	$68,728
Other income received	2010-12-31	$3,077
Net income (gross income less expenses)	2010-12-31	$-23,374
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$32,524
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$55,898
Total contributions received or receivable from employer(s)	2010-12-31	$36,310
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$24,175

Form 5500 Responses for THE HOLLIS & MILLER GROUP, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN

2013: THE HOLLIS & MILLER GROUP, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	This submission is the final filing	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: THE HOLLIS & MILLER GROUP, INC. SELF FUNDED MEDICAL REIMBURSEMENT 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: THE HOLLIS & MILLER GROUP, INC. SELF FUNDED MEDICAL REIMBURSEMENT 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: THE HOLLIS & MILLER GROUP, INC. SELF FUNDED MEDICAL REIMBURSEMENT 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:	HOLLIS MILLER ARCHITECTS, INC.
Employer identification number (EIN):	480662756
NAIC Classification:	541310
NAIC Description:	Architectural Services