401k Plan data: JOHN R. BACON, M.D., P.A. PROFIT SHARING PLAN plan

JOHN R. BACON, M.D., P.A. PROFIT SHARING PLAN 401k Plan overview

Plan Name	JOHN R. BACON, M.D., P.A. PROFIT SHARING PLAN
Plan identification number	001

JOHN R. BACON, M.D., P.A. PROFIT SHARING PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing 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

JOHN R. BACON, M.D., P.A. has sponsored the creation of one or more 401k plans.

Company Name: JOHN R. BACON, M.D., P.A.

Employer identification number (EIN): 521435427

NAIC Classification: 525990
NAIC Description: Other Financial Vehicles

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JOHN R. BACON, M.D., P.A. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01 JOHN R. BACON JOHN R. BACON 2017-02-22
001 2015-01-01 JOHN R. BACON JOHN R. BACON 2016-06-15
001 2014-01-01 JOHN R. BACON JOHN R. BACON 2015-02-26
001 2013-01-01 JOHN R BACON JOHN R. BACON 2014-02-12
001 2012-01-01 JOHN R BACON JOHN R. BACON 2013-02-15
001 2011-01-01 JOHN R BACON JOHN R. BACON 2012-03-12
001 2010-01-01 JOHN R BACON JOHN R. BACON 2011-03-18
001 2009-01-01 JOHN R BACON JOHN R. BACON 2010-06-04

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2016-01-01	JOHN R. BACON	JOHN R. BACON	2017-02-22
001	2015-01-01	JOHN R. BACON	JOHN R. BACON	2016-06-15
001	2014-01-01	JOHN R. BACON	JOHN R. BACON	2015-02-26
001	2013-01-01	JOHN R BACON	JOHN R. BACON	2014-02-12
001	2012-01-01	JOHN R BACON	JOHN R. BACON	2013-02-15
001	2011-01-01	JOHN R BACON	JOHN R. BACON	2012-03-12
001	2010-01-01	JOHN R BACON	JOHN R. BACON	2011-03-18
001	2009-01-01	JOHN R BACON	JOHN R. BACON	2010-06-04

Plan Statistics for JOHN R. BACON, M.D., P.A. PROFIT SHARING PLAN

401k plan membership statisitcs for JOHN R. BACON, M.D., P.A. PROFIT SHARING PLAN

Measure Date Value
2016: JOHN R. BACON, M.D., P.A. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
Total participants 2016-01-01 0
2015: JOHN R. BACON, M.D., P.A. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 5
Total of all active and inactive participants 2015-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 5
Total participants 2015-01-01 10
Number of participants with account balances 2015-01-01 5
2014: JOHN R. BACON, M.D., P.A. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 4
Number of other retired or separated participants entitled to future benefits 2014-01-01 1
Total of all active and inactive participants 2014-01-01 5
Total participants 2014-01-01 5
Number of participants with account balances 2014-01-01 5
2013: JOHN R. BACON, M.D., P.A. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 6
Total of all active and inactive participants 2013-01-01 6
Total participants 2013-01-01 6
Number of participants with account balances 2013-01-01 6
2012: JOHN R. BACON, M.D., P.A. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 7
Total of all active and inactive participants 2012-01-01 7
Total participants 2012-01-01 7
Number of participants with account balances 2012-01-01 7
2011: JOHN R. BACON, M.D., P.A. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 6
Total of all active and inactive participants 2011-01-01 6
Total participants 2011-01-01 6
Number of participants with account balances 2011-01-01 6
2010: JOHN R. BACON, M.D., P.A. PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 6
Total of all active and inactive participants 2010-01-01 6
Total participants 2010-01-01 6
Number of participants with account balances 2010-01-01 6
2009: JOHN R. BACON, M.D., P.A. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 6
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 2
Total of all active and inactive participants 2009-01-01 6
Total participants 2009-01-01 6
Number of participants with account balances 2009-01-01 4

Measure	Date	Value
2016: JOHN R. BACON, M.D., P.A. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
Total participants	2016-01-01	0
2015: JOHN R. BACON, M.D., P.A. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	5
Total of all active and inactive participants	2015-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	5
Total participants	2015-01-01	10
Number of participants with account balances	2015-01-01	5
2014: JOHN R. BACON, M.D., P.A. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	4
Number of other retired or separated participants entitled to future benefits	2014-01-01	1
Total of all active and inactive participants	2014-01-01	5
Total participants	2014-01-01	5
Number of participants with account balances	2014-01-01	5
2013: JOHN R. BACON, M.D., P.A. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	6
Total of all active and inactive participants	2013-01-01	6
Total participants	2013-01-01	6
Number of participants with account balances	2013-01-01	6
2012: JOHN R. BACON, M.D., P.A. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	7
Total of all active and inactive participants	2012-01-01	7
Total participants	2012-01-01	7
Number of participants with account balances	2012-01-01	7
2011: JOHN R. BACON, M.D., P.A. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	6
Total of all active and inactive participants	2011-01-01	6
Total participants	2011-01-01	6
Number of participants with account balances	2011-01-01	6
2010: JOHN R. BACON, M.D., P.A. PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	6
Total of all active and inactive participants	2010-01-01	6
Total participants	2010-01-01	6
Number of participants with account balances	2010-01-01	6
2009: JOHN R. BACON, M.D., P.A. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	6
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	2
Total of all active and inactive participants	2009-01-01	6
Total participants	2009-01-01	6
Number of participants with account balances	2009-01-01	4

Financial Data on JOHN R. BACON, M.D., P.A. PROFIT SHARING PLAN

Measure	Date	Value
2016 : JOHN R. BACON, M.D., P.A. PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$20,096
Expenses. Total of all expenses incurred	2016-12-31	$1,720,730
Benefits paid (including direct rollovers)	2016-12-31	$1,720,730
Total plan assets at end of year	2016-12-31	$0
Total plan assets at beginning of year	2016-12-31	$1,700,634
Other income received	2016-12-31	$20,096
Net income (gross income less expenses)	2016-12-31	$-1,700,634
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$1,700,634
2015 : JOHN R. BACON, M.D., P.A. PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$-2,323
Expenses. Total of all expenses incurred	2015-12-31	$589,652
Benefits paid (including direct rollovers)	2015-12-31	$589,652
Total plan assets at end of year	2015-12-31	$1,700,634
Total plan assets at beginning of year	2015-12-31	$2,292,609
Other income received	2015-12-31	$-11,012
Net income (gross income less expenses)	2015-12-31	$-591,975
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,700,634
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$2,292,609
Total contributions received or receivable from employer(s)	2015-12-31	$8,689
2014 : JOHN R. BACON, M.D., P.A. PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$138,201
Expenses. Total of all expenses incurred	2014-12-31	$7,473
Benefits paid (including direct rollovers)	2014-12-31	$7,108
Total plan assets at end of year	2014-12-31	$2,292,609
Total plan assets at beginning of year	2014-12-31	$2,161,881
Other income received	2014-12-31	$129,662
Net income (gross income less expenses)	2014-12-31	$130,728
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$2,292,609
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$2,161,881
Total contributions received or receivable from employer(s)	2014-12-31	$8,539
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$365
2013 : JOHN R. BACON, M.D., P.A. PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$357,155
Expenses. Total of all expenses incurred	2013-12-31	$10,283
Benefits paid (including direct rollovers)	2013-12-31	$9,933
Total plan assets at end of year	2013-12-31	$2,161,881
Total plan assets at beginning of year	2013-12-31	$1,815,009
Other income received	2013-12-31	$346,766
Net income (gross income less expenses)	2013-12-31	$346,872
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$2,161,881
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,815,009
Total contributions received or receivable from employer(s)	2013-12-31	$10,389
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$350
2012 : JOHN R. BACON, M.D., P.A. PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$205,709
Total plan assets at end of year	2012-12-31	$1,815,009
Total plan assets at beginning of year	2012-12-31	$1,609,300
Other income received	2012-12-31	$180,591
Net income (gross income less expenses)	2012-12-31	$205,709
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,815,009
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,609,300
Total contributions received or receivable from employer(s)	2012-12-31	$25,118
2011 : JOHN R. BACON, M.D., P.A. PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$-414
Total plan assets at end of year	2011-12-31	$1,609,300
Total plan assets at beginning of year	2011-12-31	$1,609,713
Other income received	2011-12-31	$-15,308
Net income (gross income less expenses)	2011-12-31	$-414
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,609,300
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,609,713
Total contributions received or receivable from employer(s)	2011-12-31	$14,894
2010 : JOHN R. BACON, M.D., P.A. PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$165,728
Total plan assets at end of year	2010-12-31	$1,609,713
Total plan assets at beginning of year	2010-12-31	$1,436,479
Other income received	2010-12-31	$158,223
Net income (gross income less expenses)	2010-12-31	$165,728
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,609,713
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,436,479
Total contributions received or receivable from employer(s)	2010-12-31	$7,505

Form 5500 Responses for JOHN R. BACON, M.D., P.A. PROFIT SHARING PLAN

2016: JOHN R. BACON, M.D., P.A. PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	This submission is the final filing	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: JOHN R. BACON, M.D., P.A. 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: JOHN R. BACON, M.D., P.A. 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: JOHN R. BACON, M.D., P.A. 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: JOHN R. BACON, M.D., P.A. 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: JOHN R. BACON, M.D., P.A. 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
2010: JOHN R. BACON, M.D., P.A. PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: JOHN R. BACON, M.D., P.A. PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	JOHN R. BACON, M.D., P.A.
Employer identification number (EIN):	521435427
NAIC Classification:	525990
NAIC Description:	Other Financial Vehicles