401k Plan data: JOHN R KARICKHOFF MD PC PROFIT SHARING PLAN AND TRUST AGREEMENT plan

JOHN R KARICKHOFF MD PC PROFIT SHARING PLAN AND TRUST AGREEMENT 401k Plan overview

Plan Name	JOHN R KARICKHOFF MD PC PROFIT SHARING PLAN AND TRUST AGREEMENT
Plan identification number	001

JOHN R KARICKHOFF MD PC PROFIT SHARING PLAN AND TRUST AGREEMENT Benefits

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

401k Sponsoring company profile

JOHN R KARICKHOFF MD PC has sponsored the creation of one or more 401k plans.

Company Name: JOHN R KARICKHOFF MD PC

Employer identification number (EIN): 541092787

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JOHN R KARICKHOFF MD PC PROFIT SHARING PLAN AND TRUST AGREEMENT

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-11-01 JOHN R KARICKHOFF
001 2014-11-01 JOHN R KARICKHOFF
001 2013-11-01 JOHN R KARICKHOFF
001 2012-11-01 JOHN R KARICKHOFF
001 2011-11-01 JOHN R KARICKHOFF
001 2010-11-01 JOHN R KARICKHOFF
001 2009-11-01 JOHN R KARICKHOFF

Plan id#	Filing Submission Date	Name of Administrator
001	2015-11-01	JOHN R KARICKHOFF
001	2014-11-01	JOHN R KARICKHOFF
001	2013-11-01	JOHN R KARICKHOFF
001	2012-11-01	JOHN R KARICKHOFF
001	2011-11-01	JOHN R KARICKHOFF
001	2010-11-01	JOHN R KARICKHOFF
001	2009-11-01	JOHN R KARICKHOFF

Financial Data on JOHN R KARICKHOFF MD PC PROFIT SHARING PLAN AND TRUST AGREEMENT

Measure	Date	Value
2016 : JOHN R KARICKHOFF MD PC PROFIT SHARING PLAN AND TRUST AGREEMENT 2016 401k financial data
Total income from all sources	2016-10-31	$57,332
Expenses. Total of all expenses incurred	2016-10-31	$2,734,647
Benefits paid (including direct rollovers)	2016-10-31	$2,734,647
Total plan assets at end of year	2016-10-31	$0
Total plan assets at beginning of year	2016-10-31	$2,677,315
Value of fidelity bond covering the plan	2016-10-31	$300,000
Other income received	2016-10-31	$57,332
Net income (gross income less expenses)	2016-10-31	$-2,677,315
Net plan assets at end of year (total assets less liabilities)	2016-10-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2016-10-31	$2,677,315
2015 : JOHN R KARICKHOFF MD PC PROFIT SHARING PLAN AND TRUST AGREEMENT 2015 401k financial data
Total income from all sources	2015-10-31	$186,387
Expenses. Total of all expenses incurred	2015-10-31	$101,000
Benefits paid (including direct rollovers)	2015-10-31	$101,000
Total plan assets at end of year	2015-10-31	$2,677,316
Total plan assets at beginning of year	2015-10-31	$2,591,929
Value of fidelity bond covering the plan	2015-10-31	$300,000
Other income received	2015-10-31	$186,387
Net income (gross income less expenses)	2015-10-31	$85,387
Net plan assets at end of year (total assets less liabilities)	2015-10-31	$2,677,316
Net plan assets at beginning of year (total assets less liabilities)	2015-10-31	$2,591,929
2014 : JOHN R KARICKHOFF MD PC PROFIT SHARING PLAN AND TRUST AGREEMENT 2014 401k financial data
Total income from all sources	2014-10-31	$384,678
Expenses. Total of all expenses incurred	2014-10-31	$98,592
Benefits paid (including direct rollovers)	2014-10-31	$98,592
Total plan assets at end of year	2014-10-31	$2,591,929
Total plan assets at beginning of year	2014-10-31	$2,305,843
Value of fidelity bond covering the plan	2014-10-31	$300,000
Other income received	2014-10-31	$384,678
Net income (gross income less expenses)	2014-10-31	$286,086
Net plan assets at end of year (total assets less liabilities)	2014-10-31	$2,591,929
Net plan assets at beginning of year (total assets less liabilities)	2014-10-31	$2,305,843
2013 : JOHN R KARICKHOFF MD PC PROFIT SHARING PLAN AND TRUST AGREEMENT 2013 401k financial data
Total income from all sources	2013-10-31	$455,068
Expenses. Total of all expenses incurred	2013-10-31	$82,000
Benefits paid (including direct rollovers)	2013-10-31	$82,000
Total plan assets at end of year	2013-10-31	$2,305,843
Total plan assets at beginning of year	2013-10-31	$1,932,775
Value of fidelity bond covering the plan	2013-10-31	$300,000
Other income received	2013-10-31	$425,068
Net income (gross income less expenses)	2013-10-31	$373,068
Net plan assets at end of year (total assets less liabilities)	2013-10-31	$2,305,843
Net plan assets at beginning of year (total assets less liabilities)	2013-10-31	$1,932,775
Total contributions received or receivable from employer(s)	2013-10-31	$30,000
2012 : JOHN R KARICKHOFF MD PC PROFIT SHARING PLAN AND TRUST AGREEMENT 2012 401k financial data
Total income from all sources	2012-10-31	$154,020
Expenses. Total of all expenses incurred	2012-10-31	$75,000
Benefits paid (including direct rollovers)	2012-10-31	$75,000
Total plan assets at end of year	2012-10-31	$1,932,775
Total plan assets at beginning of year	2012-10-31	$1,853,755
Value of fidelity bond covering the plan	2012-10-31	$200,000
Other income received	2012-10-31	$154,020
Net income (gross income less expenses)	2012-10-31	$79,020
Net plan assets at end of year (total assets less liabilities)	2012-10-31	$1,932,775
Net plan assets at beginning of year (total assets less liabilities)	2012-10-31	$1,853,755
2011 : JOHN R KARICKHOFF MD PC PROFIT SHARING PLAN AND TRUST AGREEMENT 2011 401k financial data
Total income from all sources	2011-10-31	$217,654
Expenses. Total of all expenses incurred	2011-10-31	$62,500
Benefits paid (including direct rollovers)	2011-10-31	$62,500
Total plan assets at end of year	2011-10-31	$1,853,755
Total plan assets at beginning of year	2011-10-31	$1,698,601
Value of fidelity bond covering the plan	2011-10-31	$200,000
Other income received	2011-10-31	$181,263
Net income (gross income less expenses)	2011-10-31	$155,154
Net plan assets at end of year (total assets less liabilities)	2011-10-31	$1,853,755
Net plan assets at beginning of year (total assets less liabilities)	2011-10-31	$1,698,601
Total contributions received or receivable from employer(s)	2011-10-31	$36,391

Form 5500 Responses for JOHN R KARICKHOFF MD PC PROFIT SHARING PLAN AND TRUST AGREEMENT

2015: JOHN R KARICKHOFF MD PC PROFIT SHARING PLAN AND TRUST AGREEMENT 2015 form 5500 responses
2015-11-01	Type of plan entity	Single employer plan
2015-11-01	This submission is the final filing	Yes
2015-11-01	Plan funding arrangement – Trust	Yes
2015-11-01	Plan benefit arrangement - Trust	Yes
2014: JOHN R KARICKHOFF MD PC PROFIT SHARING PLAN AND TRUST AGREEMENT 2014 form 5500 responses
2014-11-01	Type of plan entity	Single employer plan
2014-11-01	Plan funding arrangement – Trust	Yes
2014-11-01	Plan benefit arrangement - Trust	Yes
2013: JOHN R KARICKHOFF MD PC PROFIT SHARING PLAN AND TRUST AGREEMENT 2013 form 5500 responses
2013-11-01	Type of plan entity	Single employer plan
2013-11-01	Plan funding arrangement – Trust	Yes
2013-11-01	Plan benefit arrangement - Trust	Yes
2012: JOHN R KARICKHOFF MD PC PROFIT SHARING PLAN AND TRUST AGREEMENT 2012 form 5500 responses
2012-11-01	Type of plan entity	Single employer plan
2012-11-01	Plan funding arrangement – Trust	Yes
2012-11-01	Plan benefit arrangement - Trust	Yes
2011: JOHN R KARICKHOFF MD PC PROFIT SHARING PLAN AND TRUST AGREEMENT 2011 form 5500 responses
2011-11-01	Type of plan entity	Single employer plan
2011-11-01	Plan funding arrangement – Trust	Yes
2011-11-01	Plan benefit arrangement - Trust	Yes
2010: JOHN R KARICKHOFF MD PC PROFIT SHARING PLAN AND TRUST AGREEMENT 2010 form 5500 responses
2010-11-01	Type of plan entity	Single employer plan
2010-11-01	Plan funding arrangement – Trust	Yes
2010-11-01	Plan benefit arrangement - Trust	Yes
2009: JOHN R KARICKHOFF MD PC PROFIT SHARING PLAN AND TRUST AGREEMENT 2009 form 5500 responses
2009-11-01	Type of plan entity	Single employer plan
2009-11-01	Plan funding arrangement – Trust	Yes
2009-11-01	Plan benefit arrangement - Trust	Yes

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Company Name:	JOHN R KARICKHOFF MD PC
Employer identification number (EIN):	541092787
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)