401k Plan data: PROFIT SHARING PLAN OF DUBLIN FAMILY PRACTICE PC plan

PROFIT SHARING PLAN OF DUBLIN FAMILY PRACTICE PC 401k Plan overview

Plan Name	PROFIT SHARING PLAN OF DUBLIN FAMILY PRACTICE PC
Plan identification number	001

PROFIT SHARING PLAN OF DUBLIN FAMILY PRACTICE PC Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
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

DUBLIN FAMILY PRACTICE PC has sponsored the creation of one or more 401k plans.

Company Name: DUBLIN FAMILY PRACTICE PC

Employer identification number (EIN): 541646411

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PROFIT SHARING PLAN OF DUBLIN FAMILY PRACTICE PC

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2012-01-01 GREGORY L STILL GREGORY L STILL 2013-02-11
001 2011-01-01 GREGORY L STILL GREGORY L STILL 2012-06-14

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2012-01-01	GREGORY L STILL		GREGORY L STILL	2013-02-11
001	2011-01-01	GREGORY L STILL		GREGORY L STILL	2012-06-14

Plan Statistics for PROFIT SHARING PLAN OF DUBLIN FAMILY PRACTICE PC

401k plan membership statisitcs for PROFIT SHARING PLAN OF DUBLIN FAMILY PRACTICE PC

Measure Date Value
2012: PROFIT SHARING PLAN OF DUBLIN FAMILY PRACTICE PC 2012 401k membership
Total participants, beginning-of-year 2012-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 0
Number of participants with account balances 2012-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: PROFIT SHARING PLAN OF DUBLIN FAMILY PRACTICE PC 2011 401k membership
Total participants, beginning-of-year 2011-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 13
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 2
Total of all active and inactive participants 2011-01-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 15
Number of participants with account balances 2011-01-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2012: PROFIT SHARING PLAN OF DUBLIN FAMILY PRACTICE PC 2012 401k membership
Total participants, beginning-of-year	2012-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	0
Number of participants with account balances	2012-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: PROFIT SHARING PLAN OF DUBLIN FAMILY PRACTICE PC 2011 401k membership
Total participants, beginning-of-year	2011-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	13
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	2
Total of all active and inactive participants	2011-01-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	15
Number of participants with account balances	2011-01-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on PROFIT SHARING PLAN OF DUBLIN FAMILY PRACTICE PC

Measure	Date	Value
2012 : PROFIT SHARING PLAN OF DUBLIN FAMILY PRACTICE PC 2012 401k financial data
Total income from all sources	2012-07-31	$153,151
Expenses. Total of all expenses incurred	2012-07-31	$3,070,014
Benefits paid (including direct rollovers)	2012-07-31	$3,070,014
Total plan assets at end of year	2012-07-31	$0
Total plan assets at beginning of year	2012-07-31	$2,916,863
Value of fidelity bond covering the plan	2012-07-31	$300,000
Other income received	2012-07-31	$153,151
Net income (gross income less expenses)	2012-07-31	$-2,916,863
Net plan assets at end of year (total assets less liabilities)	2012-07-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-07-31	$2,916,863
2011 : PROFIT SHARING PLAN OF DUBLIN FAMILY PRACTICE PC 2011 401k financial data
Total income from all sources	2011-12-31	$139,789
Expenses. Total of all expenses incurred	2011-12-31	$109,432
Benefits paid (including direct rollovers)	2011-12-31	$109,432
Total plan assets at end of year	2011-12-31	$2,916,863
Total plan assets at beginning of year	2011-12-31	$2,886,506
Value of fidelity bond covering the plan	2011-12-31	$300,000
Total contributions received or receivable from participants	2011-12-31	$96,495
Other income received	2011-12-31	$-24,206
Net income (gross income less expenses)	2011-12-31	$30,357
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$2,916,863
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$2,886,506
Total contributions received or receivable from employer(s)	2011-12-31	$67,500
2010 : PROFIT SHARING PLAN OF DUBLIN FAMILY PRACTICE PC 2010 401k financial data
Total income from all sources	2010-12-31	$517,150
Expenses. Total of all expenses incurred	2010-12-31	$20,293
Benefits paid (including direct rollovers)	2010-12-31	$20,293
Total plan assets at end of year	2010-12-31	$2,886,506
Total plan assets at beginning of year	2010-12-31	$2,389,649
Value of fidelity bond covering the plan	2010-12-31	$300,000
Total contributions received or receivable from participants	2010-12-31	$107,855
Other income received	2010-12-31	$315,009
Net income (gross income less expenses)	2010-12-31	$496,857
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$2,886,506
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$2,389,649
Total contributions received or receivable from employer(s)	2010-12-31	$94,286

Form 5500 Responses for PROFIT SHARING PLAN OF DUBLIN FAMILY PRACTICE PC

2012: PROFIT SHARING PLAN OF DUBLIN FAMILY PRACTICE PC 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	This submission is the final filing	Yes
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: PROFIT SHARING PLAN OF DUBLIN FAMILY PRACTICE PC 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

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Company Name:	DUBLIN FAMILY PRACTICE PC
Employer identification number (EIN):	541646411
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)