401k Plan data: A CLARK ROBINSON MD PROFIT SHARING RETIREMENT PLAN AND TRUST plan

A CLARK ROBINSON MD PROFIT SHARING RETIREMENT PLAN AND TRUST 401k Plan overview

Plan Name	A CLARK ROBINSON MD PROFIT SHARING RETIREMENT PLAN AND TRUST
Plan identification number	001

A CLARK ROBINSON MD PROFIT SHARING RETIREMENT PLAN AND TRUST Benefits

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

401k Sponsoring company profile

CLARK ROBINSON, MD, PC has sponsored the creation of one or more 401k plans.

Company Name: CLARK ROBINSON, MD, PC

Employer identification number (EIN): 581115689

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan A CLARK ROBINSON MD PROFIT SHARING RETIREMENT PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2011-01-01 TAMMY J ROBINSON
001 2010-01-01 TAMMY J ROBINSON
001 2009-01-01 TAMMY J ROBINSON

Plan id#	Filing Submission Date	Name of Administrator
001	2011-01-01	TAMMY J ROBINSON
001	2010-01-01	TAMMY J ROBINSON
001	2009-01-01	TAMMY J ROBINSON

Plan Statistics for A CLARK ROBINSON MD PROFIT SHARING RETIREMENT PLAN AND TRUST

401k plan membership statisitcs for A CLARK ROBINSON MD PROFIT SHARING RETIREMENT PLAN AND TRUST

Measure Date Value
2011: A CLARK ROBINSON MD PROFIT SHARING RETIREMENT PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 7
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 1
Total of all active and inactive participants 2011-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: A CLARK ROBINSON MD PROFIT SHARING RETIREMENT PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year 2010-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 7
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 1
Total of all active and inactive participants 2010-01-01 8
Total participants 2010-01-01 8
2009: A CLARK ROBINSON MD PROFIT SHARING RETIREMENT PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 6
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 2
Total of all active and inactive participants 2009-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 8
Number of participants with account balances 2009-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2011: A CLARK ROBINSON MD PROFIT SHARING RETIREMENT PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	7
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	1
Total of all active and inactive participants	2011-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: A CLARK ROBINSON MD PROFIT SHARING RETIREMENT PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year	2010-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	7
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	1
Total of all active and inactive participants	2010-01-01	8
Total participants	2010-01-01	8
2009: A CLARK ROBINSON MD PROFIT SHARING RETIREMENT PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	6
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	2
Total of all active and inactive participants	2009-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	8
Number of participants with account balances	2009-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on A CLARK ROBINSON MD PROFIT SHARING RETIREMENT PLAN AND TRUST

Measure	Date	Value
2011 : A CLARK ROBINSON MD PROFIT SHARING RETIREMENT PLAN AND TRUST 2011 401k financial data
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$-9,839
Expenses. Total of all expenses incurred	2011-12-31	$1,429,787
Benefits paid (including direct rollovers)	2011-12-31	$1,429,787
Total plan assets at end of year	2011-12-31	$0
Total plan assets at beginning of year	2011-12-31	$1,439,626
Other income received	2011-12-31	$-9,839
Net income (gross income less expenses)	2011-12-31	$-1,439,626
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,439,626
2010 : A CLARK ROBINSON MD PROFIT SHARING RETIREMENT PLAN AND TRUST 2010 401k financial data
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$74,877
Expenses. Total of all expenses incurred	2010-12-31	$266,137
Benefits paid (including direct rollovers)	2010-12-31	$266,137
Total plan assets at end of year	2010-12-31	$1,439,626
Total plan assets at beginning of year	2010-12-31	$1,630,886
Other income received	2010-12-31	$44,221
Net income (gross income less expenses)	2010-12-31	$-191,260
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,439,626
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,630,886
Total contributions received or receivable from employer(s)	2010-12-31	$30,656

Form 5500 Responses for A CLARK ROBINSON MD PROFIT SHARING RETIREMENT PLAN AND TRUST

2011: A CLARK ROBINSON MD PROFIT SHARING RETIREMENT PLAN AND TRUST 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: A CLARK ROBINSON MD PROFIT SHARING RETIREMENT PLAN AND TRUST 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: A CLARK ROBINSON MD PROFIT SHARING RETIREMENT PLAN AND TRUST 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:	CLARK ROBINSON, MD, PC
Employer identification number (EIN):	581115689
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)