401k Plan data: JOHN B. PHILLIPS, M.D. 401(K) PROFIT SHARING PLAN plan

JOHN B. PHILLIPS, M.D. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	JOHN B. PHILLIPS, M.D. 401(K) PROFIT SHARING PLAN
Plan identification number	002

JOHN B. PHILLIPS, M.D. 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
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.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Participant-directed brokerage accounts provided as an investment option under the plan.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan covering Self-Employed individuals.
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 B. PHILLIPS, M.D. has sponsored the creation of one or more 401k plans.

Company Name: JOHN B. PHILLIPS, M.D.

Employer identification number (EIN): 621271263

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 B. PHILLIPS, M.D. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2015-01-01 JOHN PHILLIPS 2015-10-23
002 2014-01-01 JOHN PHILLIPS 2015-05-11
002 2013-01-01 JOHN PHILLIPS 2014-06-22
002 2012-01-01 JOHN PHILLIPS
002 2011-01-01 JOHN PHILLIPS

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2015-01-01	JOHN PHILLIPS	2015-10-23
002	2014-01-01	JOHN PHILLIPS	2015-05-11
002	2013-01-01	JOHN PHILLIPS	2014-06-22
002	2012-01-01	JOHN PHILLIPS
002	2011-01-01	JOHN PHILLIPS

Plan Statistics for JOHN B. PHILLIPS, M.D. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for JOHN B. PHILLIPS, M.D. 401(K) PROFIT SHARING PLAN

Measure Date Value
2012: JOHN B. PHILLIPS, M.D. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 16
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 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 17
Number of participants with account balances 2012-01-01 13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: JOHN B. PHILLIPS, M.D. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 11
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 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 12
Number of participants with account balances 2011-01-01 12
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: JOHN B. PHILLIPS, M.D. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	16
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	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	17
Number of participants with account balances	2012-01-01	13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: JOHN B. PHILLIPS, M.D. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	11
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	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	12
Number of participants with account balances	2011-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on JOHN B. PHILLIPS, M.D. 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2012 : JOHN B. PHILLIPS, M.D. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$267,306
Expenses. Total of all expenses incurred	2012-12-31	$22,290
Benefits paid (including direct rollovers)	2012-12-31	$7,623
Total plan assets at end of year	2012-12-31	$1,776,751
Total plan assets at beginning of year	2012-12-31	$1,531,735
Value of fidelity bond covering the plan	2012-12-31	$15,000
Total contributions received or receivable from participants	2012-12-31	$33,388
Expenses. Other expenses not covered elsewhere	2012-12-31	$14,667
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$199,685
Net income (gross income less expenses)	2012-12-31	$245,016
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,776,751
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,531,735
Total contributions received or receivable from employer(s)	2012-12-31	$34,233
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : JOHN B. PHILLIPS, M.D. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$37,517
Expenses. Total of all expenses incurred	2011-12-31	$64,777
Benefits paid (including direct rollovers)	2011-12-31	$57,894
Total plan assets at end of year	2011-12-31	$1,531,735
Total plan assets at beginning of year	2011-12-31	$1,558,995
Value of fidelity bond covering the plan	2011-12-31	$150,000
Total contributions received or receivable from participants	2011-12-31	$34,526
Expenses. Other expenses not covered elsewhere	2011-12-31	$6,883
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-14,614
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$-27,260
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,531,735
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,558,995
Total contributions received or receivable from employer(s)	2011-12-31	$17,605
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : JOHN B. PHILLIPS, M.D. 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$251,288
Expenses. Total of all expenses incurred	2010-12-31	$781
Benefits paid (including direct rollovers)	2010-12-31	$781
Total plan assets at end of year	2010-12-31	$1,558,995
Total plan assets at beginning of year	2010-12-31	$1,308,488
Value of fidelity bond covering the plan	2010-12-31	$150,000
Total contributions received or receivable from participants	2010-12-31	$35,073
Expenses. Other expenses not covered elsewhere	2010-12-31	$0
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$182,183
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$250,507
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,558,995
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,308,488
Total contributions received or receivable from employer(s)	2010-12-31	$34,032
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0

Form 5500 Responses for JOHN B. PHILLIPS, M.D. 401(K) PROFIT SHARING PLAN

2012: JOHN B. PHILLIPS, M.D. 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: JOHN B. PHILLIPS, M.D. 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	JOHN B. PHILLIPS, M.D.
Employer identification number (EIN):	621271263
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)