401k Plan data: PROFIT SHARING PLAN AGREEMENT plan

PROFIT SHARING PLAN AGREEMENT 401k Plan overview

Plan Name	PROFIT SHARING PLAN AGREEMENT
Plan identification number	001

PROFIT SHARING PLAN AGREEMENT Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing Plan covering Self-Employed individuals.

401k Sponsoring company profile

MARK J YURCHISIN has sponsored the creation of one or more 401k plans.

Company Name: MARK J YURCHISIN

Employer identification number (EIN): 621291154

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 AGREEMENT

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2013-01-01 MARK YURCHISIN
001 2012-01-01 MARK YURCHISIN
001 2011-01-01 MARK J. YURCHISIN MARK J. YURCHISIN 2012-07-31
001 2010-01-01 MARK J. YURCHISIN MARK J. YURCHISIN 2011-06-15
001 2009-01-01 MARK J. YURCHISIN MARK J. YURCHISIN 2010-10-11

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2013-01-01	MARK YURCHISIN
001	2012-01-01	MARK YURCHISIN
001	2011-01-01	MARK J. YURCHISIN	MARK J. YURCHISIN	2012-07-31
001	2010-01-01	MARK J. YURCHISIN	MARK J. YURCHISIN	2011-06-15
001	2009-01-01	MARK J. YURCHISIN	MARK J. YURCHISIN	2010-10-11

Plan Statistics for PROFIT SHARING PLAN AGREEMENT

401k plan membership statisitcs for PROFIT SHARING PLAN AGREEMENT

Measure Date Value
2013: PROFIT SHARING PLAN AGREEMENT 2013 401k membership
Total participants, beginning-of-year 2013-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 0
Number of participants with account balances 2013-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: PROFIT SHARING PLAN AGREEMENT 2012 401k membership
Total participants, beginning-of-year 2012-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 2
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 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 1
Total participants 2012-01-01 3
Number of participants with account balances 2012-01-01 3
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 AGREEMENT 2011 401k membership
Total participants, beginning-of-year 2011-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 3
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 0
Total of all active and inactive participants 2011-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 3
Number of participants with account balances 2011-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: PROFIT SHARING PLAN AGREEMENT 2010 401k membership
Total participants, beginning-of-year 2010-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 3
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 0
Total of all active and inactive participants 2010-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 3
Number of participants with account balances 2010-01-01 3
2009: PROFIT SHARING PLAN AGREEMENT 2009 401k membership
Total participants, beginning-of-year 2009-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 3
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 0
Total of all active and inactive participants 2009-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 3
Number of participants with account balances 2009-01-01 3

Measure	Date	Value
2013: PROFIT SHARING PLAN AGREEMENT 2013 401k membership
Total participants, beginning-of-year	2013-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	0
Number of participants with account balances	2013-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: PROFIT SHARING PLAN AGREEMENT 2012 401k membership
Total participants, beginning-of-year	2012-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	2
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	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	1
Total participants	2012-01-01	3
Number of participants with account balances	2012-01-01	3
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 AGREEMENT 2011 401k membership
Total participants, beginning-of-year	2011-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	3
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	0
Total of all active and inactive participants	2011-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	3
Number of participants with account balances	2011-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: PROFIT SHARING PLAN AGREEMENT 2010 401k membership
Total participants, beginning-of-year	2010-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	3
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	0
Total of all active and inactive participants	2010-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	3
Number of participants with account balances	2010-01-01	3
2009: PROFIT SHARING PLAN AGREEMENT 2009 401k membership
Total participants, beginning-of-year	2009-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	3
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	0
Total of all active and inactive participants	2009-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	3
Number of participants with account balances	2009-01-01	3

Financial Data on PROFIT SHARING PLAN AGREEMENT

Measure	Date	Value
2013 : PROFIT SHARING PLAN AGREEMENT 2013 401k financial data
Total income from all sources	2013-12-31	$32,909
Expenses. Total of all expenses incurred	2013-12-31	$323,913
Benefits paid (including direct rollovers)	2013-12-31	$323,913
Total plan assets at end of year	2013-12-31	$0
Total plan assets at beginning of year	2013-12-31	$291,004
Other income received	2013-12-31	$32,909
Net income (gross income less expenses)	2013-12-31	$-291,004
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$291,004
2012 : PROFIT SHARING PLAN AGREEMENT 2012 401k financial data
Total income from all sources	2012-12-31	$38,989
Expenses. Total of all expenses incurred	2012-12-31	$531
Benefits paid (including direct rollovers)	2012-12-31	$531
Total plan assets at end of year	2012-12-31	$291,004
Total plan assets at beginning of year	2012-12-31	$252,546
Other income received	2012-12-31	$36,462
Net income (gross income less expenses)	2012-12-31	$38,458
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$291,004
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$252,546
Total contributions received or receivable from employer(s)	2012-12-31	$2,527
2011 : PROFIT SHARING PLAN AGREEMENT 2011 401k financial data
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$-2,147
Expenses. Total of all expenses incurred	2011-12-31	$1,482
Total plan assets at end of year	2011-12-31	$252,546
Total plan assets at beginning of year	2011-12-31	$256,175
Other income received	2011-12-31	$-2,482
Net income (gross income less expenses)	2011-12-31	$-3,629
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$252,546
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$256,175
Total contributions received or receivable from employer(s)	2011-12-31	$335
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$1,482
2010 : PROFIT SHARING PLAN AGREEMENT 2010 401k financial data
Total income from all sources	2010-12-31	$-14,722
Expenses. Total of all expenses incurred	2010-12-31	$1,737
Benefits paid (including direct rollovers)	2010-12-31	$630
Total plan assets at end of year	2010-12-31	$256,175
Total plan assets at beginning of year	2010-12-31	$272,634
Other income received	2010-12-31	$-16,100
Net income (gross income less expenses)	2010-12-31	$-16,459
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$256,175
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$272,634
Total contributions received or receivable from employer(s)	2010-12-31	$1,378
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$1,107

Form 5500 Responses for PROFIT SHARING PLAN AGREEMENT

2013: PROFIT SHARING PLAN AGREEMENT 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	Yes
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: PROFIT SHARING PLAN AGREEMENT 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: PROFIT SHARING PLAN AGREEMENT 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: PROFIT SHARING PLAN AGREEMENT 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: PROFIT SHARING PLAN AGREEMENT 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:	MARK J YURCHISIN
Employer identification number (EIN):	621291154
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)