401k Plan data: CARDIOLOGY CONSULTANTS OF JOHNSON CITY PC 401K PROFIT SHARING PLAN plan

CARDIOLOGY CONSULTANTS OF JOHNSON CITY PC 401K PROFIT SHARING PLAN 401k Plan overview

Plan Name	CARDIOLOGY CONSULTANTS OF JOHNSON CITY PC 401K PROFIT SHARING PLAN
Plan identification number	001

CARDIOLOGY CONSULTANTS OF JOHNSON CITY PC 401K 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
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.
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

CARDIOLOGY CONSULTANTS OF JOHNSON CITY, PC has sponsored the creation of one or more 401k plans.

Company Name: CARDIOLOGY CONSULTANTS OF JOHNSON CITY, PC

Employer identification number (EIN): 621479972

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CARDIOLOGY CONSULTANTS OF JOHNSON CITY PC 401K PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2013-01-01 FAWWAZ HAMATI
001 2012-01-01 FAWWAZ HAMATI
001 2011-01-01 FAWWAZ HAMATI 2012-09-05
001 2010-01-01 FAWWAZ HAMATI 2011-03-01

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2013-01-01	FAWWAZ HAMATI
001	2012-01-01	FAWWAZ HAMATI
001	2011-01-01	FAWWAZ HAMATI	2012-09-05
001	2010-01-01	FAWWAZ HAMATI	2011-03-01

Plan Statistics for CARDIOLOGY CONSULTANTS OF JOHNSON CITY PC 401K PROFIT SHARING PLAN

401k plan membership statisitcs for CARDIOLOGY CONSULTANTS OF JOHNSON CITY PC 401K PROFIT SHARING PLAN

Measure Date Value
2013: CARDIOLOGY CONSULTANTS OF JOHNSON CITY PC 401K PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 51
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 1
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 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 1
Number of participants with account balances 2013-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: CARDIOLOGY CONSULTANTS OF JOHNSON CITY PC 401K PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 61
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 44
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 6
Total of all active and inactive participants 2012-01-01 51
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 51
Number of participants with account balances 2012-01-01 50
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0

Measure	Date	Value
2013: CARDIOLOGY CONSULTANTS OF JOHNSON CITY PC 401K PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	51
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	1
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	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	1
Number of participants with account balances	2013-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: CARDIOLOGY CONSULTANTS OF JOHNSON CITY PC 401K PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	61
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	44
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	6
Total of all active and inactive participants	2012-01-01	51
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	51
Number of participants with account balances	2012-01-01	50
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0

Financial Data on CARDIOLOGY CONSULTANTS OF JOHNSON CITY PC 401K PROFIT SHARING PLAN

Measure	Date	Value
2013 : CARDIOLOGY CONSULTANTS OF JOHNSON CITY PC 401K PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$56,340
Expenses. Total of all expenses incurred	2013-12-31	$5,617,473
Benefits paid (including direct rollovers)	2013-12-31	$5,617,283
Total plan assets at end of year	2013-12-31	$160,000
Total plan assets at beginning of year	2013-12-31	$5,721,133
Value of fidelity bond covering the plan	2013-12-31	$500,000
Other income received	2013-12-31	$56,340
Net income (gross income less expenses)	2013-12-31	$-5,561,133
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$160,000
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$5,721,133
Value of certain deemed distributions of participant loans	2013-12-31	$190
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : CARDIOLOGY CONSULTANTS OF JOHNSON CITY PC 401K PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$900,331
Expenses. Total of all expenses incurred	2012-12-31	$359,649
Benefits paid (including direct rollovers)	2012-12-31	$358,795
Total plan assets at end of year	2012-12-31	$5,715,508
Total plan assets at beginning of year	2012-12-31	$5,174,826
Value of fidelity bond covering the plan	2012-12-31	$500,000
Total contributions received or receivable from participants	2012-12-31	$167,661
Other income received	2012-12-31	$401,434
Net income (gross income less expenses)	2012-12-31	$540,682
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$5,715,508
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$5,174,826
Total contributions received or receivable from employer(s)	2012-12-31	$331,236
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$854
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0

Form 5500 Responses for CARDIOLOGY CONSULTANTS OF JOHNSON CITY PC 401K PROFIT SHARING PLAN

2013: CARDIOLOGY CONSULTANTS OF JOHNSON CITY PC 401K PROFIT SHARING PLAN 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	No
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 – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: CARDIOLOGY CONSULTANTS OF JOHNSON CITY PC 401K PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
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 – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

83778

Policy instance

Insurance contract or identification number	83778
Number of Individuals Covered	0
Insurance policy start date	2013-01-01
Insurance policy end date	2013-04-29
Total amount of commissions paid to insurance broker	USD $4,356
Total amount of fees paid to insurance company	USD $1,021
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,356
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	BROKER COMMISSION
Insurance broker organization code?	3
Insurance broker name	QUALIFIED PLAN ADMINISTRATORS

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

83778

Policy instance

Insurance contract or identification number	83778
Number of Individuals Covered	55
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $14,200
Total amount of fees paid to insurance company	USD $2,689
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $14,200
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	BROKER COMMISSION
Insurance broker organization code?	3
Insurance broker name	QUALIFIED PLAN ADMINISTRATORS

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Company Name:	CARDIOLOGY CONSULTANTS OF JOHNSON CITY, PC
Employer identification number (EIN):	621479972
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)