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| Plan Name | JAMES S. SULLIVAN M.D., P.A. PROFIT SHARING PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | JAMES S. SULLIVAN M.D., P.A. |
| Employer identification number (EIN): | 630830858 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2016-01-01 | ||||
| 001 | 2015-01-01 | ||||
| 001 | 2014-01-01 | ||||
| 001 | 2013-01-01 | ||||
| 001 | 2012-01-01 | JAMES S SULLIVAN | 2013-06-19 | ||
| 001 | 2011-01-01 | JAMES S SULLIVAN | 2012-06-18 | ||
| 001 | 2010-01-01 | JAMES S. SULLIVAN | |||
| 001 | 2009-01-01 | JAMES S SULLIVAN |
| Measure | Date | Value |
|---|---|---|
| 2010: JAMES S. SULLIVAN M.D., P.A. PROFIT SHARING PLAN 2010 401k membership | ||
| Total participants, beginning-of-year | 2010-01-01 | 5 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 5 |
| Total of all active and inactive participants | 2010-01-01 | 5 |
| Total participants | 2010-01-01 | 5 |
| Number of participants with account balances | 2010-01-01 | 5 |
| 2009: JAMES S. SULLIVAN M.D., P.A. PROFIT SHARING PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-01-01 | 5 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 5 |
| Total of all active and inactive participants | 2009-01-01 | 5 |
| Total participants | 2009-01-01 | 5 |
| Number of participants with account balances | 2009-01-01 | 5 |
| Measure | Date | Value |
|---|---|---|
| 2010 : JAMES S. SULLIVAN M.D., P.A. PROFIT SHARING PLAN 2010 401k financial data | ||
| Total income from all sources | 2010-12-31 | $107,323 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $27,314 |
| Benefits paid (including direct rollovers) | 2010-12-31 | $11,372 |
| Total plan assets at end of year | 2010-12-31 | $980,808 |
| Total plan assets at beginning of year | 2010-12-31 | $900,799 |
| Value of fidelity bond covering the plan | 2010-12-31 | $100,000 |
| Other income received | 2010-12-31 | $78,695 |
| Net income (gross income less expenses) | 2010-12-31 | $80,009 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $980,808 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $900,799 |
| Total contributions received or receivable from employer(s) | 2010-12-31 | $28,628 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2010-12-31 | $15,942 |
| 2010: JAMES S. SULLIVAN M.D., P.A. PROFIT SHARING PLAN 2010 form 5500 responses | ||
|---|---|---|
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Plan funding arrangement – Insurance | Yes |
| 2010-01-01 | Plan funding arrangement – Trust | Yes |
| 2010-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2010-01-01 | Plan benefit arrangement - Trust | Yes |
| 2009: JAMES S. SULLIVAN M.D., P.A. PROFIT SHARING PLAN 2009 form 5500 responses | ||
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan funding arrangement – Trust | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement - Trust | Yes |
| NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66680 ) | |||||||||||||||||||||
| Policy contract number | 0138700 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
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