401k Plan data: JOHN W. BAKER 401K PROFIT SHARING PLAN plan

JOHN W. BAKER 401K PROFIT SHARING PLAN 401k Plan overview

Plan Name	JOHN W. BAKER 401K PROFIT SHARING PLAN
Plan identification number	001

JOHN W. BAKER 401K PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
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 W. BAKER, M.D. P.A. has sponsored the creation of one or more 401k plans.

Company Name: JOHN W. BAKER, M.D. P.A.

Employer identification number (EIN): 710723866

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 W. BAKER 401K PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01 JOHN W. BAKER MD JOHN W. BAKER MD 2017-07-17
001 2015-01-01 JOHN W. BAKER, M.D. JOHN W. BAKER, M.D. 2016-10-17
001 2014-01-01 JOHN W. BAKER, M.D. JOHN W. BAKER, M.D. 2015-06-17
001 2013-01-01 JOHN W. BAKER, M.D. JOHN W. BAKER, M.D. 2014-10-03
001 2012-01-01 JOHN W. BAKER, M.D. JOHN W. BAKER, M.D. 2013-10-04
001 2011-01-01 JOHN W. BAKER, M.D. JOHN W. BAKER, M.D. 2012-10-01
001 2009-01-01 JOHN W. BAKER, M.D. JOHN W. BAKER, M.D. 2010-09-14

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2016-01-01	JOHN W. BAKER MD	JOHN W. BAKER MD	2017-07-17
001	2015-01-01	JOHN W. BAKER, M.D.	JOHN W. BAKER, M.D.	2016-10-17
001	2014-01-01	JOHN W. BAKER, M.D.	JOHN W. BAKER, M.D.	2015-06-17
001	2013-01-01	JOHN W. BAKER, M.D.	JOHN W. BAKER, M.D.	2014-10-03
001	2012-01-01	JOHN W. BAKER, M.D.	JOHN W. BAKER, M.D.	2013-10-04
001	2011-01-01	JOHN W. BAKER, M.D.	JOHN W. BAKER, M.D.	2012-10-01
001	2009-01-01	JOHN W. BAKER, M.D.	JOHN W. BAKER, M.D.	2010-09-14

Plan Statistics for JOHN W. BAKER 401K PROFIT SHARING PLAN

401k plan membership statisitcs for JOHN W. BAKER 401K PROFIT SHARING PLAN

Measure Date Value
2016: JOHN W. BAKER 401K PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 0
Number of participants with account balances 2016-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: JOHN W. BAKER 401K PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 5
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 2
Total of all active and inactive participants 2015-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 7
Number of participants with account balances 2015-01-01 7
2014: JOHN W. BAKER 401K PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 5
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 3
Total of all active and inactive participants 2014-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 8
Number of participants with account balances 2014-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: JOHN W. BAKER 401K PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 7
Number of other retired or separated participants entitled to future benefits 2013-01-01 2
Total of all active and inactive participants 2013-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 9
Number of participants with account balances 2013-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: JOHN W. BAKER 401K PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1
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 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 1
Number of participants with account balances 2012-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: JOHN W. BAKER 401K PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1
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 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 1
Number of participants with account balances 2011-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: JOHN W. BAKER 401K PROFIT SHARING PLAN 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 1
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 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
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2016: JOHN W. BAKER 401K PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	0
Number of participants with account balances	2016-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: JOHN W. BAKER 401K PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	5
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	2
Total of all active and inactive participants	2015-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	7
Number of participants with account balances	2015-01-01	7
2014: JOHN W. BAKER 401K PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	5
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	3
Total of all active and inactive participants	2014-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	8
Number of participants with account balances	2014-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: JOHN W. BAKER 401K PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	7
Number of other retired or separated participants entitled to future benefits	2013-01-01	2
Total of all active and inactive participants	2013-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	9
Number of participants with account balances	2013-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: JOHN W. BAKER 401K PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1
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	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	1
Number of participants with account balances	2012-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: JOHN W. BAKER 401K PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1
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	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	1
Number of participants with account balances	2011-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: JOHN W. BAKER 401K PROFIT SHARING PLAN 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	1
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	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
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on JOHN W. BAKER 401K PROFIT SHARING PLAN

Measure	Date	Value
2016 : JOHN W. BAKER 401K PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$17,457
Expenses. Total of all expenses incurred	2016-12-31	$741,308
Benefits paid (including direct rollovers)	2016-12-31	$733,861
Total plan assets at end of year	2016-12-31	$0
Total plan assets at beginning of year	2016-12-31	$723,851
Value of fidelity bond covering the plan	2016-12-31	$70,000
Total contributions received or receivable from participants	2016-12-31	$1,895
Other income received	2016-12-31	$8,513
Net income (gross income less expenses)	2016-12-31	$-723,851
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$723,851
Total contributions received or receivable from employer(s)	2016-12-31	$7,049
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$7,447
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$733,861
2015 : JOHN W. BAKER 401K PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$10,723
Expenses. Total of all expenses incurred	2015-12-31	$8,388
Benefits paid (including direct rollovers)	2015-12-31	$677
Total plan assets at end of year	2015-12-31	$723,851
Total plan assets at beginning of year	2015-12-31	$721,516
Value of fidelity bond covering the plan	2015-12-31	$70,000
Total contributions received or receivable from participants	2015-12-31	$2,045
Other income received	2015-12-31	$-1,726
Net income (gross income less expenses)	2015-12-31	$2,335
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$723,851
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$721,516
Total contributions received or receivable from employer(s)	2015-12-31	$10,404
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$7,711
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$677
2014 : JOHN W. BAKER 401K PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$41,687
Expenses. Total of all expenses incurred	2014-12-31	$9,047
Benefits paid (including direct rollovers)	2014-12-31	$1,635
Total plan assets at end of year	2014-12-31	$721,516
Total plan assets at beginning of year	2014-12-31	$688,876
Value of fidelity bond covering the plan	2014-12-31	$70,000
Total contributions received or receivable from participants	2014-12-31	$1,310
Other income received	2014-12-31	$28,943
Net income (gross income less expenses)	2014-12-31	$32,640
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$721,516
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$688,876
Total contributions received or receivable from employer(s)	2014-12-31	$11,434
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$7,412
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$1,635
2013 : JOHN W. BAKER 401K PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$62,689
Expenses. Total of all expenses incurred	2013-12-31	$6,798
Total plan assets at end of year	2013-12-31	$688,876
Total plan assets at beginning of year	2013-12-31	$632,985
Value of fidelity bond covering the plan	2013-12-31	$70,000
Other income received	2013-12-31	$46,936
Net income (gross income less expenses)	2013-12-31	$55,891
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$688,876
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$632,985
Total contributions received or receivable from employer(s)	2013-12-31	$15,753
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$6,798
2012 : JOHN W. BAKER 401K PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$25,427
Expenses. Total of all expenses incurred	2012-12-31	$1,534
Total plan assets at end of year	2012-12-31	$632,985
Total plan assets at beginning of year	2012-12-31	$609,092
Value of fidelity bond covering the plan	2012-12-31	$70,000
Other income received	2012-12-31	$25,427
Net income (gross income less expenses)	2012-12-31	$23,893
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$632,985
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$609,092
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$1,534
2011 : JOHN W. BAKER 401K PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$-2,688
Expenses. Total of all expenses incurred	2011-12-31	$1,734
Benefits paid (including direct rollovers)	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$609,092
Total plan assets at beginning of year	2011-12-31	$613,514
Value of fidelity bond covering the plan	2011-12-31	$70,000
Other income received	2011-12-31	$-2,688
Net income (gross income less expenses)	2011-12-31	$-4,422
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$609,092
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$613,514
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$1,734
2010 : JOHN W. BAKER 401K PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$13,214
Expenses. Total of all expenses incurred	2010-12-31	$8,622
Benefits paid (including direct rollovers)	2010-12-31	$6,873
Total plan assets at end of year	2010-12-31	$613,514
Total plan assets at beginning of year	2010-12-31	$608,922
Value of fidelity bond covering the plan	2010-12-31	$70,000
Other income received	2010-12-31	$13,214
Net income (gross income less expenses)	2010-12-31	$4,592
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$613,514
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$608,922
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$1,749
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$6,873

Form 5500 Responses for JOHN W. BAKER 401K PROFIT SHARING PLAN

2016: JOHN W. BAKER 401K PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	This submission is the final filing	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: JOHN W. BAKER 401K PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: JOHN W. BAKER 401K PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: JOHN W. BAKER 401K PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: JOHN W. BAKER 401K PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: JOHN W. BAKER 401K PROFIT SHARING PLAN 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
2009: JOHN W. BAKER 401K 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 – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	JOHN W. BAKER, M.D. P.A.
Employer identification number (EIN):	710723866
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)