401k Plan data: G. W. HETHERINGTON, M.D., P.A. PROFIT SHARING PLAN plan

G. W. HETHERINGTON, M.D., P.A. PROFIT SHARING PLAN 401k Plan overview

Plan Name	G. W. HETHERINGTON, M.D., P.A. PROFIT SHARING PLAN
Plan identification number	001

G. W. HETHERINGTON, M.D., P.A. PROFIT SHARING PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing 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

G. W. HETHERINGTON, M.D., P.A. has sponsored the creation of one or more 401k plans.

Company Name: G. W. HETHERINGTON, M.D., P.A.

Employer identification number (EIN): 741770474

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan G. W. HETHERINGTON, M.D., P.A. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01
001 2013-01-01
001 2012-01-01 G. W. HETHERINGTON, M.D. G. W. HETHERINGTON, M.D. 2013-09-13
001 2011-01-01 G. W. HETHERINGTON, M.D. G. W. HETHERINGTON, M.D. 2012-10-12
001 2010-01-01 G. W. HETHERINGTON, M.D. G. W. HETHERINGTON, M.D. 2011-10-13
001 2009-01-01 G W HETHERINGTON MD PA G W HETHERINGTON MD PA 2010-10-01
001 2009-01-01 GEORGE W. HETHERINGTON GEORGE W. HETHERINGTON 2010-10-01

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2014-01-01
001	2013-01-01
001	2012-01-01	G. W. HETHERINGTON, M.D.	G. W. HETHERINGTON, M.D.	2013-09-13
001	2011-01-01	G. W. HETHERINGTON, M.D.	G. W. HETHERINGTON, M.D.	2012-10-12
001	2010-01-01	G. W. HETHERINGTON, M.D.	G. W. HETHERINGTON, M.D.	2011-10-13
001	2009-01-01	G W HETHERINGTON MD PA	G W HETHERINGTON MD PA	2010-10-01
001	2009-01-01	GEORGE W. HETHERINGTON	GEORGE W. HETHERINGTON	2010-10-01

Plan Statistics for G. W. HETHERINGTON, M.D., P.A. PROFIT SHARING PLAN

401k plan membership statisitcs for G. W. HETHERINGTON, M.D., P.A. PROFIT SHARING PLAN

Measure Date Value
2014: G. W. HETHERINGTON, M.D., P.A. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
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 0
Total of all active and inactive participants 2014-01-01 0
Total participants 2014-01-01 0
Number of participants with account balances 2014-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: G. W. HETHERINGTON, M.D., P.A. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 4
Total of all active and inactive participants 2013-01-01 4
Total participants 2013-01-01 4
Number of participants with account balances 2013-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: G. W. HETHERINGTON, M.D., P.A. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 4
Total of all active and inactive participants 2012-01-01 4
Total participants 2012-01-01 4
Number of participants with account balances 2012-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: G. W. HETHERINGTON, M.D., P.A. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 4
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 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 4
Number of participants with account balances 2011-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: G. W. HETHERINGTON, 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
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 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 5
Number of participants with account balances 2010-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: G. W. HETHERINGTON, 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
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 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 5
Number of participants with account balances 2009-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2014: G. W. HETHERINGTON, M.D., P.A. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
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	0
Total of all active and inactive participants	2014-01-01	0
Total participants	2014-01-01	0
Number of participants with account balances	2014-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: G. W. HETHERINGTON, M.D., P.A. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	4
Total of all active and inactive participants	2013-01-01	4
Total participants	2013-01-01	4
Number of participants with account balances	2013-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: G. W. HETHERINGTON, M.D., P.A. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	4
Total of all active and inactive participants	2012-01-01	4
Total participants	2012-01-01	4
Number of participants with account balances	2012-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: G. W. HETHERINGTON, M.D., P.A. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	4
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	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	4
Number of participants with account balances	2011-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: G. W. HETHERINGTON, 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
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	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	5
Number of participants with account balances	2010-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: G. W. HETHERINGTON, 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
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	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	5
Number of participants with account balances	2009-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on G. W. HETHERINGTON, M.D., P.A. PROFIT SHARING PLAN

Measure	Date	Value
2014 : G. W. HETHERINGTON, M.D., P.A. PROFIT SHARING PLAN 2014 401k financial data
Total plan liabilities at beginning of year	2014-10-31	$17,372
Total income from all sources	2014-10-31	$14,379
Expenses. Total of all expenses incurred	2014-10-31	$679,086
Benefits paid (including direct rollovers)	2014-10-31	$679,086
Total plan assets at end of year	2014-10-31	$0
Total plan assets at beginning of year	2014-10-31	$682,079
Value of fidelity bond covering the plan	2014-10-31	$50,000
Other income received	2014-10-31	$14,379
Net income (gross income less expenses)	2014-10-31	$-664,707
Net plan assets at end of year (total assets less liabilities)	2014-10-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2014-10-31	$664,707
2013 : G. W. HETHERINGTON, M.D., P.A. PROFIT SHARING PLAN 2013 401k financial data
Total plan liabilities at end of year	2013-12-31	$17,372
Total plan liabilities at beginning of year	2013-12-31	$17,372
Total income from all sources	2013-12-31	$118,508
Expenses. Total of all expenses incurred	2013-12-31	$34,921
Benefits paid (including direct rollovers)	2013-12-31	$24,222
Total plan assets at end of year	2013-12-31	$682,079
Total plan assets at beginning of year	2013-12-31	$598,492
Value of fidelity bond covering the plan	2013-12-31	$50,000
Assets. Value of tangible personal property	2013-12-31	$0
Expenses. Other expenses not covered elsewhere	2013-12-31	$10,699
Other income received	2013-12-31	$118,508
Net income (gross income less expenses)	2013-12-31	$83,587
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$664,707
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$581,120
2012 : G. W. HETHERINGTON, M.D., P.A. PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at end of year	2012-12-31	$17,372
Total plan liabilities at beginning of year	2012-12-31	$17,372
Total income from all sources	2012-12-31	$83,009
Expenses. Total of all expenses incurred	2012-12-31	$26,407
Benefits paid (including direct rollovers)	2012-12-31	$18,237
Total plan assets at end of year	2012-12-31	$598,492
Total plan assets at beginning of year	2012-12-31	$541,890
Value of fidelity bond covering the plan	2012-12-31	$50,000
Assets. Value of tangible personal property	2012-12-31	$66,061
Expenses. Other expenses not covered elsewhere	2012-12-31	$8,170
Other income received	2012-12-31	$83,009
Net income (gross income less expenses)	2012-12-31	$56,602
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$581,120
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$524,518
2011 : G. W. HETHERINGTON, M.D., P.A. PROFIT SHARING PLAN 2011 401k financial data
Total plan liabilities at end of year	2011-12-31	$17,372
Total plan liabilities at beginning of year	2011-12-31	$17,372
Total income from all sources	2011-12-31	$-27,803
Expenses. Total of all expenses incurred	2011-12-31	$61,777
Benefits paid (including direct rollovers)	2011-12-31	$50,539
Total plan assets at end of year	2011-12-31	$541,890
Total plan assets at beginning of year	2011-12-31	$631,470
Value of fidelity bond covering the plan	2011-12-31	$50,000
Assets. Value of tangible personal property	2011-12-31	$47,060
Other income received	2011-12-31	$-27,803
Net income (gross income less expenses)	2011-12-31	$-89,580
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$524,518
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$614,098
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$11,238
2010 : G. W. HETHERINGTON, M.D., P.A. PROFIT SHARING PLAN 2010 401k financial data
Total plan liabilities at end of year	2010-12-31	$17,372
Total plan liabilities at beginning of year	2010-12-31	$17,372
Total income from all sources	2010-12-31	$102,785
Expenses. Total of all expenses incurred	2010-12-31	$63,529
Benefits paid (including direct rollovers)	2010-12-31	$52,933
Total plan assets at end of year	2010-12-31	$631,470
Total plan assets at beginning of year	2010-12-31	$592,214
Value of fidelity bond covering the plan	2010-12-31	$50,000
Assets. Value of tangible personal property	2010-12-31	$47,060
Expenses. Other expenses not covered elsewhere	2010-12-31	$10,596
Other income received	2010-12-31	$102,785
Net income (gross income less expenses)	2010-12-31	$39,256
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$614,098
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$574,842

Form 5500 Responses for G. W. HETHERINGTON, M.D., P.A. PROFIT SHARING PLAN

2014: G. W. HETHERINGTON, M.D., P.A. PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	Yes
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: G. W. HETHERINGTON, M.D., P.A. 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 – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: G. W. HETHERINGTON, M.D., P.A. 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: G. W. HETHERINGTON, M.D., P.A. 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
2010: G. W. HETHERINGTON, M.D., P.A. PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: G. W. HETHERINGTON, M.D., P.A. PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	G. W. HETHERINGTON, M.D., P.A.
Employer identification number (EIN):	741770474
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)