401k Plan data: PROFIT SHARING PLAN FOR DAVY M. CHIN plan

PROFIT SHARING PLAN FOR DAVY M. CHIN 401k Plan overview

Plan Name	PROFIT SHARING PLAN FOR DAVY M. CHIN
Plan identification number	001

PROFIT SHARING PLAN FOR DAVY M. CHIN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing Participant-directed brokerage accounts provided as an investment option under the plan.

401k Sponsoring company profile

DAVY M. CHIN, O.D. has sponsored the creation of one or more 401k plans.

Company Name: DAVY M. CHIN, O.D.

Employer identification number (EIN): 760028779

NAIC Classification: 621320
NAIC Description: Offices of Optometrists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PROFIT SHARING PLAN FOR DAVY M. CHIN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 DAVY CHIN DAVY CHIN 2015-07-23
001 2013-01-01 DAVY CHIN DAVY CHIN 2014-05-28
001 2012-01-01 DAVY CHIN DAVY CHIN 2013-10-29
001 2011-01-01 DAVY CHIN
001 2009-01-01 DAVY CHIN

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2014-01-01	DAVY CHIN	DAVY CHIN	2015-07-23
001	2013-01-01	DAVY CHIN	DAVY CHIN	2014-05-28
001	2012-01-01	DAVY CHIN	DAVY CHIN	2013-10-29
001	2011-01-01	DAVY CHIN
001	2009-01-01	DAVY CHIN

Plan Statistics for PROFIT SHARING PLAN FOR DAVY M. CHIN

401k plan membership statisitcs for PROFIT SHARING PLAN FOR DAVY M. CHIN

Measure Date Value
2014: PROFIT SHARING PLAN FOR DAVY M. CHIN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 3
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
2013: PROFIT SHARING PLAN FOR DAVY M. CHIN 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 2
Number of other retired or separated participants entitled to future benefits 2013-01-01 1
Total of all active and inactive participants 2013-01-01 3
Total participants 2013-01-01 3
Number of participants with account balances 2013-01-01 3
2012: PROFIT SHARING PLAN FOR DAVY M. CHIN 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 2
Number of other retired or separated participants entitled to future benefits 2012-01-01 2
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
2011: PROFIT SHARING PLAN FOR DAVY M. CHIN 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 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 2
Total of all active and inactive participants 2011-01-01 3
Total participants 2011-01-01 3
Number of participants with account balances 2011-01-01 3
2009: PROFIT SHARING PLAN FOR DAVY M. CHIN 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 2
Number of retired or separated participants receiving benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 2
Total participants 2009-01-01 2
Number of participants with account balances 2009-01-01 2

Measure	Date	Value
2014: PROFIT SHARING PLAN FOR DAVY M. CHIN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	3
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
2013: PROFIT SHARING PLAN FOR DAVY M. CHIN 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	2
Number of other retired or separated participants entitled to future benefits	2013-01-01	1
Total of all active and inactive participants	2013-01-01	3
Total participants	2013-01-01	3
Number of participants with account balances	2013-01-01	3
2012: PROFIT SHARING PLAN FOR DAVY M. CHIN 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	2
Number of other retired or separated participants entitled to future benefits	2012-01-01	2
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
2011: PROFIT SHARING PLAN FOR DAVY M. CHIN 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	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	2
Total of all active and inactive participants	2011-01-01	3
Total participants	2011-01-01	3
Number of participants with account balances	2011-01-01	3
2009: PROFIT SHARING PLAN FOR DAVY M. CHIN 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	2
Number of retired or separated participants receiving benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	2
Total participants	2009-01-01	2
Number of participants with account balances	2009-01-01	2

Financial Data on PROFIT SHARING PLAN FOR DAVY M. CHIN

Measure	Date	Value
2014 : PROFIT SHARING PLAN FOR DAVY M. CHIN 2014 401k financial data
Total plan liabilities at end of year	2014-12-31	$0
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$164,701
Expenses. Total of all expenses incurred	2014-12-31	$1,306,262
Benefits paid (including direct rollovers)	2014-12-31	$1,306,162
Total plan assets at end of year	2014-12-31	$0
Total plan assets at beginning of year	2014-12-31	$1,141,561
Value of fidelity bond covering the plan	2014-12-31	$50,000
Expenses. Other expenses not covered elsewhere	2014-12-31	$100
Other income received	2014-12-31	$164,701
Net income (gross income less expenses)	2014-12-31	$-1,141,561
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,141,561
2013 : PROFIT SHARING PLAN FOR DAVY M. CHIN 2013 401k financial data
Total plan liabilities at end of year	2013-12-31	$0
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$233,313
Expenses. Total of all expenses incurred	2013-12-31	$4,523
Benefits paid (including direct rollovers)	2013-12-31	$3,552
Total plan assets at end of year	2013-12-31	$1,141,561
Total plan assets at beginning of year	2013-12-31	$912,771
Value of fidelity bond covering the plan	2013-12-31	$50,000
Expenses. Other expenses not covered elsewhere	2013-12-31	$971
Other income received	2013-12-31	$208,387
Net income (gross income less expenses)	2013-12-31	$228,790
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,141,561
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$912,771
Total contributions received or receivable from employer(s)	2013-12-31	$24,926
2012 : PROFIT SHARING PLAN FOR DAVY M. CHIN 2012 401k financial data
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$132,547
Expenses. Total of all expenses incurred	2012-12-31	$864
Total plan assets at end of year	2012-12-31	$912,771
Total plan assets at beginning of year	2012-12-31	$781,088
Value of fidelity bond covering the plan	2012-12-31	$50,000
Expenses. Other expenses not covered elsewhere	2012-12-31	$864
Other income received	2012-12-31	$90,777
Net income (gross income less expenses)	2012-12-31	$131,683
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$912,771
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$781,088
Total contributions received or receivable from employer(s)	2012-12-31	$41,770
2011 : PROFIT SHARING PLAN FOR DAVY M. CHIN 2011 401k financial data
Total plan liabilities at end of year	2011-12-31	$781,088
Total plan liabilities at beginning of year	2011-12-31	$737,718
Total income from all sources	2011-12-31	$58,197
Expenses. Total of all expenses incurred	2011-12-31	$14,827
Total plan assets at end of year	2011-12-31	$781,088
Total plan assets at beginning of year	2011-12-31	$737,718
Value of fidelity bond covering the plan	2011-12-31	$50,000
Expenses. Other expenses not covered elsewhere	2011-12-31	$14,827
Other income received	2011-12-31	$11,017
Net income (gross income less expenses)	2011-12-31	$43,370
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$0
Total contributions received or receivable from employer(s)	2011-12-31	$47,180
2010 : PROFIT SHARING PLAN FOR DAVY M. CHIN 2010 401k financial data
Total plan liabilities at end of year	2010-12-31	$737,719
Total plan liabilities at beginning of year	2010-12-31	$640,155
Total income from all sources	2010-12-31	$97,564
Expenses. Total of all expenses incurred	2010-12-31	$0
Benefits paid (including direct rollovers)	2010-12-31	$0
Total plan assets at end of year	2010-12-31	$737,719
Total plan assets at beginning of year	2010-12-31	$640,155
Value of fidelity bond covering the plan	2010-12-31	$50,000
Other income received	2010-12-31	$48,564
Net income (gross income less expenses)	2010-12-31	$97,564
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$0
Total contributions received or receivable from employer(s)	2010-12-31	$49,000

Form 5500 Responses for PROFIT SHARING PLAN FOR DAVY M. CHIN

2014: PROFIT SHARING PLAN FOR DAVY M. CHIN 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)	No
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: PROFIT SHARING PLAN FOR DAVY M. CHIN 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: PROFIT SHARING PLAN FOR DAVY M. CHIN 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 FOR DAVY M. CHIN 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
2009: PROFIT SHARING PLAN FOR DAVY M. CHIN 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:	DAVY M. CHIN, O.D.
Employer identification number (EIN):	760028779
NAIC Classification:	621320
NAIC Description:	Offices of Optometrists