401k Plan data: DR MICHAEL P KLETT PROFIT SHARING PLAN plan

DR MICHAEL P KLETT PROFIT SHARING PLAN 401k Plan overview

Plan Name	DR MICHAEL P KLETT PROFIT SHARING PLAN
Plan identification number	001

DR MICHAEL P KLETT PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Cash balance or similar plan - Plan has a "cash balance" formula. For this purpose, a "cash balance" formula is a benefit formula in a defined benefit plan by whatever name (for example, personal account plan, pension equity plan, life cycle plan, cash account plan, etc.) that rather than, or in addition to, expressing the accrued benefit as a life annuity commencing at normal retirement age, defines benefits for each employee in terms more common to a defined contribution plan such as a single sum distribution amount (for example, 10 percent of final average pay times years of service, or the amount of the employee's hypothetical account balance).
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.
Participant-directed brokerage accounts provided as an investment option under the plan.
Plan covering Self-Employed individuals.
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.
Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.

401k Sponsoring company profile

MICHAEL P KLETT D O has sponsored the creation of one or more 401k plans.

Company Name: MICHAEL P KLETT D O

Employer identification number (EIN): 820465859

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DR MICHAEL P KLETT PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 MICHAEL P KLETT 2016-10-12 MICHAEL P KLETT 2016-10-12
001 2015-01-01 MICHAEL P KLETT 2019-04-26 MICHAEL P KLETT 2019-04-26
001 2014-01-01 MICHAEL P KLETT 2015-10-13 MICHAEL P KLETT 2015-10-13
001 2013-01-01 MICHAEL P KLETT 2014-10-08 MICHAEL P KLETT 2014-10-08
001 2012-01-01 MICHAEL P KLETT 2013-10-03 MICHAEL P KLETT 2013-10-03
001 2011-01-01 MICHAEL P KLETT 2012-09-11 MICHAEL P KLETT 2012-09-11
001 2010-01-01 DAVID WESTFALL 2011-10-13
001 2009-01-01 DAVID WESTFALL

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2015-01-01	MICHAEL P KLETT	2016-10-12	MICHAEL P KLETT	2016-10-12
001	2015-01-01	MICHAEL P KLETT	2019-04-26	MICHAEL P KLETT	2019-04-26
001	2014-01-01	MICHAEL P KLETT	2015-10-13	MICHAEL P KLETT	2015-10-13
001	2013-01-01	MICHAEL P KLETT	2014-10-08	MICHAEL P KLETT	2014-10-08
001	2012-01-01	MICHAEL P KLETT	2013-10-03	MICHAEL P KLETT	2013-10-03
001	2011-01-01	MICHAEL P KLETT	2012-09-11	MICHAEL P KLETT	2012-09-11
001	2010-01-01	DAVID WESTFALL	2011-10-13
001	2009-01-01	DAVID WESTFALL

Plan Statistics for DR MICHAEL P KLETT PROFIT SHARING PLAN

401k plan membership statisitcs for DR MICHAEL P KLETT PROFIT SHARING PLAN

Measure Date Value
2009: DR MICHAEL P KLETT PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 3
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 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
2009: DR MICHAEL P KLETT PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	3
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	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 DR MICHAEL P KLETT PROFIT SHARING PLAN

Measure	Date	Value
2009 : DR MICHAEL P KLETT PROFIT SHARING PLAN 2009 401k financial data
Funding deficiency by the employer to the plan for this plan year	2009-12-31	$0
Minimum employer required contribution for this plan year	2009-12-31	$0
Amount contributed by the employer to the plan for this plan year	2009-12-31	$0

Form 5500 Responses for DR MICHAEL P KLETT PROFIT SHARING PLAN

2009: DR MICHAEL P KLETT PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Potentially related plans

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Company Name:	MICHAEL P KLETT D O
Employer identification number (EIN):	820465859
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)