401k Plan data: W DALE ANDERSON MD PC EMPLOYEE BENEFIT PLAN AND TRUST AGREEMENT plan

W DALE ANDERSON MD PC EMPLOYEE BENEFIT PLAN AND TRUST AGREEMENT 401k Plan overview

Plan Name	W DALE ANDERSON MD PC EMPLOYEE BENEFIT PLAN AND TRUST AGREEMENT
Plan identification number	001

W DALE ANDERSON MD PC EMPLOYEE BENEFIT PLAN AND TRUST AGREEMENT Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Money purchase (other than target benefit)

401k Sponsoring company profile

WD ANDERSON MD PC has sponsored the creation of one or more 401k plans.

Company Name: WD ANDERSON MD PC

Employer identification number (EIN): 840850302

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan W DALE ANDERSON MD PC EMPLOYEE BENEFIT PLAN AND TRUST AGREEMENT

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2013-01-01
001 2012-01-01 W. DALE ANDERSON, MD W. DALE ANDERSON. MD 2013-10-08
001 2011-01-01 W. DALE ANDERSON 2012-10-11
001 2010-01-01 W. DALE ANDERSON 2011-10-13

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2013-01-01
001	2012-01-01	W. DALE ANDERSON, MD		W. DALE ANDERSON. MD	2013-10-08
001	2011-01-01	W. DALE ANDERSON	2012-10-11
001	2010-01-01	W. DALE ANDERSON	2011-10-13

Financial Data on W DALE ANDERSON MD PC EMPLOYEE BENEFIT PLAN AND TRUST AGREEMENT

Measure	Date	Value
2013 : W DALE ANDERSON MD PC EMPLOYEE BENEFIT PLAN AND TRUST AGREEMENT 2013 401k financial data
Total plan liabilities at beginning of year	2013-12-31	$3,242
Total income from all sources	2013-12-31	$26,507
Expenses. Total of all expenses incurred	2013-12-31	$734,264
Benefits paid (including direct rollovers)	2013-12-31	$731,842
Total plan assets at end of year	2013-12-31	$0
Total plan assets at beginning of year	2013-12-31	$710,999
Value of fidelity bond covering the plan	2013-12-31	$100,000
Other income received	2013-12-31	$11,722
Net income (gross income less expenses)	2013-12-31	$-707,757
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$707,757
Total contributions received or receivable from employer(s)	2013-12-31	$14,785
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$2,422
2012 : W DALE ANDERSON MD PC EMPLOYEE BENEFIT PLAN AND TRUST AGREEMENT 2012 401k financial data
Total plan liabilities at end of year	2012-12-31	$3,242
Total plan liabilities at beginning of year	2012-12-31	$3,242
Total income from all sources	2012-12-31	$73,173
Expenses. Total of all expenses incurred	2012-12-31	$21,028
Benefits paid (including direct rollovers)	2012-12-31	$18,480
Total plan assets at end of year	2012-12-31	$710,999
Total plan assets at beginning of year	2012-12-31	$658,854
Value of fidelity bond covering the plan	2012-12-31	$100,000
Other income received	2012-12-31	$58,388
Net income (gross income less expenses)	2012-12-31	$52,145
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$707,757
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$655,612
Total contributions received or receivable from employer(s)	2012-12-31	$14,785
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$2,548

Form 5500 Responses for W DALE ANDERSON MD PC EMPLOYEE BENEFIT PLAN AND TRUST AGREEMENT

2013: W DALE ANDERSON MD PC EMPLOYEE BENEFIT PLAN AND TRUST AGREEMENT 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	This submission is the final filing	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: W DALE ANDERSON MD PC EMPLOYEE BENEFIT PLAN AND TRUST AGREEMENT 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

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Company Name:	WD ANDERSON MD PC
Employer identification number (EIN):	840850302
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)