401k Plan data: EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. plan

EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 401k Plan overview

Plan Name	EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C.
Plan identification number	001

EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.
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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

WILLIAM L. HINES, M.D., P.C. DBA HINES-SIGHT has sponsored the creation of one or more 401k plans.

Company Name: WILLIAM L. HINES, M.D., P.C. DBA HINES-SIGHT

Employer identification number (EIN): 840922481

NAIC Classification: 621399
NAIC Description: Offices of All Other Miscellaneous Health Practitioners

Additional information about WILLIAM L. HINES, M.D., P.C. DBA HINES-SIGHT

Jurisdiction of Incorporation: Colorado Department of State

Incorporation Date: 1983-09-01

Company Identification Number: 19871536396

Legal Registered Office Address: 3 Blue Grouse Ridge Rd

Littleton
United States of America (USA)
80127

More information about WILLIAM L. HINES, M.D., P.C. DBA HINES-SIGHT

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01 ANN HINES
001 2016-01-01 ANN HINES
001 2015-01-01 ANN HINES
001 2014-01-01 ANN HINES
001 2013-01-01 ANN HINES
001 2012-01-01 ANN HINES
001 2011-01-01 ANN HINES
001 2010-01-01 ANN HINES
001 2009-01-01 ANN HINES ANN HINES 2010-05-07

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2017-01-01	ANN HINES
001	2016-01-01	ANN HINES
001	2015-01-01	ANN HINES
001	2014-01-01	ANN HINES
001	2013-01-01	ANN HINES
001	2012-01-01	ANN HINES
001	2011-01-01	ANN HINES
001	2010-01-01	ANN HINES
001	2009-01-01	ANN HINES	ANN HINES	2010-05-07

Plan Statistics for EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C.

401k plan membership statisitcs for EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C.

Measure Date Value
2017: EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 2017 401k membership
Total participants, beginning-of-year 2017-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 0
Number of participants with account balances 2017-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 2016 401k membership
Total participants, beginning-of-year 2016-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 11
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 1
Total of all active and inactive participants 2016-01-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 12
Number of participants with account balances 2016-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 2015 401k membership
Total participants, beginning-of-year 2015-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 9
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 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 11
Number of participants with account balances 2015-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 2014 401k membership
Total participants, beginning-of-year 2014-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 10
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 1
Total of all active and inactive participants 2014-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 11
Number of participants with account balances 2014-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 2013 401k membership
Total participants, beginning-of-year 2013-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 11
Number of retired or separated participants receiving benefits 2013-01-01 0
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 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 12
Number of participants with account balances 2013-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 2012 401k membership
Total participants, beginning-of-year 2012-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 13
Number of retired or separated participants receiving benefits 2012-01-01 1
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 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 14
Number of participants with account balances 2012-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 2011 401k membership
Total participants, beginning-of-year 2011-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 13
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 4
Total of all active and inactive participants 2011-01-01 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 17
Number of participants with account balances 2011-01-01 13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 2010 401k membership
Total participants, beginning-of-year 2010-01-01 20
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 12
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 4
Total of all active and inactive participants 2010-01-01 16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 16
Number of participants with account balances 2010-01-01 13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 1
2009: EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 2009 401k membership
Total participants, beginning-of-year 2009-01-01 23
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 16
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 4
Total of all active and inactive participants 2009-01-01 20
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 20
Number of participants with account balances 2009-01-01 16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2017: EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 2017 401k membership
Total participants, beginning-of-year	2017-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	0
Number of participants with account balances	2017-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 2016 401k membership
Total participants, beginning-of-year	2016-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	11
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	1
Total of all active and inactive participants	2016-01-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	12
Number of participants with account balances	2016-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 2015 401k membership
Total participants, beginning-of-year	2015-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	9
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	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	11
Number of participants with account balances	2015-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 2014 401k membership
Total participants, beginning-of-year	2014-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	10
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	1
Total of all active and inactive participants	2014-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	11
Number of participants with account balances	2014-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 2013 401k membership
Total participants, beginning-of-year	2013-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	11
Number of retired or separated participants receiving benefits	2013-01-01	0
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	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	12
Number of participants with account balances	2013-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 2012 401k membership
Total participants, beginning-of-year	2012-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	13
Number of retired or separated participants receiving benefits	2012-01-01	1
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	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	14
Number of participants with account balances	2012-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 2011 401k membership
Total participants, beginning-of-year	2011-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	13
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	4
Total of all active and inactive participants	2011-01-01	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	17
Number of participants with account balances	2011-01-01	13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 2010 401k membership
Total participants, beginning-of-year	2010-01-01	20
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	12
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	4
Total of all active and inactive participants	2010-01-01	16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	16
Number of participants with account balances	2010-01-01	13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	1
2009: EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 2009 401k membership
Total participants, beginning-of-year	2009-01-01	23
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	16
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	4
Total of all active and inactive participants	2009-01-01	20
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	20
Number of participants with account balances	2009-01-01	16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C.

Measure	Date	Value
2017 : EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 2017 401k financial data
Total income from all sources	2017-12-31	$161,618
Expenses. Total of all expenses incurred	2017-12-31	$1,603,512
Benefits paid (including direct rollovers)	2017-12-31	$1,597,748
Total plan assets at end of year	2017-12-31	$0
Total plan assets at beginning of year	2017-12-31	$1,441,894
Value of fidelity bond covering the plan	2017-12-31	$127,000
Total contributions received or receivable from participants	2017-12-31	$36
Contributions received from other sources (not participants or employers)	2017-12-31	$0
Other income received	2017-12-31	$161,582
Noncash contributions received	2017-12-31	$0
Net income (gross income less expenses)	2017-12-31	$-1,441,894
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$1,441,894
Assets. Value of assets in partnership/joint-venture interests	2017-12-31	$0
Total contributions received or receivable from employer(s)	2017-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$5,764
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
2016 : EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 2016 401k financial data
Total income from all sources	2016-12-31	$138,466
Expenses. Total of all expenses incurred	2016-12-31	$62,146
Benefits paid (including direct rollovers)	2016-12-31	$61,776
Total plan assets at end of year	2016-12-31	$1,441,894
Total plan assets at beginning of year	2016-12-31	$1,365,574
Value of fidelity bond covering the plan	2016-12-31	$127,000
Total contributions received or receivable from participants	2016-12-31	$1,409
Assets. Value of loans (other than to participants)	2016-12-31	$4,790
Contributions received from other sources (not participants or employers)	2016-12-31	$0
Other income received	2016-12-31	$137,057
Noncash contributions received	2016-12-31	$0
Net income (gross income less expenses)	2016-12-31	$76,320
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$1,441,894
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$1,365,574
Assets. Value of assets in partnership/joint-venture interests	2016-12-31	$143,615
Total contributions received or receivable from employer(s)	2016-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$370
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
2015 : EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 2015 401k financial data
Total income from all sources	2015-12-31	$24,684
Expenses. Total of all expenses incurred	2015-12-31	$41,462
Benefits paid (including direct rollovers)	2015-12-31	$41,462
Total plan assets at end of year	2015-12-31	$1,365,574
Total plan assets at beginning of year	2015-12-31	$1,382,352
Value of fidelity bond covering the plan	2015-12-31	$127,000
Total contributions received or receivable from participants	2015-12-31	$8,162
Other income received	2015-12-31	$16,522
Net income (gross income less expenses)	2015-12-31	$-16,778
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,365,574
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,382,352
Assets. Value of assets in partnership/joint-venture interests	2015-12-31	$135,184
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 2014 401k financial data
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$71,698
Expenses. Total of all expenses incurred	2014-12-31	$39,246
Benefits paid (including direct rollovers)	2014-12-31	$39,246
Total plan assets at end of year	2014-12-31	$1,382,352
Total plan assets at beginning of year	2014-12-31	$1,349,900
Value of fidelity bond covering the plan	2014-12-31	$118,000
Total contributions received or receivable from participants	2014-12-31	$8,260
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$63,438
Net income (gross income less expenses)	2014-12-31	$32,452
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,382,352
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,349,900
Assets. Value of assets in partnership/joint-venture interests	2014-12-31	$138,319
Total contributions received or receivable from employer(s)	2014-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 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	$151,799
Expenses. Total of all expenses incurred	2013-12-31	$12,456
Total plan assets at end of year	2013-12-31	$1,349,900
Total plan assets at beginning of year	2013-12-31	$1,210,557
Value of fidelity bond covering the plan	2013-12-31	$118,000
Total contributions received or receivable from participants	2013-12-31	$6,993
Other income received	2013-12-31	$144,806
Net income (gross income less expenses)	2013-12-31	$139,343
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,349,900
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,210,557
Assets. Value of assets in partnership/joint-venture interests	2013-12-31	$145,384
Value of certain deemed distributions of participant loans	2013-12-31	$12,456
2012 : EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 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	$123,488
Expenses. Total of all expenses incurred	2012-12-31	$40,740
Benefits paid (including direct rollovers)	2012-12-31	$40,740
Total plan assets at end of year	2012-12-31	$1,210,557
Total plan assets at beginning of year	2012-12-31	$1,127,809
Value of fidelity bond covering the plan	2012-12-31	$118,000
Total contributions received or receivable from participants	2012-12-31	$9,115
Other income received	2012-12-31	$114,373
Net income (gross income less expenses)	2012-12-31	$82,748
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,210,557
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,127,809
Assets. Value of participant loans	2012-12-31	$30,614
Assets. Value of assets in partnership/joint-venture interests	2012-12-31	$133,304
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 2011 401k financial data
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$53,704
Expenses. Total of all expenses incurred	2011-12-31	$1,177
Total plan assets at end of year	2011-12-31	$1,127,809
Total plan assets at beginning of year	2011-12-31	$1,075,282
Value of fidelity bond covering the plan	2011-12-31	$118,000
Total contributions received or receivable from participants	2011-12-31	$9,579
Other income received	2011-12-31	$44,125
Net income (gross income less expenses)	2011-12-31	$52,527
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,127,809
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,075,282
Assets. Value of participant loans	2011-12-31	$52,711
Assets. Value of assets in partnership/joint-venture interests	2011-12-31	$131,981
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$1,177
2010 : EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 2010 401k financial data
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$47,602
Expenses. Total of all expenses incurred	2010-12-31	$22,886
Benefits paid (including direct rollovers)	2010-12-31	$22,298
Total plan assets at end of year	2010-12-31	$1,075,282
Total plan assets at beginning of year	2010-12-31	$1,050,566
Value of fidelity bond covering the plan	2010-12-31	$106,000
Total contributions received or receivable from participants	2010-12-31	$9,330
Other income received	2010-12-31	$38,272
Net income (gross income less expenses)	2010-12-31	$24,716
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,075,282
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,050,566
Assets. Value of participant loans	2010-12-31	$73,903
Assets. Value of assets in partnership/joint-venture interests	2010-12-31	$120,060
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$588
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C.

2017: EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 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	No
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: EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 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: EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 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: EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 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: EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 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: EMPLOYEE PROFIT SHARING PLAN OF WILLIAM HINES, M.D., P.C. 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:	WILLIAM L. HINES, M.D., P.C. DBA HINES-SIGHT
Employer identification number (EIN):	840922481
NAIC Classification:	621399
NAIC Description:	Offices of All Other Miscellaneous Health Practitioners

Jurisdiction of Incorporation:	Colorado Department of State
Incorporation Date:	1983-09-01
Company Identification Number:	19871536396
Legal Registered Office Address:	3 Blue Grouse Ridge Rd Littleton United States of America (USA) 80127