401k Plan data: PROFIT SHARING PLAN OF ARIZONA LUNG & CRITICAL CARE SPECIALISTS, P.C. plan

PROFIT SHARING PLAN OF ARIZONA LUNG & CRITICAL CARE SPECIALISTS, P.C. 401k Plan overview

Plan Name	PROFIT SHARING PLAN OF ARIZONA LUNG & CRITICAL CARE SPECIALISTS, P.C.
Plan identification number	001

PROFIT SHARING PLAN OF ARIZONA LUNG & CRITICAL CARE SPECIALISTS, 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.
Participant-directed brokerage accounts provided as an investment option under the plan.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

ARIZONA LUNG & CRITICAL CARE has sponsored the creation of one or more 401k plans.

Company Name: ARIZONA LUNG & CRITICAL CARE

Employer identification number (EIN): 860509203

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PROFIT SHARING PLAN OF ARIZONA LUNG & CRITICAL CARE SPECIALISTS, P.C.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2011-10-01 LAWRENCE SLAMA
001 2009-10-01 LAWRENCE SLAMA

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2011-10-01	LAWRENCE SLAMA
001	2009-10-01	LAWRENCE SLAMA

Plan Statistics for PROFIT SHARING PLAN OF ARIZONA LUNG & CRITICAL CARE SPECIALISTS, P.C.

401k plan membership statisitcs for PROFIT SHARING PLAN OF ARIZONA LUNG & CRITICAL CARE SPECIALISTS, P.C.

Measure Date Value
2011: PROFIT SHARING PLAN OF ARIZONA LUNG & CRITICAL CARE SPECIALISTS, P.C. 2011 401k membership
Total participants, beginning-of-year 2011-10-01 8
Total of all active and inactive participants 2011-10-01 0
Total participants 2011-10-01 0
2009: PROFIT SHARING PLAN OF ARIZONA LUNG & CRITICAL CARE SPECIALISTS, P.C. 2009 401k membership
Total participants, beginning-of-year 2009-10-01 10
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 9
Total of all active and inactive participants 2009-10-01 9
Total participants 2009-10-01 9
Number of participants with account balances 2009-10-01 9

Measure	Date	Value
2011: PROFIT SHARING PLAN OF ARIZONA LUNG & CRITICAL CARE SPECIALISTS, P.C. 2011 401k membership
Total participants, beginning-of-year	2011-10-01	8
Total of all active and inactive participants	2011-10-01	0
Total participants	2011-10-01	0
2009: PROFIT SHARING PLAN OF ARIZONA LUNG & CRITICAL CARE SPECIALISTS, P.C. 2009 401k membership
Total participants, beginning-of-year	2009-10-01	10
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	9
Total of all active and inactive participants	2009-10-01	9
Total participants	2009-10-01	9
Number of participants with account balances	2009-10-01	9

Financial Data on PROFIT SHARING PLAN OF ARIZONA LUNG & CRITICAL CARE SPECIALISTS, P.C.

Measure	Date	Value
2012 : PROFIT SHARING PLAN OF ARIZONA LUNG & CRITICAL CARE SPECIALISTS, P.C. 2012 401k financial data
Total income from all sources	2012-09-30	$176
Expenses. Total of all expenses incurred	2012-09-30	$663,364
Benefits paid (including direct rollovers)	2012-09-30	$663,364
Total plan assets at end of year	2012-09-30	$0
Total plan assets at beginning of year	2012-09-30	$663,188
Other income received	2012-09-30	$176
Net income (gross income less expenses)	2012-09-30	$-663,188
Net plan assets at end of year (total assets less liabilities)	2012-09-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-09-30	$663,188
Funding deficiency by the employer to the plan for this plan year	2012-09-30	$0
Minimum employer required contribution for this plan year	2012-09-30	$0
Amount contributed by the employer to the plan for this plan year	2012-09-30	$0
2011 : PROFIT SHARING PLAN OF ARIZONA LUNG & CRITICAL CARE SPECIALISTS, P.C. 2011 401k financial data
Total income from all sources	2011-09-30	$12,559
Expenses. Total of all expenses incurred	2011-09-30	$390
Benefits paid (including direct rollovers)	2011-09-30	$390
Total plan assets at end of year	2011-09-30	$663,187
Total plan assets at beginning of year	2011-09-30	$651,018
Value of fidelity bond covering the plan	2011-09-30	$70,000
Total contributions received or receivable from participants	2011-09-30	$6,042
Other income received	2011-09-30	$2,746
Net income (gross income less expenses)	2011-09-30	$12,169
Net plan assets at end of year (total assets less liabilities)	2011-09-30	$663,187
Net plan assets at beginning of year (total assets less liabilities)	2011-09-30	$651,018
Assets. Value of participant loans	2011-09-30	$20,436
Total contributions received or receivable from employer(s)	2011-09-30	$3,771
Funding deficiency by the employer to the plan for this plan year	2011-09-30	$0
Minimum employer required contribution for this plan year	2011-09-30	$0
Amount contributed by the employer to the plan for this plan year	2011-09-30	$0
2010 : PROFIT SHARING PLAN OF ARIZONA LUNG & CRITICAL CARE SPECIALISTS, P.C. 2010 401k financial data
Funding deficiency by the employer to the plan for this plan year	2010-09-30	$0
Minimum employer required contribution for this plan year	2010-09-30	$0
Amount contributed by the employer to the plan for this plan year	2010-09-30	$0

Form 5500 Responses for PROFIT SHARING PLAN OF ARIZONA LUNG & CRITICAL CARE SPECIALISTS, P.C.

2011: PROFIT SHARING PLAN OF ARIZONA LUNG & CRITICAL CARE SPECIALISTS, P.C. 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	This submission is the final filing	Yes
2011-10-01	Plan funding arrangement – Trust	Yes
2011-10-01	Plan benefit arrangement - Trust	Yes
2009: PROFIT SHARING PLAN OF ARIZONA LUNG & CRITICAL CARE SPECIALISTS, P.C. 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	Plan funding arrangement – Trust	Yes
2009-10-01	Plan benefit arrangement - Trust	Yes

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Company Name:	ARIZONA LUNG & CRITICAL CARE
Employer identification number (EIN):	860509203
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)