401k Plan data: INLAND NORTHWEST GENETICS CLINIC TAX DEFERRED ANNUITY plan

INLAND NORTHWEST GENETICS CLINIC TAX DEFERRED ANNUITY 401k Plan overview

Plan Name	INLAND NORTHWEST GENETICS CLINIC TAX DEFERRED ANNUITY
Plan identification number	002

INLAND NORTHWEST GENETICS CLINIC TAX DEFERRED ANNUITY Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.

401k Sponsoring company profile

INLAND NORTHWEST GENETICS CLINIC has sponsored the creation of one or more 401k plans.

Company Name: INLAND NORTHWEST GENETICS CLINIC

Employer identification number (EIN): 910937457

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

Additional information about INLAND NORTHWEST GENETICS CLINIC

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division

Incorporation Date: 1975-01-28

Company Identification Number: 600168433

Legal Registered Office Address: 601 W RIVERSIDE #1500

SPOKANE
United States of America (USA)
99201

More information about INLAND NORTHWEST GENETICS CLINIC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INLAND NORTHWEST GENETICS CLINIC TAX DEFERRED ANNUITY

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2011-06-01 HELEN ANDRUS
002 2010-06-01 HELEN ANDRUS
002 2009-06-01 HELEN ANDRUS

Plan id#	Filing Submission Date	Name of Administrator
002	2011-06-01	HELEN ANDRUS
002	2010-06-01	HELEN ANDRUS
002	2009-06-01	HELEN ANDRUS

Plan Statistics for INLAND NORTHWEST GENETICS CLINIC TAX DEFERRED ANNUITY

401k plan membership statisitcs for INLAND NORTHWEST GENETICS CLINIC TAX DEFERRED ANNUITY

Measure Date Value
2011: INLAND NORTHWEST GENETICS CLINIC TAX DEFERRED ANNUITY 2011 401k membership
Total participants, beginning-of-year 2011-06-01 1
Number of other retired or separated participants entitled to future benefits 2011-06-01 0
Total of all active and inactive participants 2011-06-01 0
Total participants 2011-06-01 0
2010: INLAND NORTHWEST GENETICS CLINIC TAX DEFERRED ANNUITY 2010 401k membership
Total participants, beginning-of-year 2010-06-01 1
Number of other retired or separated participants entitled to future benefits 2010-06-01 1
Total of all active and inactive participants 2010-06-01 1
Total participants 2010-06-01 1
2009: INLAND NORTHWEST GENETICS CLINIC TAX DEFERRED ANNUITY 2009 401k membership
Total participants, beginning-of-year 2009-06-01 11
Total number of active participants reported on line 7a of the Form 5500 2009-06-01 1
Total of all active and inactive participants 2009-06-01 1
Total participants 2009-06-01 1

Measure	Date	Value
2011: INLAND NORTHWEST GENETICS CLINIC TAX DEFERRED ANNUITY 2011 401k membership
Total participants, beginning-of-year	2011-06-01	1
Number of other retired or separated participants entitled to future benefits	2011-06-01	0
Total of all active and inactive participants	2011-06-01	0
Total participants	2011-06-01	0
2010: INLAND NORTHWEST GENETICS CLINIC TAX DEFERRED ANNUITY 2010 401k membership
Total participants, beginning-of-year	2010-06-01	1
Number of other retired or separated participants entitled to future benefits	2010-06-01	1
Total of all active and inactive participants	2010-06-01	1
Total participants	2010-06-01	1
2009: INLAND NORTHWEST GENETICS CLINIC TAX DEFERRED ANNUITY 2009 401k membership
Total participants, beginning-of-year	2009-06-01	11
Total number of active participants reported on line 7a of the Form 5500	2009-06-01	1
Total of all active and inactive participants	2009-06-01	1
Total participants	2009-06-01	1

Financial Data on INLAND NORTHWEST GENETICS CLINIC TAX DEFERRED ANNUITY

Measure	Date	Value
2012 : INLAND NORTHWEST GENETICS CLINIC TAX DEFERRED ANNUITY 2012 401k financial data
Expenses. Total of all expenses incurred	2012-05-31	$8,672
Benefits paid (including direct rollovers)	2012-05-31	$8,672
Total plan assets at beginning of year	2012-05-31	$8,672
Net income (gross income less expenses)	2012-05-31	$-8,672
Net plan assets at beginning of year (total assets less liabilities)	2012-05-31	$8,672
2011 : INLAND NORTHWEST GENETICS CLINIC TAX DEFERRED ANNUITY 2011 401k financial data
Total income from all sources	2011-05-31	$3,097
Expenses. Total of all expenses incurred	2011-05-31	$50,099
Benefits paid (including direct rollovers)	2011-05-31	$50,083
Total plan assets at end of year	2011-05-31	$8,672
Total plan assets at beginning of year	2011-05-31	$55,674
Total contributions received or receivable from participants	2011-05-31	$0
Other income received	2011-05-31	$3,097
Net income (gross income less expenses)	2011-05-31	$-47,002
Net plan assets at end of year (total assets less liabilities)	2011-05-31	$8,672
Net plan assets at beginning of year (total assets less liabilities)	2011-05-31	$55,674
Expenses. Administrative service providers (salaries,fees and commissions)	2011-05-31	$16

Form 5500 Responses for INLAND NORTHWEST GENETICS CLINIC TAX DEFERRED ANNUITY

2011: INLAND NORTHWEST GENETICS CLINIC TAX DEFERRED ANNUITY 2011 form 5500 responses
2011-06-01	Type of plan entity	Single employer plan
2011-06-01	This submission is the final filing	Yes
2011-06-01	Plan funding arrangement – Insurance	Yes
2011-06-01	Plan benefit arrangement - Trust	Yes
2010: INLAND NORTHWEST GENETICS CLINIC TAX DEFERRED ANNUITY 2010 form 5500 responses
2010-06-01	Type of plan entity	Single employer plan
2010-06-01	Plan funding arrangement – Insurance	Yes
2010-06-01	Plan benefit arrangement - Trust	Yes
2009: INLAND NORTHWEST GENETICS CLINIC TAX DEFERRED ANNUITY 2009 form 5500 responses
2009-06-01	Type of plan entity	Single employer plan
2009-06-01	This submission is the final filing	No
2009-06-01	Plan funding arrangement – Insurance	Yes
2009-06-01	Plan benefit arrangement - Trust	Yes

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Company Name:	INLAND NORTHWEST GENETICS CLINIC
Employer identification number (EIN):	910937457
NAIC Classification:	621399
NAIC Description:	Offices of All Other Miscellaneous Health Practitioners

Jurisdiction of Incorporation:	Washington Secretary of State Corporations Division
Incorporation Date:	1975-01-28
Company Identification Number:	600168433
Legal Registered Office Address:	601 W RIVERSIDE #1500 SPOKANE United States of America (USA) 99201