401k Plan data: DOUGLAS A MYERS PROFIT SHARING PLAN plan

DOUGLAS A MYERS PROFIT SHARING PLAN 401k Plan overview

Plan Name	DOUGLAS A MYERS PROFIT SHARING PLAN
Plan identification number	002

DOUGLAS A MYERS PROFIT SHARING PLAN 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. Plan covering Self-Employed individuals.

401k Sponsoring company profile

DOUGLAS R MYERS DOUGLAS R MYERS MD has sponsored the creation of one or more 401k plans.

Company Name: DOUGLAS R MYERS DOUGLAS R MYERS MD

Employer identification number (EIN): 911379907

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DOUGLAS A MYERS PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2012-01-01 DOUGLAS R MYERS
002 2011-01-01 DOUGLAS R MYERS
002 2010-01-01 DOUGLAS R MYERS
002 2009-01-01 DOUGLAS R MYERS
002 2009-01-01 DOUGLAS R MYERS

Plan id#	Filing Submission Date	Name of Administrator
002	2012-01-01	DOUGLAS R MYERS
002	2011-01-01	DOUGLAS R MYERS
002	2010-01-01	DOUGLAS R MYERS
002	2009-01-01	DOUGLAS R MYERS
002	2009-01-01	DOUGLAS R MYERS

Plan Statistics for DOUGLAS A MYERS PROFIT SHARING PLAN

401k plan membership statisitcs for DOUGLAS A MYERS PROFIT SHARING PLAN

Measure Date Value
2012: DOUGLAS A MYERS PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 2
Total of all active and inactive participants 2012-01-01 0
Total participants 2012-01-01 0
2011: DOUGLAS A MYERS PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 2
Total of all active and inactive participants 2011-01-01 2
Total participants 2011-01-01 2
2010: DOUGLAS A MYERS PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 2
Total of all active and inactive participants 2010-01-01 2
Total participants 2010-01-01 2
2009: DOUGLAS A MYERS PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 2
Total of all active and inactive participants 2009-01-01 2
Total participants 2009-01-01 2

Measure	Date	Value
2012: DOUGLAS A MYERS PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	2
Total of all active and inactive participants	2012-01-01	0
Total participants	2012-01-01	0
2011: DOUGLAS A MYERS PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	2
Total of all active and inactive participants	2011-01-01	2
Total participants	2011-01-01	2
2010: DOUGLAS A MYERS PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	2
Total of all active and inactive participants	2010-01-01	2
Total participants	2010-01-01	2
2009: DOUGLAS A MYERS PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	2
Total of all active and inactive participants	2009-01-01	2
Total participants	2009-01-01	2

Financial Data on DOUGLAS A MYERS PROFIT SHARING PLAN

Measure	Date	Value
2012 : DOUGLAS A MYERS PROFIT SHARING PLAN 2012 401k financial data
Transfers to/from the plan	2012-12-31	$-571,617
Total income from all sources	2012-12-31	$73,910
Total plan assets at end of year	2012-12-31	$0
Total plan assets at beginning of year	2012-12-31	$497,707
Other income received	2012-12-31	$40,260
Net income (gross income less expenses)	2012-12-31	$73,910
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$497,707
Total contributions received or receivable from employer(s)	2012-12-31	$33,650
2011 : DOUGLAS A MYERS PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$46,826
Total plan assets at end of year	2011-12-31	$497,707
Total plan assets at beginning of year	2011-12-31	$450,881
Other income received	2011-12-31	$9,438
Net income (gross income less expenses)	2011-12-31	$46,826
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$497,707
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$450,881
Total contributions received or receivable from employer(s)	2011-12-31	$37,388
2010 : DOUGLAS A MYERS PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$75,777
Total plan assets at end of year	2010-12-31	$450,881
Total plan assets at beginning of year	2010-12-31	$375,104
Other income received	2010-12-31	$35,084
Net income (gross income less expenses)	2010-12-31	$75,777
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$450,881
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$375,104
Total contributions received or receivable from employer(s)	2010-12-31	$40,693

Form 5500 Responses for DOUGLAS A MYERS PROFIT SHARING PLAN

2012: DOUGLAS A MYERS PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	This submission is the final filing	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: DOUGLAS A MYERS PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: DOUGLAS A MYERS PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: DOUGLAS A MYERS 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

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Company Name:	DOUGLAS R MYERS DOUGLAS R MYERS MD
Employer identification number (EIN):	911379907
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)