401k Plan data: THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN plan

THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN 401k Plan overview

Plan Name	THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN
Plan identification number	002

THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Money purchase (other than target benefit) Plan covering Self-Employed individuals.

401k Sponsoring company profile

ROBERT G. ZIRSCHKY, M.D. has sponsored the creation of one or more 401k plans.

Company Name: ROBERT G. ZIRSCHKY, M.D.

Employer identification number (EIN): 931011344

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2017-01-01 ROBERT G. ZIRSCHKY
002 2016-01-01 ROBERT G. ZIRSCHKY
002 2015-01-01 ROBERT G. ZIRSCHKY
002 2014-01-01 ROBERT G. ZIRSCHKY
002 2013-01-01 ROBERT G. ZIRSCHKY
002 2012-01-01 ROBERT G. ZIRSCHKY
002 2011-01-01 ROBERT G. ZIRSCHKY
002 2010-01-01 ROBERT G. ZIRSCHKY
002 2009-01-01 ROBERT G. ZIRSCHKY

Plan id#	Filing Submission Date	Name of Administrator
002	2017-01-01	ROBERT G. ZIRSCHKY
002	2016-01-01	ROBERT G. ZIRSCHKY
002	2015-01-01	ROBERT G. ZIRSCHKY
002	2014-01-01	ROBERT G. ZIRSCHKY
002	2013-01-01	ROBERT G. ZIRSCHKY
002	2012-01-01	ROBERT G. ZIRSCHKY
002	2011-01-01	ROBERT G. ZIRSCHKY
002	2010-01-01	ROBERT G. ZIRSCHKY
002	2009-01-01	ROBERT G. ZIRSCHKY

Plan Statistics for THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN

401k plan membership statisitcs for THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN

Measure Date Value
2017: THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 1
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: THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 1
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 0
Total of all active and inactive participants 2016-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 1
Number of participants with account balances 2016-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 1
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 0
Total of all active and inactive participants 2015-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 1
Number of participants with account balances 2015-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1
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 0
Total of all active and inactive participants 2014-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 1
Number of participants with account balances 2014-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1
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 0
Total of all active and inactive participants 2013-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 1
Number of participants with account balances 2013-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1
Number of retired or separated participants receiving benefits 2012-01-01 0
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 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 1
Number of participants with account balances 2012-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1
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 0
Total of all active and inactive participants 2011-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 1
Number of participants with account balances 2011-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1
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 0
Total of all active and inactive participants 2010-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 1
Number of participants with account balances 2010-01-01 1
2009: THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1
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 0
Total of all active and inactive participants 2009-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 1
Number of participants with account balances 2009-01-01 1

Measure	Date	Value
2017: THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	1
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: THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	1
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	0
Total of all active and inactive participants	2016-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	1
Number of participants with account balances	2016-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	1
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	0
Total of all active and inactive participants	2015-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	1
Number of participants with account balances	2015-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1
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	0
Total of all active and inactive participants	2014-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	1
Number of participants with account balances	2014-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1
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	0
Total of all active and inactive participants	2013-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	1
Number of participants with account balances	2013-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1
Number of retired or separated participants receiving benefits	2012-01-01	0
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	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	1
Number of participants with account balances	2012-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1
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	0
Total of all active and inactive participants	2011-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	1
Number of participants with account balances	2011-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1
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	0
Total of all active and inactive participants	2010-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	1
Number of participants with account balances	2010-01-01	1
2009: THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1
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	0
Total of all active and inactive participants	2009-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	1
Number of participants with account balances	2009-01-01	1

Financial Data on THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN

Measure	Date	Value
2017 : THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN 2017 401k financial data
Transfers to/from the plan	2017-12-31	$-990,265
Total income from all sources	2017-12-31	$0
Total plan assets at end of year	2017-12-31	$0
Total plan assets at beginning of year	2017-12-31	$990,265
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	$990,265
2016 : THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$194,321
Total plan assets at end of year	2016-12-31	$990,265
Total plan assets at beginning of year	2016-12-31	$795,944
Value of fidelity bond covering the plan	2016-12-31	$100,000
Other income received	2016-12-31	$194,321
Net income (gross income less expenses)	2016-12-31	$194,321
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$990,265
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$795,944
2015 : THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$-42,858
Total plan assets at end of year	2015-12-31	$795,944
Total plan assets at beginning of year	2015-12-31	$838,802
Value of fidelity bond covering the plan	2015-12-31	$50,000
Other income received	2015-12-31	$-42,858
Net income (gross income less expenses)	2015-12-31	$-42,858
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$795,944
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$838,802
2014 : THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$43,937
Total plan assets at end of year	2014-12-31	$838,802
Total plan assets at beginning of year	2014-12-31	$794,865
Value of fidelity bond covering the plan	2014-12-31	$50,000
Other income received	2014-12-31	$14,686
Net income (gross income less expenses)	2014-12-31	$43,937
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$838,802
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$794,865
Total contributions received or receivable from employer(s)	2014-12-31	$29,251
2013 : THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$154,777
Total plan assets at end of year	2013-12-31	$794,865
Total plan assets at beginning of year	2013-12-31	$640,088
Value of fidelity bond covering the plan	2013-12-31	$50,000
Other income received	2013-12-31	$126,630
Net income (gross income less expenses)	2013-12-31	$154,777
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$794,865
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$640,088
Total contributions received or receivable from employer(s)	2013-12-31	$28,147
2012 : THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$93,554
Total plan assets at end of year	2012-12-31	$640,088
Total plan assets at beginning of year	2012-12-31	$546,534
Value of fidelity bond covering the plan	2012-12-31	$50,000
Other income received	2012-12-31	$65,959
Net income (gross income less expenses)	2012-12-31	$93,554
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$640,088
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$546,534
Total contributions received or receivable from employer(s)	2012-12-31	$27,595
2011 : THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$63,197
Total plan assets at end of year	2011-12-31	$546,534
Total plan assets at beginning of year	2011-12-31	$483,337
Value of fidelity bond covering the plan	2011-12-31	$50,000
Other income received	2011-12-31	$36,154
Net income (gross income less expenses)	2011-12-31	$63,197
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$546,534
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$483,337
Total contributions received or receivable from employer(s)	2011-12-31	$27,043
2010 : THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$84,415
Total plan assets at end of year	2010-12-31	$483,337
Total plan assets at beginning of year	2010-12-31	$398,922
Value of fidelity bond covering the plan	2010-12-31	$100,000
Other income received	2010-12-31	$48,146
Net income (gross income less expenses)	2010-12-31	$84,415
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$483,337
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$398,922
Total contributions received or receivable from employer(s)	2010-12-31	$36,269

Form 5500 Responses for THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN

2017: THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	This submission is the final filing	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION PLAN 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
2011: THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION 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: THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION 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: THE ROBERT G. ZIRSCHKY, M.D. MONEY PURCHASE PENSION 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:	ROBERT G. ZIRSCHKY, M.D.
Employer identification number (EIN):	931011344
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)